Hand Hygiene and Disease Risks: Alcohol Disinfection in Public Spaces - Family Medicine

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Hygiene practices: hand sanitization?


Hi Doctor, if I touch products in a public place without washing my hands but use 75% alcohol to sanitize my hands before eating, what diseases could I potentially be at risk of contracting? Thank you.
The recent virus outbreak has been quite concerning.
Additionally, which medical specialty should I consult for adolescent vitiligo?

Xi Xi, 20~29 year old female. Ask Date: 2020/02/24

Dr. Chen Bozhang reply Family Medicine


It is recommended that you wash your hands frequently.

Reply Date: 2020/02/24

More Info


Maintaining proper hand hygiene is crucial in preventing the spread of infectious diseases, especially in public spaces where the risk of contamination is higher. When you touch various surfaces, such as products in a store, you may come into contact with bacteria and viruses that can lead to infections. However, using a 75% alcohol-based hand sanitizer is an effective way to reduce the risk of infection before consuming food.


Hand Hygiene and Disease Risks
1. Effectiveness of Alcohol-Based Sanitizers: Alcohol-based hand sanitizers, particularly those containing 60-95% alcohol, are effective in killing many types of germs, including bacteria and viruses. The 75% alcohol concentration you mentioned is within the effective range for disinfection. When applied correctly, it can significantly reduce the microbial load on your hands. It is essential to apply enough sanitizer to cover all surfaces of your hands and rub them together until they feel dry, which usually takes around 20 seconds.

2. Potential Risks: While using hand sanitizer greatly reduces the risk of infection, it is not 100% foolproof. Some pathogens, particularly certain types of norovirus and Clostridium difficile, are resistant to alcohol-based sanitizers. Additionally, if your hands are visibly dirty or greasy, hand sanitizer may not be as effective. In such cases, washing hands with soap and water is the preferred method.

3. Common Diseases: The most common diseases transmitted through contaminated hands include respiratory infections (like the flu and COVID-19), gastrointestinal infections (such as norovirus), and other viral infections. If you touched surfaces that were contaminated with these pathogens and then consumed food without proper handwashing, there is a risk of transmission. However, using hand sanitizer before eating significantly mitigates this risk.

4. Public Health Recommendations: Given the current concerns about viral outbreaks, public health authorities recommend frequent handwashing with soap and water, especially after being in public places, before eating, and after using the restroom. When soap and water are not available, using an alcohol-based hand sanitizer is a suitable alternative.


Consultation for Adolescent Health Issues
Regarding your question about "少年白" (which may refer to a condition affecting adolescents), it is advisable to consult a healthcare professional specializing in adolescent medicine or a pediatrician. These specialists are trained to address health issues specific to teenagers, including physical, mental, and emotional health concerns. They can provide guidance on a wide range of topics, from growth and development to mental health issues and lifestyle choices.


Conclusion
In summary, using a 75% alcohol-based hand sanitizer after touching items in public spaces before eating is a good practice to minimize the risk of infection. While it significantly reduces the likelihood of transmitting germs, it is essential to remain aware of its limitations and to wash hands with soap and water whenever possible, especially when hands are visibly dirty. For adolescent health concerns, seeking advice from a specialist in adolescent medicine is the best course of action. Always prioritize hygiene practices to protect yourself and others, especially during times of heightened concern about infectious diseases.

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