Confusion Over Respiratory Etiquette

 

Disgusted? You are not alone! Why Ms. Millett doesn’t know about respiratory etiquette is a mystery to Etiquipedia. Any good etiquette book has good manners regarding coughs and sneezes.— “If ‘stay at home with a cold’ were a definite rule of etiquette instead of just a health rule, maybe more of us would pay attention to it. After all, more people break health rules than eat with their knives or otherwise defy the rules of etiquette.

It Shouldn't Happen!

If “stay at home with a cold” were a definite rule of etiquette instead of just a health rule, maybe more of us would pay attention to it. After all, more people break health rules than eat with their knives or otherwise defy the rules of etiquette. As it is now, a guest will come to a party and in between a cough and a sneeze, explain to anyone who cares to listen how she really should be home in bed, but she just didn't feel she could let her hostess down at the last minute. Other guests must accept her graciously, expose themselves to her germs and take home colds of their own as a memento of the party.

That wouldn't happen if the “cold spreader” was frowned upon socially, and “stay at home with a cold” was a real and definite rule of etiquette. After all, why shouldn't it be considered really bad manners to go to a party with a cold? The guest with a cold is certainly not a sparkling addition to any party. And she or he is a very real menace to the health, of the other guests. The guest with a cold who. says proudly, “I really should be at home in bed” is telling the truth. She SHOULD be. And there's probably not a soul in the room who doesn't wish that she was. — By Ruth Millett, 1948

Etiquette Enthusiast, Maura J. Graber, is the Site Editor for the Etiquipedia© Etiquette Encyclopedia

Manners For Sniffle Season

He Goofed! This young lady is not waiting to see if his germs are Asian or domestic. She’s ducking fast!

Winter, the germiest season of all, has arrived in many parts of the world. All in all, the times seems ripe to review germ etiquette: 

• When you sneeze or cough, cover your mouth with a handkerchief. 
• If there isn't time, at least muffle the explosion with your hand, turning your head away from the nearest person.
• Blowing your nose at the dinner table is permissible, but don't make a production of it and don't apologize; the latter merely calls attention to the act. 
• If your cold is a whopper, carry extra handkerchiefs.
• Fastidious souls are offended at the sight of a battle-worn hankie, and even non-fastidious souls don't enjoy seeing one bloom from someone's breast pocket. Once used, a breast handkerchief stops being picturesque. 
• P.S. to tissue users: Don't blow and throw. How many litter with tissue debris? Alas, too many. 
•  Q & A on P's & Q's 

(Q) “Is it passe to ask guests if they want to wash hands before dinner?” Mrs. S.J., Cleveland 
(A) Until germs are passé, asking will never be.

 

—Portions taken from Don Goodwin‘s ‘Male Polish,’ 1957

Etiquette Enthusiast, Maura J Graber, is the Site Editor for the Etiquipedia© Etiquette Encyclopedia

Etiquette and Contagious Diseases

They are kind of cute! — “Why don’t the contagious among us stay home or wear those cute little paper nose and mouth covers or at least feel bad about putting the rest of us at risk of sharing their misery? More people died in the post-World War I influenza epidemic than died in the war. Garden variety flu germs can be life-threatening to the elderly or those with vulnerable respiratory systems.”
— Photo, Etiquipedia’s private library

In 1998, the State of California banned indoor smoking in many public places, much to the delight of non-smokers and those suffering from respiratory problems. A law professor from UC Berkley wrote the following article, which appeared in the Los Angeles Times. The importance of respiratory etiquette that the professor outlined is timely, considering the world continues to deal with Covid-19 and our normal “cold and flu season” is nearly upon us.

Thank You for Not Sneezing

California’s assault on secondhand smoke reached its historic high this New Year’s, when even indoor areas in bars and casinos became smoke-free by force of law. The rules on smoke exposure have taken a 180-degree turn in less than a generation. In the United States of my youth, every citizen was hostage to other people’s cigarettes in airplanes, in offices and in almost every other public space. Now the indoor areas of public life are all nonsmoking zones— an inconvenience for the 25% of adults who smoke, but a benefit of large proportions to the respiratory systems of the 75% who do not.

But even smoke-free California is not a safe place to take your lungs to the office, on a bus or anywhere else in public. In this the season of cold and flu, the greatest hazard of appearing in public is not tobacco smoke, but rather contagious disease. And strangers who would not dream of blowing smoke in your face seem happy enough about coughing and sneezing whenever they see you coming.

Isn’t there a double standard here, when the same folks prohibited from smoking in my office building can sneeze me home for a week of hell with the reigning bacterium of the season? Why don’t the contagious among us stay home or wear those cute little paper nose and mouth covers or at least feel bad about putting the rest of us at risk of sharing their misery?

Could it be that the analogy between secondhand smoke and free-flying germs is farfetched because tobacco is deadly while colds are merely inconvenient? Nonsense. More people died in the post-World War I influenza epidemic than died in the war. Garden variety flu germs can be life-threatening to the elderly or those with vulnerable respiratory systems, a much quicker and much clearer threat than the statistical associations and 30-year time lags that constitute the case against environmental tobacco smoke. And anyone who thinks that this year’s killer colds are merely inconvenient does not have one. The only larger harm a stranger can inflict requires a deadly weapon.

Is the difference between environmental smoke and environmental germs the fact that there is no way to protect against disease contagion that is as simple as not smoking? But what if sick people stay home or cover their mouths? I am sure it is a burden to take such precautions, but isn’t the whole point of our smoking restrictions to impose the inconvenience on those who would otherwise cause harm?

Perhaps the difference is that potential victims can defend themselves more easily from public germs than from secondhand smoke. There are, after all, flu shots to be had every fall. But not all flu bugs respond to the shots available. And if anybody ever finds a vaccine that protects against colds, the financial rewards will make Bill Gates seem middle class. The only way to avoid the urban germ highway is to live alone and stay home all winter.

I’m not advocating passing a law that requires germ-free public spaces. But two smaller lessons do come from the contrasting treatment of germs and cigarettes. The first lesson is that what we tolerate in public is much more a matter of particular social expectation than scientific studies. The French read scientific journals just as assiduously as do Americans, yet the average French café contains more smoke than a forest fire. You are more likely to encounter a face full of tobacco smoke if you go to Japan this year than you would in Los Angeles. But you will also notice hundreds of people on the subway in Japan who wear paper masks to avoid spreading contagious disease that they carry. Which culture is more considerate depends on the particular subject of the inquiry. The standard for what is polite in public varies tremendously from one social setting to another.

Now for the optimistic lesson. If the social customs concerning secondhand smoke can change over time, maybe there is hope for some controls on germs as well. What we need is not a law, but an etiquette of contagious disease. Perhaps the near future can bring us to a standard where we expect more effort from ourselves and one another to avoid multiplying the bacterial miseries of our winters. — Franklin E. Zimring, U.C. Berkley, 1998

Etiquette Enthusiast, Maura J Graber, is the Site Editor for the Etiquipedia© Etiquette Encyclopedia

A Respiratory Etiquette Debate

The consensus of the etiquette experts is that a yawn or a sneeze is only one degree removed from the gravest of all social errors – eating peas with a knife. – Photo source, Pinterest 

WASHINGTON, Oct. 18– Just as the nation was moving safely out of the hay-fever season into winter's cold-in-the-head era, the question of the proper etiquette for sneezing arose today and split the ranks of the distinguished scholars who have studied the subject. It seems to be a clear-cut fight, winner take all, between Dr. Severance Burrage, professor of public health at the University of Colorado, on one side, and the United States Government and Mrs. Emily Post on the other. 

FAVORS SNEEZE 

Burrage came out flatly in favor of a good, healthy uninhibited sneeze. He went through a process which we Americans have come to refer to as hurling a defi at the Namby-Pamby persons who seem to stifle sneezes and yawns. The argument runs that as an expression of your personality, there is nothing like a leisurely 80-second yawn, which closes with a contented “ho hum.” Never suppress one; not even when the boss, just back from his vacation, tells you for the third time about the view from his hotel window and how he and the missus got the room for $5 a day dirt cheap, with meals included. But there is another point that Burrage wishes to hammer home:

“Influenza, pneumonia and other diseases often are caused by the contamination of food and utensils by food handlers whose fingers have been placed over the mouths to settle a sneeze or a yawn.” Stop shuddering, Mrs. Post, and just tell the court in your own words why you disagree with the doctor. The witness testifies that sneezes and yawns must be suppressed at any cost or the social fabric of the nation will collapse. The consensus of the etiquette experts is that a yawn or a sneeze is only one degree removed from the gravest of all social errors – eating peas with a knife. To the support of the etiquette experts rushes the United States public health service with a charming little essay on how influenza germs leap from yawn to yawn and from sneeze to sneeze. The author writes lyrically:

ONLY ONE VOICE

“True, I am only one voice, but I lift up that voice like a foghorn on a misty morning to protest against the habit of the tobacco clerks who dampen their fingers on their tongues and then serve a harmless customer with a package of cigarettes.” But the public health service goes even further. Not only does it want to suppress yawns and sneezes, but it wants to do something about kissing too. “The Chinese custom,” the essay continues, “of bowing and shaking one's own hand is far more desirable from a sanitary standpoint.” Begging your pardon, United States public health service, but the comment that comes readily to the mind is: “Kerchoo!” — By Harry Ferguson (United Press Correspondent), 1933

Etiquette Enthusiast, Maura J Graber, is the Site Editor for the Etiquipedia© Etiquette Encyclopedia

Sneeze Snub is Influenza Etiquette

Image

Avoid worry and turn your back on sneezes — In a time when the world faces another influenza pandemic, and briefly changes the etiquette for greeting others (avoid handshaking by touching elbows and avoid cheek kissing by putting one’s hand over one’s heart), it’s time to take a look at what was taught a hundred years ago. –An image of a Red Cross nurse published in Illustrated Current News, 1918. — Photo source, National Library of Medicine

Cover Coughs and Sneezes 🩺 Wash Hands Frequently and Thoroughly 🩺 Self Quarantine if Sick 🩺 Avoid Handshaking 🩺 Forego Cheek Kissing 🩺 Work from Home if Possible 🩺 Avoid Large Crowds🩺 Avoid Others Who May be Sick

The following is a summary of the talk given last week by Dr W. W. Crawford on the subject, “Preventive Measures Against Colds and Influenza.” An ordinary so-called cold may be the forerunner of such specific diseases as Measles, Influenza, Whooping Cough, Bronchitis and Tuberculosis. The germs of Colds and Influenza leave the body in the secretions of the mouth and nose, and enter the body through the same route. It is health etiquette to turn your back on sneezes. Remember coughing, sneezing and dust spread Influenza, and overcrowding helps these along. 

Remember, the close relationship between the nose and throat with the ears and sinuses. Therefore, see to it that your nose and throat are kept clean. Keep away from a house when the lady is sweeping with a broom or buy her a vacuum cleaner. Immunity may be artificial or natural. Keep your natural immunity up to the highest possible point by leading clean, wholesome lives. A great deal to do in keeping well is in your hands. Remember, doctors are only human and cannot do the impossible.— From an article in the San Diego Union, 1920

Etiquette Enthusiast, Maura J Graber, is the Site Editor for the Etiquipedia©️ Etiquette Encyclopedia