Cold Symptoms: Transmission Risks and Safety Tips - Traditional Chinese Medicine

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I have been experiencing a severe cough with phlegm, nasal congestion, and a runny nose, but I do not have a fever.
I would like to ask the doctor a few questions regarding transmission:
1.
If my boyfriend and I are studying in the study room and both of us are coughing while covering our mouths but not wearing masks, can I transmit the illness to him?
2.
Is it safer to sit face-to-face or side-by-side?
3.
I read online that colds cannot be transmitted through kissing or sharing the same drinking glass.
Is this true?
4.
Can I hug or hold hands with him while having a cold?
5.
How can we reduce the risk of infection if we sleep in the same bed?
6.
Can I wear a mask while coughing?
7.
If my cough has resolved but I still have nasal congestion, am I still contagious?
8.
Why is it necessary for the mask to cover the nose? Isn't it enough to cover the mouth to block saliva?

Li Xinting, 10~19 year old female. Ask Date: 2022/04/28

Dr. Lü Bingcheng reply Traditional Chinese Medicine


Q1.
If I cough while studying with my boyfriend in the study room without wearing a mask but covering my mouth, is there a risk of transmitting the cold to him?
A1.
There is still a risk of transmitting the cold to your boyfriend.
Q2.
Is it safer to sit face-to-face or side-by-side?
A2.
When sitting indoors with a friend, it is best to maintain a distance of at least 1 to 1.5 meters and ensure good ventilation in the room.
Q3.
Is it true that colds cannot be transmitted through kissing or sharing the same drink?
A3.
Cold viruses can be transmitted through saliva.
Q4.
Can I hug or hold hands with him while having a cold?
A4.
If physical contact like hugging or holding hands is necessary while having a cold, it is recommended to wash hands thoroughly beforehand and avoid close contact of the mouth and nose.
Q5.
How can I reduce the risk of infection when sleeping in the same bed?
A5.
The risk of cold transmission increases when sleeping in the same room.
If unavoidable, follow the previously mentioned guidelines to minimize the risk of infection.
Q6.
Can I wear a mask only when I cough?
A6.
It is safer to wear a mask at all times when sharing a room with others during a cold.
Q7.
If my cough has resolved but I still have a stuffy nose, can I still transmit the virus?
A7.
Not necessarily.
It depends on the viral load in your body and your personal hygiene habits, as well as the immunity of those around you.
Q8.
Why must the mask cover the nose? Isn’t it enough to cover the mouth to block saliva?
A8.
If the mask does not cover the nose, you may inhale droplets from others who are sick, increasing your risk of infection.
Additionally, if you are sick, you can spread the virus through nasal discharge.

Reply Date: 2022/04/28

More Info


When it comes to understanding cold symptoms and the associated risks of transmission, it's essential to consider how respiratory viruses spread and the precautions you can take to minimize the risk of infecting others. Let's address your questions one by one.

1. Transmission Risk When Coughing: If you are coughing and covering your mouth but not wearing a mask, there is still a risk of transmitting the virus to your boyfriend. Respiratory droplets can escape even when you cover your mouth, especially if you cough forcefully. It's advisable to wear a mask to significantly reduce this risk.

2. Seating Arrangement: Sitting face-to-face can increase the risk of transmission compared to sitting side by side. This is because respiratory droplets can travel directly from one person to another when they are facing each other. If you must be close, sitting side by side is a safer option.

3. Transmission Through Close Contact: Colds are primarily spread through respiratory droplets, but they can also be transmitted via surfaces. While kissing or sharing a drink can increase the risk, the primary concern is the exchange of respiratory droplets. Therefore, it is not entirely accurate to say that colds cannot be transmitted this way; caution is still advised.

4. Physical Affection: Hugging or holding hands can be relatively safe, but it is still possible to transmit the virus through close contact. If you are symptomatic, it’s best to limit physical affection until you are fully recovered.

5. Sleeping in the Same Bed: To reduce the risk of infection while sharing a bed, consider sleeping with a pillow between you to create distance. Ensure good ventilation in the room, and if possible, sleep with your heads at opposite ends of the bed. Additionally, avoid close face-to-face contact while sleeping.

6. Wearing a Mask While Coughing: Yes, wearing a mask while coughing is highly recommended. Masks help contain respiratory droplets, reducing the likelihood of spreading the virus to others. It’s a good practice to wear a mask, especially in close quarters.

7. Contagiousness After Symptoms Improve: Even if you feel better and only have nasal congestion left, you can still be contagious. The contagious period for colds can last up to a week or more after symptoms begin, so it's wise to continue taking precautions until you are completely symptom-free.

8. Importance of Covering the Nose with a Mask: Masks should cover both the nose and mouth because respiratory droplets can be expelled from both areas. Covering only the mouth does not provide complete protection, as the nose can also release droplets when you breathe, talk, or cough. Proper mask usage is crucial for effective protection.


Additional Considerations
Colds are caused by viruses, and while they are generally mild, they can still pose risks, especially to individuals with weakened immune systems or underlying health conditions. To minimize the risk of transmission, consider the following tips:
- Practice Good Hygiene: Wash your hands frequently with soap and water for at least 20 seconds, or use hand sanitizer when soap is not available. Avoid touching your face, especially your eyes, nose, and mouth.

- Stay Hydrated and Rest: Ensure you are drinking plenty of fluids and getting adequate rest to help your body recover.

- Avoid Close Contact: If possible, maintain physical distance from others until you are symptom-free.

- Consult a Healthcare Provider: If your symptoms worsen or you have concerns about your health or the health of those around you, seek medical advice.

By following these guidelines and being mindful of your symptoms, you can help protect yourself and others from the spread of colds and other respiratory infections.

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