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Worms spread by exploiting vulnerabilities in operating systems. Vendors with security problems supply regular security updates, and if these are installed to a machine then the majority of worms are unable to spread to it. If a vulnerability is disclosed before the security patch released by the vendor, a zero-day attack is possible.
Users need to be wary of opening unexpected email, and should not run attached files or programs, or visit web sites that are linked to such emails. However, as with the ILOVEYOU worm, and with the increased growth and efficiency of phishing attacks, it remains possible to trick the end-user into running malicious code.
Anti-virus and anti-spyware software are helpful, but must be kept up-to-date with new pattern files at least every few days. The use of a firewall is also recommended.