Airborne
Airborne diseases are infections that can spread when infectious respiratory particles are inhaled or otherwise transmitted through the air. The exact route of transmission differs by pathogen, so not every respiratory infection is strictly airborne. Learn about common examples, symptoms, prevention, vaccination, diagnosis, and treatment.
Airborne transmission is a way some infections spread when infectious respiratory particles travel through the air and are inhaled or reach exposed mucous membranes. Transmission varies by pathogen and setting. Examples of infections with important through-the-air transmission include measles, chickenpox and tuberculosis; influenza and COVID-19 can also spread through infectious respiratory particles, especially in close or poorly ventilated settings.
Airborne diseases are infections that can spread through infectious respiratory particles in the air. The exact route of transmission differs by pathogen. Tuberculosis and measles are well-known examples of infections that can spread through the air, while some respiratory infections can spread through more than one route.
Common symptoms may include cough, fever, sore throat, runny nose, tiredness, breathing difficulty or a rash, depending on the infection. Prevention can include recommended vaccination, better indoor ventilation, staying home when sick, respiratory hygiene, hand hygiene and appropriate masking during outbreaks or higher-risk exposures.
The term “airborne diseases” is often used broadly. Transmission depends on the specific pathogen and circumstances. Some infections are strongly associated with transmission through the air, while others may spread through several routes.
| Infection | Transmission and key information | Common symptoms |
|---|---|---|
| Tuberculosis (TB) | Pulmonary TB can spread through the air when a person with infectious lung TB releases infectious particles. | Persistent cough, fever, night sweats, weight loss or fatigue may occur. |
| Measles | A highly contagious viral infection that spreads through the air and respiratory secretions. | Fever, cough, runny nose and a widespread rash. |
| Chickenpox | Varicella can spread through the air and through contact with blister fluid. | Itchy blister-like rash, fever and tiredness. |
| Influenza | Flu can spread through infectious respiratory particles and close-range exposure; transmission varies with circumstances. | Fever, cough, sore throat, muscle aches and fatigue. |
| COVID-19 | SARS-CoV-2 can spread through infectious respiratory particles, especially during close or indoor exposure. | Cough, fever, sore throat, congestion and fatigue may occur. |
This list is not exhaustive, and respiratory symptoms alone do not establish that an infection is airborne.
Symptoms depend on the infection, age, immune status and other health conditions. There is no single symptom pattern that identifies every airborne infection.
Infected people can release infectious respiratory particles while breathing, talking, singing, coughing or sneezing. Depending on the pathogen, another person may become infected by inhaling infectious particles or through another exposure route. Airflow, ventilation, distance, time spent indoors and pathogen-specific factors can influence risk.
Infectious particles can be inhaled from the air, with risk influenced by the pathogen and environment.
Some respiratory infections can spread through short-range exposure to particles released by an infected person.
Some infections also spread through direct contact, contaminated surfaces or respiratory secretions, depending on the pathogen.
“Airborne” should not be treated as a synonym for every respiratory infection. WHO uses broader terminology for pathogens that transmit through the air, including airborne transmission or inhalation and direct deposition. A single infection can also have more than one route of transmission.
| Transmission description | What it means |
|---|---|
| Airborne transmission / inhalation | Infectious respiratory particles are expelled into the air and inhaled by another person. |
| Direct deposition | Particles released by an infected person can be deposited directly on exposed eyes, nose or mouth of someone nearby. |
| Contact transmission | Infection occurs through direct physical contact or contaminated objects when that route applies to the pathogen. |
Prevention works best when measures are matched to the infection and situation.
Ventilation is particularly relevant indoors because airflow can influence the concentration and movement of infectious respiratory particles.
Anyone can develop a respiratory infection, but the risk of severe illness or complications can be higher in some people because of age, pregnancy, weakened immunity, or underlying medical conditions.
Diagnosis depends on the suspected infection, symptoms, exposure history, examination findings, and local testing guidance. Some infections require laboratory testing or imaging, while others may be diagnosed clinically.
Vaccination is an important prevention measure for infections for which vaccines are available. The recommended vaccine, timing, and eligibility depend on the disease, age, pregnancy status, health conditions, travel, and local immunization guidance.
The MMR vaccine provides protection against measles, mumps, and rubella. It is a routine childhood vaccine and plays a vital role in preventing outbreaks.
Seasonal influenza vaccination is updated as needed and can reduce the risk of influenza illness and severe outcomes. Recommendations vary by age, health status, and local public-health guidance.
Varicella vaccination helps prevent chickenpox and can reduce the risk of serious complications. The recommended schedule depends on age and individual circumstances.
COVID-19 vaccination can reduce the risk of severe illness and hospitalization. Current recommendations depend on age, risk factors, previous vaccination, and public-health guidance.
Prevention depends on the infection and its route of transmission. Measures may include recommended vaccination, good hand hygiene, staying home when sick, improving indoor ventilation, reducing exposure to infectious people, and using a well-fitting mask when appropriate.
Treatment depends on the specific infection, severity, age, pregnancy status, underlying conditions, and test results when available. Some infections need prescription medicines, while others mainly require supportive care.
Seek medical attention if you experience symptoms that are severe, persistent, or worsening.
Early diagnosis and treatment can help prevent complications and reduce the spread of infection to others.
Airborne diseases are infections that can spread through the air when infectious respiratory particles are inhaled or reach exposed mucous membranes. The exact transmission route differs between pathogens.
Some infections spread when infectious respiratory particles are inhaled or deposited on the eyes, nose, or mouth. Risk depends on the pathogen, distance, duration of exposure, ventilation, and other factors.
Measles, chickenpox and tuberculosis are well-recognized examples of infections with important airborne transmission. Other respiratory infections, including influenza and COVID-19, can also spread through infectious particles in the air.
Symptoms vary by infection but may include fever, cough, sore throat, runny nose, fatigue, headache, body aches, rash, or breathing difficulty. Testing may be needed to identify the cause.
Risk can often be reduced through recommended vaccination, ventilation, avoiding exposure when someone is infectious, hand hygiene, staying home when sick, and other disease-specific precautions.
Better ventilation can reduce the concentration of infectious particles indoors and may lower transmission risk for infections that spread through the air. It does not eliminate risk.
A well-fitting mask can reduce exposure to infectious respiratory particles in some situations. The benefit depends on the pathogen, mask type and fit, exposure, and community or clinical guidance.
Many infections that can spread through the air are contagious, but how easily they spread varies widely by pathogen and circumstances.
No. Respiratory infections can spread through different routes, including inhalation, direct deposition of respiratory particles, close contact, and sometimes contaminated hands or surfaces.
Risk can be higher for infants, older adults, pregnant people, people with weakened immune systems, and people with certain chronic medical conditions. The level of risk depends on the infection.
Vaccines are available for some infections, including measles, chickenpox and influenza. COVID-19 vaccines can reduce the risk of severe disease. Vaccine recommendations depend on age, health status and current public-health guidance.
Influenza vaccines are generally well tolerated. Mild reactions such as soreness at the injection site or short-lived fever or fatigue can occur. Ask a healthcare professional about individual contraindications.
Yes, treatment depends on the infection. Some conditions may require antiviral, antibacterial or other prescription treatment, while others are managed mainly with rest, fluids and symptom relief.
No. Antibiotics do not treat viral infections such as influenza. They are used for certain bacterial infections and should be taken only when medically indicated.
Diagnosis may involve a medical history, examination, laboratory tests such as swabs or sputum testing, blood tests, or imaging. The tests depend on the suspected infection.
Yes. For infections that spread through the air, crowded and poorly ventilated indoor settings can increase exposure to infectious particles. Improving ventilation can help reduce risk.
Seek medical advice for persistent, severe, or worsening symptoms, especially high fever, breathing difficulty, chest pain, dehydration, confusion, or symptoms in a high-risk person.
Severe trouble breathing, bluish or grey lips or face, new confusion, inability to stay awake, severe chest pain, or other signs of serious illness require urgent medical evaluation.
Yes. Children can develop respiratory infections and some vaccine-preventable infections. Keeping routine vaccinations up to date and following age-appropriate public-health advice can reduce risk.
If you are sick, follow the guidance for the suspected infection, limit close contact when advised, improve ventilation, cover coughs and sneezes, wash hands, and use appropriate masking or isolation measures when recommended.
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