Handwashing and Hand Hygiene
Keeping hands clean is one of the most important steps we can take to avoid getting sick and spreading germs to others. Many diseases and conditions are spread when we don’t wash our hands with soap and clean-running water. If clean, running water is not accessible, use soap and available water. If soap and water are unavailable, use an alcohol-based hand sanitizer that contains at least 60% alcohol to clean hands. Remember, though, that hand sanitizers are not as effective when hands are visibly dirty.
Hand washing is a very effective health tool:
- Hand washing reduces the number of people who get sick with diarrhea by 31%.
- Diarrheal illness in people with weakened immune systems is lowered by 58% when hands are washed properly.
- Respiratory illness, like colds, is reduced by 21% in the general population.
- Learn more about handwashing
When should you wash your hands?
- When your hands are visibly soiled
- Before, during, and after preparing food
- Before eating food
- Before and after caring for someone who is sick
- Before and after treating a cut or wound
- After using the bathroom
- After changing diapers or cleaning up a child who has used the toilet
- After blowing your nose, coughing, or sneezing
- After touching an animal or animal waste
- After handling pet food or pet treats
- After touching garbage
What is the right way to clean your hands?
Using Soap and Water:
- Wet your hands with clean, running water (warm or cold) and apply soap.
- Rub your hands together to make a lather and scrub them well; be sure to scrub the backs of your hands, between your fingers, and under your nails.
- Continue rubbing your hands for at least 20 seconds. If you need a “timer,” hum the “Happy birthday” song from beginning to end twice.
- Rinse your hands well under running water.
- Dry your hands using a clean towel or air-dry them.
- Learn more about how hand washing works
Using alcohol-based hand sanitizer:
- Apply a quarter-sized amount of product to the palm of one hand.
- Rub your hands together.
- Rub the product over all surfaces of your hands and fingers until your hands are dry. It should take at least 20 seconds.
Remember: Hand sanitizers are not as effective when hands are visibly dirty.
Cover Your Cough Flyers for Health Care Settings / Community and Public Settings In Additional Languages (Scroll to the bottom of this link)
*Translated by the Hawaii State Department of Health
Learn more about how cleaning with hand sanitizer works
Wash Your Hands – Bollywood Style
Stop Germs and Keep Your Hands Clean
Last Reviewed: October 2018