It's hard to tell what spreads faster during cold and flu season -- the viruses, or the myths surrounding them.
And with temperatures in the Northeast reaching record highs for this time of year, many wonder if this midwinter "heat wave" has anything to do with an apparent increase in cold and flu cases.
However, it turns out this speculation may be just another myth -- one of many that resurface every year once the sneezes, sniffles and sick days begin to peak.
"These notions have a life of their own," says Dr. William Schaffner, professor and chair of the department of preventive medicine at Vanderbilt University School of Medicine in Nashville, Tenn.
"Virtually everything we 'know' about getting colds and the flu is myth," says Dr. Neil Brooks, former president of the American Academy of Family Physicians. "The only things that prevent colds are hand washing and/or avoiding contact with other people, and I don't know if hand washing really works."
But though cold and flu myths may not be accurate or scientific, they could represent a completely natural part of how the public deals with some of the unknown aspects of colds and flu.
"Since many aspects of viral immunity are unknown, people may look to these alternative mythologies for an explanation of these phenomena," says Robert Garry of the Tulane University School of Medicine in New Orleans, La.
The science behind nearly every common knowledge tip about colds and the flu is shaky at best, disease experts say.
And yes, that includes this season's conjecture that warmer weather is contributing to an increased spread of cold and flu bugs.
"I know of no scientific information which suggests that warmer weather during the winter increases the chances of spreading influenza," says Stephen Cavalieri, director of microbiology at Creighton University Medical Center in Omaha, Neb.
"After all, it's during the winter months that influenza usually makes its appearance."
In fact, the warmer weather may be having exactly the opposite effect on the spread of respiratory illness.
"The only piece of research I was able to find that attempted to study the relationship of temperature trends and morbidity and mortality, found that warmer weather was associated with a decrease in mortality from influenza," says Dr. Bill Cayley, from the University of Wisconsin department of family medicine in Madison.
He adds that past research shows that for each 1-degree Fahrenheit increase in average temperature, there's a more than 2 percent decline in deaths from pneumonia and influenza.
The idea that exposure to cold weather alone can cause a cold or the flu appears equally flawed.
"Cold weather has no direct affect on the flu virus," Schaffner says. "However, cold weather might drive us all indoors, making it easier for the flu virus to be transmitted from person to person."
"Cold weather can exacerbate cold and flu symptoms -- think mild hypothermia-like effects," Garry says. "But the myth that your mother told you that if you go out without your coat, you'll catch a cold or flu, is false."
"My guess is that people get sick in the winter because they are inside a lot, and visit each other for the holidays, and in the visiting process, spread viruses through coughing and handshaking," says Dr. Michael Fine at Hillside Avenue Family and Community Medicine in Scituate, R.I.