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Originally Published: September 25, 1998
~ Last Updated / Reviewed on: December 02, 2005
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Dear Alice, I live on a college campus and have noticed many people do not wash their hands after going to the bathroom! I was so shocked, I confronted one of my friends. She replied: "If I don't get anything icky on my hands, I just rinse them withOUT soap. If my hands do get 'dirty,' I wash them with soap." Is her handwashing philosophy correct? Does rinsing your hands withOUT soap do any good?
Dear Reader, Well, you do have to wonder why health department signs in restaurant bathrooms ask employees to wash their hands with soap and water before returning to work. Alice thinks they may be on to something. According to the National Institutes of Health (NIH), one in four food-borne illnesses, among many other diseases, are caused by unwashed or inadequately washed hands. Ask your friend if she believes that she can see every "icky" thing that might get on her hands when she uses the toilet. Have her consider the possibility of the person who used the toilet before her leaving behind some bacteria, viruses, pathogens, or other microorganisms on the door or toilet handle. Then your friend flushes the toilet, opens the door, and walks out without washing her hands. Not only has she picked up some sort of microorganism, but now she will be spreading it around, too. That person could have had a cold, the flu, strep throat, or something worse. If your friend then touches her mouth, nose, or eyes with her unwashed hands, she's more likely to infect herself (as well as others with whom she comes into contact). This makes you wonder why we all still shake hands with each other, doesn't it? Not only is it an easy thing to do, but handwashing is considered the number one way to prevent the spread of infection-causing critters picked up from contact with infected individuals or contaminated surfaces and objects. According to the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health, good handwashing requires three key elements: soap, running water, and friction. In hospitals, employees learn that it takes about five minutes of washing with soap and water to rid the skin of microorganisms that can cause infection. Five minutes may be longer than the average person wants to spend at the bathroom sink. At the very least, actively rub your hands and fingers together with soap, producing a lather that covers all surfaces of your hands (including your fingers and under your fingernails), for at least ten to fifteen seconds (longer for hands that look dirty). Follow that with a thorough rinse under running water. Pay attention to rings and long fingernails, both of which trap bacteria and dirt. If you have long nails, use a nail brush at least once a day to scrub under them. To avoid recontaminating your hands, use a clean paper towel to turn off the faucet, and then dry your hands with an air-dryer or new disposable towel. If all these suggestions leave you wondering whether or not you should have chosen to live in a plastic bubble on the far end of campus, know that healthy immune systems can successfully fight off lots of bacteria and viruses before they make you sick. Adequate sleep and regular stress management can help keep your immune system up and running. And keeping your hands and fingers away from your eyes, nose, and mouth will thwart delivery of loads of icky stuff into your body in the first place. Now that you have more factual information, you can inform your residence hall floor friends about the virtues of proper handwashing. And, let's hope that the news will continue to spread from there.
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