When you start noticing a cough, fever, chills, and fatigue, it’s natural to worry. It could be pneumonia, a lung infection that, while treatable, is not to be taken lightly. According to the Canadian Institute for Health Information (CIHI), Canada has seen an increase of nearly 17% in the number of hospitalizations for pneumonia among 18- to 64-year-olds (17,447 hospitalizations in 2023–2024 compared with 14,937 in 2022–2023). It’s also one of the leading causes of death worldwide.
Your health and that of your loved ones is important to us. That’s why we’re here to support you and ensure you know what to do in case of illness. Understanding the causes, recognizing the symptoms, and knowing how to treat pneumonia are the first steps in taking care of yourself.
How do you get pneumonia?
There are a variety of ways to catch pneumonia. Here are the most common.
Modes of transmission
- Droplet inhalation: When an infected person coughs or sneezes, the viruses or bacteria causing their illness can become airborne. If you inhale these droplets, the infection can affect your lungs.
- After another respiratory infection: A simple cold, flu, or bronchitis can sometimes cause complications. The infection, which was initially lodged in the upper respiratory tract, can move farther down and reach the lungs.
- Aspiration: We sometimes accidentally inhale small particles such as saliva or food. This can lead to infection, especially in older people or those with swallowing problems.
Risk factors in children and adults
Pneumonia can be a source of concern, but knowing the risk factors is an important first step in preventing it. Read on to learn more about some of the conditions and lifestyle habits that can make a person more vulnerable to this lung infection.
Here are the main risk factors:
- Age: infants, children, and people aged 65 and over often have more fragile or underdeveloped immune systems
- Chronic illnesses: diabetes, heart disease, and lung disease (such as asthma or chronic obstructive pulmonary disease) can increase a person’s risk of developing pneumonia
- A weakened immune system: due to disease (HIV/AIDS), treatments such as chemotherapy, or certain medications
- Smoking: smoking damages the respiratory tract and lungs, reducing their ability to fight infection
- Recent hospitalization: hospital stays, especially in intensive care, can increase the risk of exposure to germs
- Swallowing difficulties: often related to a stroke or other neurological disorders, this can cause particles to be aspirated into the lungs
Pneumonia vs. bronchitis: what’s the difference?
These two diseases are often confused for one another, but they don’t affect the same area. Bronchitis is an inflammation of the bronchi (the “tubes” that carry air), while pneumonia is a deeper infection that affects the alveoli (the little air sacs at the end of the bronchi). Pneumonia is generally considered to be more severe than bronchitis.
Certain situations can also increase your vulnerability: age, a weakened immune system, smoking, or the presence of a chronic disease (diabetes, heart disease, etc.).
What about COVID-19?
There’s been a lot of talk about COVID-19 in recent years, and it’s natural to wonder about how it’s connected to pneumonia. It’s important to understand that COVID-19 is an infection caused by the SARS-CoV-2 virus, and pneumonia is one of its most serious complications. When the virus reaches the lungs, it can cause severe inflammation. The alveoli (little air sacs) can then fill with fluid, leading to viral pneumonia. Often, it’s this complication that causes breathing difficulties and ends up putting people in the hospital.
If you have COVID-19, it’s essential that you keep a close eye on your general condition, especially your breathing, and seek medical advice urgently if you feel short of breath.
Please note that you can now make an appointment for vaccination against the flu and COVID-19 at a Brunet pharmacy near you.
Check out our helpful page to learn how to tell the difference between flu (influenza) and COVID-19.
Is pneumonia contagious?
Yes, pneumonia can be contagious when it’s caused by a virus or bacteria. In these cases, it can be transmitted by respiratory droplets.
How long is pneumonia contagious for?
This is an important question, especially when it comes to protecting those around you.
Viral pneumonia
You’re generally contagious from shortly before the onset of symptoms through the duration of the illness. It’s important to practise good hygiene to avoid transmission. For example, you should wear a mask, wash your hands frequently, and cough or sneeze into your elbow.
Bacterial pneumonia
The good news is that contagiousness diminishes very rapidly once treatment has begun. In general, once you’ve been taking antibiotics for 24 to 48 hours, you’re no longer considered to be contagious. The best way to care for yourself and your loved ones is to follow the treatment plan prescribed to you.
Pneumonia caused by aspiration or fungi is not contagious.
What are the symptoms and when should you seek medical advice?
Signs of a lung infection are not to be taken lightly. We recommend that you seek medical advice promptly if you experience these symptoms:
- high fever (39°C–40°C) accompanied by chills
- feeling unusually out of breath, even when resting
- chest pain that intensifies when you breathe deeply or cough
- a persistent cough, often accompanied by mucus
Can you have pneumonia without having a cough or fever?
Yes, and this is important to keep in mind. Especially in young children and the elderly, pneumonia can cause a variety of symptoms, including severe fatigue, sudden confusion, and even digestive trouble. Pay close attention to any change in the person’s general condition.
What about atypical pneumonia?
You may have heard this term before. This is a more subtle form of pneumonia, caused by other types of bacteria. The fever is lower, the cough is often dry, and most of all, you suffer from severe fatigue and headaches. This is why it’s sometimes referred to as “walking pneumonia,” because you can carry on with your day-to-day activities without feeling bedridden. Although it may seem less severe, it’s still a serious infection that requires medical diagnosis and treatment.
How is pneumonia diagnosed?
During your appointment, your doctor will ask you questions about your symptoms and listen to your lungs with a stethoscope. To confirm the diagnosis, a chest X-ray is often required. This will tell your doctor whether there is an infection in your lungs, and help them determine the appropriate course of treatment.
How is pneumonia treated?
Fortunately, a number of effective treatments exist that target the cause of the infection.
- Antibiotics are prescribed to treat bacterial pneumonia.
- Antivirals can be used for certain forms of viral pneumonia caused by the influenza virus.
- Rest and hydration are the key to recovering from any illness. Rest is essential to allow your body to fight the infection. Drinking plenty of water also helps thin out the mucus in your system and get rid of it more effectively.
Your Brunet-affiliated pharmacist-owner is here to help. We can advise you on how to manage symptoms, such as a fever and cough, and help you understand the treatment that has been prescribed to you.
Recovery: what to expect
With the right treatment, you should start to feel better within a few days. However, a full recovery takes time. It’s normal to feel tired for several weeks after a case of pneumonia. Be patient with your body and resume activities gradually.
Prevention: the best means of protection
The best way to avoid pneumonia-related complications is prevention. A healthy lifestyle habits is a win-win!
- Wash your hands frequently.
- Exercise regularly.
- Eat a healthy, balanced diet.
- Avoid smoking.
- Maintain good sleep habits.
Vaccination: a necessary preventive measure
Vaccination plays a key role in protecting you. Seasonal flu and pneumococcal vaccines significantly reduce the risk of developing severe pneumonia. They’re strongly recommended for people aged 65 or over, young children, and anyone living with a chronic illness or a weakened immune system.
Your Brunet team will be happy to tell you about the different vaccination services available in pharmacies. No matter your question, we’re here to help.
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Last updated on July 10, 2025