It happens to all of us, one child comes back from kindergarten with a mild cough, and within two days the whole house turns into an improvised hospital.

The reason – viruses spread very easily in a home environment. We share air, surfaces, and often also eating utensils. Young children, who have not yet developed perfect hygiene habits, are “excellent spreaders” of viruses. They touch their faces, sneeze without covering their faces, and generously share the germs with all family members.

When is it advisable to separate?


The most effective separation is at the early stage – as soon as someone starts to feel unwell. If possible, it is recommended to:

• Place the sick person in a separate room with good ventilation


• Assign them separate eating utensils and towels and wash them separately


• Limit physical contact – not easy, but hugs and kisses can wait a few days


• Maintain strict hand hygiene – frequent washing for at least 20 seconds

But let’s be realistic: In a home with a baby or young children, full separation is usually not possible. In such cases, increased hygiene is our main line of defense.

When do you really need to go to the doctor?


Not every cough or runny nose requires a clinic visit. The vast majority of viral illnesses resolve on their own within 5–7 days. It is advisable to seek medical attention when:

  • Fever above 39 degrees that does not go down despite treatment with fever-reducing medication
  • Difficulty breathing or especially rapid breathing
  • A child under 3 months old with fever – always requires examination
  • A significant decrease in fluid intake or signs of dehydration
  • Worsening after improvement – may indicate a secondary bacterial infection
  • Symptoms that last more than a week without improvement

How can this be prevented at all?


The golden rule is vaccines. The annual flu shot, children’s vaccines according to the recommended schedule, and RSV vaccination for high-risk infants – these are our most effective tools.
Beyond that:


• Strict handwashing – it sounds simple, but it really works


• Ventilating the house – opening windows several times a day


• Avoiding exposure to crowded places during illness season if possible


• Sufficient sleep and a balanced diet – a strong immune system begins with a healthy lifestyle

Maintain strict hand hygiene – frequent washing for at least 20 seconds (credit: SHUTTERSTOCK)

What do you do when it has already happened?


If everyone is already sick – first of all, don’t despair. It will pass. Focus on rest, plenty of fluids, and easing the symptoms. Fever-reducing and pain-relieving medications can help, but remember – they relieve symptoms and do not shorten the course of the illness.

And if there is one healthy adult in the house – it is advisable for them to be responsible for hygiene and disinfection, to protect themselves as much as possible.

Remember: Viral illnesses are part of life, especially in families with children. With the right tools and a bit of patience, everyone will get back on track in a short time.

Dr. Kay Alkara is a family doctor at Maccabi Healthcare Services in the Northern District.