Handwashing

  • Posted: February 11th, 2010 - 2:31pm by Doug Powell

    Sorenne’s glad to be home after Snowmageddon in D.C. and back into her regular routine – which includes Tasty Time with ZeFronk on the Disney Channel, which runs just before Imagination Movers at 8:30 a.m. (Central U.S. time)

    We wash our hands to make them neat
    Before we fix our tasty treat

    Today was peanut butter and jam on a banana on a hot dog bun (make mine whole wheat)

    Open, peel and spread
    Open, peel and spread

    Yesterday I took Sorenne to the office, picked up a top-secret envelope for me, and then left it at my next stop. Baby brain. But remember,

    We wash our hands to make them neat
    Before we fix our tasty treat

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    defronk, Disney, handwashing
  • Posted: January 22nd, 2010 - 1:40am by Doug Powell

    Author: 
    Doug Powell

    New Zealand researchers report in Eurosurveillance today about hand sanitiser use in a hospital entrance foyer four months after a baseline study during New Zealand’s influenza pandemic.

    Of the 743 people observed over one (summer) day in December 2009, 8.2% used the hand sanitiser, which was significantly lower (p<0.0001) than the 18.0% reported in the August (winter) study. Health authorities may need to intensify promotion of hand hygiene to reduce the impact of future influenza pandemic waves.

    We’re exploring more on the shock and shame approach in a number of settings.
     

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  • Posted: January 17th, 2010 - 6:12pm by Katie Filion

    Author: 
    Katie Filion

    The past few weeks in Wellington have been windy and rainy, so to fight the black cloud blues my Canadian visitor and I traveled north to the Coromandel peninsula for some sun. The beaches were gorgeous and the skies cloudless.

    While up north I decided to visit a petting zoo (animal farm). I know these activities are marketed towards families with children under 10, but I love animals and couldn’t resist. I paid the dollar for a bag of food, and as I proceeded to enter the zoo the lady at the counter told me to sign the waiver form. The form basically excused the zoo of any wrongdoing that happened to visitors, and instructed visitors not to feed the pigs. There was no mention of the potential illnesses that can be spread by being in contact with some of the animals, or the steps to prevent these illnesses (hand washing), although there were signs in the toilets (see right).

    I cut my visit short after feeding a horse. I had a flashback to the North Carolina girl whose finger was bitten off by a zebra and decided to return to the beach instead – but not before I washed my hands.
     

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  • Posted: December 29th, 2009 - 12:20pm by Doug Powell

    Chapman asks me the other day, “How do we fight the dogma?”

    Is that like fight the power? Fight the man? Fight for your right to party?

    What he was talking about was food safety dogma, the kind where seemingly good people give bad food safety advice. Like the Brits and their piping hot turkey.

    But this was directed at home. Why do good people reference bad advice, such as the cumbersomely named U.S. Partnership for Consumer Food Safety Education, and their Holiday food safety success kit, which says people should always wash their hands for 20 seconds with warm water and never defrost turkey on the counter (with exclamation marks, so readers know they are seriously serious).

    When washing hands, water temperature doesn’t matter, 10 seconds is sufficient
    . Turkey can be thawed on the counter, don’t leave it there forever and don’t let the cat nibble on it.

    The dogma part is, where are the references? How do groups like the horribly named Partnership come up with food safety advice? Is it some magical mystery tour or is there some reference to something credible? Who knows. It’s not publicly available.

    So why anyone would reference the awkward Partnership as a credible source is bizarrely baffling.

     

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  • Posted: December 27th, 2009 - 11:25am by Doug Powell

    In my continuing quest to watch children’s TV and become addicted to every infectious kids song out there – because 1-year-old Sorenne has a cold and insists on being held -- we watched an episode of Special Agent Oso, the unique stuffed bear.

    3 special steps, that’s all you need

    wash the vegetables

    chop the vegetables

    toss the salad

    Jade has to help make a salad for cousin Rachel, who can’t eat cheese or bread because she has food allergies – no pizza for Rachel.

    Special Agent Oso -- the unique stuffed bear -- and Jade wash their hands before preparing the salad, and wash the lettuce, tomatoes and cucumber, straight from the garden, but eventually use a vegetable brush because the veggies are so naturally dirty. Problem solved.

    BTW, the songs on these kids' shows are bizarrely infective, like a foodborne pathogen.

    The Hot Dog song on Mickey Mouse Clubhouse was written and performed by They Might Be Giants, and the Handy Manny theme song was written and performed by Los Lobos.
     

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  • Posted: December 18th, 2009 - 1:50pm by Doug Powell

    One of my graduate students, Manoelita Warkenten, did a great job this morning presenting a departmental seminar about the use of gross-out information to increase handwashing compliance rates in various settings.

    Sarah Reasoner, another of my graduate students, who had already gone through the seminar fire, did an outstanding job prepping Manoelita. I didn’t have to do much. I like it that way.

    Irish Health reports today that one in three people in Ireland don’t wash their hands after going to the toilet.

    That’s gross.

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    Hospital, Poop
  • Posted: December 15th, 2009 - 10:39am by Doug Powell

    Non-compliance with personal hygiene by cooks, food handlers and the public is the main cause of the recent cholera outbreak in Terengganu, Director-General of Health Tan Sri Dr Ismail Merican said yesterday.

    "We took a number of samples from cholera-contaminated food premises, ice manufacturing factories, factories that produce keropok lekor and wet markets. We found that the drinking water at these outlets was not contaminated, showing that the spread was from the people infected with the disease. … We need public cooperation, especially from those who prepare and handle food. They must adhere to personal hygiene."

    The disease broke out in October and affected 188 people. One of them died.
     

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    Cholera, Cooks, Malaysia
  • Posted: December 11th, 2009 - 12:02pm by Doug Powell

    My oldest daughter is 22. I put in a lot of hours watching Barney, Sharon, Lois and Bram (it’s a Canadian thing), memorizing all the books of Guelph’s own Robert Munsch (who can resist the sentimentalism of, Love You Forever), and renting bad Disney movies from the video store around the corner.

    That seems quaint, given that I settled the 1-year-old in the car the other weekend by holding the iPod touch so she could see it in her car seat with Beauty and the Beast playing.

    Up until a few months ago, I didn’t even know Barney was still on the air.

    But here I am, doing all the bad children’s TV thing again. Sorenne perks up when the Barney music comes on, but still prefers Stephen Colbert.

    There’s a 7-year-old kid on Barney who has totally co-opted my look – shorts, high-cut Cons, and shaggy Andy Samberg hair.

    Maybe it’s time for a new look.

    Handy Manny, one of Sorenne’s favs, had extensive handwashing instructions this morning. Most of the kid’s shows do. Handy Manny is also culturally sensitive and mixes things up with English and Spanish.

    I can’t wait ‘till Sorenne can respond to a survey asking her about the effectiveness of the handwashing message.
     

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    Barney, Handy, Manny
  • Posted: December 6th, 2009 - 7:30pm by Doug Powell

    Holidays are all about tradition.

    And nothing says tradition more than the Canadian TV show, Trailer Park Boys.

    Amy and I have a polar bear that guards the compound during the long winter nights; we have champagne and cupcakes for birthday parties, and every Christmas Day, we gather round the hearth with whoever’s left in town, and watch the Trailer Park Boys Christmas Special.

    Trailer Park Boys is a popular Canadian comedic mockumentary television series that ran from 2001 – 2007 and focused on the misadventures of a group of trailer park residents -- primarily Ricky, Julian and Bubbles (right) -- living in a fictional trailer park located in Dartmouth, Nova Scotia.

    In the 2004 Christmas Special, Ricky interrupts the midnight mass to share the true meaning of the season:

    “Sorry to interrupt, but I just had one of those brain-learning things pop into my head. …  What is Christmas? I just got out of jail, which was awesome, you know, they don’t have presents and lights and tress, we just get stoned and drunk, it’s the best time. And I get out here and I’m all stressed out. … That’s not what Christmas should be, you should be getting drunk and stoned with your friends and family, people that you love. … That’s Christmas. … Getting drunk and stoned with your families and the people that you love. And if you don’t smoke or drink, just spend time with your families. It’s awesome. Merry Christmas.

    My mom and daughter Courtlynn spent the weekend in Manhattan (Kansas) for a little holiday cheer and to help celebrate Sorenne’s first birthday, and while we didn’t get drunk or stoned, we did just spend time with our family and friends.

    My other favorite Christmas movie, Mystery, Alaska, features Russell Crowe as a hockey-playing sheriff in the town of Mystery, Alaska. The 1999 movie has nothing to do with Christmas but oozes a Jimmy Stewart kind of sentimentality as a fictional small-town hockey team plays a game against the New York Rangers.

    One of the best segments is Canadian Mike Myers (party on, Garth) as play-by-play analyst Donnie Shulzhoffer, who asks during one of the breaks, “Anyone know where a guy can get a rub and a tug in this town?”

    Which raises a question: should hand sanitizers be used in a massage parlor, or by massage therapists?

    The Institute for Integrative Healthcare Studies has concluded – maybe.

    With the rising popularity of hand sanitizers, some therapists are opting to rub an alcohol-based gel between their hands in lieu of scrubbing with soap and water. While hand sanitizers have revolutionized how we practice infection control, it may not always be the best choice for massage therapists.

    Bodyworkers' hands function as their primary tools. Because their tools are reused on each and every client, keeping their hands free of pathogens is a prerequisite to being a responsible therapist. Bodyworkers must wash their hands:

    · Before and after eating
    · Before and after using the restroom
    · Before and after each interaction with a client

    At first thought, bodyworkers may think that hand sanitizers save them time during their requisite hand cleansing. However, further investigation shows that this assumption is not accurate. In addition, hand sanitizers may kill most types of bacteria and viruses but they are not sufficient for removing body fluids from the hands. Thus, the old-fashioned approach using water, soap and a towel remains the preferred way for massage therapists to achieve clean, hygienic hands.

    Happy Birthday, Sorenne, and thanks to everyone who came by for champagne and cupcakes.

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  • Posted: December 2nd, 2009 - 9:59pm by Doug Powell

    The Illinois Health Department has concluded its investigation into this summer's hepatitis A outbreak and found that most of the cases originated at the Milan McDonald's and most of the cases “would have been prevented” if only that one employee had properly washed hands.

    The findings of the investigation by the Illinois Department of Public Health concludes "the index case was a food handler at the McDonalds in Milan, Illinois and had onset of illness June 11." Investigators also found "other possible sources in the community were ruled out."

    And, "The source of the outbreak for the majority of outbreak cases was food eaten at the McDonalds, Milan, Illinois where a food handler worked while infectious and handled foods that were not later cooked."

    The state investigation goes on to say that "if the first employee with hepatitis A had used proper hand-washing technique while working the transmission of hepatitis A through food would not have occurred."

     

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