Austin Public Health Flyers: Hygiene English Hygiene Spanish COVID-19
When and How to Wash Your Hands
Handwashing is one of the best ways to protect yourself and your family from getting sick. Learn when and how you should wash your hands to stay healthy.
Wash Your Hands Often to Stay Healthy
You can help yourself and your loved ones stay healthy by washing your hands often, especially during these key times when you are likely to get and spread germs:
· Before, during, and after preparing food
· Before eating food
· Before and after caring for someone at home who is sick with vomiting or diarrhea
· Before and after treating a cut or wound
· After using the toilet
· After blowing your nose, coughing, or sneezing
· After touching an animal, animal feed, or animal waste
· After handling pet food or pet treats
· After touching garbage
Follow Five Steps to Wash Your Hands the Right Way
Washing your hands is easy, and it’s one of the most effective ways to prevent the spread of germs. Clean hands can stop germs from spreading from one person to another and throughout an entire community—from your home and workplace to childcare facilities and hospitals.
Follow these five steps every time.
1. Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.
2. Lather your hands by rubbing them together with the soap. Lather the backs of your hands, between your fingers, and under your nails.
3. Scrub your hands for at least 20 seconds. Need a timer? Hum the “Happy Birthday” song from beginning to end twice.
4. Rinse your hands well under clean, running water.
5. Dry your hands using a clean towel or air dry them.
Use Hand Sanitizer When You Can’t Use Soap and Water
You can use an alcohol-based hand sanitizer that contains at least 60% alcohol if soap and water are not available.
Washing hands with soap and water is the best way to get rid of germs in most situations. If soap and water are not readily available, you can use an alcohol-based hand sanitizer that contains at least 60% alcohol. You can tell if the sanitizer contains at least 60% alcohol by looking at the product label.
Sanitizers can quickly reduce the number of germs on hands in many situations. However,
· Sanitizers do not get rid of all types of germs.
· Hand sanitizers may not be as effective when hands are visibly dirty or greasy.
· Hand sanitizers might not remove harmful chemicals from hands like pesticides and heavy metals.
Caution! Swallowing alcohol-based hand sanitizers can cause alcohol poisoning if more than a couple of mouthfuls are swallowed. Keep it out of reach of young children and supervise their use. Learn more here.
How to use hand sanitizer
· Apply the gel product to the palm of one hand (read the label to learn the correct amount).
· Rub your hands together.
· Rub the gel over all the surfaces of your hands and fingers until your hands are dry. This should take around 20 seconds.
Interim Guidance for the Use of Masks to Control Seasonal Influenza Virus Transmission
Guidelines and Recommendations
The following interim CDC guidance was developed in response to questions about the role of masks for controlling seasonal influenza virus transmission.
Seasonal influenza viruses are believed to be transmitted from person-to-person primarily through virus-laden droplets that are generated when infected persons speak, cough or sneeze; these droplets can be deposited onto the mucosal surfaces of the upper respiratory tract of susceptible persons who are near the droplet source. Transmission also may occur through direct and indirect contact with infectious respiratory secretions, (e.g., by hands that subsequently deliver infectious material to the eyes, nose or mouth).
A combination of infection prevention control strategies is recommended to decrease transmission of influenza viruses in healthcare settings. These include source control (immediately putting a surgical mask on patients being evaluated for respiratory symptoms), promptly placing suspected influenza patients in private rooms, and having healthcare personnel wear personal protective equipment (PPE) when caring for patients with suspected influenza. Additional information about PPE and other prevention strategies for personnel caring for patients with seasonal influenza is available. A mask should be worn by infectious patients any time they leave the isolation room.
The following recommendations focus on the appropriate use of masks as part of a group of influenza control strategies in healthcare settings. Masks are not usually recommended in non-healthcare settings; however, this guidance provides other strategies for limiting the spread of influenza viruses in the community.
Symptomatic or Infected Patients
During periods of increased acute respiratory infections in the community, coughing patients and anyone suspected of having influenza should wear a mask at all times until they are isolated in a private room. (see Respiratory Hygiene/Cough Etiquette in Healthcare Settings). Masks should be worn by these patients until
- it is determined that the cause of symptoms is not an infection that requires isolation precautions or
- the patient has been appropriately isolated, either by placement in a private room or in some circumstances by placement in a room with other patients with the same infection (cohorting). The patient does not need to wear a mask while isolated, except when being transported outside the isolation room.
A surgical mask or fit-tested respirator should be worn by healthcare personnel who are within 6 feet of a suspected or laboratory-confirmed influenza patient. A respirator can be selected when antiviral medication supplies are expected to be limited and influenza vaccine is not available, e.g., during a pandemic. Standard and droplet precautions should be maintained until the patient has been determined to be noninfectious or for 7 days after illness onset or until 24 hours after the resolution of fever and respiratory symptoms, whichever is longer, while a patient is in a healthcare facility. In some cases, facilities may choose to apply droplet precautions for longer periods based on clinical judgment, such as in the case of young children or severely immunocompromised patients, who may shed influenza virus for longer periods of time. Further guidance is available at: Prevention Strategies for Seasonal Influenza in Healthcare Settings.
Adults can shed influenza virus 1 day before symptoms appear and up to approximately 5 to 7 days after onset of illness; thus, the selective use of masks (e.g., in proximity to a known symptomatic person) may not effectively limit transmission in the community. Young children, immunocompromised persons of any age, and critically ill patients with influenza can shed influenza viruses in the respiratory tract for prolonged periods. Moreover, because no single intervention can provide complete protection against influenza virus transmission, emphasis should be placed on multiple strategies including pharmaceutical (e.g., vaccines and antiviral medications) and non-pharmaceutical interventions. The latter group include: 1) community measures (e.g., social distancing and school closures); 2) environmental measures (e.g., routine surface cleaning); and 3) personal protective measures such as encouraging symptomatic persons to:
- cover their nose and mouth when coughing or sneezing,
- use tissues to contain respiratory secretions and, after use, to dispose of them in the nearest waste receptacle, and
- perform hand hygiene (e.g., handwashing with non-antimicrobial soap and water, and alcohol-based hand rub if soap and water are not available) after having contact with respiratory secretions and contaminated objects/materials.
Persons who are diagnosed with influenza by a physician or who have a febrile respiratory illness during a period of increased influenza activity in the community should remain at home until the fever is resolved for 24 hours (without fever-reducing medications) and the cough is resolving to avoid exposing other members of the public. If such symptomatic persons cannot stay home during the acute phase of their illness, consideration should be given to having them wear a mask in public places when they may have close contact with other persons. In addition, masks are recommended for use by symptomatic, post-partum women while caring for and nursing their infant (see Guidance for Prevention and Control of Influenza in the Peri- and Postpartum Settings).
Unvaccinated Asymptomatic Persons, Including Those at High Risk for Influenza Complications
No recommendation can be made at this time for mask use in the community by asymptomatic persons, including those at high risk for complications, to prevent exposure to influenza viruses. If unvaccinated high-risk persons decide to wear masks during periods of increased respiratory illness activity in the community, it is likely they will need to wear them any time they are in a public place and when they are around other household members.
Annual influenza vaccination is the primary method for preventing influenza in persons at high risk for complications from influenza virus infection. However, influenza vaccine effectiveness is variable, and some vaccinated persons can get sick with influenza. Administration of antiviral medications for early treatment of influenza is a useful adjunct in the control of influenza in these persons. Antiviral treatment is recommended as soon as possible for hospitalized influenza patients, people who are very sick with influenza but who do not need to be hospitalized, and people who are at high risk of serious complications based on their age or health if they develop influenza.