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How To Sell Germ Warfare (Hand Sanitizers And The Flu)

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HuckleB Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-08-10 11:40 AM
Original message
How To Sell Germ Warfare (Hand Sanitizers And The Flu)
http://www.slate.com/id/2245896/?from=rss

"Our homes and workplaces, we're told, are trying to kill us. Recently, a University of Arizona microbiologist named Charles Gerba, author of hundreds of scientific papers about household microbes, gave a terrifying lecture at the offices of the Food and Drug Administration. Gerba—who, incidentally, has a child with the middle name Escherichia—that's what the "E" in E. coli stands for—explained that a kitchen sponge and sink are home to thousands of times more bacteria than a toilet seat. Plus, 10 percent of household dishrags contain salmonella. After playing with other children, toddlers have more fecal bacteria on their hands than does a person exiting a public toilet stall. Those toilets, by the way, aerosolize so many droplets with each flush that Gerba compares their dispersion to "the Fourth of July." And every public swimming pool he's ever tested has contained disease-causing viruses.

In response to these kinds of data, more than 700 products promise to help consumers kill bacteria, molds, and viruses in their homes and workplaces, from ultraviolet lights meant to kill toothbrush bacteria, to dishwashers that superheat silverware, to specially treated doormats. Three-quarters of all Americans use six or more antimicrobial products each day.

Even before the H1N1 outbreak, alcohol-based sanitizers like Purell enjoyed 53 percent annual sales growth, and Americans spent $117 million per year on them. With the advent of the H1N1 influenza pandemic last year, national germ-phobia kicked into even higher gear. The Centers for Disease Control's flu information Web site recommends regularly disinfecting kitchen counters, bedroom furniture, toys, and any other "surfaces." (In marketing terms, consumers were asked to increase their daily number of "wiping events.") Public-health authorities advised exhaustive, frequent hand-washing with hand sanitizers to fight flu. Soap and sanitizer manufacturers targeted massive ad campaigns to encourage more frequent hand-washing. Such products, their makers promise, can help families stay safe from the filth around them. Purell's slogan wistfully calls upon us germ-phobes, presumably paralyzed by fear, to "imagine a touchable world."

Yet the data tell a less compelling story about sanitizers like Purell. In 2005, Boston-based doctors published the very first clinical trial of alcohol-based hand sanitizers in homes and enrolled about 300 families with young children in day care. For five months, half the families got free hand sanitizer and a "vigorous hand-hygiene" curriculum. But the spread of respiratory infections in homes didn't budge, a result that "somewhat surprised" the researchers. A Columbia University study also found no reduction in common infections among inner-city families given free antibacterial hand soap, detergent, and cleaning supplies. The same year, University of Michigan epidemiologist Allison Aiello summarized data on hand hygiene for the FDA and pointed out that three out of four studies showed that alcohol-based hand sanitizers didn't prevent respiratory infections. Then, in 2008, the Boston group repeated the study—this time in elementary schools—and threw in free Clorox disinfecting wipes for classrooms. Again, the rate of respiratory infections remained unchanged, though the rate of gastrointestinal infections, which are less common than respiratory infections, did fall slightly. Finally, last October, a report ordered by the Public Health Agency of Canada concluded that there is no good evidence that vigorous hand hygiene practices prevent flu transmission.

..."


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Hmm. Maybe vaccines aren't a bad idea, after all.

Eating well, and getting enough sleep, probably doesn't hurt either.

:hi:
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MadHound Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-08-10 11:57 AM
Response to Original message
1. About ten years ago when all this hypercleanliness mania started breaking out, I read about a study
That found using hand sanitizers and disinfectant wipes that "kill 99% of the bacteria" was actually doing public health a disservice in two ways. First of all, the one percent that is left behind becomes resistant to these chemicals, and start evolving into much harder to kill super bugs. Secondly, that by not allowing our kids the opportunity to become exposed to such common everyday bugs and build up their immunity, kids' immune systems are instead stunted and are able to cope when they do become infected.

This also tangents into studies into why there are more allergies these days, namely that by not being allowed to play in the dirt, play outside, have pets at a young age, their immune system doesn't build up a defense and instead the child winds up becoming allergic.

I'm not saying that we should all live in a pig sty, but instead that all this hyper cleaning hysteria is actually detrimental to our health as a whole.
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Duer 157099 Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-09-10 04:14 PM
Response to Reply #1
21. While I agree generally with your post, there's one point I have to clarify
Any disinfectant that has a mechanical mode of action, such as 70% alcohol, cannot be used to select for resistant strains. The way 70% alcohol works is by literally disrupting the membrane of the cell and causing lysis (the cell literally bursts). There is no gene that can be selected for that allows a cell to protect itself from this sort of damage. That'd be equivalent to saying there's a gene for bullet-proof skin. A similar case can be made for bleach.

Now antibiotics, that's a whole 'nother issue, because those work internally, chemically, usually by disrupting metabolic pathways, etc.

It's just a point to remember when talking about drug-resistance and the value of the various methods of microbial control.

And I definitely agree that it's generally a good idea to let one's immune system be exposed to the enemy, for that's how it learns who the enemy is.
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Ozymanithrax Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-08-10 12:02 PM
Response to Original message
2. One my children, at age 3, came in the house from the back yard...
There was mud all over his mouth...
He said, "Dirt tastes yucky."
He did not get sick.

They use a lot of Hand sanitizer at his school.
It is still a plague factory.
Snotty noses, coughs, and tummy aches..
Pass like rough riders through the population.

But the God of Consumerism must be fed.
We must buy pointless products,
To keep the life blood of Capitalism flowing.
Or a malaise will erupt in the investor's pocketbooks.

M. Frank Darbe
2010

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NJmaverick Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-08-10 12:14 PM
Response to Original message
3. Hand sanitizer is just a tool, it isn't a cure all
it's a good supplement to good hygiene but it isn't a cure all.
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Dappleganger Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-08-10 12:16 PM
Response to Original message
4. Don't forget playing in the sunshine
too many kids stay inside, parents are scared of the elements (skin cancer, street traffic, perverts, etc.). Kids really need to play outside regularly.
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xchrom Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-08-10 12:16 PM
Response to Original message
5. well i'm gonna get my vaccines and wash my hands a lot.
i'm not a hypochodriac -- but i don't want to get sick either.
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Gormy Cuss Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-09-10 02:36 PM
Response to Reply #5
18. What this article also points out is that we'd better hope the docs and nurses are scrupulous too
because we can take every precaution on our own and still end up with a deadly infection or two in a place where we expect the highest level of hygiene.
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Better Today Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-08-10 12:35 PM
Response to Original message
6. I don't get vaccines, and I'm not a hand-clean freak, never have
used a hand sanitizer, and only wash when preparing to eat, preparing to cook, or having taken a poop.

I haven't been sick with colds, or flu, or any other respiratory issue (save my allergy to mold which afflicts me twice a year when the winds blow in from the coast) in 15 years.
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Javaman Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-08-10 12:58 PM
Response to Original message
7. Don't want to get sick? don't touch your hands to your face...
don't pick your nose, don't chew your nails don't rub your eyes.

Make sure you get enough sleep.

It's really simple really.
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JoeyT Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-09-10 09:34 AM
Response to Original message
8. It can be a useful tool if it's used properly.
Edited on Tue Mar-09-10 09:36 AM by JoeyT
Though I've seen a lot of people use hand sanitizer, most people don't use it the way it's meant to be used. Most of the people I've seen wipe it off before it can dry. I even knew a woman that actually rinsed the stuff off with water. She thought it was like soap. (For what it's worth, most people don't wash their hands properly when they wash them either.)

Edited to add: It isn't going to stop you from getting the flu, anyway. Mostly what it seems to help is fecal contamination from doorknobs, handles, etc when you're somewhere you can't wash your hands.
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pipi_k Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-09-10 09:55 AM
Response to Original message
9. Hand sanitizers, for me, are only for when I'm out in the "wild"...
that is, in public places where I can't readily wash my hands. I am a handwashing freak.

After coming home from someplace, one of the first things I do is wash my hands.


If Mr P and I get through this winter without some kind of illness, it will be the very first time ever.

One interesting thing I've discovered is that ever since I stopped using actual money (as opposed to my debit/credit cards), I've been less prone to getting sick. I would bet that money is probably up in the top five for things that contain the most germs...even worse than a toilet seat.

And I also disinfect anything visitors to my home may have touched, and put all glasses, cups, spoons, etc., they've used into the dishwasher.


As far as testing involving families with young children in daycare, I don't care what kind of "vigorous hand-hygiene curriculum" they had...if the families themselves are washing their hands in their own homes, that doesn't mean much if the kids are picking up germs in daycare and coming home and touching objects around the house that another family member touches right afterwards, then transfers the germs to his own mucus membranes BEFORE washing his hands.

they've shown that certain germs are able to live a few days on some objects, so unless doorknobs and light switches and a hundred other things are also being disinfected during the course of the day, those germs are sitting there waiting...

Little kids are just miniature germ factories, and there's no way around it.

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TwilightGardener Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-09-10 10:05 AM
Response to Reply #9
10. I make my kids wash their hands right when they get home from school--
better than letting them spread viruses and bugs from the outside world all over our doorknobs, phone, computer keyboard, etc.
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pipi_k Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-09-10 02:21 PM
Response to Reply #10
17. have you noticed any change in family illness rates?
As far as colds and flu goes, I mean.


I think washing hands is one of the most important thing we can do. And we don't even really need to resort to anti-bacterial soap.
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TwilightGardener Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-09-10 04:01 PM
Response to Reply #17
20. Might just be my imagination, but we don't get colds and intestinal bugs
as often since I've started this "policy". I don't make a point of using antibacterial soap, either--it's mostly the mechanical action of soap, rubbing and rinsing that does the trick, IMO. I buy it sometimes, other times I just buy whatever smells nice or is on sale.
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emmadoggy Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-09-10 05:34 PM
Response to Reply #10
22. I do the same thing -
except it's when we get home from shopping, someone's house, school or wherever we've been.
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HuckleB Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-09-10 03:26 PM
Response to Reply #9
19. I don't know if kids are any better at transferring germs than adults, however.
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Name removed Donating Member (0 posts) Send PM | Profile | Ignore Tue Mar-09-10 12:50 PM
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HuckleB Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-09-10 12:57 PM
Response to Reply #11
12. Why what over the other?
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Name removed Donating Member (0 posts) Send PM | Profile | Ignore Tue Mar-09-10 01:00 PM
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HuckleB Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-09-10 01:12 PM
Response to Reply #13
14. Well, no one actually said they were the only things.
Heck, I mentioned sleep and diet in the OP.

So, what's your point?
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Name removed Donating Member (0 posts) Send PM | Profile | Ignore Tue Mar-09-10 01:13 PM
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HuckleB Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-09-10 01:25 PM
Response to Reply #15
16. Well, I think vaccines are a very good idea.
The ability of the flu to mutate doesn't change that.
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