How to safely celebrate the holidays and avoid getting sick

The 5 expert-approved steps to follow before, during and after your gatherings.

5:00 AM

Author | Kelly Malcom

friends adults thanksgiving dinner table
Getty Images

It's the holiday season, and while people are looking forward to stuffing their faces with food or seeing loved ones after a long absence, most are also hoping to avoid getting sick.

That's especially true this year as the rates of respiratory syncytial virus, influenza and other respiratory illnesses have gone up dramatically as fewer people are wearing masks and more people are getting together.

You can still gather, say University of Michigan experts. You just need a plan.

Follow these simple steps below to greatly reduce your risk of getting infected and getting sick.

4 ways to reduce risk of illness this holiday season

1. Stay home if you're sick

One of the easiest ways to protect others can also be hard to do: simply do not gather if you have symptoms of a respiratory virus.

Like Podcasts? Add the Michigan Medicine News Break on Spotify, Apple Podcasts or anywhere you listen to podcasts.

This is especially true if some people attending the gathering are more vulnerable, including very young, the elderly, and those with medical comorbidities or immunocompromised, says Laraine Washer, M.D., a clinical professor of infectious diseases at the University of Michigan Medical School and hospital epidemiologist at U-M Health.

And while for the past couple of years COVID has been the number one threat, there are other potentially dangerous viruses—including respiratory syncytial virus, influenza, and adenovirus—that have returned with a vengeance.

If you're symptomatic, "even if your COVID test is negative, you could have other viruses that may transmit to others," explained Washer.

2. Get up to date with your vaccines

One of the most powerful tools for avoiding infection and illness are the COVID-19 and flu vaccines.

"Before gathering, just make sure you've given yourself enough time to get the full effect of your flu vaccine or the bivalent COVID-19 booster dose, especially if you're planning to go to a larger gathering or even a smaller gathering," Washer said. That means two weeks for most vaccines, including the vaccines for influenza and COVID.


According to the Centers for Disease Control and Prevention, the COVID-19 vaccines protect everyone age 6 months and older from getting infected and severely ill, and significantly reduce the likelihood of hospitalization and death.

Unvaccinated people have higher case rates and higher death rates than those who are vaccinated against COVID-19. Getting the new bivalent booster dose offers even more protection from infection or reinfection.

3. Wear a mask

While many have stopped wearing masks in public places, masks are still an effective tool to decrease risk of transmission of respiratory viruses of all types.

The chances of you getting most respiratory illnesses depends on the number of particles you breathe in. The more particles, the higher your chances. Masks reduce the number of particles breathed out and breathed in, protecting both the mask-wearer and the people around them.

Washer says that, in general, a well-fitting, multi layered mask is sufficient to protect those who are potentially at higher risk around you. 

"If you are traveling by air – I highly recommend you wear a medical mask or N-95 mask in the airport and on the airplane," added Washer.

Additionally, as recommended by the CDC, it's important to wear a mask in public indoor spaces—such as when out shopping for groceries or last-minute gifts—in areas with substantial or high COVID transmission.

Washer notes that people who are immunocompromised, even if vaccinated, should take extra precautions, and wear a mask when around people who are outside of their household, even if those other people are vaccinated.

4. Improve ventilation

Respiratory illnesses such as colds, the flu and COVID-19, spread through the air.

"What you want to do is avoid being in closed spaces with many people for long durations with poor ventilation. That's the perfect storm," said Jesse Capecelatro, Ph.D., assistant professor in Mechanical Engineering and Aerospace Engineering at the University of Michigan.

When people talk or even breathe, they exhale droplets, which evaporate and then hang in the air, unless a window is open or there is good ventilation. He notes that a cough can emit 10 to 20 thousand particles.

"When it comes to mitigation, you want to avoid inhaling as many infectious particles as possible," said Capecelatro. "The longer you are around someone, the more of their exhaled particles you inhale. The more people at a gathering, the higher the risk that one of them may be infected."

Aside from opening windows or investing in HEPA air purifiers (which when placed with the flow of air or in a room where people are gathering, can reduce the number of particles in the air), controlling ventilation can be difficult.

5. Wash your hands

The tried-and-true advice to wash your hands frequently, especially before eating or touching your eyes or face, still holds. Adenovirus, which is currently widespread in some areas, and other nasty illnesses can spread via contact with contaminated surfaces.

With these steps in place, you can significantly reduce your risk of respiratory illness and have an enjoyable, and healthy, holiday.

Live your healthiest life: Get tips from top experts weekly. Subscribe to the Michigan Health blog newsletter

Headlines from the frontlines: The power of scientific discovery harnessed and delivered to your inbox every week. Subscribe to the Michigan Health Lab blog newsletter

More Articles About: Preventative health and wellness Community Health Covid-19 Common Cold Flu Winter Infections Wellness and Prevention Geriatrics Children's Health infectious disease
Health Lab word mark overlaying blue cells
Health Lab

Explore a variety of health care news & stories by visiting the Health Lab home page for more articles.

Media Contact Public Relations

Department of Communication at Michigan Medicine

[email protected]


Stay Informed

Want top health & research news weekly? Sign up for Health Lab’s newsletters today!

Featured News & Stories Health Lab Podcast in brackets with a background with a dark blue translucent layers over cells
Health Lab Podcast
Addressing health care inequality
An expert on racial and ethnic differences in health care and health outcomes offers recommendations as part of a national committee.
woman sitting at table in stripe shirt stressed seeming white background window
Health Lab
An unequal toll of financial stress
Inflation rates may have cooled off recently, but a poll shows many older adults are experiencing financial stress – especially those who say they’re in fair or poor physical health or mental health
sunscreen blue people outside
Health Lab
Sunscreen dispensers make skin cancer prevention easier
Medical students have worked to place dispensers at parks, pools and golf courses around Washtenaw County to give people easy access to sunscreen.
10 year old in wheelchair at hospital, also posing on physical therapy mats.
Health Lab
10-year-old works to regain independence after rare brain hemorrhage
A young girl works with physical therapists and other specialists in two unique clinics to regain strength again after a rare brain hemorrhage.
pink baby in floating cell with colorful brain purple spotted background
Health Lab
Uncovering the link between a common congenital viral infection and autism
Children who contracted a viral infection known as congenital cytomegalovirus in utero may be nearly two and half times more likely to be diagnosed with autism, a study suggests.
Health Lab Podcast
Health Lab Podcast
Worry and anxiety is impacting falling asleep for kids
Certain nighttime habits can either help or hurt sleep issues in young children.