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Are you a man or a microbe?

We may think of ourselves as just human, but we’re really a mass of microorganisms housed in a human shell.

The human body contains about 100 trillion cells, but only about one in ten of those cells is actually…well…human. The rest are bacteria, viruses and other microorganisms that populate every nook and cranny of our human body. In fact, for every human gene in our bodies there are 360 microbial genes. Together, they are referred to as our microbiome, and they play such a crucial role in our lives that scientists like Michael Blaser of New York University (Director of the Human Microbiome Project) have begun to reconsider what it means to be human.

The microbiome is the human equivalent of an environmental ecosystem. Although the bacteria together weigh a mere three pounds, their composition determines a lot about how the body functions—and sometimes malfunctions. And just like ecosystems the world over, the human microbiome is losing its diversity, to the potential detriment of the health of those it inhabits. Namely, us.

Lita Proctor of the National Institutes of Health, who is also leading the Human Microbiome Project, says, “The human we see in the mirror is made up of more microbes than human. They belong in and on our bodies; they help support our health; they help digest our food and provide many kinds of protective mechanisms for human health.”

So these microbes aren’t just along for the ride, they’re there for a reason. We have a symbiotic relationship with them—we give them a place to live and they keep us alive.

In his new book, “Missing Microbes,” Dr. Blaser links the declining variety within the microbiome to our increased susceptibility to serious, often chronic conditions, from allergies and celiac disease to Type 1 diabetes and obesity. He and others primarily blame antibiotics for the connection. “We inherit every one of our genes, but we leave the womb without a single microbe,” says Blaser. “As we pass through our mother’s birth canal, we begin to attract entire colonies of bacteria. By the time a child can crawl, an enormous, unseen cloud of microorganisms—a hundred trillion or more, has blanketed him. They are bacteria, mostly, but also viruses and fungi (including a variety of yeasts), and they come at us from all directions: other people, food, furniture, clothing, cars, buildings, trees, pets, even the air we breathe.”

It seems taking too many antibiotics—not to mention our obsession with cleanliness—may disrupt the normal microbiome. The average American child is given nearly three courses of antibiotics in the first two years of life, and eight more during the next eight years. Even a short course of antibiotics like the widely prescribed Z-pack (azithromycin, taken for five days), can result in long-term shifts in the body’s microbial environment. It’s overkill—literally. Imprudent antibiotic use has resulted in widespread resistance among microbes and doctors now operate in a state of near panic as common infections demand increasingly powerful drugs for control.

Our bodies are made of trillions of microorganisms and they’re there for a reason. It seems we’re killing germs at our own peril. What’s your take?

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A virus spreads in just 2 hours. Why the war on germs is in your hands.

Germs are everywhere. In optimal conditions a virus can divide every 20 minutes, spreading rapidly where they dwell. In fact, contamination of a single doorknob can lead to the spread of viruses throughout an office building or hotel in as little as two hours.

Researchers from the University of Arizona, Tucson, placed a tracer virus on commonly touched objects such as a doorknob or tabletop. At multiple time intervals (from two-to-eight hours) the researchers sampled a range of surfaces including light switches, bed rails, countertops, sink tap handles, and push buttons. And guess what? Nearly 60 percent of the surfaces were contaminated within two-to-four hours.

“If we placed a tracer virus on the push plate to an office building, it ended up on almost 50 percent of the high-touch surfaces of officer workers’ hands within four hours,” says study author and microbiologist Charles Gerba, PhD. “In the case of the hotel, we placed the virus on the nightstand in one room, and it was spread to the next four rooms by the maid during cleaning.” Also, the first item to become contaminated in the workplace was the coffee pot handle. Other contamination hot spots are phones, computers, and desktops.

Of course, our own bodies play host to around 100 trillion microbes that together weigh more than two pounds. They are present on our skin, in our guts, in the crooks of our elbows, and just about everywhere else. Your immune system protects against most microorganisms, but there are hundreds of thousands of different kinds of germs, and some of them are good at mutating into things your body doesn’t recognize. And they make you sick.

To get an idea of just how many microbes we carry—and which ones spread fastest—researchers are even testing our most intimate possessions: our cell phones. In a small study, University of Oregon scientists tested the index fingers and thumbs of 17 subjects, along with the touchscreens of their smartphones. As you might expect, they found an 82 percent overlap between the most common types of bacteria found on participants’ fingers and on their phones.

So your cell phone is covered with a personal bacterium cocktail? Clean it with a soft cloth dampened with water and wipe it down, or use a disposable wipe made specifically for cleaning electronic screens. Use a cotton swab to get the dirt and grime out of small nooks in the phone. The same goes for all of your other gadgets, too, including remote controls, headphones and ear buds, your computer keyboard, mouse, and tablet screen.

Yes, the war on germs is in your hands. Handwashing is the number one way to prevent the spread of germs and illness. Just make sure you’re doing it right. Friction (especially between the fingers) and duration—20 seconds with running water—are both important. And anything your hands touch are carriers. Learn all about handwashing here.

Here’s something else to think about: On average, an office desk has 400 times more bacteria than a toilet seat. It’s not surprising; the toilet is cleaned regularly. And remote controls, computer keyboards, phones, and iPods get touched way more than the toilet. Multiple coworkers and guest also share them—yet they are cleaned less often. You can find component-specific cleaning supplies at electronics stores. However, most disinfecting wipes are safe for electronics—just make sure to read the label before using them.

This one seems obvious, but how often do you walk around your home or office and wipe off doorknobs, cabinet handles, and light switches? You really should give them a once-over using disinfecting wipes—and don’t use the same wipe for more than a few places before grabbing a fresh one.

It’s easy to keep things clean. Soap and water. Bleach and water. Disinfecting wipes. Common sense. With these simple weapons, the battle against germs can be won. But the first step is you. Now go wash your hands!

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Handwashing Steps: How Many Steps?

In talking about handwashing steps, we often refer to guidelines from both the Centers for Disease Control (CDC) and the World Health Organization (WHO). The recommendations from each organization are similar, but not identical. Is there a best method?

CDC instructions are, essentially, to soap up, scrub, and rinse, a process which takes around 35 seconds. To remember how long it should take, you can sing the alphabet song twice (how loudly you sing is completely up to you).

Handwashing Steps: How Many Steps to Good Hand Washing?

Image compliments of WHO

WHO recommendations are more involved, with specific steps, totaling about 42.5 seconds.

Researchers at the Glasgow Caledonian University in Scotland studied 42 doctors and 78 nurses who used either the CDC or WHO techniques. Results of this study indicate the WHO method to have a slight edge when it comes to reducing average bacterial count on the hands of medical workers. Even so, it’s important to note that BOTH methods work very well and are effective at reducing the spread of germs.

Whether you’re a health worker, a food handler, a teacher, or someone reading this on a handheld device, it’s important to know you should wash your hands to help keep yourself and those around you healthy. Always get your hands wet first (don’t put soap on dry hands), and wash often.

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My Five Moments for Hand Hygiene

The World Health Organization (WHO) has included an easy strategy for hand hygiene improvement in the WHO Guidelines on Hand Hygiene in Health Care (Advanced Draft). My 5 Moments for Hand Hygiene defines key moments when health care workers ought to be engaging in hand hygiene.


Image courtesy of WHO:
http://www.who.int/gpsc/5may/5Moments_Image.gif

Using this model, health care workers are reminded to clean their hands at the following times:

  1. Before touching a patient
  2. Before clean/aseptic procedures
  3. After body fluid exposure or risk
  4. After touching a patient
  5. After touching patient surroundings

Though the instruction may seem like a review of basic principles, it helps overcome misleading language and complicated descriptions. Easy to learn, logical, and widely applicable, My 5 Moments serves as a reminder of one of the most important things any health care worker can do to protect themselves and others from infection: practice proper hand hygiene.

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What About Drying Your Hands?

Have you ever noticed someone exiting a restroom while shaking their wet hands? Is drying your hands important after you wash your hands? Maybe you’ve done it, too– you’ve taken the time to properly wash, but you’re in a hurry, and don’t want to take the extra time to get paper towels or stand near an air dryer.

Hand drying is an important part of hand hygiene, and shouldn’t be skipped. The reason is simple: germs can be transferred more easily to and from wet hands than dry hands.

Which method, then, should you choose? Should you dry your hands with towels (paper or otherwise), or use an air dryer? There isn’t conclusive research on this topic, as most studies compare residual microbes (not just germs) remaining on hands following different drying methods. Microbes are tiny living organisms which may or may not cause disease, and it has not been proven that removing microbes from hands is linked to better health.

What is clear, however, is the point that using a clean towel or air drying hands is the proper final step in effective hand-washing. So the next time you’re tempted to shake your hands dry or rub your hands on your clothes, pause and take the 60 seconds or so needed to face the world with clean, dry hands.

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Source:
Show me the science handwashing (cdc.gov)