Common cold

The **common cold** is caused by viruses. It spreads easily, so it is very infectious. The symptoms are mostly in the upper respiratory system. Its damage is mostly felt in the nose and throat. The symptoms include coughs, painful throat, runny nose and fever. These symptoms usually last seven to ten days, but sometimes up to three weeks. *Over two hundred different viruses can cause the common cold*: that is why the details vary so much. Rhinoviruses are the most common cause.
## Overview
The common cold mostly hurts the nose, pharynx, throat, and the sinuses (sinusitis). The symptoms come from the immune system's response to the infection, not from direct destruction by the viruses themselves. Hand washing is good, but the viruses also spread through moist air. Close contact with infected people is common in many cities. Wearing face masks might help, especially on any mass transit system (railways, underground, buses...).

### Bacterial infection
In cases of common cold, there will be a bacteria in the spit called strep A or strep B. These bacterias react when in contact with any clear weak acid. The clear colored liquid will turn to a brown color if positive. This method of testing has been replaced by symptom based diagnosis and you can be cured by using antibiotics.

### Treatment
There is no cure for the common cold, but the symptoms can be treated. It is the most frequent infectious disease in humans. The average person gets two to three colds every year. The average child gets between 6 and 12 colds every year. These colds have been with humans for as long as we have a history.

## Signs and symptoms
The most common symptoms of a cold are a cough, runny nose, a stuffy nose, and a sore throat. Other issues are sore muscles, feeling tired, headache, and not wanting to eat. Around 40% of people with colds have a sore throat, while around 50% have a cough. The cough caused by a cold is usually mild compared to a cough caused by influenza (the flu). A number of the viruses that cause the common cold may also result in no symptoms. The color of the mucus that is coughed up from the lungs (sputum) may vary in color from clear to yellow to green. This color does not indicate if an infection is caused by viruses or bacteria.

### Progression
A cold usually begins with feeling tired, a feeling of being chilled, sneezing, and a headache. Additional symptoms such as runny nose and cough follow within two or more days. The cough lasts for more than ten days in 35% to 40% of cases involving children. It lasts for more than 25 days in 10% of cases involving children.

## Cause
### Viruses
The common cold is an easily spread infection of the upper respiratory tract. Rhinoviruses cause 30% to 80% of all cases. A rhinovirus is an RNA-containing virus. There are 99 known types of this kind of virus.

Other viruses can also cause the common cold. *Coronavirus* causes 10% to 15% of cases. The flu causes 5% to 15% of cases. In total, over two hundred different viruses are associated with colds.

### Transmission
The common cold virus is usually spread in one of two main ways. By breathing or swallowing droplets in the air containing the virus; or by contacting infected nasal mucus or contaminated objects. The most common method of transmitting the cold virus has not been determined. The viruses may survive for a long time in the environment. Viruses may then be transmitted from the hands to the eyes or nose where infection occurs. There is no evidence that the air on commercial flights transmits cold viruses.

### Weather
The traditional theory was that the disease spread to someone staying too long in cold weather, rain, or winter conditions. This is how the disease got its name. The role of body cooling as a risk factor for the common cold is controversial. Some common cold viruses are seasonal, found more often in cold or wet weather. This is believed to mostly be due to more time spent indoors, close to each other; specifically children returning to school.

### Other
Herd immunity, immunity that occurs when an entire group of people become immune to a particular infection, occurs from previous exposure to cold viruses. Thus younger populations have greater rates of respiratory infections and older populations have lower rates of respiratory infections. Lack of sleep and poor nutrition have also been associated with a greater risk of developing infection following rhinovirus exposure. This is believed to be due to their effects on immune function.

## Pathophysiology
The symptoms of the common cold are believed to be mostly related to the immune response to the virus. The mechanism of this immune response is virus-specific. For example, the rhinovirus is typically acquired by direct contact. It binds to human ICAM-1 receptors through unknown methods to trigger the release of inflammatory mediators. RSV does cause epithelium damage. In young children, when it affects the trachea it may produce croup, a hoarse cough and difficulty breathing. This is due to the small size of the airway in children. Self-diagnosis is common. This primarily includes hand washing and wearing face masks. In the health care environment, gowns and disposable gloves are also worn.
### Children
Regular hand washing reduces the spread of cold viruses. It is most effective and is especially recommended for use in children, due to a lack of evidence supporting the effectiveness of over-the-counter cold medicines for children, and due to the risk for harm from those medicines. In 2009, Canada restricted the use of over-the-counter cough and cold medication in children six years old and younger due to concerns regarding risks and unproven benefits. 
### Adults
In adults, the symptoms of a runny nose can be reduced by first-generation antihistamines. However, first-generation antihistamines are associated with adverse side effects such as drowsiness. Ipratropium nasal spray may reduce the symptoms of a runny nose, but there is little effect on stuffiness. Second-generation antihistamines do not appear to be effective.

Due to the lack of studies, it is not known whether drinking more fluids improves symptoms or shortens respiratory illness. A similar lack of data exists for the use of heated humidified air. One study found chest vapor rub to be effective in providing some symptomatic relief of night-time cough, congestion, and sleep difficulty.

### Antibiotics and antivirals
Antibiotics have no effect against viral infections and thus have no effect against the common cold. Antibiotics are often prescribed even though antibiotic side effects cause overall harm. Antibiotics are commonly prescribed because people expect doctors to prescribe them, and doctors want to help people. Prescribing antibiotics also happens because it is difficult to exclude causes of infection that may be managed by antibiotics. There are no effective antiviral drugs for the common cold, even though some preliminary research has shown benefit.
### Alternative medicine
While there are many alternative medicines used for the common cold, there is not enough scientific evidence to support the use of most treatments. Zinc supplements may reduce the severity and duration of symptoms when taken within 24 hours of their onset. The effect of vitamin C on the common cold, while extensively researched, is disappointing. Evidence about the usefulness of echinacea is inconsistent. Different types of echinacea supplements may vary in their effectiveness. It is estimated that sinusitis occurs in 8% of cases. Ear infections occur in 30% of cases.

## Likelihood
The common cold is the most common human disease and people are affected all around the world. Rates of symptomatic infections increase in the elderly due to a weakening immune system.

## History
While the cause of the common cold has been known since only the 1950s, the disease has been with humanity since ancient times. Its symptoms and treatment are described in the Egyptian Ebers papyrus, the oldest existing medical text, written before the 16th century BC. The name "common cold" came into use in the 16th century, due to the similarity between its symptoms and those of exposure to cold weather.

In the United Kingdom, the Common Cold Unit (CCU) was set up by the Medical Research Council in 1946, and it was here that the rhinovirus was discovered in 1956. In the 1970s, the CCU demonstrated that treatment with interferon during the incubation phase of rhinovirus infection provided some protection against the disease. No practical treatment could be developed. The unit was closed in 1989, two years after it completed research of zinc gluconate lozenges in the prevention and treatment of rhinovirus colds. Zinc was the only successful treatment developed in the history of the CCU.

## Economic impact
The economic impact of the common cold is poorly understood in much of the world. More than one-third of people who saw a doctor received an antibiotic prescription. The use of antibiotic prescriptions has implications for antibiotic resistance.

## Research
A number of antivirals have been tested for effectiveness in the common cold.  As of 2009, none have been both found effective and licensed for use. The oral form of pleconaril had safety issues and an aerosol form is being studied.

## References
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