The disease is caused by the bacteria Corynebacterium diphtheriae, which produces a toxin that can make people very sick. It is usually spread through airborne droplets when someone with the bacteria coughs or sneezes; it can also be caught from handling an infected individual’s things, like used tissues or hand towels, or by touching an infected wound. Transmission is increased in crowded areas such as schools, hospitals, and households. After getting the bacteria, a person may have no symptoms for 2-5 days or even longer; the disease may then last for 2-3 weeks or shorter if treated with antibiotics.