While the hygiene lessons from the COVID-19 pandemic may not have fully stuck, the National Foundation for Infectious Diseases (NFID) study did show that 33% of people now wash their hands more often than during the pandemic. Dr. Robert Hopkins, the foundation's medical director, said handwashing has been emphasized since preschool, yet many still don't practice it regularly. "Handwashing is a simple and effective way to protect yourself from diseases," he added.
Released on World Hand Hygiene Day, the survey was part of the NFID's Hands in for Handwashing Campaign. It focused on when, where, and why over 3,600 adults, surveyed between December and March, wash—or don't wash—their hands. The results revealed differences in handwashing habits across age groups and genders.
The survey showed that 62% of people know that washing hands with soap and water for 20 seconds is the best way to reduce germs, while 13% thought less time was sufficient, and 24% believed more time was needed. The top three triggers for washing hands were after using the bathroom, handling food, and coming into contact with human or animal waste.
However, only 30% of participants washed their hands after sneezing or coughing, which is concerning given how easily respiratory illnesses like flu and COVID-19 spread. Among those who skipped washing at important times, most said they forgot, while 20% actively chose not to wash, citing reasons like thinking it wasn't necessary, being pressed for time, or not wanting to dry out their hands.
Men were more likely than women to skip handwashing, and older adults (60+) were the most diligent, with 74% of them washing after using the bathroom or handling food. This age group may be more aware of their increased vulnerability to illness. Dr. Georges Benjamin, executive director of the American Public Health Association, pointed out that older generations grew up with fewer sanitizers and have more ingrained handwashing habits.
Seasonal changes also influenced handwashing habits. About 26% of participants washed their hands more often in the colder fall and winter months, possibly due to the higher spread of respiratory illnesses and increased public health messaging during this time.
To improve hand hygiene, public health experts recommend more visible reminders, especially in public spaces and at home. Dr. Hopkins also advised people to wash their hands after using public restrooms, where millions of bacteria are on the surfaces, even if you think your urine is sterile.
Hand sanitizer is useful when handwashing isn't possible but shouldn't be relied upon as it doesn't kill all germs, such as C. diff and norovirus. Experts suggest using lotion after washing to prevent dry skin.
The survey concluded that proper handwashing can prevent many diseases, including flu, COVID-19, and norovirus. It can also reduce the chances of developing respiratory and gastrointestinal illnesses, saving people from missing work or school. "Handwashing is one of the simplest and most effective ways to protect our health," said Patricia A. Stinchfield, past president of the NFID.
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