The New Zealand Herald

Don’t shake on that — you may get a nasty bug

Unwelcome bacteria get a free ride from hand to hand

- Nicky Milner Nicky Milner is a senior lecturer in biological sciences, Anglia Ruskin University.

The traditiona­l handshake plays a central role in our daily lives. We shake hands with people we know and those who are new to us. A handshake communicat­es our personalit­y and mood to people, and we use them as a mutually acceptable way of agreeing to seal the deal in endless scenarios.

But if you take a look at the science behind this gesture, things might not seem quite so pleasant. This is in part because the human body contains many different types of bacteria. Some are good and we rely on these to help keep us healthy. Others are not so good and might make us sick.

Have you ever thought about what bacteria you share when shaking somebody’s hand?

The power of a handshake

According to research from the University of Colorado, on average we carry 3200 bacteria from 150 species on our hands. And yet, shaking hands can be an everyday occurrence. It is an accepted means of greeting people and is the epitome of politeness in diverse cultures – especially in the Western world. As well as being a means of greeting people, it is also used to build rapport and trust. Ignoring a handshake is deemed to be impolite and rude.

Research has shown that we will shake hands on average 15,000 times in our lifetime.

So there are lots of opportunit­ies for spreading bacteria between people – particular­ly if they are carrying potentiall­y infectious bacteria that could make us ill. This includes faecal bacteria, which is quite common on hands.

This risk increases even further when we don’t wash our hands regularly – which is why good hand hygiene is essential. And of course, if the bacteria are resistant to antibiotic­s then we could inadverten­tly play a role in spreading antibiotic resistance within our environmen­t.

Fist pumps preferred

Some hospitals are so concerned about the spread of germs via handshakes that they are looking at creating handshake-free zones. Good hand hygiene and regular hand-washing is often very low in hospitals. And hospitalac­quired infections are a major concern in healthcare institutio­ns.

The hospital environmen­t is regularly monitored for the presence of potentiall­y infectious agents that can be acquired by a patient during a stay there. Critical care wards, and those containing vulnerable patients (such as the very young, elderly and immunocomp­romised) are especially important since patients are more prone to severe infections.

Research performed in neonatal intensive care wards – where sick newborn babies are cared for – explored the potential for handshake-free zones. The wards ran a trial to see if they could discourage handshakin­g and actively encourage alternativ­e greetings – such as fist bumps, smiling and eye contact – to try to reduce the person to person spread of infectious agents.

Alternativ­e handshakes

It’s not just limited to fist pumps – around the world there are many different ways of saying hello and you don’t have to look far to find “healthier” ways of greeting. The Japanese bow to each other and there are the “dap greetings” such as high fives and fist bumps – which are commonly used by young people in the Western world.

Research has shown that the amount of bacteria transferre­d through a handshake is twice as much compared with a high five. Significan­tly lower numbers of bacteria are also transferre­d when a fist bump is used. This is largely due to the difference

We will shake hands on average 15,000 times in our lifetime, so there are lots of opportunit­ies for spreading bacteria.

in surface areas that are in contact – despite the greeting taking the same time and number of bacteria on the surface of the person initiating the greeting on each occasion.

So, is the traditiona­l handshake being replaced with healthier options? This will take time – if it happens at all. But as awareness of infectious diseases grows and people actively try to reduce the spread of infection, perhaps there could be a future where we all high five and fist pump rather than formally shake hands. Or at the very least better adoption of handwashin­g.

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Handshakes are used as a sign of respect, politeness and trustworth­iness.
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