Natural ventilation is a key factor in reducing the spread of airborne illnesses such as tuberculosis, the common cold, influenza and meningitis. Opening doors and windows are good ways to maximize natural ventilation, which would make the risk of airborne contagion much lower than with costly and maintenance-requiring mechanical systems. Old-fashioned clinical areas with high ceilings and large windows provide greatest protection. Natural ventilation costs little and is maintenance free, and is particularly suited to limited-resource settings and tropical climates, where the burden of TB and institutional TB transmission is highest. In settings where respiratory isolation is difficult and climate permits, windows and doors should be opened to reduce the risk of airborne contagion. Natural ventilation requires little maintenance and is inexpensive.