Hand-Washing in Public Bathrooms
Can soap get dirty? Or is it "self-cleaning," since it's soap?
President Obama gave some advice last night to those worried about the spread of swine fluaround the world: " Wash your hands when you shake hands, cover your mouth when you cough. I know it sounds trivial, but it makes a huge difference." Health authorities agree: Hand-washing is the easiest way to protect yourself from getting sick. For more on the best way to scrub your mitts, have a look at the 2006 Explainer Question of the Year, reprinted below.
How clean is bar soap in a public bathroom? Is it "self-cleaning," since it's soap? It seems like a health hazard to me.
It's dirty, but that doesn't make it a health hazard. Soap can indeed become contaminated with microorganisms, whether it's in liquid or bar form. According to a series of tests conducted in the early 1980s, bars of soap are often covered with bacteria and carry a higher load than you'd find inside a liquid dispenser. But no one knows for sure whether this dirty soap will actually transfer its germs to your hands during a wash.
In fact, what little clinical evidence there is suggests that dirty soap isn't so bad. A study from 1965 and another from 1988 used similar methodologies: Researchers coated bars of soap in the lab with E. coli and other nasty bacteria, and then gave them to test subjects for a vigorous hand-wash. Both teams found no transfer of contamination from the dirty soap. However, both studies were tainted by potential conflicts of interest: The first was conducted by Procter & Gamble, and the second came from the Dial Corp.
Still, there's no good evidence to contradict these studies, and it's likely that the bacteria on a dirty bar would just wash off when you rinsed your hands. In other words, you'd be cleaning the soap as you cleaned your hands. (Your hands would probably have been a lot dirtier than the soap to begin with.)
It's not even clear that you need clean water to get the benefits of a hand-washing. Recent hand-hygiene studies in the developing world have found that washing with soap and water reduces infections even when the water supply might be contaminated. Dirty water, like dirty soap, might not make washing less effective.
Even under the best conditions, washing your hands can actually increase the number of microorganisms present on your hands, thanks to contaminated surfaces near the sink, splashes of contaminated water, or improperly dried hands. (In general, it's safer to leave your hands unwashed than to leave them wet.) The hand-washing paradox might also result from soap-induced skin damage: Dry skin tends to crack and flake and may become more permeable to infectious agents. (You're more susceptible to this if you wash many times per day.)
Still, washing with soap and water has been repeatedly shown to prevent the spread of illness, and may be helpful even when it increases your bacteria counts. That may be because two kinds of microbes live on the hands: residents and transients. (In fact, they can even protect your skin from more malicious microbes.) The transient variety are the ones that tend to cause colds or other infections—the ones you want to get rid of when you wash your hands. It's possible that the increase in bacteria that can result from a hand-washing is composed of harmless residents, not dangerous transients.
According to the guidelines from the Centers for Disease Control and Prevention, hand-washing remains a very important method of staving off infectious disease, and either bar soap or liquid soap should be used after a trip to the bathroom or before a meal. Local health agencies and inspectors are sometimes more wary of bar soap. They either ban it outright or suggest that the bar be placed on a draining rack to dry out between washings. (The gooey bars are more likely to harbor germs.)
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