“My Mamma Taught Me Not To Pee On My Hands” is not an excuse!

When was the last time you washed your hands?

Was it this morning?

Did you wash your hands before leaving the restroom? Everyone says they do but I still see more people leave the restroom without washing their hands than those that do. The most common reason given for not doing so is, “My mamma taught me not to pee on my hands.” I have a real problem with that kind of arrogance. It disregards the well being of everyone you encounter for the rest of the day. It’s a giant “F- You!” to the rest of us. I wash my hands twice in public restrooms. The additional washing is on the way in because I want my hands to be as germ-free as possible before I handle the family jewels.

I am fairly obsessed with hand washing, not just around restrooms. I’m not really a gernaphobe. It’s just that, over the years, I’ve gotten used to washing my hands fairly often. From when I was a little boy helping my grandmother in the kitchen, to a teenager slicing lunch meat at the deli counter, and then as an adult working in the food and beverage industry, clean hands have always been very important. As obsessions go, hand washing is pretty mundane. But it does have it’s drawbacks. As any bartender will tell you, all that hand washing makes for dry, chapped hands.

One of my biggest pet peeves is the overuse of those stupid plastic gloves that have become the mainstay of the food service industry. Those gloves have made people lazy. I watched a deli worker at my local supermarket begin to fill my deli order wearing the same single use gloves I saw him wearing while wiping down his work area. Single use gloves are not supposed to take the place of hand washing. In fact, according to the Minnesota Department of Agriculture, single use gloves are only effective if placed on properly washed hands and changed at appropriate times during the food operation. I told him to stop, change his gloves, and start my order again. He got upset, so I left without my order. Of course, I spoke to the manager first.

Another concern is the proliferation of hand sanitizer, which has become a substitute for hand washing. When used properly, hand sanitizers kill 99% of germs. But soap and water are still more effective than hand sanitizers at removing or inactivating certain kinds of germs, like Cryptosporidium, norovirus, and Clostridium difficile. Furthermore, according to the Canadian Medical Association Journal (CMAJ), hand sanitizers may increase the risk for outbreaks of highly contagious viruses.

“It’s widely recognized that improper use of antibiotics contributes greatly to the development and spread of super bugs in health care settings, but the link between hand sanitizers and bacterial resistance is less clear.”- Lauren Vogel CMAJ

However, according to microbiologist Stuart Levy of Tufts University School of Medicine, Antibacterial products leave residues where they are used. They linger and continue to kill the bacteria, but not effectively or randomly. The naturally stronger bacteria that survived the initial assault develop new defense mechanisms against the chemicals. This selection process gives rise to a new generation that is resistant to the offending compounds. (source)

I suspect Mr Levy is referring to alcohol-free antimicrobial hand sanitizers that are made with triclosan or povidone-iodine which, as shown in the video below, are ineffective at best.

In the following video, which aired in February 2013, ABC’s Dr. Richard Besser compares the best ways for killing germs, including E Coli.

So, in order for your hand sanitizer to be effective it has to be alcohol based (>63% alcohol), you must use enough to cover your hands, and you need to work it into your hands and let air dry for about 30 seconds.  Why not just wash your hands with soap and water?

How many times a day do you touch your face?

In a scene from Contagion (2011) Dr. Erin Mears (Kate Winslet) claims that the average person touches their face between two and three thousand times a day, or 2-5 times every waking minute.

According to researchers at the University of California at Berkeley, the reality is closer to 16 times an hour. That’s still a lot. Each time you touch your face, you’re transmitting whatever is on your fingers to your face. Touching your face with dirty hands, or cellphone, is the most common way to spread diseases like Influenza and Ebola.

We’ve become so reliant on quick fixes and magic bullets that we’ve forgotten the basics. I don’t mean for this to be a rant. I’m just curious how we’ve come to rely on these products that were only meant to be used in addition to, not in place of, good hygiene. And it’s kinda strange to me that, with all the paranoia over Ebola, people aren’t taking the simplest precaution.  Just 20 seconds of soap and water. If that’s all it takes, why not wash your hands??

For more info, check out the CDC Show Me The Science Hand Sanitizer vs Hand Washing and the CDC Guidelines to Washing Your Hands.

World AIDS Day

“There will never be a cure! Big Pharma is making too much money stringing me along from one treatment to another.” – Sam W.

In order to help keep AIDS awareness in the minds of people around me, I thought I’d share some of my personal experiences, and how HIV/AIDS has affected people in my life. The following is pulled together from casual conversations with my friend Sam, whom I’ve known for almost two decades. I’ve entered direct quotes as I remember them. Everything you read here is fact.

Sam, quoted above, has been living with AIDS for a little over twenty years. He tested positive in 1991. His survival, he says, is a double edged sword. He feels fortunate to be alive but, like many LGBT folks our age, most of his close friends are gone. “There’s no one left!” he says. “In the early 90s my friends were dropping like flies, one after the other. I thought I was next. My doctor told my parents to make my final arrangements. I was prepared to die.” Sam told me that when he didn’t die, he went into a depression. Psychologists call it Survivor’s Guilt.

Though ten years younger than Sam, I can easily empathize. At the height of the pandemic, AIDS took most of my friends. But the friends that I lost were relatively new friendships. Sam had known most of his friends for ten, fifteen years. You’re not supposed to lose so many friends at such a young age.

Sam says his biggest lament is the cost of survival. He was fortunate enough to have had a decent enough employer who provided him with healthcare, and who was understanding enough to alter his work schedule as needed. He worked for as long as he could, but by the mid-nineties his health had so declined that he had no choice but to go on Social Security Disability and wait for death. Then Protease Inhibitors came along.

The new drugs that saved his life cost a small fortune. Sam takes three Anti-HIV pills which cost about $900 per bottle, and a handful of medications to handle side effects that cost between $20 and $150 per bottle. And that doesn’t include regular blood tests, doctor visits, and medical procedures.

“Remember the assisted suicide controversy in the 90s?” he asks. “All those conservatives wanted to hang Dr. Kevorkian! Now they want to cut my benefits! (Social Security, Food Stamps, Medicaid, Medicare) Where’s their compassion for the sick and dying, now?? If you don’t want to help me live, then allow me to die!”

Sam assures he doesn’t really want to die. He’s understandably frustrated by a system that has failed him. It would be difficult for him to go back to work. He couldn’t even afford a part time job. If he went back to work, he’d lose his healthcare. If he lost his healthcare, he’d get sick again and most likely die.

In a perfect world, Sam could rejoin the workforce, keep his healthcare, and maybe pay an affordable percentage of his salary back into Medicare. The trouble is the cost of prescriptions. As long as he has to take those expensive medications, he can never leave Social Security.

I reminded him of the recent advancements in developing a vaccine. “There will never be a cure!” he says ” Big Pharma is making too much money stringing me along from one treatment to another! It’s a scam, and the American people are too blind to see it!”

Though careful what I say to him, I can’t help but think perhaps he’s right. There’s no money in cures. The money is in treatment. If you cured cancer tomorrow, all those Cancer Treatment Centers would go bankrupt within months. Susan G Komen would cease to exist. I hate to sound pessimistic, but I have little faith in a system that values money over people.

The best I can offer is try to educate people around me and hope that they pay attention.

AIDS (Acquired ImmunoDeficiency Syndrome) has been around for three decades. Some of the biggest myths about AIDS that still persist today include, “It’s a gay disease” “It can’t happen to me” and “There’s a cure”. AIDS is not a “Gay” disease. It CAN happen to you. There is NO cure.

Treatment has it’s own issues. Side effects of Anti HIV medication include, fatigue, neuropathy, fungal infections, liver damage, heart disease, kidney disease, body fat re-distribution (buffalo hump), chronic headaches, nausea, vomiting, vision loss, blindness, high cholesterol, diarrhea, constipation, dementia, calcium deficiency, loss of bone density, death and more.

• Sounds fun, right? Especially when you consider prevention is as simple as proper condom use.
• And ladies, because men are so reluctant to wrap it up, there’s a condom designed just for you. – Introducing… The Female Condom!

Knowing all of this, would you rather protect yourself and your loved ones, or spend the rest of your life at a doctor’s office?

To learn more about HIV/AIDS, check out the NIH AIDS info page.  http://www.aidsinfo.nih.gov/