Reducing Your Risk of Viral Upper Respiratory Infections (Colds and Influenza)

Overview

There are steps you can take to reduce your risk of catching a cold or influenza. They include the following:

Hand washing is one of the most effective ways to reduce your risk of getting a cold or the flu. Wash your hands often, especially when you come in contact with someone who is sick. Even if someone in your house has the flu, you can reduce your risk of getting sick by washing your hands.

Effective ways to prevent respiratory infections include:

  • Washing your hands thoroughly (15-20 seconds) with soap and water
  • Avoiding hand-to-hand passage of germs and droplet sprays from sneezing and coughing
  • Using alcohol-based hand gels when washing is not possible

If you have to be in close contact with a sick person, wear a face mask or a disposable respirator. Wearing a face mask and washing your hands can help to reduce your risk of getting the flu.

Do not share drinks or personal items.

Do not bite your nails or put your hands near your eyes, mouth, or nose.

This may not be a very practical suggestion for everyone. However, if you are at high risk of catching a cold or influenza or are at risk for developing complications from these infections, try to avoid crowded areas or people who are obviously sick during the flu season.

Each year, the World Health Organization (WHO) tries to determine which strains of the influenza virus will be most dangerous in the upcoming influenza season. Vaccines are developed for these strains. Flu vaccines are available and recommended for most people aged 6 months and older.

There is a vaccine against the avian flu, but it is not available to the general public.

The seasonal flu vaccine has been associated with fewer hospitalizations and deaths from influenza or pneumonia among the elderly living in a community. The Centers for Disease Control and Prevention (CDC) recommends that anyone aged 6 months and older should get a yearly flu vaccine. Children 6 months to 8 years of age will need 2 doses of the vaccine to help build immunity to the virus.

There are two types of seasonal flu vaccines:

  • Flu shot—This is for people aged 6 months and older. The shot is made from an inactivated, killed virus. It is given by injection, usually into the arm.
  • Nasal spray flu vaccine—This is approved for healthy people aged 2-49 years who are not pregnant. It is made from live, weakened flu viruses. It is the preferred vaccine for healthy children who are 2 to 8 years of age.

A possible side effect is a mild “flu-like” reaction, including fever, aches, and fatigue. Up to 5% of people experience these symptoms after getting the seasonal influenza vaccine.

Flu vaccines are available at doctors’ offices, hospitals, local public health offices, and at some workplaces, stores, and shopping malls.

Most people do not need to take antiviral medicines. But, you may want to talk to your doctor about taking these medicines to lower your risk of getting the flu if you:

  • Are exposed to the flu, and
  • Are at high risk of having complications

If you have the flu and live with someone who is at risk for complications (for example, elderly, babies, someone with cancer), that person may need to take antiviral medicines to prevent getting the flu from you.

Remember that these medicines are not a substitute for getting vaccinated. Vaccination is still the best way to prevent the flu.

There are a number of alternative treatments that have been studied as potential ways to prevent colds and the flu. Some that may have protective benefits include:

  • Zinc —Taking a daily zinc supplement may reduce your risk of getting sick.
  • Andrographis (also called “Indian echinacea”)—This herb may increase your resistance to colds.
  • Vitamin C —A daily dose of this vitamin may also help you to stay healthy.

While echinacea is often labeled as a “cold fighter,” the overall evidence is not very strong to support this herb’s preventive effects.

Remember to talk to your doctor before taking any herbs or supplements. They can interact with other medicines you are taking or worsen a condition that you have.

Wash Your Hands Often

Hand washing is one of the most effective ways to reduce your risk of getting a cold or the flu. Wash your hands often, especially when you come in contact with someone who is sick. Even if someone in your house has the flu, you can reduce your risk of getting sick by washing your hands.

Effective ways to prevent respiratory infections include:

  • Washing your hands thoroughly (15-20 seconds) with soap and water
  • Avoiding hand-to-hand passage of germs and droplet sprays from sneezing and coughing
  • Using alcohol-based hand gels when washing is not possible

Wear a Face Mask

If you have to be in close contact with a sick person, wear a face mask or a disposable respirator. Wearing a face mask and washing your hands can help to reduce your risk of getting the flu.

Do Not Share Items

Do not share drinks or personal items.

Keep Your Hands Away From Your Face

Do not bite your nails or put your hands near your eyes, mouth, or nose.

Avoid Crowds During Influenza Season

This may not be a very practical suggestion for everyone. However, if you are at high risk of catching a cold or influenza or are at risk for developing complications from these infections, try to avoid crowded areas or people who are obviously sick during the flu season.

Get a Flu Vaccine

Each year, the World Health Organization (WHO) tries to determine which strains of the influenza virus will be most dangerous in the upcoming influenza season. Vaccines are developed for these strains. Flu vaccines are available and recommended for most people aged 6 months and older.

There is a vaccine against the avian flu, but it is not available to the general public.

The seasonal flu vaccine has been associated with fewer hospitalizations and deaths from influenza or pneumonia among the elderly living in a community. The Centers for Disease Control and Prevention (CDC) recommends that anyone aged 6 months and older should get a yearly flu vaccine. Children 6 months to 8 years of age will need 2 doses of the vaccine to help build immunity to the virus.

There are two types of seasonal flu vaccines:

  • Flu shot—This is for people aged 6 months and older. The shot is made from an inactivated, killed virus. It is given by injection, usually into the arm.
  • Nasal spray flu vaccine—This is approved for healthy people aged 2-49 years who are not pregnant. It is made from live, weakened flu viruses. It is the preferred vaccine for healthy children who are 2 to 8 years of age.

A possible side effect is a mild “flu-like” reaction, including fever, aches, and fatigue. Up to 5% of people experience these symptoms after getting the seasonal influenza vaccine.

Flu vaccines are available at doctors’ offices, hospitals, local public health offices, and at some workplaces, stores, and shopping malls.

Medication

Most people do not need to take antiviral medicines. But, you may want to talk to your doctor about taking these medicines to lower your risk of getting the flu if you:

  • Are exposed to the flu, and
  • Are at high risk of having complications

If you have the flu and live with someone who is at risk for complications (for example, elderly, babies, someone with cancer), that person may need to take antiviral medicines to prevent getting the flu from you.

Remember that these medicines are not a substitute for getting vaccinated. Vaccination is still the best way to prevent the flu.

Alternative Treatments

There are a number of alternative treatments that have been studied as potential ways to prevent colds and the flu. Some that may have protective benefits include:

  • Zinc —Taking a daily zinc supplement may reduce your risk of getting sick.
  • Andrographis (also called “Indian echinacea”)—This herb may increase your resistance to colds.
  • Vitamin C —A daily dose of this vitamin may also help you to stay healthy.

While echinacea is often labeled as a “cold fighter,” the overall evidence is not very strong to support this herb’s preventive effects.

Remember to talk to your doctor before taking any herbs or supplements. They can interact with other medicines you are taking or worsen a condition that you have.

References

Centers for Disease Control and Prevention. Asthma information for patients and parents of patients. Centers for Disease Control and Prevention website. Available at:
http://www.cdc.gov/H1N1flu/asthma.htm
Updated September 15, 2009. Accessed September 15, 2009.

Centers for Disease Control and Prevention. Key facts about antiviral drugs and influenza (flu). Centers for Disease Control and Prevention website. Available at:
http://www.cdc.gov/flu/antivirals
Updated April 7, 2009. Accessed September 1, 2009.

Centers for Disease Control and Prevention. Key facts about seasonal flu vaccine. Centers for Disease Control and Prevention website. Available at:
http://www.cdc.gov/FLU/protect/keyfacts.htm
Updated December 10, 2008. Accessed September 1, 2009.

Centers for Disease Control. Prevention and control of influenza. MMWR. 2006;55(RR10):1-2.

Colds and flu. EBSCO Natural and Alternative Treatments website. Available at:
http://www.ebscohost.com/healthLibrary
Updated February 8, 2011. Accessed February 25, 2011.

Influenza antiviral treatment and prophylaxis. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed
Updated March 29, 2010. Accessed April 1, 2010.

Influenza in adults. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed
Updated June 16, 2014. Accessed August 12, 2014.

Influenza in children. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed
Updated June 23, 2014. Accessed August 12, 2014.

Inactivated influenza vaccine 2011-12. Centers for Disease Control and Prevention website. Available at:
http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-flu.pdf
Updated July 26, 2011. Accessed August 24, 2011.

Key facts about seasonal influenza. Centers for Disease Control and Prevention website.
http://www.cdc.gov/flu/keyfacts.htm
Accessed July, 2008.

Live, intranasal influenza 2011-12. Centers for Disease Control and Prevention website. Available at:
http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-flulive.pdf
Updated July 26, 2011. Accessed August 24, 2011.

Pandemic (H1N1) 2009. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed
Updated September 16, 2009. Accessed September 16, 2009.

Prevention and treatment. Flu.gov website. Available at:
http://www.flu.gov
Updated November 19, 2009. Accessed November 20, 2009.

2011-2012 Influenza Antiviral Medications: Summary for Clinicians. Centers for Disease Control and Prevention website. Available at:
http://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm
Updated August 31, 2011. Accessed September 6, 2011

3/2/2007 DynaMed’s Systematic Literature Surveillance
http://www.ebscohost.com/dynamed
Belshe RB, Edwards KM, et al. Live attenuated versus inactivated influenza vaccine in infants and young children. N Engl J Med. 2007;356(7):685-696.

10/15/2007 DynaMed’s Systematic Literature Surveillance
http://www.ebscohost.com/dynamed:
Nichol KL, Nordin JD, et al. Effectiveness of influenza vaccine in the community-dwelling elderly. N Engl J Med. 2007;357:1373-1381.

11/9/2009 DynaMed’s Systematic Literature Surveillance
http://www.ebscohost.com/dynamed:
Cowling BJ, Chan KH, et al. Facemasks and hand hygiene to prevent influenza transmission in households: a cluster randomized trial. Ann Intern Med. 2009;151(7):437-446.

4/16/2010 DynaMed’s Systematic Literature Surveillance
http://www.ebscohost.com/dynamed:
Aiello AE, Murray GF, et al. Mask use, hand hygiene, and seasonal influenza-like illness among young adults: a randomized intervention trial. J Infect Dis. 2010;201(4):491-498.

8/10/2010 DynaMed’s Systematic Literature Surveillance
http://www.ebscohost.com/dynamed:
Fiore A, Uyeki T, et al. Prevention and control of influenza with vaccines recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010. MMWR. 2010;59:1-62.

2/25/2011 DynaMed’s Systematic Literature Surveillance
http://www.ebscohost.com/dynamed:
Sing M, Das R. Zinc for the common cold. Cochrane Database Syst Rev. 2011;(2):CD001364.

8/28/2014 DynaMed’s Systematic Literature Surveillance
http://www.ebscohost.com/dynamed:
Advisory Committee on Immunization Practices. Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP)—United States, 2014-2015 influenza season. MMWR Morb Mortal Wkly Rep. 2014;63(32):691-697.

Last reviewed September 2014 by David L. Horn, MD, FACP
Last Updated: 9/17/2014

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.