Hand Washing with Soap: The Most Effective ‘Do-It-Yourself’ Vaccine?


  • Ravishekhar N Hiremath Armed Forces Medical College, Pune
  • Atul Kotwal Armed Forces Medical College, Pune
  • Renuka Kunte Armed Forces Medical College, Pune
  • Sandhya V Hiremath Inamdar Hospital, Pune
  • Venkatesh Armed Forces Medical College, Pune


Hand washing, Vaccine, Millennium development targets


Hand washing is one of the most effective means of preventing diseases and have a major impact on public health in any country. It is known to significantly reduce the two leading causes of mortality – diarrheal diseases and acute respiratory infections, including the recent outbreak of pandemic influenza. Because hand washing with soap can prevent the transmission of a variety of pathogens, it may be more effective than any single vaccine or hygiene behaviour. Promoted broadly enough, hand washing with soap can be viewed as an essential do-it-yourself vaccine.

“Good hand hygiene is the first line of defense against spread of many illnesses”. Therefore public should be provided with adequate knowledge and tools to enable them to protect themselves and their families from infection and illness by practicing proper hand hygiene through support of key stakeholders, Government, industry, and donors who can offer unique resources which are necessary to ensure the success of a large-scale program. Conducting a situation assessment and, where needed, making the case for hand washing on topics ranging from cost effectiveness to health impact will give the hand washing program a solid foundation.

This is the important time to re-look at our hand hygiene habits, for hands are the key carrier of germs that spread infections, and good hand hygiene is the one tool within easy reach of everyone, that can reduce the risk of infection. If the millennium development targets for reduction in child mortality are to be met, hand washing habits must be improved.


The Handwashing Handbook. Available at http://esa.un.org/iys/docs/san_lib_docs/ Handwashing_Handbook.pdf .Accessed Feb 12th, 2012.

Curtis V, Cairncross S. Effect of Washing Hands With Soap on Diarrhoea Risk in the Community: A Systematic Review. Lancet Inf Diseases 2003; 3(5): 275-281

Rabie T, Curtis V. Handwashing and risk of respiratoryinfections: a quantitative systematic review.Tropical Medicine and International Health 2006 ;11: 258–67

World Health Report 2005: Make every mother and child count. Geneva: World Health Organization, 2005: 190-91.

Lorna F, Kaufmann RB, Kay D, Enanoria W, Haller L, Colford.Water, sanitation, and hygiene interventions to reduce diarrhoea in less developed countries: A systematic review and meta-analysis. The Lancet Inf Diseases 2005; 5(1): 42-52.

WELL Fact Sheet. Available at http://www.lboro.ac.uk/well/resources/fact-sheets/factsheets. Accessed Feb 12th, 2012.

Food safety and HACCP 2009. Available at http://food-haccp.blogspot.in/2009/05/ hand-washing.html. Accessed Feb 12th, 2012.

European Tissue Symposium (ETS). Press Information 11 February 2009. New evidence suggests electric hand dryers in public toilets pose health risk. Available at http://www.ph.kcprofessional.com/download/Electric%20Hand%20Driers%20Pose%20Potential%20Health%20Risk.pdf. Accessed Feb 12th, 2012.

Larson EL . APIC guideline for handwashing and hand antisepsis in health care settings. Am J Infect Control 1995; 23 (4): 251-69.

Goldmann D (2006). "System failure versus personal accountability--the case for clean hands". N. Engl. J. Med 2006; 355 (2): 121–3.

Pronovost P, Needham D, Berenholtz S, et al. (2006). "An intervention to decrease catheter-related bloodstream infections in the ICU". N. Engl. J. Med 2006; 355 (26): 2725–32.

World Health Organization. Global Handwashing Day 2008: Planner's Guide. Available at http://www.globalhandwashingday.org/. Accessed Feb 12th, 2012.

Dettol: Global Hygiene Council: "Hand Hygiene, the first line of defence against flu and viral infections". Available at www.dettol.co.in/india.htm. Accessed Feb 12th, 2012.




How to Cite

Hiremath RN, Kotwal A, Kunte R, Hiremath SV, Venkatesh. Hand Washing with Soap: The Most Effective ‘Do-It-Yourself’ Vaccine?. Natl J Community Med [Internet]. 2012 Sep. 30 [cited 2023 Mar. 25];3(03):551-4. Available from: https://njcmindia.com/index.php/file/article/view/1763



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