How to Avoid Getting Sick on a Plane

Air travel places individuals in an enclosed environment with a high density of people and significantly lower humidity levels than normal. This combination validates concerns about exposure to various pathogens. Understanding the specific risks and implementing simple steps can significantly reduce the likelihood of illness. This guidance focuses on three layers of defense: controlling your immediate surroundings, managing airborne exposure, and strengthening your body’s natural defenses.

Environmental Control and Surface Hygiene

The first line of defense involves minimizing contact with surfaces where germs may linger. High-touch areas are a source of indirect transmission, including the seat belt buckle, armrests, entertainment screen, and the tray table, which is often cleaned less frequently.

Use a disinfectant wipe immediately upon reaching your seat. Select a wipe with at least 60% alcohol or one listed by the EPA as effective against viruses and bacteria. The treated surface must remain visibly wet for the contact time specified on the product’s label for the wipe to be effective.

Hand hygiene is paramount after touching common fixtures like the lavatory door handle or the overhead bin latch. If soap and water are unavailable, use an alcohol-based hand sanitizer containing at least 60% alcohol. Clean your hands thoroughly for at least 20 seconds before consuming any food or drink to prevent transferring pathogens.

Mitigating Airborne Transmission

Airborne risk is a significant concern, but modern aircraft cabins employ sophisticated air filtration systems. Most commercial planes use High-Efficiency Particulate Air (HEPA) filters, which capture at least 99.97% of airborne particles. The air is exchanged frequently, with the entire cabin volume being refreshed approximately 20 to 30 times every hour.

The air circulation system directs air downward from the ceiling and extracts it near the floor, limiting the spread of respiratory droplets across rows. Use the personal air vent above your seat to create a localized barrier by directing the flow of air toward your face and chest. This curtain of air helps push away nearby respiratory aerosols before inhalation.

In crowded environments, such as during boarding or deplaning, wearing a high-filtration mask offers additional protection. Respirators like N95 or KN95 masks filter at least 95% of airborne particles, reducing the inhalation of small pathogens. Combining effective air filtration with a properly fitted mask provides substantial protection against respiratory transmission.

Internal Preparedness and Immune Support

The in-flight environment can physiologically stress the body, which may temporarily reduce its ability to fend off infection. Airplane cabins maintain very low relative humidity, often dropping to between 5% and 20%. This low humidity severely dries out the nasal and throat mucous membranes. These mucosal barriers are the body’s first line of defense, and when they dry out, their effectiveness at trapping and clearing pathogens is compromised.

Maintaining consistent hydration is a straightforward way to counteract this effect. Frequently drink water and avoid excessive consumption of alcohol or caffeine, both of which have dehydrating effects. Another strategy is to use a non-medicated saline nasal spray before and during the flight. These sprays help restore moisture to the nasal passages, supporting the natural clearance system that moves trapped particles away from the respiratory tract.

Preparing your body for the flight involves ensuring adequate rest in the days leading up to travel. Sleep deprivation can suppress immune functions, such as the activity of natural killer cells, which are crucial for fighting viruses. Prioritizing sleep and hydration ensures your body is in an optimal state to manage the environmental challenges of air travel.