The word “cooties” defines a piece of widespread childhood lore, referring to an imaginary, highly contagious ailment that children use to tease one another or establish social boundaries. It is not a recognized medical condition, disease, or infection that appears in any medical textbook or diagnostic manual. The concept exists entirely within the realm of playground culture, where it functions as a social tool rather than a biological threat. The term’s persistence, however, connects to a real history of human anxieties about contamination and disease transmission.
Defining Disease Versus Folklore
Medical science classifies a condition as a disease when it involves a harmful deviation from the healthy structural or functional state of an organism, usually associated with specific signs and symptoms. A recognized disease requires a definable pathology, which is the mechanism of its development, and an etiology, or known cause, such as a pathogen, genetic factor, or environmental exposure. Without an identifiable causative agent like a virus, bacterium, or parasite, and without measurable physical effects on the body, a condition cannot be medically classified as a disease.
“Cooties” lacks all these scientific criteria, as there is no specific pathogen, no consistent set of biological symptoms, and no observable tissue damage. The concept functions as an imaginary germ, which is a culturally transmitted idea rather than a biologically transmitted agent. Unlike real infectious diseases, “cooties” is a cultural phenomenon that varies in its description and transmission rules from one playground to the next.
The rules of “cooties” are passed down through oral tradition among children, making it folklore. This imaginary affliction is generally “caught” through simple bodily contact or proximity to a designated “infected” person, often someone from the opposite sex or a social outsider. The only observable effect of “cooties” is a behavioral one: the dramatic avoidance of the “carrier” by other children, which reinforces the concept’s purely social nature. The “cooties shot,” a ritualistic action involving a finger tracing circles and dots on an arm, further demonstrates the folkloric nature by offering a magical rather than a pharmacological cure.
Historical Roots of the “Cooties” Term
The origin of the word “cooties” is rooted in a very real parasitic infestation experienced by soldiers during World War I. The term was trench slang used to describe body lice, which were rampant in the unsanitary, close-quarter conditions of the Western Front. These body lice were a pervasive problem for soldiers in the trenches, leading to constant itching and discomfort.
The word “cootie” was first recorded as a noun in 1917, though the related adjective “cooty,” meaning infested with lice, appeared earlier in 1915. A 1917 memoir from an American soldier serving in the British Army defined the plural noun “cooties” as the “unwelcome inhabitants of Tommy’s shirt”. This original meaning referred to a tangible, biological parasite, a far cry from the modern imaginary germ of the playground.
This slang term for body lice eventually transitioned into a more generalized, imaginary term for contagion as it entered the broader public lexicon after the war. The association with a highly contagious, physically repulsive pest likely allowed the word to easily be adopted by children to represent any unwanted contamination.
The Social Function of Childhood Contagion Games
The “cooties” game highlights its function as an important social and psychological tool in childhood development. Playing games centered on imaginary contagion helps children explore and manage their anxieties about germs, disease, and physical proximity. This type of play allows children to process concepts of transmission, immunity, and vaccination in a safe, low-stakes environment.
The game serves a distinct purpose in establishing and policing boundaries within the social hierarchy of the playground. By labeling certain individuals as “infected,” children practice inclusion and exclusion, thereby defining their in-group and asserting social power. This dynamic can unfortunately become a socially acceptable way to bully or ostracize a child who is perceived as different or is otherwise an easy target.
“Cooties” is also a common mechanism for early gender segregation, especially during middle childhood, where the imaginary disease is often said to be passed between boys and girls. By declaring that the opposite sex carries the affliction, children create a playful, ritualized barrier that reinforces traditional gender roles and manages their discomfort with burgeoning cross-gender interactions.

