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4 biggest handwashing mistakes that could increase germs and viruses

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4 biggest handwashing mistakes that could increase germs and viruses

Proper handwashing could save a million lives a year, according to an expert — and yet many people are doing it improperly, often due to misconceptions surrounding the practice.

Doctors recommend washing with soap and water for at least 20 seconds to reduce the spread of infectious diseases.

The NFID 2025 State of Handwashing Report, recently released by the National Foundation for Infectious Diseases, provides details on Americans’ handwashing habits (and mistakes).

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The report is based on a survey of 3,587 U.S. adults, conducted in November and December 2024 and March 2025.

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Robert Hopkins Jr., MD, medical director of NFID in Maryland, spoke to Fox News Digital about what Americans are doing wrong when it comes to handwashing.

1. Only using hand sanitizer

“We have to recognize that there are a number of important infections that hand sanitizers are not effective at preventing,” Hopkins said.

Proper handwashing could save a million lives a year, according to experts. (iStock)

One example is norovirus, a highly contagious stomach virus that is common on cruise ships and is also spread seasonally. 

The virus cannot be killed with hand sanitizer, but is “easily destroyed” with soap and water, according to Hopkins.

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Certain viruses are “encapsulated” and can be destroyed with either soap and water or hand sanitizer, the expert said. However, there is also an “unencapsulated” type of virus, which has an outer coat that does not break down from the alcohol in hand sanitizer.

Using soap and water is a more effective way to kill the germs, the doctor noted.

2. Just coughing into your sleeve

When people cough or sneeze into their sleeve, they could still spread germs afterward.

“If you cough into your sleeve … go ahead and wash your hands with soap and water as well,” Hopkins advised.

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“We also have to recognize that we often bring our hands up close to our face, touch our nose, our glasses, other parts of our face,” noted the doctor, who is based in Arkansas.

“If we have bacteria or viruses on our hands, we can introduce them into our mucous membranes, where we can get infections.”

Nearly half of survey respondents admitted to forgetting or choosing not to wash their hands at key times. (iStock)

3. Washing hands more in certain seasons

The NFID report stated that one in four respondents washed their hands more frequently in the fall and winter, when cold and flu are prevalent.

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“The seasonal variance is understandable given that some respiratory diseases, including flu and respiratory syncytial virus (RSV), tend to peak during fall and winter,” the report stated.

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“However, other germs — like those that cause colds, norovirus and other infectious diseases — can spread throughout the year. It is important to maintain proper hand hygiene all year round to help stay healthy.”

4. Not washing hands at critical times

Most adults wash their hands after using the bathroom (69%), handling food (48%) and handling human or animal waste (39%), according to NFID’s report. 

“We need to reinforce the importance of this simple tool.”

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Only 30% of respondents, however, reported that they are likely to wash their hands after sneezing or coughing.

Nearly half of survey respondents admitted to forgetting or choosing not to wash their hands at key times, like after visiting a grocery store, restaurant, doctor’s office, pharmacy, clinic or hospital.

“I think most of the public health campaigns around hand hygiene have been focused on healthcare settings,” a doctor said. (iStock)

“We need to reinforce the importance of this simple tool,” Hopkins said of handwashing.

“I think most of the public health campaigns around hand hygiene have been focused on healthcare settings,” he added.

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Regarding handwashing as a practice in general, Hopkins emphasized, “We need to bring this back into the fold.”

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“If everybody washed their hands more consistently, we could probably save somewhere in the neighborhood of a million lives a year.”

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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POST-DOSE PATTERN — New research reveals why the COVID vaccine can trigger heart issues, especially in one group

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A new study has identified why mRNA COVID-19 vaccines could trigger heart issues, especially in one demographic. (iStock)

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HIDDEN LINK — A common dental health issue may hint at a dangerous cardiovascular condition

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SCREENING DEBATE A new study questions whether annual mammograms are necessary for most women

SUPER SPREAD — An “aggressive” new flu variant sweeps the globe as doctors warn of severe symptoms

The flu season has intensified as the new H3N2 variant causes severe illness worldwide. (iStock)

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Aging-related joint disorder increasingly affects people under 40, study finds

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Aging-related joint disorder increasingly affects people under 40, study finds

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Cases of gout are rising in younger individuals, according to a global study.

The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.

Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.

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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.

The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.

Gout is expected to continue rising in young people through 2035. (iStock)

Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.

Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.

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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.

The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.

The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.

What is gout?

Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.

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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.

A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.

Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)

Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.

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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.

Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.

Experts urge patients to seek medical attention for gout flare-ups. (iStock)

Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.

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A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.

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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.

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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.

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Fox News Digital reached out to the researchers for comment.

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New study questions whether annual mammograms are necessary for most women

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New study questions whether annual mammograms are necessary for most women

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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.

The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.

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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors. 

A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.

Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.

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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.

Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)

“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”

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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.

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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)

More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.

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The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.

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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”

The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.

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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”

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