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Whether you decide to get a flu shot this year or not, it's important to take steps to prevent getting the seasonal flu, as well as H1N1, commonly referred to as swine flu.

If you already sneeze into your sleeve, wash your hands diligently, and avoid crowds where these viruses can easily spread, you're on the right track. But you still may be putting yourself at risk in these unexpected ways—probably without even realizing it.

Worrying too much

Panicking about getting sick can make you just that—sick. It's easy to get carried away, with all the hype about the scary swine flu virus; however, it's important to look at things in perspective. Overall, H1N1 has not proven to be anymore of a threat than the regular seasonal flu, and most people who do catch the virus fully recover.

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Research does show, however, that anxiety can manifest itself in a wide variety of ailments—including acid reflux, insomnia, skin rashes, and depression—so it shouldn't be surprising that the added stress of worrying about swine flu can also weaken your immune system and leave you more vulnerable to catching a bug.

Hugging, kissing, and shaking hands

What's so dangerous about a simple handshake? Close contact with infected individuals is one of the easiest ways to pick up a virus. That doesn't mean you should be antisocial all flu season long, but you should be aware of possible transmission opportunities. If you are in a situation where physical hellos or good-byes are necessary, try not to touch your mouth or eyes afterward until you can wash your hands.

The Centers for Disease Control and Prevention (CDC) recommends maintaining a 6-foot buffer from sick people to cut down on the virus's ability to spread. So, as a precautionary measure, all sorts of cultural greetings—from shaking hands to hugging to kissing on the cheek—are getting the ax.

Smoking

Smoking cigarettes weakens the tiny disease-fighting hairs tucked inside nasal passages and the lungs, which trap and dispose of germs. This can leave your body more susceptible to attack. Plus, research shows that H1N1 burrows deeper into the lungs than seasonal flu, leading to infections that may be more severe than those caused by the latter.
Pascal James Imperato, MD, the dean of the School of Public Health at SUNY Downstate Medical Center, in Brooklyn, warns that prior lung damage, such as that caused by smoking, can leave you at greater risk of serious complications as well. "Chronic smokers are always much more vulnerable to severe viral infections of the respiratory type," he says. "They have damaged lungs, so they are more susceptible to coming down with illnesses and developing pneumonias following them."

Hitting the gym too hard

Some behaviors that in moderate amounts keep you healthy can actually weaken your immune system when taken to the extreme. For example, overexercising can leave your body struggling to cope with added physical stress—especially if you're not sleeping, hydrating, and fueling your body adequately. Unfortunately, the gym is also a great place to pick up viruses, from the sweaty treadmill to the benches in the locker room; plus, germs likely even catch a ride home on your gym bag.

We're not saying you should skip out on exercise: When done right, it will keep your immune system strong against the flu. But to protect yourself, wipe down machines before using them and take your own mat for stretching—or cover a borrowed one with a towel. Shower with soap and water immediately after working out to help kill any germs you may have been exposed to. 

Drinking alcohol

You may want to reconsider that night on the town during the height of flu season: You could wake up the next day with something much worse than a hangover. A recent study in BMC Immunology found that mice who consume large quantities of alcohol in a short period of time are left with weakened immune systems and might have a harder time fighting off infections for at least 24 hours.

Another side effect from drinking too much: Alcohol can quickly and easily dehydrate you, which interferes with your nose's and throat's ability to trap germs and expel them in the form of mucus.

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