It is spread by contact with patient or carrier. 白喉可透过与病人或带菌者接触而传播。
The disease can also be passed on through infected droplets expelled by coughing, although the far higher risk comes from tongue contact in kissing. 尽管这种疾病主要是经由接吻时舌头接触传染,但也会经由带菌者咳嗽时的飞沫传染给别人。