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Faecal Bacteria Join the Commute

More than one in four commuters has bacteria from faeces on their hands, an investigation suggests.

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Commuters in the north were dirtier than in the south

Scientists from the London School of Hygiene and Tropical Medicine swabbed 409 people at bus and train stations in five major cities in England and Wales.

The further north they went, the more often they found commuters with faecal bacteria on their hands – men in Newcastle were the worst offenders.

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Washing thoroughly with soap is enough to keep hands clean
Experts stressed the importance of hand hygiene for preventing illness.

The bacteria found suggested people were not washing their hands properly after using the toilet, said the researchers.

Toilet hands

In Newcastle and Liverpool, men were more likely than women to show contamination – 53% of men compared with 30% of women in Newcastle and 36% of men compared with 31% of women in Liverpool.

” We were flabbergasted by the finding that so many people had faecal bugs on their hands” Says Dr Val Curtis, director of the Hygiene Centre at the London School of Hygiene and Tropical Medicine

In the other three cities – London, Cardiff and Birmingham – the women’s hands were dirtier.

People who had used the bus had higher rates of hand contamination than those who had used the train.

Manual workers had cleaner hands than other professionals, students, retired people or the unemployed.

Dr Val Curtis, director of the Hygiene Centre at the London School of Hygiene and Tropical Medicine, said: “We were flabbergasted by the finding that so many people had faecal bugs on their hands.”

“The figures were far higher than we had anticipated, and suggest that there is a real problem with people washing their hands in the UK.

DIRTY HANDS

Newcastle – men 53%, women 30%
Liverpool – men 36%, women 31%
Birmingham – men 21%, women 26%
Cardiff – men 15%, women 29%
Euston (London) – men 6%, women 21%

“If any of these people had been suffering from a diarrhoeal disease, the potential for it to be passed around would be greatly increased by their failure to wash their hands after going to the toilet.”

Professor Mike Catchpole, director of the Health Protection Agency‘s Centre for Infections, said: “These results are startling and should be enough to make anyone reach for the soap.

“It is well known that hand washing is one of the most important ways of controlling the spread of infections, especially those that cause diarrhoea and vomiting, colds and flu.

“People should always wash their hands after using the toilet, before eating or handling food, and after handling animals. And remember to cover all cuts and scratches with a waterproof dressing.”

Winter vomiting
The HPA’s monitoring of infections over recent weeks suggests that cases of norovirus – the winter vomiting bug – are rising and that the annual norovirus season is likely to have begun.

Norovirus is the most common cause of gastrointestinal disease in the UK with peak activity in terms of numbers of cases and outbreaks during the winter months, from October to March.

It has been estimated that between 600,000 and a million people in the UK are affected each year.

Professor Catchpole said: “Norovirus is highly infectious and easily spread in settings where people are in close contact with one another so good hygiene, including frequent handwashing, is really important.”

The study was part of the world’s first Global Hand-washing Day, dedicated to raising awareness about the importance hand hygiene plays in public health.

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Sources: BBC NEWS:15TH. OCT. ’08

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News on Health & Science

Antipsychotic Drug ‘Stroke Risk’

More people than previously thought could be at higher risk of having a stroke caused by their antipsychotic drugs, say UK scientists.

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Antipsychotic drugs are given to people with schizophrenia and dementia


Previous research suggested only some types of the drug increased the risk, particularly for people with dementia.

However a study published in the British Medical Journal says all forms of antipsychotics boost the risk, in all patients.

A mental health charity said patients on the drugs must be closely monitored.

“This is another warning that all antipsychotics should be prescribed with great thought and care”…says Marjorie Wallace Sane

Antipsychotic drugs are generally used to control psychotic symptoms in patients with disorders such as schizophrenia, and some severe forms of depression.

They are also thought to be widely used to control symptoms of dementia such as aggression, leading to accusations they were being used unnecessarily as a “chemical cosh” in some circumstances.

They fall into two types – newer “atypical” and older “typical” antipsychotics.

When the first concerns were raised in 2002, these focused on the “atypical” drugs.

These worries led to a recommendation from drug safety watchdogs in the UK that they not be given to people with dementia, and the government has been urged to strengthen this in England in its forthcoming dementia strategy.

The latest findings, from researchers at the London School of Hygiene and Tropical Medicine, confirm the fears over dementia patients, but raise wider concerns.

They identified 6,700 patients from a GP database, all with an average age of 80, and concluded that there was more than a tripling of risk for dementia patients taking any sort of anti-psychotic drug.

Patients without dementia taking any sort of antipsychotic had a 40% increase in risk.

The researchers repeated the recommendation that patients with dementia should not be prescribed these drugs.

‘Last resort’

Neil Hunt, from the Alzheimer’s Society, said that doctors now needed to heed these warnings.

“The over-prescription of antipsychotics is a serious breach of human rights, these drugs should only be a last resort.

“The forthcoming National Dementia Strategy is a crucial opportunity to stop this dangerous over-prescribing and we look forward to its launch in the autumn.”

Marjorie Wallace, the chief executive of the mental health charity Sane, said that while the drugs were capable of transforming lives, different patients reacted differently to their side-effects.

“This study should remind us all that antipsychotics are powerful drugs which can both be essential for some people, while carrying other risks.

“This is another warning that all antipsychotics should be prescribed with great thought and care and be subject to rigorous follow-up.”

Sources: BBC NEWS:30Th. AUG.’08

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