How are Colds and Flu Spread?

Colds and flu are most commonly spread through sneezing, coughing and touching contaminated surfaces.
- Air: Cold and flu viruses can travel up to six feet in airborne water droplets from a person’s breath when they talk, sneeze or cough. If you inhale one of these water droplets or it lands in your mouth, nose or eyes, you may become infected. Cold and flu viruses tend to spread more easily in cold, dry air.i, ii ,iii
- Touch: Surprisingly, viruses can survive for some time on surfaces, especially on hard, smooth surfaces such as metal and plastic.iv Recent research suggests the flu virus can survive for up to nine hours on hard surfaces and up to four hours on porous items – such as clothes or soft toys.v If you touch an infected surface – such as a door handle, light switch, computer keyboard, cup or glassware, clothing or tissues – a cold or flu virus can pass into your body if you touch your eyes, nose or mouth afterwards.i, ii
- Close or Direct Contact: Kissing, hugging or shaking hands can pass the virus directly from one person to another.i
How Long is the Flu Contagious?
People with the flu are generally thought to be most contagious in the first three to four days after their illness begins. Adults may be able to infect others from one day before symptoms develop (when you may not even know you’re sick), and up to a week after getting the flu. However, young children or those with a weakened immune system may be contagious for longer than seven days.ii
How Can I Avoid the Cold or Flu Virus?
There are many easy ways you can help prevent becoming infected with a cold or flu virus:i, vii
Be sure to get your annual flu vaccination (this will not protect you against the common cold).
Wash your hands often and for at least 20 seconds with soap and water – or hand sanitizer if soap isn’t available.
Stay away from anyone who is sick. You’re more likely to contract a virus after close contact with a sick person.
Disinfect hard surfaces that get a lot of people traffic. This includes door handles, light switches, shopping cart handles and gym equipment.
Avoid touching your eyes, nose and mouth before washing or disinfecting your hands.
Look after yourself. Getting a good amount of sleep, exercising regularly, and eating a balanced and nutritious diet will help to keep you healthy and reduce your risk of catching a cold or flu.
How Long Do Cold and Flu Symptoms Last?
When suffering from cold and flu symptoms, how long you’ll feel unwell will vary from person to person. As a general rule, most people recover from the common cold within seven to ten days, while flu symptoms may last five to seven days.i, viii
Can I Exercise if I’ve Got a Cold or the Flu?
If you’re in doubt about whether or not you should keep exercising when you’re unwell, use the ‘above vs. below the neck’ rule.
While some mild to moderate exercise is generally okay while you’ve got ‘above the neck’ cold symptoms such as sneezing, a runny nose or a sore throat, it’s best not to do it at a gym where you might infect others. If you have ‘below the neck’ flu-like symptoms such as fever, chest congestion, cough, muscle aches or nausea, then you shouldn’t exercise at all until you have fully recovered.ix
Next Steps

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SOURCES
i. Common Colds: Protect Yourself and Others. Centers for Disease Control and Protection. https://www.cdc.gov/features/rhinoviruses/index.html. Accessed 12/03/20.
ii. How Flu Spreads. Centers for Disease Control and Prevention. https://www.cdc.gov/flu/about/disease/spread.htm Accessed 12/03/20.
iii. The Reason for the Season: why flu strikes in winter. Harvard University. http://sitn.hms.harvard.edu/flash/2014/the-reason-for-the-season-why-flu-strikes-in-winter/ Accessed 12/03/20.
iv. Cold and flu viruses: How long can they live outside the body? Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/flu/expert-answers/infectious-disease/faq-20057907. Accessed 12/03/20.
v. Survival of Influenza A(H1N1) on Materials Found in Households: Implications for Infection Control. PLOS. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0027932. Accessed 12/03/20.
vi. How long is someone infectious after a viral infection? NHS. https://www.nhs.uk/common-health-questions/infections/how-long-is-someone-infectious-after-a-viral-infection/. Accessed 12/02/30.
vii. Healthy Habits to Help Prevent Flu. Centers for Disease Control and Prevention. https://www.cdc.gov/flu/prevent/actions-prevent-flu.htm. Accessed 12/03/20.
viii. How Long Does the Flu Last? Harvard Health. https://www.health.harvard.edu/staying-healthy/how-long-does-the-flu-last. Accessed 12/03/20.
ix. Is it OK to exercise if I have a cold? Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/fitness/expert-answers/exercise/faq-20058494. Accessed 13/0/20.