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senseandsensibility

(17,064 posts)
Fri Jan 24, 2014, 05:34 PM Jan 2014

It's not common knowledge to cough into your elbow?

I'm an elementary school teacher, and for years now we have been training our students to cough into their elbows, and not their hands. This keeps germs off their hands, and from spreading to everything they touch. They take to it immediately, and I rarely have to remind my students because they learned it in kindergarten and first grade before they ever came to my class.

However.... a couple of weeks ago, I was sitting next to a woman at a hockey game and it was very close seating. She coughed directly into her hand several times and of course did not turn her head away as you have to when you cough into your elbow. I was the recipient of a lot of spray.

I thought it was fluke, but today at the doctor's office of all places, I saw multiple people coughing directly into their hands. They all seemed very sick. I saw a mother with four kids doing it, an elderly gentleman doing it, two teenage girls doing it, and a middle aged woman doing it. In fact, with all the hacking going on, I did not see ONE person coughing into their elbow.

What gives? Doesn't everyone know about this?

57 replies = new reply since forum marked as read
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It's not common knowledge to cough into your elbow? (Original Post) senseandsensibility Jan 2014 OP
I thought it had become common knowledge arely staircase Jan 2014 #1
Other important lessons yeoman6987 Jan 2014 #31
uh huh. nt arely staircase Jan 2014 #34
Well, I didn't know it until maybe 5 years ago, and I am not a whippersnapper. raccoon Jan 2014 #2
I agree. There should be posters up at the doctor's senseandsensibility Jan 2014 #3
I admit that I've done both. TexasTowelie Jan 2014 #4
Um, eww. Xithras Jan 2014 #5
If you're not near a sink, that's kind of hard to do kcr Jan 2014 #7
True Xithras Jan 2014 #12
That's the best solution kcr Jan 2014 #14
I carry a travel bottle of hand sanitizer. spooky3 Jan 2014 #30
On the way to the doctor's office I heard a public service senseandsensibility Jan 2014 #8
Probably not. I remember learning about this when my kids started school kcr Jan 2014 #6
i wasn't trained that way as a child and only this year heard 'vampire cough' NMDemDist2 Jan 2014 #9
You made me look it up, too. senseandsensibility Jan 2014 #18
CDC recommends a tissue first, and if not, then elbow or sleeve frazzled Jan 2014 #10
Hahahaha the elbow! pipi_k Jan 2014 #24
If you are that sick... 3catwoman3 Jan 2014 #35
Sometimes... pipi_k Jan 2014 #46
You must have a good job and not worry about not getting paid. Wow. n-t Logical Jan 2014 #48
I am a ... 3catwoman3 Jan 2014 #57
If you have a cold, the elbow is going to get as much use as the hankie would. El_Johns Jan 2014 #36
I only heard about it recently, TheCowsCameHome Jan 2014 #11
It's taught to kids gollygee Jan 2014 #13
I didn't know about until my kids started school... cynatnite Jan 2014 #15
If she had turned her head away at a hockey game, she'd be coughing directly at someone else. Ino Jan 2014 #17
My kids were taught this in preschool - TBF Jan 2014 #16
Nothing is common knowledge today. MineralMan Jan 2014 #19
Well, that's depressing. senseandsensibility Jan 2014 #20
It is depressing, but a reality. MineralMan Jan 2014 #42
Watching the "news" for the most part will fill you full of lies, half truths and distortions Fumesucker Jan 2014 #37
I don't watch 60 Minutes. I watch my local news MineralMan Jan 2014 #41
And how many people remember to turn over outdoor receptacles to stop mosquito breeding? Eleanors38 Jan 2014 #56
I taught my children to cought into their antecubital space etherealtruth Jan 2014 #21
Dunno pipi_k Jan 2014 #22
I haven't been in grade school since the 70s and I don't have children - REP Jan 2014 #23
Ps... pipi_k Jan 2014 #25
If you have or had kids/grandkids or relatives in the school system, you know this. MADem Jan 2014 #26
I didn't know this. But when babylonsister Jan 2014 #27
Um, no, even your method is gross and does absolutely nothing... DRoseDARs Jan 2014 #28
Well that's not going to work either kcr Jan 2014 #32
This is why I (seriously) don't shake hands with anyone from about November to March. Gidney N Cloyd Jan 2014 #29
Well, that is weird. How do normal people react to you? n-t Logical Jan 2014 #50
I dunno as a person plagued by air allergies since childhood, I was provided Cleita Jan 2014 #33
I sneezed into my elbow today.. Cha Jan 2014 #38
Howard Dean on Bill Maher tonight did it IcyPeas Jan 2014 #39
I was never taught to do that and won't TorchTheWitch Jan 2014 #40
Umm . . . Ms. Toad Jan 2014 #43
Pretty much pipi_k Jan 2014 #47
I find the whole practice revolting. Codeine Jan 2014 #44
Thank you! I had no idea about this. nt stevenleser Jan 2014 #45
Obviously it is not common knowledge! Not sure the point of this post. n-t Logical Jan 2014 #49
Although Republicans are advised to use their assholes jberryhill Jan 2014 #51
They even did it on Mythbusters Warpy Jan 2014 #52
News to me ... Myrina Jan 2014 #53
I've had checkers at the grocery store cough in their hands and then continue checking my items oregonjen Jan 2014 #54
I have never even heard the suggestion until this year. MadrasT Jan 2014 #55
 

yeoman6987

(14,449 posts)
31. Other important lessons
Fri Jan 24, 2014, 11:29 PM
Jan 2014

First of all tell the kids not to open the bathroom door with their bare hands…that is even worse then coughing in the hand. Second, stop allowing them to drink from the water fountain or at least make them use a napkin to press the button….immediate nastiness on that "push down" button and finally the most important of all, make sure they wash their hands with a wipe after touching a NASTY NASTY NASTY menu at the local restaurant. Those menu's are the worst!!!!! Anyway good luck in teaching the kids to cough in their elbow. You teachers are HEROES in my book!!!!!!!!

raccoon

(31,111 posts)
2. Well, I didn't know it until maybe 5 years ago, and I am not a whippersnapper.
Fri Jan 24, 2014, 05:38 PM
Jan 2014

But ITA, and there should be a public education campaign about this.



TexasTowelie

(112,237 posts)
4. I admit that I've done both.
Fri Jan 24, 2014, 05:42 PM
Jan 2014

If I know that I have reasonable access to a restroom so that I can wash my hands, then I might cough into my hands because I can clean up quicker than trying to clean a shirt or jacket. I also might choose to cough into my hands if I'm restrained by a seat belt or if coughing in my elbows may direct the spray to another individual.

I do agree with you about turning your head away from other people when coughing or sneezing. To do otherwise is rude and inconsiderate.

Xithras

(16,191 posts)
5. Um, eww.
Fri Jan 24, 2014, 05:45 PM
Jan 2014

When you cough into your hand, you're supposed to WASH your hands afterward. That gets rid of any phlegm, germs, or saliva.

What are you supposed to do if you cough into your elbow? Walk around with phlegm and germs on your shirt all day? Blech

I've seen people cough into their elbows before but, at least where I live, they're a distinct minority. I wouldn't call it "common knowledge" by any stretch. And my wife is an elementary school teacher.

kcr

(15,317 posts)
7. If you're not near a sink, that's kind of hard to do
Fri Jan 24, 2014, 05:51 PM
Jan 2014

If it's on the sleeve of your inner elbow you won't be touching everything and everyone with it and spreading it around, like you would with your hands. It's about not spreading the germs around.

http://www.cdc.gov/flu/protect/covercough.htm

Xithras

(16,191 posts)
12. True
Fri Jan 24, 2014, 07:28 PM
Jan 2014

I try to carry a hankie in my pocket, so it's not a huge issue for me anyway, but I can see how that might be useful.

Still ugged out about having phlegm on my shirt all day though.

spooky3

(34,458 posts)
30. I carry a travel bottle of hand sanitizer.
Fri Jan 24, 2014, 11:17 PM
Jan 2014

Using that makes more sense to me than coughing onto my clothes.

Of course, the worst are the people who don't even try to cover their coughs or blow their noses.

senseandsensibility

(17,064 posts)
8. On the way to the doctor's office I heard a public service
Fri Jan 24, 2014, 05:51 PM
Jan 2014

announcement on the radio saying to cough into your elbow. That's what public health officials recommend.

kcr

(15,317 posts)
6. Probably not. I remember learning about this when my kids started school
Fri Jan 24, 2014, 05:49 PM
Jan 2014

I occasionally see the elbow method mentioned, but there there really hasn't been enough of a public campaign to educate everyone to use it.

NMDemDist2

(49,313 posts)
9. i wasn't trained that way as a child and only this year heard 'vampire cough'
Fri Jan 24, 2014, 05:53 PM
Jan 2014

had to look it up and saw the wisdom in it.

i have been promoting it since

senseandsensibility

(17,064 posts)
18. You made me look it up, too.
Fri Jan 24, 2014, 08:39 PM
Jan 2014

When I googled the term, I saw posters for sale that would be great to put up in classrooms. Not cheap, though.

frazzled

(18,402 posts)
10. CDC recommends a tissue first, and if not, then elbow or sleeve
Fri Jan 24, 2014, 05:54 PM
Jan 2014

Why? My guess is that if you are really sick and coughing up a bunch of sputum, you don't want to put a big glop of slimy stuff on your shirt sleeve or jacket ... and then go walking around or take the bus home, where someone jostles against you. Ewwwww.

Stop the spread of germs that can make you and others sick!
Influenza (flu) and other serious respiratory illnesses like respiratory syncytial virus (RSV), whooping cough, and severe acute respiratory syndrome (SARS) are spread by cough, sneezing, or unclean hands.
To help stop the spread of germs,
Cover your mouth and nose with a tissue when you cough or sneeze.
Put your used tissue in the waste basket.
If you don't have a tissue, cough or sneeze into your upper sleeve or elbow, not your hands.
You may be asked to put on a facemask to protect others.
Wash your hands often with soap and warm water for 20 seconds.
If soap and water are not available, use an alcohol-based hand rub.

http://www.cdc.gov/flu/protect/covercough.htm


Actually, this mythbusters video tries three methods: hand, elbow, and hanky. The hanky seemed to win, but they nixed it for the elbow because the hanky gets repeated use. A tissue (if disposed properly) would eliminate that.



pipi_k

(21,020 posts)
24. Hahahaha the elbow!
Fri Jan 24, 2014, 10:58 PM
Jan 2014

For some reason, I sneeze a lot when I have a mouthful of food

It all ends up in the crook of my elbow just like that green stuff


pipi_k

(21,020 posts)
46. Sometimes...
Sat Jan 25, 2014, 10:56 AM
Jan 2014

it's just allergies that cause a person to sneeze, often repeatedly.

Even though it's not cold germs, people still don't want to be showered with spit.

I sneeze all year long from allergies and rhinitis

3catwoman3

(24,006 posts)
57. I am a ...
Sat Jan 25, 2014, 12:47 PM
Jan 2014

...pediatric nurse practitioner, and if I am really sick, I do stay home so as not to infect my patients (even tho they are typically the ones from whom I catch things - occupational hazard). Understandably, parents are typically not favorably impressed when their health care provider is hacking and sneezing all over their kids, especially if they have a newborn.

gollygee

(22,336 posts)
13. It's taught to kids
Fri Jan 24, 2014, 07:30 PM
Jan 2014

But I didn't hear about it until I had a kid in preschool, where she was taught it. People who haven't had kids since that's been recommended might not know.

cynatnite

(31,011 posts)
15. I didn't know about until my kids started school...
Fri Jan 24, 2014, 07:36 PM
Jan 2014

That's been a little while ago, but it took me a long time to break the habit of coughing into my hand.

Of course, I thought turning your head away was expected. Her not doing that signals to me that she doesn't give a crap.

Ino

(3,366 posts)
17. If she had turned her head away at a hockey game, she'd be coughing directly at someone else.
Fri Jan 24, 2014, 08:28 PM
Jan 2014

Better to face forward.

MineralMan

(146,317 posts)
19. Nothing is common knowledge today.
Fri Jan 24, 2014, 08:56 PM
Jan 2014

Millions of people pay no attention. They don't know tomorrow's weather. They don't know who the Vice-President is. They read nothing, nor do they watch the news. Millions.

MineralMan

(146,317 posts)
42. It is depressing, but a reality.
Sat Jan 25, 2014, 10:22 AM
Jan 2014

From snow emergencies to schools closed to to -20 degree weather, a lot of people simply don't know what is going on, since they don't bother to pay attention. During our recent frigid weather, schools in the Twin Cities were closed the other day. And yet, that morning, as I was watching the morning local news, I looked out the window and saw a couple of children from the neighborhood walking to the school bus stop.

I went outside and told them that school was closed and that they should go straight home. It was -20 degrees. They did that. The kids parents had no idea that school was closed, and the children were not dressed for weather that cold, either.

Deliberate ignorance is so commonplace today that it's frightening.

Fumesucker

(45,851 posts)
37. Watching the "news" for the most part will fill you full of lies, half truths and distortions
Sat Jan 25, 2014, 12:21 AM
Jan 2014

Witness the latest flap over 60 Minutes reporting and they are considered an "elite" news program.



MineralMan

(146,317 posts)
41. I don't watch 60 Minutes. I watch my local news
Sat Jan 25, 2014, 10:17 AM
Jan 2014

on television, though. That's important. I get the weather, road closures, news about local issues, and more. In the process, I also find out about other things.

You can skip that, if you like, along with the morning paper. I think I'll stick to my pattern, if you don't mind.

etherealtruth

(22,165 posts)
21. I taught my children to cought into their antecubital space
Fri Jan 24, 2014, 09:18 PM
Jan 2014

elbow ...? I don't even know how you would do that ... ?

pipi_k

(21,020 posts)
22. Dunno
Fri Jan 24, 2014, 10:50 PM
Jan 2014

When I first figured this one out, but I've been doing it for years

I also sneeze into my elbow

People who cough or sneeze into their hands area at least trying, I figure


But people who cough or sneeze right out into the open air are disgusting pigs

REP

(21,691 posts)
23. I haven't been in grade school since the 70s and I don't have children -
Fri Jan 24, 2014, 10:51 PM
Jan 2014

where would I have heard of this revolting practice? I use a tissue, las decent (and clean) people do.

No wonder I keep getting sick - people are rubbing their snot-encrusted clothing against everything. Thanks.

pipi_k

(21,020 posts)
25. Ps...
Fri Jan 24, 2014, 11:04 PM
Jan 2014

I found out that I could manage to stifle a sneeze if I absolutely had to by pinching my upper lip firmly between thumb and forefinger until the urge passed


I wouldn't recommend doing it all the time...just for emergencies

MADem

(135,425 posts)
26. If you have or had kids/grandkids or relatives in the school system, you know this.
Fri Jan 24, 2014, 11:08 PM
Jan 2014

If you haven't had a kid in school for ten or more years or so, you don't. They are teaching it in kindergarten up this way.

babylonsister

(171,070 posts)
27. I didn't know this. But when
Fri Jan 24, 2014, 11:14 PM
Jan 2014

I'm sick, I try not to infect others. Tissues, etc., or don't go out if I can help it. Knock wood, I'm healthy.

 

DRoseDARs

(6,810 posts)
28. Um, no, even your method is gross and does absolutely nothing...
Fri Jan 24, 2014, 11:15 PM
Jan 2014

Your mouth is still exposed to open air and still spraying out into it. Pull the front of your shirt collar forward and over your nose as you bend your head down to meet it. Cough/sneeze on the INSIDE of your shirt.

kcr

(15,317 posts)
32. Well that's not going to work either
Fri Jan 24, 2014, 11:37 PM
Jan 2014

The spray will just go down through your shirt and out the bottom, since when you pull your shirt up you'll create an opening at the bottom, spraying germs out the bottom and into the air. Plus, icky snot on the inside of your shirt, smearing all over you! Much worse than on your sleeve.

Clearly, the only thing that will work is opening up a wormhole into an alternate universe, sneezing into that, and then shutting it real quick before the germs can spread.

Gidney N Cloyd

(19,840 posts)
29. This is why I (seriously) don't shake hands with anyone from about November to March.
Fri Jan 24, 2014, 11:15 PM
Jan 2014

I'd rather be thought socially inept than spend a week in bed with the flu.

Cleita

(75,480 posts)
33. I dunno as a person plagued by air allergies since childhood, I was provided
Fri Jan 24, 2014, 11:39 PM
Jan 2014

with a hanky to put in my pocket and sneeze into. I was also told to wash my hands whenever I had the chance. Since the cloth hanky wasn't enough to contain all the snot as I grew up, I always learned to carry tissues around. Today, I keep boxes around my house, my car, my purse, my pockets and my desk at work when I work and a little plastic baggie for disposal. I know many people don't have the problems I do, but really a little packet of tissues on your person at all times, whether purse or pocket, is really a good thing to do. Coughing or sneezing into your hands or sleeves only spreads the germs.

Cha

(297,297 posts)
38. I sneezed into my elbow today..
Sat Jan 25, 2014, 12:35 AM
Jan 2014

It's common knowledge with the people I hang with.

Sorry, to hear it's not more widespread, sas.

IcyPeas

(21,889 posts)
39. Howard Dean on Bill Maher tonight did it
Sat Jan 25, 2014, 03:03 AM
Jan 2014

coughed into his hand twice. He is a DOCTOR. I think it's force of habit for the older generation.

TorchTheWitch

(11,065 posts)
40. I was never taught to do that and won't
Sat Jan 25, 2014, 08:58 AM
Jan 2014

And I won't because turning one's head to cough into their elbow usually means that your throat is too constricted to cough anything up. It also might mean irritating the gag reflex thereby making what should have been a clearing cough a much more unpleasant experience and for everyone else in the vicinity. One's head shouldn't be turned when coughing... productive coughing is only productive when the throat isn't needlessly constricted. There's a reason when the doctor during an examination tells you to cough also tells you to look straight ahead and NOT turn your head first.

I was taught to cover my mouth when coughing or sneezing and to always carry a handkerchief or tissues... if no hanky or tissues then cough into a hand and then be careful of touching anyone or anything and wash your hands. More importantly, I was taught to be mindful of what I was contacting with my hands and to keep them away from the eyes nose or mouth without washing them first.

In the doctor's office everyone coughing is already sick... why care about spreading germs in an environment where everyone else in the room is already infected anyway? Seems like the most logical places to not care so much about your coughing making the person next to you sick when they already are which is why they're also coughing.

I think it's stupid to teach kids to turn their head to cough when turning one's head usually means the coughing is unnecessarily unproductive - like teaching kids to stifle a sneeze.

Sorry, but I'll not be coughing into my elbow anymore than I'd blow my nose on my sleeve. And I also remember the acute embarrassment as a kid when I once sneezed on the front of a wool sweater in history class thereby leaving a glob of goo on it that wouldn't absorb or be wiped off and was grossly noticeable.

Ms. Toad

(34,074 posts)
43. Umm . . .
Sat Jan 25, 2014, 10:41 AM
Jan 2014

Because not everyone at the doctor's office is infected with the same thing, so you could very easily be infected with something other than what you came in with?

Because you may be perfectly healthy and there just for a check-up?

And, although you could, you really don't have to turn your head at all to cough into my elbow. For most people, if you grab your shoulder with your opposite hand, your elbow is right at your mouth, so your first concern is not really relevant.

Sneezed in hankies, in particular, are really disgusting and germy. They tend to be moist and balled up (so they don't dry out between coughs), which means that the germs stay alive far longer than they do on a sleeve which dries out quickly between coughs or sneezes. And almost no one, other than you, touches the inside of your elbow - so you are less likely to transfer the germs to anyone else than if you cough/sneeze into your hand (or a hankie) which is very likely to touch many things before you can wash it.

pipi_k

(21,020 posts)
47. Pretty much
Sat Jan 25, 2014, 11:04 AM
Jan 2014

what I was going to say also.

Someone else might be there coughing and sneezing from allergies, not a cold or flu.

Someone with a cold or flu could have a whole different strain. Not caring about coughing or sneezing in that person's direction could potentially give him/her a secondary infection.

 

Codeine

(25,586 posts)
44. I find the whole practice revolting.
Sat Jan 25, 2014, 10:51 AM
Jan 2014

My little boy was taught to do that at school and when we pick him up there are always a million little filthy rugrats with snot-covered sleeves running around hacking into their elbows. Every kid there is sick because every child has a semi-permanent disease vector on their person at all times. We taught our son to use tissues like normal, clean people do. If he has no tissues he can cough into his hand and immediately wash. We make sure he has a little pack of tissues with him in his Ninja Turtles backpack so he doesn't get caught out often.

Other people can have children wearing sputum-crusted clothing -- I'd rather not. And if I saw an adult coughing into their sleeve I'd avoid them like, well. . . the plague.

 

jberryhill

(62,444 posts)
51. Although Republicans are advised to use their assholes
Sat Jan 25, 2014, 11:18 AM
Jan 2014

Since it is not as much of a stretch as their elbows.

Warpy

(111,271 posts)
52. They even did it on Mythbusters
Sat Jan 25, 2014, 11:29 AM
Jan 2014

and coughing and sneezing into your elbow cuts nearly all the spray. The hand does nothing but contaminate every surface you touch until you was the germs off while filling the air with infectious droplets. Even tissues don't work.

I'm glad kids are being taught that in school. Maybe flu transmission rates will drop by the time all the people who are afraid to cough into their elbows because it wasn't the way Mom showed them in the bad old days are gone.

oregonjen

(3,338 posts)
54. I've had checkers at the grocery store cough in their hands and then continue checking my items
Sat Jan 25, 2014, 12:31 PM
Jan 2014

Without even using sanitizers. Yuck! I even asked one to use it and she refused saying she wasn't sick. I called the manager and complained.


MadrasT

(7,237 posts)
55. I have never even heard the suggestion until this year.
Sat Jan 25, 2014, 12:33 PM
Jan 2014

Nor have I ever seen anyone actually cough into their elbow.

It makes sense, but no, around here it sure isn't common knowledge.

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