Hot water is ‘unnecessary and wasteful’ for handwashing – study

We’ve said for a decade hot water is not a factor in reducing microbial loads during handwashing. Friend of the blog Don Schaffner at Rutgers agrees.

And now, so do researchers at Tennessee’s Vanderbilt University.

We admit, warm water is often a preference, but scientifically, it does not handwash.south.parklower microbial loads.

And we all want to be evidence-based.

As reported in the European Cleaning Journal, using hot water for hand washing is unnecessary while potentially being harmful for the environment, but nearly 70 per cent of Americans believe hot water to be more effective than cold or warm water – despite having no evidence to back this up.

According to research assistant professor Amanda Carrico: “It is certainly true that heat kills bacteria, but if you were to use hot water to kill them it would have to be way too hot for you to tolerate.”

She explains that pathogens can be killed by water at temperatures of 99.98°C – but hot water for hand washing is generally between 40°C to 55°C, and even at these temperatures the sustained heat required to kill some pathogens would scald the skin.

Carrico’s team found water as cold as 4.4°C to be just as effective at reducing bacteria as hot water if the hands were scrubbed, rinsed and dried properly. And they noted that hot water could even have an adverse effect on hygiene. “Warmer water can irritate the skin and affect the protective layer on the outside, which can cause it to be less resistant to bacteria,” said Carrico.

And she adds that no water temperature is specified in official guidelines from the Centre for Disease Control and Prevention nor the World Health Organization, which simply recommend using soap and water and scrubbing vigorously for at least 20 seconds followed by a thorough dry.

Now, about that 20 seconds …

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Australia has a food safety problem; eateries in Capital ignoring hygiene standards

Maybe it’s payback to the federal politicians in Australia who are utterly clueless about basic food safety and steps to improve public accountability, but Canberra food businesses are flouting food safety laws such as installing a wash basin and cleaning the kitchen, according to the territory’s chief health officer.

The number of improvement notices issued to restaurants, cafes and food stalls in the second half of last year  was more than double  the canberranumber for the same period in 2012.

While some of the 163 notices  were for minor infringements, chief health officer Dr Paul Kelly said “we’re still finding significant problems” with general hygiene standards in some premises.

Among the problems were business owners failing to install a basin for hand washing in food-preparation areas.

Others did not maintain clean kitchens or had been caught out

not storing food at correct temperatures.

“It’s pretty standard infrastructure that you’d think would just be second nature,” Dr Kelly said.

“We’re trying … to work with industry to get them to fix their act by themselves.”

“I think we’ve got a way to go still.’’ he said.

‘‘People who don’t have somewhere to wash their hands in a food-preparation area, with running water and soap – that sort of thing is still there,” he said.

FDA not sure antimicrobial soaps do anything

Every day, consumers use antibacterial soaps and body washes at home, work, school and in other public settings. Especially because so many consumers use them, the U.S. Food and Drug Administration believes that there should be clearly demonstrated benefits to balance any potential risks.

There currently is no evidence that over-the-counter (OTC) antibacterial soap products are any more effective at preventing illness than antimicrobial.soapwashing with plain soap and water, says Colleen Rogers, Ph.D., a lead microbiologist at FDA.

Moreover, antibacterial soap products contain chemical ingredients, such as triclosan and triclocarban, which may carry unnecessary risks given that their benefits are unproven.

“New data suggest that the risks associated with long-term, daily use of antibacterial soaps may outweigh the benefits,” Rogers says. There are indications that certain ingredients in these soaps may contribute to bacterial resistance to antibiotics, and may have unanticipated hormonal effects that are of concern to FDA.

In light of these data, the agency issued a proposed rule on Dec. 13, 2013 that would require manufacturers to provide more substantial data to demonstrate the safety and effectiveness of antibacterial soaps. The proposed rule covers only those consumer antibacterial soaps and body washes that are used with water. It does not apply to hand sanitizers, hand wipes or antibacterial soaps that are used in health care settings such as hospitals.

No soap at school, kids sick

Go evidence or go home.

Children are, according to The New Zealand Herald, becoming sick at one of the country’s most modern new schools, parents say, because for three years the board banned soap and hand towels, fearing that they harmed the environment.

The school, which has Greenstar accreditation for environmentally friendly design, has a healthy attendance rate of 93.4 per cent, the board says, handwash_south_park(2)with no unusual illnesses.

But some parents say their children are suffering due to the school founders’ green philosophy and have complained to the board about their children’s repeated bouts of illness.

Stonefields has stocked only hand sanitiser in bathrooms since it opened in February 2011.

After an approach from the Herald on Sunday this month, board chairman Israel Vaeliki said the school would install hand driers and soap dispensers.

One mum, who asked not to be named, said she, her husband and their child had suffered gastro-intestinal illnesses this year. “The hand sanitiser’s not effective.”

The woman had raised the issue with the school but had been assured handwashing, with soap, was available in the children’s learning hubs.

Another parent said her daughter and classmates had suffered several bouts of gastroenteritis, due to the lack of soap and hand driers. Instead, the children would wipe their wet and dirty hands on their clothes. But a third Stonefields parent, Camille Harvey, believed sanitiser was more effective as children tended to do a poor job with soap and water.

The original sanitiser solution was decided by the establishment board in consultation with the Ministry of Education before the school opened, Vaeliki said. “Having no paper towels was in line with the school’s environmental sustainability philosophy. Recently, the school has received one complaint about the solution but otherwise there have been no issues for three years.”

A ministry spokesman said schools were required to provide a cleaning agent and warm water so the potential spread of germs was kept to a minimum.

As hospitals in the U.S. began to realize several years ago, sanitizer does not replace proper handwashing with soap and drying with paper towel.

Water temperature does not matter, but a vigorous water flow does, as does the vigor of drying with paper. Hand driers don’t cut it.

A google search would have revealed handwashing basics for the environmental educationalists.

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7-year-old sickened by E. coli at Minnesota petting zoo returns to school

Days after visiting a petting zoo at a pumpkin patch before Halloween, Emma Heidish was in the hospital. Almost a month later, her family is grateful she will spend Thanksgiving at home.

Heidish was one of 3 people who got sick after visiting Dehn’s Pumpkins in Dayton, Minn., but while the others were able to recover at home, her case was severe.

Like many 7-year-olds, Heidish loves animals, but after what she’s endured, her opinions about her favorite farm animals have goat.petting.zoo_changed.

“They are the ones that made me sick!” she explained.

Within days of visiting the pumpkin patch in mid-October, stomach cramps and diarrhea landed Heidish in the intensive care unit.

For a month, the little girl fought through a form of kidney failure that required her to undergo surgery and near-constant dialysis because her digestive system basically shut down.

The family is also bracing for the bill. Even though they have health insurance, they’re not sure what a month-long stay in the ICU will cost them. Friends have organized two fundraisers to offset the coasts and have established a fund for the family.

For more information on the benefit’s and more ways that you can help visit: www.emmasfund.com

As for Dehn’s farm, the owners still aren’t sure what they’ll do with the livestock next year because E. coli can simply be in an animal’s fur or the pen they’re kept in, but the Heidish family says they just want to stress the importance of hand washing.

Handwashing is never enough when it comes to human-animal interactions. My colleagues and I have a paper on best practices that will hopefully be published soon.
KMSP-TV

Handwashing signs don’t matter as much as handwashing

A couple of years ago I was invited to the GFSI Consumer Goods Forum as a last minute replacement speaker. The meeting attendees were top level corporate folks with expensive shoes and haircuts. I felt a bit out of place. surprise-01

The organizers asked me to talk about how we developed food safety infosheets and how we evaluated them.  I shared that the literature shows surprise matters when it comes to communicating risks – and a message that is up all the time, like a handwashing sign, probably doesn’t do much after the day it was posted (when it is surprising to the food handler).

The level of surprise in a message determines how successfully the information is received. In 1948, the Bell Telephone Company commissioned a study on communication as a mathematical theory to aid in the design of telephones.  In a study of brain function, Zaghloul and colleagues (2009) also showed the brain’s sensitivity to unexpected or surprising information plays a fundamental role in the learning and adoption of new behaviors.

During the Q&A session at the end of the session someone from a German retail store asked if I was suggesting that that they take down all the handwashing posters they had up, I answered yes, unless they plan on changing them every couple of days. The audience had an audible gasp. At least that’s how I remember it.

WFMY in Greensboro, NC ran a story with the headline: Handwashing signs in restaurant restrooms do matter. The headline is wrong – handwashing signs in restrooms don’t matter; washing hands matters.

When’s the last time you noticed those hand washing signs in the restroom of your favorite restaurant? You might think it’s sad they have to remind workers to wash their hands. Chef Keith Gardiner with G-T-C-C’s Culinary Technology Departments says the health department requires them — as an extra safety precaution.

Keith says, “The rule is any time you do come back into the kitchen from doing anything, you should wash your hands again.  Keith says, “The primary thing you have to be concerned with not washing hands are viruses – things like Hepatitis A, Hepatitis B (uh, Hep B is bloodborne, not foodborne -ben). People who may have it or have come in contact with it. If they don’t have that, you could also have get E. coli.”

Hand sanitizers didn’t protect Iowa kids against crypto after petting cows

This is why the UK says, handwashing with soap and water only at any petting farm or zoo.

A recent cluster of cryptosporidium cases cropped up after a Iowa preschool class visited a farm, Dr. Patricia Quinlisk, the Iowa Department of Public Health’s medical director, reported this morning. “While on the farm, the children petted cows and cow_hug_cumberlandate snacks,” Quinlisk wrote in a weekly email to public-health officials statewide. “The children did use hand sanitizer before eating; however, hand sanitizers are not particularly effective against crypto. Please continue to encourage handwashing with soap and water whenever possible.”

The Des Moines Register reports the parasite sickened hundreds of Iowans this summer, mainly via tainted swimming-pool water. Many of the patients suffered severe diarrhea. The outbreak has slowed now that most public pools have closed for the season. But infections also can happen in other ways, including contact with infected animals.

Quinlisk did not identify the preschool or say how many children became ill.

On Sept. 12, the state health department reported that there had been 861 confirmed or probable cases in Iowa so far in 2013. In all of 2012, there were 328 such cases.

Handwashing is never enough; 49, mainly kids, now sick with E coli from Brisbane petting area; people told to handle excretions with care

No child, or family, should have to go through grief and anguish because they took the kids to a petting zoo at the local fair.

Being repeatedly told they failed because they didn’t wash their hands is bee.gees.brisbanecondescending. And ignores the science.

Handwashing is never enough.

There are now 32 people, primarily children, confirmed with shiga-toxin producing E. coli from the Ekka, or Queensland Exhibition, like the state fair in Another 17 suspected cases were awaiting the results of tests.

Authorities say STEC genes were detected in the bedding of animals in the Ekka’s nursery.

And people are being told by the well-paid bureaucrats to wash their hands better.

A Biosecurity Australia dude said, “This highlights the importance of people practising sound hygiene measures following all contact with animals, their body fluids and excretions.”

Queensland Chief Health Officer Jeannette Young said STEC, and similar infections, could be reduced if people washed their hands before and after handling food, and after patting animals, changing nappies and going to the toilet.

“Thorough hand washing with soap and water is the key to preventing the spread of these infections.”

Go hang out at petting zoos or the exhibits at county and state fairs and watch what little kids do; we have. So have others.

As Anderson and Weese found in 2011 at a temporary petting zoo in Guelph using video observation, 58 per cent of visitors performed some form of hand hygiene (either using water, soap and water, or hand sanitizer), and two interventions (improved signage while offering hand ekka.petting.zoosanitizer, and verbal hand hygiene reminders by venue staff) were associated with increased hand hygiene compliance. U.K. health officials currently recommend handwashing stations with soap and water only (no wipes or sanitizers).

And while some studies suggest inadequate handwashing facilities may have contributed to enteric disease outbreaks or washing hands was protective against illness, others suggest relevant infectious agents may be aerosolized and inhaled.

In the fall of 2009, an E. coli O157:H7 outbreak at Godstone Petting Farm in the U.K resulted in 93 illnesses – primarily little kids.

The investigation into the Godstone outbreak identified evidence of environmental contamination outside the main barn, indicating acquisition of illness through both direct animal or fecal contact, and indirect environmental contact (e.g. contacting railings or soiled footwear).

Aerosolization of potential pathogens is also possible, as suggested in an E. coli O157:H7 outbreak at a county fair in Oregon, in which 60 people fell ill.

As part of the response to the Godstone outbreak, U.K. health types recommended handwashing stations with soap and water only (no wipes or sanitizers, because they don’t work that well under certain conditions).

Ihekweazu et al. subsequently concluded that in the Godstone outbreak, ekka.petting.zoo.aug.12“handwashing conferred no demonstrable protective effect. …

“Moreover, from the findings of many previous published studies, it must be assumed that all petting or open farms are potentially high-risk environments for the acquisition of VTEC O157 infection (an STEC).”

It’s still 1977 here in Australia; blame the consumer.

A table of petting zoo outbreaks is available at http://bites.ksu.edu/petting-zoos-outbreaks, and a list of risk factors at petting zoos and animal contact events at fairs can be found in: Erdozain G, Kukanich K, Chapman B, Powell D. 2012. Observation of public health risk behaviours, risk communication and hand hygiene at Kansas and Missouri petting zoos – 2010-2011. Zoonoses Public Health.

Because guys need better ways to piss; sink-urinal saves water, encourages men to wash hands

A Latvian designer named Kaspars Jursons is trying to help solve European water shortages by redesigning the men’s restroom. His new urinal design includes a tap and sink right over it.

“It’s not just a fancy piece of art,” he says. “The idea is about function and consumption. You are washing your hands in the sink on top of the urinal, 20111003_stand_print_18and the same water that’s running is also used to flush. You don’t have to use water twice, like when you use the urinal and wash your hands in separate sink.”

The design, called Stand, sells for about $590 per unit.

130 sick, 12 outbreaks; alert over sickness at UK petting farms

Public Health England says, so far this year, there have been 12 disease outbreaks linked to petting farms across England, affecting 130 people.

The advice is to wash your hands with soap and water – antibacterial gels ekka.petting.zooand wipes will not always work.

Dr Bob Adak, head of gastrointestinal diseases at Public Health England, said: “These outbreaks of illness serve as a reminder for anyone visiting a petting farm of the need to wash their hands thoroughly using soap and water after they have handled animals or been in their surroundings – particularly before eating.

“Although we can avoid obvious dirt there will be millions of invisible bacteria spread all around the farm which can get onto our hands.

“By being aware and by doing these simple things we can help to avoid illness and enjoy a fun day out.”

Anyone with kids knows these suggestions are not simple.

We have additional suggestions, but they’re under peer review at the royal.petting.zoomoment.

A table of petting zoo outbreaks is available at http://bites.ksu.edu/petting-zoos-outbreaks.

A list of risk factors at petting zoos and animal contact events at fairs can be found in: Erdozain G, Kukanich K, Chapman B, Powell D. 2012. Observation of public health risk behaviours, risk communication and hand hygiene at Kansas and Missouri petting zoos – 2010-2011. Zoonoses Public Health. 2012 Jul 30. doi: 10.1111/j.1863-2378.2012.01531.x. [Epub ahead of print]