Flu Etiquette Dos and Don’ts: What You Need to Know About Sickness and Health

Whether it’s winter flu season or summer cold season, it’s not unusual to notice a lot of coughing, sneezing, and sniffling in your office, at your child’s school, or at the mall. That means a greater likelihood of you getting sneezed on while in line at the post office and catching an illness you’d rather not have.
Here Anna Post, great-great-granddaughter of etiquette expert Emily Post and a coauthor of Emily Post’s Etiquette, 18th Edition: Manners for a New World, discusses how to deal with sick people in public, making sure your kids stay as germ-free as possible, and common flu misconceptions.
Everyday Health: How do you deal with people around you who are obviously sick and not being polite about it in public or at work?
Anna Post: There’s definitely room for improvement in this category. There’s everything from being stuck next to someone on a plane who doesn’t cover their mouth when they cough, to kids going to school when they’re sick and spreading germs around, to a coworker who comes in feeling miserable and potentially infects the whole team.
If it’s someone you know, it’s best to say, with care and concern in your voice, something like: “You don’t look so hot, this could be the flu. You should probably go home or see a doctor.” That’s an okay thing to do. Same thing if I’m going out with friends someplace and someone shows up sick. No one really likes that. They’ll understand you’re not doing it to be rude, but rather you just want them to take care of themselves and the people they’re around.
It can be trickier with strangers. If you’re stuck next to someone in a line or a waiting room and you can’t remove yourself from the situation, it’s polite to ask if they would please mind covering their cough. Keep it in a neutral tone and short and sweet. You can also help make the situation easier by traveling with a little pocket tissue and hand sanitizer and offering it to the person. That can help them be a little more mindful of where they’re coughing and sneezing.
EH: What are the best cold and flu etiquette tips for parents to pass along to their kids?
AP: It’s best to teach them how to cover up their cough or sneeze. One trick in making sure they bring their elbow up towards their mouth is to tell them to act like Dracula drawing up his cape. It makes it fun, while also modeling behavior you want them to have.
When you talk about hand-washing, tell younger kids to sing the ABCs while they’re doing it. It makes sure they’re getting rid of most of the germs.
It’s also important for parents to keep their kids home if they’re sick. Flu especially is so contagious. If there’s a child over your house for a playdate and they look like they’re sick, it’s best for them and your own child if they’re picked up by a parent.
EH: What are some common misconceptions about colds and the flu?
AP: Many people don’t realize the flu is contagious before symptoms start. A survey done by the National Foundation for Infectious Diseases revealed that 41 percent of people think the flu is only contagious after symptoms start.
The same survey showed that 45 percent of people think the flu vaccine can give them the flu. This isn’t true: According to the Centers for Disease Control and Prevention (CDC) getting an annual flu shot is the No. 1 step you can take to reduce your chances of getting the flu and spreading it to others.

Sanjai Sinha, MD
Medical Reviewer
Dr. Sinha did his undergraduate training at the University of California in Berkeley, where he graduated magna cum laude. He earned his medical degree at the Albert Einstein College of Medicine in New York City in 1998 and completed his internship and residency training at the New York University School of Medicine in 2001. Subsequently, he worked with the Department of Veterans Affairs from 2001 to 2012 and held faculty appointments at both the Mount Sinai School of Medicine and Columbia University College of Physicians and Surgeons.
In 2006, he won the VISN3 Network Director Award for Public Service and a commendation from the secretary of Veterans Affairs for his relief work after Hurricane Katrina. He joined Weill Cornell Medical College in 2012, where he is an assistant professor of clinical medicine and the director of the care management program, as well as a practicing physician.
In addition to his work for Everyday Health, Sinha has written for various publications, including Sharecare and Drugs.com; published numerous papers in peer-reviewed medical journals, such as the Journal of General Internal Medicine; and presented at national conferences on many healthcare delivery topics. He is a fellow of the American College of Physicians.
Erinn Connor
Author
Before joining Everyday Health, Erinn worked for The Bergen Record in northern New Jersey writing features about food, health, fashion, pop culture and everything in between. Before that she interned at the Dallas Morning News in Texas, the Columbus Dispatch in Ohio, and the Green Bay Press-Gazette in Wisconsin covering everything from Super Bowl XLV to strawberry farming to the journey of a young man who became blind in his 20s. She graduated from Syracuse University in 2010 with bachelor’s degrees in magazine journalism and anthropology.