12/02/2009 4:00 am

Life

Doctor's Orders: The Right Way to Wash Your Hands (Video)

Think you've got this hand-washing thing down pat? Think again. wOw turns to Dr. Laurence Harris for a few tips on keeping it clean.

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Editor’s note: Dr. Laurence Harris graduated summa cum laude from the State University of New York, Downstate, Medical Center. He is a diplomate of the American Board of Ophthalmology, has won numerous awards for his work in medicine and has authored 47 scientific journal articles and book chapters on diseases and surgery of the eye. He is clinical associate professor of ophthalmology at Weil Cornell Medical School, associate attending ophthalmologist at the New York Presbyterian Hospital and lecturer in ophthalmology at the Eye Institute of the Columbia University Medical School. 

Washing your hands is the simplest thing you can do this cold and flu season to reduce your chances of getting sick. Colds and the flu are most often transmitted by our hands. We touch an object that has invisible droplets of viruses, and then we touch our eyes, nose or mouth. This kind of transmission accounts for 30 to 40 percent of infections. Cold and flu viruses can survive outside of the body for a length of time that varies from minutes to 48 hours. In general, flu viruses survive outside of the body longer than cold viruses and live longer on nonporous surfaces — such as wood, plastic or metal — than on porous surfaces such as cloth or paper. Bacterial diseases, including salmonella, E. coli and infectious diarrhea, may be spread the same way as viruses.

The mucous membranes of the eyes, nose and mouth are portals of entry into the body for these organisms. A recent study at the University of California showed that students touched their eyes, nose or mouth at an average rate of 16 times per hour. Proper hand washing is one of the best ways to avoid getting sick. This simple habit requires only soap and water or an alcohol-based hand sanitizer — a cleanser that doesn’t require water. Do you know the benefits of good hand hygiene and when and how to wash your hands properly? Read on for more information.

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Despite the proven health benefits of hand washing, many people don’t practice this habit as often as they should — even after using the bathroom. Throughout the day you accumulate germs on your hands from a variety of sources. If you don’t wash your hands frequently enough, you can infect yourself with these germs by touching your eyes, nose or mouth. And you can spread disease to others by touching them or by touching surfaces that they also touch, such as telephones, doorknobs and handrails.

While most people will get over a cold, the flu can be much more serious. Seniors and those with chronic medical problems can develop pneumonia. The combination of the flu and pneumonia, in fact, is the eighth-leading cause of death in this country.

Inadequate hand hygiene also contributes to food-related illnesses, such as salmonella and E. coli infection. According to the Centers for Disease Control and Prevention (CDC), as many as 76 million Americans get a food-borne illness each year. Of these, about 5,000 die as a result of their illness. Others experience the annoying signs and symptoms of nausea, vomiting and diarrhea.

65 Reader Comments (so far…) Sign In or Register to comment

DeniseannTaylor

From having a son born and placed in intestive care and having cancer at the same time I learned a long time ago about washing my hands.  I buy those pumis stones with the brush on the other side and have them (new ones) handy for all people who visit me.  To keep them clean I put them through the dish washer every day to kill germs that could hang around.  If for some reason I am not going to run the machine I’ll boil the stones to kill the bacteria. 

Using on of them is like using the brushes the Docs use before surgery, only they last longer then one use. 

Also I sufer from extreme IBS and spend a lot of time in my throne room so I needed something that would do the job and not cost an arm and a leg.

Just a helpful hint, and yes I checked it out with my doctors and they thought it was a great idea and easy safe way to keep the germs low. Economical as well.

By DeniseannTaylor on 12/02/2009 3:21 am
Cjay
Deniseann, dishwashers do not sterilize anything because the temperature of water cannot go that high. And, remember, when we "scrub" for OR, it’s a 20 minute scrub, with a 10 min. between procedures - so the friction is what does it … white vinegar to equal parts of water will do what you need very well.
By Cjay on 12/03/2009 3:45 am
DeniseannTaylor
C Jay you are right about both, after my son was born I had to clean my hands and arms throughly before I could pick him up in the infant ICU, and it became a habit with me (26 yrs ago), and it was getting very expensive buying thouse throw away handbrushes from the medical supply house so I took to the pumis stone/bursh, my doctor thought it quite smart on my part. He also argreed about the diswasher because of the heat temp of the dry cycle is hot enough to kill most germs if you have a top of the line machine. I do and so do both my children.  I tend to save my money for as long as need to buy them the most effective equipment needed, then there is no need to replace it in a matter of a couple of years, also buy the extended warranty from a reputable company, I personally go through Sears.
By DeniseannTaylor on 12/03/2009 4:14 am
LauriateRoly
Deniseann Taylor, you truly are an amazing lady.  That’s a wonderful "helpful hint". LR.
By LauriateRoly on 12/02/2009 4:25 am
BelindaJoy
A perfect article and timely. this is one of my pet peeves, people who don’t wash their hands….I mean really wash their hands. It’s so important.
By BelindaJoy on 12/02/2009 7:57 am
LilaKuh
When I was stationed at the Pentagon I rode Metro to work - and the FIRST thing I did on arrival, even before going to my office, was to wash my hands.  Among the nastiest things you can touch, germ-wise, are public-transportation grab bars, safety straps, door handles, etc.  Bleeeeeah.
By LilaKuh on 12/02/2009 12:42 pm
hollyshawn
I heard a funny, yet informative, snippet on NPR re: the best hand-washing technique:  

Wash your hands, including scrubbing under nails, while singing all of the ABC’s (the appropriate length of hand-washing time).

 

The problem with this, though, is that we can’t get children to scrub under nails and we can’t get adults to sing the ABC’s.

By hollyshawn on 12/02/2009 1:51 pm
MaggieW
Holly, small children can get a hand washing start by singing the Birthday Song (twice).  As for adults not singing, many would agree that is a good thing!  ;)
By MaggieW on 12/02/2009 2:51 pm
IMLIZZIE
Good grief, has this site ever been highjacked. Thought it was about washing hands and it’s become political, like so much becomes here. I am a fanatical hand washer, working at a hospital. We also have wall sanitizers all over the place, and I carry hand sanitizer in my purse. It’s amazing how many people don’t wash their hands after using the restroom. They are now trying to get drs. to stop wearing white coats as they can be germ havens. Make sure your dr. & nurse wash their hands if you are a  hospital patient before they come to your bedside. It drives me crazy when so many public restrooms do not have any soap in the dispensers, but, at least rinsing in water is some help.
By IMLIZZIE on 12/02/2009 9:49 pm
IMLIZZIE
Whew - I am glad the war is over, and this thread is now as clean as all of our hands should be. Why don’t they put signs in rest room reminding people to wash their hands?
By IMLIZZIE on 12/03/2009 2:04 am
Cjay

In medical teaching, utilizing scientific principles made procedural adherance easier for students to grasp — Re "hand cleanliness…" When using anything absorbent to turn off faucets (paper towel, cotton, etc), remember that pathogens (germs) pass through wet surfaces, so don’t use paper, or thin toweling. Instead, put a dollop of hand sanitizer or soft-soap on a wad of something and use that to turn off the faucet, and open the door - it pays to check out public restrooms before using them, too.

Secondly, hand sanitizers must contain 60% alcohol - read the label; however, some organisms encapsulate when they are exposed to alcohol, so think about the purpose for using hand santizers first, and look for another option, such as carrying white vinegar in a small ampule of spray bottle to use for that purpose, using the same amount cut 1/2 with water. It cost less, too.

 

By Cjay on 12/03/2009 3:41 am
SteveR

I have always been a hand-washer, but I have never seen a standard for it before. I appreciate the info on hand sanitizers too.

Looks like the thread got scrubbed as well. Refreshing.

By SteveR on 12/03/2009 3:43 am
IdaCider
The first thing that I did when I went into the restaurant was to go to the ladies room and wash my hands thoroughly. I don’t know if I infected my hands again by turning off the spigot or if I picked up more germs when I used the door handle or if I infected my hands handling the menu and the glass of water. Maybe I should go back into the ladies room and wash my hands again. No, I simply will not worry about any germs on my hands but I will be sure to keep my hands away from my face. Dirty hands does not infect the body. Touching the eyes and nose with dirty hands infects the body. As long as I don’t touch my face, my dirty hands are irrelevant and of no concern.
By IdaCider on 12/03/2009 9:26 am