Healthcare Hygiene magazine March 2020 | Page 6
from the editor
h ealthcarehygienemagazine
Handwashing Can Play Key
Role in Preventing Infectious
Transmission Globally
As
Kelly M. Pyrek
editor & publisher
[email protected]
the world grapples with the consequences of the novel coronavirus (COVID-19),
a timely new study indicates that improving the rates of handwashing by
travelers passing through just 10 of the world’s leading airports could significantly
reduce the spread of many infectious diseases. And the greater the improvement in
people’s handwashing habits at airports, the more dramatic the effect on slowing
the disease, the researchers found.
The study, which is based on epidemiological modeling and data-based simulations,
appears in the journal Risk Analysis. The authors confirm what public health professionals
already suspect – that people can be surprisingly casual about washing their hands,
even in crowded locations like airports where people from many different locations
are touching surfaces such as chair armrests, check-in kiosks, security checkpoint
trays, and restroom doorknobs and faucets. Based on data from previous research,
the team estimates that on average, only about 20 percent of people in airports
have clean hands – meaning that they have been washed with soap and water, for
at least 15 seconds, within the last hour or so. The other 80 percent are potentially
contaminating everything they touch with whatever germs they may be carrying.
“Seventy percent of the people who go to the toilet wash their hands afterwards,”
says study co-author professor Christos Nicolaides, a fellow at the MIT Sloan School
of Management. “The other 30 percent don’t. And of those that do, only 50 percent
do it right.” Others just rinse briefly in some water, rather than using soap and water
and spending the recommended 15 to 20 seconds washing, he says. That figure,
combined with estimates of exposure to the many potentially contaminated surfaces
that people come into contact within an airport, leads to the team’s estimate that
about 20 percent of travelers in an airport have clean hands.
Improving handwashing at all of the world’s airports to triple that rate, so that
60 percent of travelers to have clean hands at any given time, would have the
greatest impact, potentially slowing global disease spread by almost 70 percent, the
researchers found. Deploying such measures at so many airports and reaching such
a high level of compliance may be impractical, but the new study suggests that a
significant reduction in disease spread could still be achieved by just picking the 10
most significant airports based on the initial location of a viral outbreak. Focusing
handwashing messaging in those 10 airports could potentially slow the disease spread
by as much as 37 percent, the researchers estimate.
Even small improvements in hygiene could make a noticeable dent. Increasing
the prevalence of clean hands in all airports worldwide by just 10 percent, which the
researchers think could potentially be accomplished through education, posters, public
announcements, and perhaps improved access to handwashing facilities, could slow
the global rate of the spread of a disease by about 24 percent, they found.
“Eliciting an increase in hand-hygiene is a challenge,” Nicolaides says, “but new
approaches in education, awareness, and social-media nudges have proven to be
effective in handwashing engagement.”
Nicolaides says that one important step that could be taken to improve handwashing
rates and overall hygiene at airports would be to have handwashing sinks available
at many more locations, especially outside of the restrooms where surfaces tend to
be highly contaminated. In addition, more frequent cleaning of surfaces that are
contacted by many people could be helpful.
Until next month, bust those bugs!
Kelly M. Pyrek
Editor & Publisher
[email protected]
6
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march 2020 • www.healthcarehygienemagazine.com