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For tuberculosis: it is transmitted by droplets, i.e. coughing or sneezing.

For pneumonia: viral pneumonia, again, droplets. Bacterial pneumonia, normal body bacteria from the skin and mucous membranes, travel to the lungs and cause infection in the presence of fluid in the lungs, like there would be if you were congested.

In all instances, having a suppressed immune system can increase the chances of getting the disease/illness.

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