- Sneeze
A sneeze (or sternutation) is a semi-autonomous,
convulsive expulsion ofair from thelungs , most commonly caused by foreign particles irritating the nasalmucosa . Sneezing can further be triggered through sudden exposure to bright light, a particularly full stomach, or as a result of unexpected, climatic variations in one's environment such as rapid changes in temperature and humidity levels.Fact|date=June 2008Sneezing is widely considered to be an agent of
disease dissemination in many cultures.Biological mechanism
Sneezing typically occurs when foreign particles or sufficient external stimulants pass through the nasal hairs to reach the nasal
mucosa . This triggers the release ofhistamine s, which irritate the nerve cells in thenose , resulting in signals being sent to thebrain to initiate the sneeze through thetrigeminal nerve network. The brain then relates this initial signal, activates the pharyngeal and tracheal muscles and creates a large opening of the nasal cavity, resulting in a powerful release of air and bioparticles. The reason behind the particularly powerful nature of a sneeze is attributed to its involvement of not simply the nose and mouth, but numerous organs of the upper body – it is a reflectory response that involves the muscles of theface ,throat , andchest .An alternative cause of sternutation is sudden exposure to bright light - a bodily attribute known as the
photic sneeze reflex . Up to 37 percent of individuals are believed to have this particulargenetic traitFact|date=June 2008, which is most commonly related to exposure to direct sunlight.A rarer alternative trigger, observed in some individuals, is the fullness of the
stomach immediately after a large meal. This is known assnatiation and is regarded a medical disorder passed alonggenetically as anautosomal dominant trait.Sneezing cannot occur during sleep due to
REM atonia - a bodily state wherein motor neurons are not stimulated and reflectory signals are not relayed to the brain. Sufficient external stimulants, however, may cause a person to wake from their sleep for the purpose of sneezing, although any sneezing that would occur afterwards would take place with at least a partially awake state of mind. [http://amos.indiana.edu/library/scripts/sleepsneeze.html]While it is usually thought that the "function" of sneezing is to expel irritating particles, this may not be the case. In many people, a large part or even the whole of the expulsion of breath may be through the mouth rather than the nose, so that little or no expulsory action occurs. The fact that some individuals sneeze in response to the stimulus of cold air on the upper chest, or to bright sunlight, is not easily related to any expulsory finction. As in the case of yawning, itching, stretching and hiccups, functional aspects of sneezing have not been definitively identified.
Epidemiology
While generally harmless in healthy individuals, sneezes are capable of spreading
disease through the potentiallyinfectious aerosol droplets that they can expel, which commonly range from 0.5 to 5µm in diameter. About 40,000 such droplets can be produced by a single sneeze. [Cole EC, Cook CE. Characterization of infectious aerosols in health care facilities: an aid to effective engineering controls and preventive strategies. "Am J Infect Control." 1998 Aug;26(4):453-64. Sneezing can transmit many diseases PMID 9721404]The speed of human sternal release has been the source of much speculation, with the most conservative estimates placing it around 150 kilometers/hour (42 meters/second) or roughly 95 mph (135 feet/second), and the highest estimates -such as the
JFK Health World Museum inBarrington, Illinois - which propose a speed as fast as 85% of thespeed of sound , corresponding to approximately 1045 kilometers per hour (290 meters/second) or roughly 650 mph (950 feet/second).Preventative measures
There are numerous suggested ways of countering the act of sneezing, although such proposed remedies are largely based on non-scientific suggestions as derived from personal experience or subjective preference. Examples of such alleged preventative techniques include the emptying of the air in the lungs that would otherwise be used in the act of sneezing through deep exhalation; holding in one's breath while counting to ten; staring up at a bright ceiling lamp; crinkling one's nose; among others.
Proven significant tips to reduce sneezing generally advocate reducing interaction with potential
irritant s, such as keeping pets out of the house to avoid animaldander ; taking measures to ensure the timely and continuous removal of dirt anddust particles through proper housekeeping; replacing filters for furnaces and air-handling units; employing air filtration devices andhumidifier s; and staying away from industrial and agricultural zones.cite journal
author=Adkinson NF Jr. | title= Middleton’s Allergy: Principles and Practice.| journal=Phytomedicine. | year=2003 | edition=6]Onomatopoeia
Some common English
onomatopoeia s for the sneeze sound are "achoo", "atchoo", "achew", and "atisshoo", with the first syllable corresponding to the sudden intake of air, and the second to the sound of the sneeze.A similar linguistic approach has been taken with several other languages; in French, the sound "Atchoum!" is used; in Finnish "Atsiuh!"; in Swedish "Atjo"; in Danish "Atju!"; in Dutch "Hatsjoe!" or "Hatsjie!"; in Hebrew "Apchi!"; in German "Hatschie!"; in Hungarian "Hapci!"; in Polish, "Apsik!"; in Russian , "Apchkhi!"; in Turkish, "Hapşu!"; in Italian, "Etciù!"; in Spanish "¡Achú!"; in Portuguese, "Atchim!"; in Romanian "Hapciu!" ; in Filipino "Hatsing!"; in Japanese, "Hakushon!" and in [Tamil] "thummal" and in Korean, "Achee!". In Cypriot Greek, the word is "Apshoo!",incidentally also the name of a village, which is the cause of much mirth locally.
In "
Howards End ", byE.M. Forster , a sneeze in polite society is "a-tissue" - a niceFact|date=September 2008 allusion to its respective remedy.Beliefs and cultural aspects
In the Hellenistic cultures of
Classical Antiquity , sneezes were believed to be prophetic signs from the gods. In 410 BC, for instance, the Athenian generalXenophon gave a dramatic oration exhorting his fellow soldiers to follow him to liberty or to death against the Persians. He spoke for an hour motivating hisarmy and assuring them of a safe return toAthens until asoldier underscored his conclusion with a sneeze. Thinking that this sneeze was a favorable sign from the gods, the soldiers bowed beforeXenophon and followed his command. Another divine moment of sneezing for the Greeks occurs in the story ofOdysseus . When Odysseus returns home disguised as abeggar and talks with his waiting wifePenelope , she says toOdysseus , not knowing to whom she speaks, that " [her husband] will return safely to challenge her suitors"". At that moment, their son sneezes loudly and Penelope laughs with joy, reassured that it is a sign from the gods (Od. 17: 539-551).In
Europe , principally around the earlyMiddle Ages , it was believed that one's life was in fact tied to one'sbreath - a belief reflected in the word "expire" (originally meaning "to exhale") gaining the additional meaning of "to come to an end" or "to die". This connection, coupled with the significant amount of breath expelled from the body during a sneeze, had likely Fact|date=November 2007 led people to believe that sneezing could easily be fatal. This theory, if proven conclusively, could in turn explain the reasoning behind the traditional "God bless you" response to a sneeze, the origins of which are currently unclear. (see "Traditional Responses To A Sneeze" below for alternative explanations). SirRaymond Henry Payne Crawfurd , for instance, the lateregistrar of theRoyal College of Physicians , in his 1909 book "The Last Days of Charles II", states that, when the controversial monarch was on his deathbed, his medical attendants administered a concoction ofcowslip s and extract ofammonia to promote sneezing. [cite journal | author = Wylie, A, | title = Rhinology and laryngology in literature and Folk-Lore | journal = The Journal of Laryngology & Otology | volume = 42 | issue = 2 | pages = 81–87 | year = 1927] However, it is not known if this promotion of sneezing was done to hasten his death (ascoup de grace ), or as an ultimate attempt at treatment.In certain parts of
Eastern Asia , particularly inJapanese culture , a sneeze without an obvious cause was generally perceived as a sign that someone was talking about the sneezer at that very moment. InChina andJapan , for instance, there is asuperstition that if you talk behind someone's back, the person in question will sneeze; as such, the sneezer can tell if something good is being said (one sneeze), something bad is being said (two sneezes in a row), or if this is a sign that they are about to catch a cold (multiple sneezes).Parallel beliefs are known to exist around the world, particularly in contemporary Greek, Celtic, English, French, and Indian cultures. Similarly, in
Nepal , sneezers are believed to be remembered by someone at that particular moment.In Indian culture, especially in northern parts of India, it has been a common
superstition that a sneeze taking place before the start of any work was a sign of impending bad interruption. It was thus customary to pause in order to drink water or break any work rhythm before resuming the job at hand in order to prevent any misfortune from occurring.The practice among certain Islamic cultures, in turn, has largely been based on various Prophetic traditions and the teachings of
Muhammad . An example of this isAl-Bukhaari 's narrations fromAbu Hurayrah that theIslamic prophet once said:"When one of you sneezes, let him say, "Al-hamdu-Lillah" (Praise be to
Allah )", and let his brother or companion say to him, "Yarhamuk Allah" (MayAllah have mercy on you)". If he says, "Yarhamuk-Allah", then let [the sneezer] say, "Yahdeekum Allah wa yuslihu baalakum" (MayAllah guide you and rectify your condition)"."Also, In Islam- it is considered good to sneeze. Sneezing brings a person the blessing of relief by releasing vapours that were trapped in the head which, if they were to remain there, would cause him pain and sickness. For this reason, Islam tells him to praise Allah for this blessing and for the fact that his body is still intact after this jolt that shook him like an earthquake.Traditional responses to a sneeze
In English-speaking countries, a common response to a sneeze by those around is "
God bless you ", or "Bless you". The origins and purpose of this tradition are unknown, and several competing explanations have been proposed over time; (1) Preventing the soul from departing one's body, as explained in the "Beliefs and Cultural Aspects" section above; (2) An effort to prevent possible death due to a lethal disease such as the plague pandemics of the fourteenth century; and (3) A method of protection against evil spirits entering the body through the open mouth of a sneezing individual. For each of these explanations, it is considered bad luck to open the mouth again and thank the person who uttered "Bless you" for fear of circumventing the purpose of the blessing.Today, it is said mostly in the spirit of good
manners and not saying thank you is considered rude.In various other cultures, words referencing good
health or a longlife are used instead of "Bless you".
* In Albanian, one says shëndet (shuhn-det).
* InArabic , (Levantine Arabic ) the response is صحة (Sahha), which likely evolved from the word صحة (Sihha), meaning "health", or نشوة (Nashweh) which means "ecstasy". The response is either thank you شكراً (Shukran) or تسلم (Tislam/Taslam) which means "may you be kept safe". InEgyptian Arabic , the typical response to a sneeze is يرحمكم الله (yarhamkom Allah) and the answer is يرحمكم و يرحمنا (yarhamkom wa yarhamna) or شكراً (thank you).
* In Armenian, one says առողջություն (aroghjootyoon).
* In Azeri, sneezing is usually followed by the response Sağlam ol, which means "be healthy"
* In Bosnian, one says "Nazdravlje" which when translated to English means "To your good health". The person who sneezed would usually respond with "Hvala" which in English stands for "Thank you".
* In Brazil, one says saúde, which means "health"
* In Bulgarian, one says Наздраве (Nazdrave), which means " [to your] health" or "cheers". The person who has sneezed can then say Благодаря (Blagodarya), which means "Thank you."
* In Chinese, one says 不好意思 (bù hǎo yì si) (Standard Mandarin ) or 唔好意思 (Standard Cantonese ), meaning "excuse me" or "sorry".
* In Danish, one says Prosit, which is from the latin meaning "to your benfit" and was used when toasting, but in danish it is used only when someone sneezes.
* In Dutch, one usually says Gezondheid (literally translated as "health") or Proost (which means "cheers", see Latin below).
* In Estonian, one says Terviseks, which means " [to your] health".
* In Finnish, one says Terveydeksi, which means " [to your] health".
* In French polite speech, after the first sneeze, one says à vos souhaits which means "to your desires". If the same person sneezes again, the second response is à vos amours, which means "to your loves." Santé ("health") is a more casual response.
* In German,Gesundheit ( [to your] "Health") is occasionally said after a sneeze.
* In Greek, γίτσες (jitses) ( [to your] "Health") is said after a sneeze.
* In Hebrew, one says לבריאות (labri'ut/livri'ut), meaning "to health".
* In Hungarian, one says Egészségedre!, which means " [to your] health".
* In Icelandic, one says Guð hjálpi þér! ("God help you!"). There is also an old custom to respond three times to three sneezes like so: Guð hjálpi þér ("God help you"), styrki þig ("strengthen you"), og styðji ("and support"). [Visindavefur.is (Icelandic): http://visindavefur.is/svar.php?id=6044]
* In Irish, one says _ga. Dia linn!, which means "God [be] with us!"
* In Italian, one says Salute, which means " [to your] health".
* In Japanese, a sneezer might apologize for the outburst, by saying すみません (Sumimasen) or 失礼しました (Shitsurei shimashita), meaning "excuse me". In formal occasions and less often within the family, after one sneezes, someone else blesses them by saying おだいじに (O-daiji ni), meaning "Take care" in informal contexts and something along the lines of "Get well soon" in a more formal situation.
* InKorean , a sneezer might say 누가 내 얘기 했어?(Nuga nae yaegi hatseo), meaning "Did someone talk about me?" after a sneeze.
* In Kyrgyz, one says Акчуч! [IPA|aqˈʧuʧ] (which may be based on an onomatopœia of the sound of a sneeze, like English "atchoo" discussed above), to which one may respond Ракмат!, meaning "thank you", if the person who said "акчуч" is liked.
* In Lithuanian, one says Į sveikatą, which means "to your health". And person which sneezes answer Ačiū that translates as "Thank you".
*In Macedonian, one says На здравје(na zdravje), meaning " [to your] health". The person who sneezes usually says Здравје да имаш(zdravje da imash) which means "have health [yourself] ", or just says Благодарам(blagodaram) "thank you" or Фала(fala) "thanks".
* In Maltese, one says Evviva, which comes from the Latin for "he/she is alive!".
* InNorway ,Sweden andDenmark , one says Prosit - Latin for "may it advantage (you)". [Dictionary.com: prosit http://dictionary.reference.com/browse/prosit]
* In Persian, if the sneeze is especially dramatic, Afiat bahsheh (عافیت باشه) is said.
* In Polish, Na zdrowie ( [to your] "Health") is said after a sneeze as is Sto lat ( [I wish you] a hundred years [of health] ).
* In European Portuguese one says Santinho, which means "Little Saint", while in Brazilian Portuguese, one says Saúde, which means " [to your] health".
* In Romanian, one says Sănătate (" [to your] health") or Noroc (" [to your] luck"). Also if one sneezes during a conversation, that person is said to agree with or approve of the topic.
* In Russian, the appropriate response is будь здоров(а) which means "be healthy." For sneezer it is polite to reply спасибо meaning "thank you."
* In Serbian, Na zdravlje (almost always pronounced nazdravlje) ( [to your] "Health") is said after a sneeze. For sneezer it is polite to reply Hvala meaning "thank you."
* In Slovak, Na zdravie ( [to your] "Health") is said after a sneeze. For sneezer it is polite to reply Ďakujem meaning "thank you."
* In Somali, one says Jir, which means "Live Long".
* In Spanish, one says Salud, which means " [to your] health". For the second sneeze it is common to say Amor, which means "love," and for the third sneeze Dinero, for "money."
* In Tamil, one says Nooru aayisu for the first time, which means "(Have a life of) 100 years", for the second time it would be Theerga-aayisu which means "(Have) a Long life" and for the third time it would be Poorna-aayisu which means "(Have) a healthy long life".
* InTelugu , particularly around theIndia n state ofAndhra Pradesh , the phrase is Chiranjeeva, which translates to "(May you be blessed with a) Life without death".
* In Turkish, a sneezer is always told to Çok Yaşa, i.e. "Live Long", which in turn receives a response of either Sen De Gör (" [and I hope that] you see it") or Hep Beraber ("all together"). This is to indicate the sneezer's wish that the person wishing them a long life also has a long life so they can "live long" "all together". For more polite circles, one might say Güzel Yaşayın, i.e. " [May You] Live Beautifully", which may be countered with a Siz de Görün (" [And may You] witness it").
* In Urdu, the response is traditionally Al-hum-do-lillah, i.e. "Allah (God) Bless You", which is similar to "Bless You".
* In Vietnamese, the response is traditionally Sống lâu, i.e. "Live long" which, like "Bless You", is an abbreviation of "Wish you a long life."See also
*
Photic sneeze reflex
*Snatiation Notes
References
* [http://www.npr.org/templates/story/story.php?storyId=5435812 Ancient Sneezing: A Gift from the Gods] - Elaine Fantham, Professor of Classics at Princeton on
NPR Radio.
* [http://www.boston.com/news/science/articles/2004/06/15/why_do_my_eyes_close_every_time_i_sneeze/ Why do my eyes close every time I sneeze?] M.G., SherbornThe Boston Globe Further reading
* [http://www.straightdope.com/classics/a2_304.html Cecil Adams (1987). "If you hold your eyelids open while sneezing, will your eyes pop out?". "The Straight Dope".]
* [http://www.snopes.com/language/phrases/blessyou.htm Barbara Mikkelson (2001). "Bless You!" "Urban Legends Reference Pages".]
* [http://madsci.org/posts/archives/aug97/865380242.Me.r.html Tom Wilson, M.D. (1997) "Why do we sneeze when we look at the sun?" "MadSci Network".]External links
* [http://www.sacred-texts.com/neu/eng/osc/osc60.htm The Origins of Popular Superstitions and Customs] - T. Sharper Knowlson (1910), a book that listed many superstitions and customs that are still common today.
* [http://www.healthhype.com/sneezing-causes-treatments-and-good-sneezing-practices.html Sneezing - Causes, Treatments and good Sneezing Practices]
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