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					            Hand Washing & Hand Sanitization
      Information for College Students, Faculty and Staff

                         Cherry-Ann Da Costa-Carter
                        Walden University MPH student
                                Instructor: Dr. Shana Morrell
                                      October 25 2009

Walden University MPH Program                                   1
                                             7/22/2011
            Learning Objectives
  Why is hand washing and sanitization so important?

  Germs you can get rid of when you clean your hands

  Effective methods of washing & sanitizing hands

  Keeping yourself safe

  Keeping others safe

  Where do I get more information?

7/22/2011        Walden University MPH Program          2
            Why Wash Your Hands?
  There are millions of germs everywhere
  Germs are usually too small to see
  We spread germs by touching, kissing and close
   contact with people and pets
  We pick up millions of germs on our clothes, hair and
   hands
  Good personal hygiene helps to remove germs
  Effective hand hygiene helps reduce the spread


7/22/2011       Walden University MPH Program              3
            Germs That Make Us Sick




            Viruses                  Bacteria         Parasites


7/22/2011             Walden University MPH Program               4
      Viruses that are Commonly Spread in the
                School Environment
    Influenza virus : Causes seasonal influenza & H1N1
    Rhinovirus : Cause of common cold
    Norwalk/NLV: Causes diarrheal outbreaks
    Mumps virus : Causes Mumps
    Herpes Simplex virus : Causes Herpes

 Epstein Barr virus : Causes infectious
  mononucleosis (Kissing disease)
 Enterovirus: Causes Aseptic meningitis,
  encephalitis, paralysis                                                      Image courtesy CDC Public Health
                                                                               Library 2009)
                                                                              (http://phil.cdc.gov/Phil/home.asp


Centers for Disease Control and Prevention (2009) A-Z Index. Official site
Retrieved from: http://www.cdc.gov/az/a.htmL



 7/22/2011                                    Walden University MPH Program                                        5
 Viruses- How Are They Spread?
  Aerosols and droplets – breathing, sneezing, and
   talking
  Fomites – surfaces e.g. bus and train rails,
   staircases, door knobs
  Personal articles e.g. towels, toothbrushes, books
  Water and food via saliva and feces
  Personal Contact – kissing, shaking hands, sexual
   activity
                                               Image courtesy CDC Public
                                               Health Image Library (2009)
                                               http://phil.cdc.gov/Phil/home.asp


7/22/2011      Walden University MPH Program                                       6
                Some Types of Bacteria
  Neisseria meningitidis – Meningitis

  Neisseria gonorrhea – Gonorrhea

  Salmonella sp.– Food poisoning, typhoid fever

  Shigella sp.– Gastroenteritis

  Streptococcus sp.– Sore throat                                             Image courtesy CDC Public
                                                                              Health Image Library (2009)
                                                                              http://phil.cdc.gov/Phil/home.asp


  Staphylococcus sp.– Dermatitis, pimples and boils
 Centers for Disease Control and Prevention (2009) A-Z Index. Official site
 Retrieved from: http://www.cdc.gov/az/a.htmL


7/22/2011                        Walden University MPH Program                                               7
 Bacteria - How Are They Spread?
  Close personal contact


  Fomites


  Fecal-Oral route


  Food and water


  Personal Items
7/22/2011      Walden University MPH Program   8
            Mode of Transmission
                            Germs
                                                   Sick person
                         incubates in
                                                  infected with
                           healthy
                                                     disease
                            person




              Healthy                                             Sneezing,
               person                                             coughing,
              touches                                             fecal-oral
              mucous
             membranes                                             spread




                           Healthy
                            person                  Germ on
                           touches                  surface
                           surface


7/22/2011         Walden University MPH Program                                9
            Hand Washing Techniques
                Using soap and warm water




7/22/2011       Walden University MPH Program   10
 How Effective is Soap & Water?
 Soap and water helps to physically remove germs that cause disease

 According to the CDC “Hand washing is the single most effective way
    of reducing the spread of germs”*

 First adopted by Dr. Ignez Semmelweis in Vienna in the mid 1800s to
    reduce the spread of germs in a maternity hospital*

 Hand washing saves countless lives today worldwide

 Occupational Safety & Health Administration (OSHA) regulations†

    *CDC.gov (2009) Feature: Wash Your Hands. Retrieved from: www.cdc.gov/Features/Hand Washing

    †US Depart. of Labor/Occupational Safety & Health Administration (2009) Bloodborne Pathogens regulation:
    1910.1030(b)/Handwashing facilities. Retrieved from:
    http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051




7/22/2011                        Walden University MPH Program                                                 11
 Some Hand Washing Campaigns
        HAND WASHING       The New York State Department of Health has posters for
                            your school on their website

                          http://www.health.state.ny.us/diseases/communicable/in
                             fluenza/your_health_is_in_your_hands_poster.htm

                            “Your Health Is In Your Hands” in four languages : English,
                             Spanish, Chinese & Russian


                           The CDC website also features “Wash Your Hands”* at
                             http://www.cdc.gov/Features/HandWashing/


                          NYSDOH (2009) Your health is in your hands(Various Languages). Retrieved from:
                             http://www.health.state.ny.us/diseases/communicable/influenza/your_health_is_in_yo
                             ur_hands_poster.htm

                          *Centers for Disease Control and Prevention (2009) Wash Your Hands. Retrieved from:
                             cdc.gov/Features/HandWashing/




7/22/2011              Walden University MPH Program                                                            12
     Hand Sanitizers- Are They Good?
  When we cannot wash


  Easy and convenient way to kill germs


  Can be used on the go


  Can be used in cases of immediate need


  Comes in various forms, gels, foams, sprays
7/22/2011       Walden University MPH Program    13
      Which One Should I Choose?
  Most hand sanitizers are ethyl alcohol based ~60%


  Alcohol kills the viruses and bacteria that causes
   disease
  Some hand sanitizers dry more quickly than others


  Some have other inactive ingredients and fragrance
   added
  Choose one that you can tolerate

7/22/2011       Walden University MPH Program           14
            Keeping Safe-a case study
  Minnesota State Department of Health

     “Hand Washing Among Public Restroom Users At
     the Minnesota State Fair”

  More women wash their hands – 64% to 75%
  Men who wash - 30% to 51%
  Male Youth – 18%

 Minnesota Department of Health (2007). Hand washing among public restroom users at the Minnesota state fair. Retrieved from:
    http://www.health.state.mn.us/handhygiene/stats/fairstudy.html



7/22/2011                           Walden University MPH Program                                                               15
  Minimize The Spread of Germs
   When to wash your hands
  Before you eat
  After you use the restroom
  After contact activity e.g. playing sports
  After you sneeze, cough or scratch
  When taking care of sick individuals
  When dealing with food especially raw meat
  When you feel that you have been exposed to germs


7/22/2011      Walden University MPH Program           16
            Keep Products Handy
  Liquid or solid soap in bathrooms

  Hand sanitizer dispensers in common areas

  Hand sanitizers or wipes in your backpack or purse

  Clean disposable tissue

  Paper towels in dispensers

  Personal towels in bathroom

7/22/2011        Walden University MPH Program          17
    Reduction of Flu Begins With You
 Influenza spreads by respiratory aerosols and droplets

 Cover your sneeze

 Sneeze in your sleeve (fabric helps kill germs)

 Sunlight kills the virus

 Chlorine bleach kills the virus

 Alcohol based products kill the virus

7/22/2011        Walden University MPH Program             18
        Reduction of other diseases
  Many food borne & water borne diseases are spread by
   the fecal oral route
  Keep food and drink covered and at the right
   temperature
  Avoid touching your body and then food
  Wash your hands thoroughly with soap after using the
   bathroom or changing diapers
  Use bleach to kill bacteria and parasites
  Use alcohol based products to kill germs

7/22/2011      Walden University MPH Program              19
            Protect Yourself & Others
  Avoid contact with sick                         Eat healthy foods and drink lots
     individuals                                       of fluids

  Wash your hands or                              Avoid stress
      use hand sanitizer
                                                   Get vaccinated
  Avoid crowds
                                                   Stay home if sick
  Use a mask if visiting a
     sick friend or relative                       Visit your doctor if symptoms
                                                       persist
  Get plenty of rest
                                                   Avoid sharing food or drink
  Keep foods safe for consumption

7/22/2011              Walden University MPH Program                                   20
                      Let’s Review
  Dirty hands spread germs –e.g. viruses and bacteria

  Know how germs are transmitted

  Wash hands or use hand sanitizer – both are good

  Hand washing techniques are important

  Keep products handy

  Take precautions - minimize exposure and spread

  Be safe and remain healthy
7/22/2011         Walden University MPH Program          21
            Important Resource Sites
  Centers for Disease Control and Prevention
  CDC- Features: Wash Your Hands http://www.cdc.gov/Features/HandWashing/

  Centers for Disease Control and Prevention
  Hand Hygiene Saves Lives: Patient Admission Video
    http://www.cdc.gov/print.do?url=http%3A//www.cdc.gov/handhygiene.Patient_Admission

  Centers for Disease Control and Prevention
  Food borne Illness
 http://www.cdc.gov/ncidod/dbmd/diseaseinfo/foodborneinfections_g.htm

  Centers for Disease Control and Prevention : CDC- TV
  Video Presentation: Don’t Get Don’t Spread
 http://www.cdc.gov/CDCTV/IR_DontGetDontSpread/index.html

   New York State Department of Health (NYSDOH)
   Your Health Is In Your Hands – campaign
 http://www.health.state.ny.us/diseases/communicable/influenza/your_health_is_in_your_hands_poster.
    htm


7/22/2011                 Walden University MPH Program                                           22
                                        References
    Canadian Center for Occupational Health and Safety (2009). Hand washing: Reducing the risk of common infections.
     Retrieved from: http://www.ccohs.ca/oshanswers/diseases/washing_hands.html

    Centers for Disease Control and Prevention (2009) A-Z Index. Official site
     Retrieved from: http://www.cdc.gov/az/a.htmL

    Centers for Disease Control and Prevention(2009)
     CDC- Features: Wash Your Hands
     http://www.cdc.gov/Features/HandWashing/


    Centers for Disease Control and Prevention (2009)
     Hand Hygiene Saves Lives: Patient Admission Video .Retrieved from:
     http://www.cdc.gov/print.do?url=http%3A//www.cdc.gov/handhygiene.Patient_Admission

    Centers for Disease Control and Prevention (2009) Public Health Image Library . Retrieved from:
     http://phil.cdc.gov/Phil/home.asp



7/22/2011                       Walden University MPH Program                                                           23
                            References
  Minnesota Department of Health (2007). Hand washing among public
     restroom users at the Minnesota state fair. Retrieved from:
     http://www.health.state.mn.us/handhygiene/stats/fairstudy.html

  New York State Department of Health (NYSDOH)
     Your Health Is In Your Hands – campaign
     http://www.health.state.ny.us/diseases/communicable/influenza/your_health
     _is_in_your_hands_poster.htm

  US Depart. of Labor/Occupational Safety & Health Administration (2009)
   Blood borne Pathogens regulation: 1910.1030(b)/Hand washing facilities.
     Retrieved from:
     http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STAND
     ARDS&p_id=10051

7/22/2011             Walden University MPH Program                              24
            Thanks & Questions
  Faculty and Staff of this College


  Students


  Parents in attendance


  Walden University- MPH Program


  Questions?
7/22/2011       Walden University MPH Program   25

				
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