Professional Documents
Culture Documents
Germophobes and hypochondriacs should stop reading right here because today’s column
is a Cook’s tour of the many common places where pathogens and other disgusting bugs can be
Consider the lowly shower curtain. A San Diego State University study discovered a
surprise to anyone who has lived in a college dorm, but the study suggests shower curtains might
be a possible route of infection for people with weakened immune systems. Warm water,
protein-rich shampoos and soaps, and a menagerie of microbes from skin, hair and water pipes
could be the ingredients needed to build large populations of persistent germs. The study authors
Hot tubs and whirlpools are other potential sources of bacteria that can cause skin rashes
and respiratory infections. Researchers at Texas A&M found that a teaspoon of typical hot-tub
water contained about 2.2 million bacteria. One particular bug, Mycobacterium avium, has been
linked to a condition called “hot-tub lung.” Last year, Norm Pace, a well-known microbiologist,
found M. avium accounted for more than one third of the bacteria in hot-tub water and 80% of
the bacteria in the misty air above the water. Other potential hot-tub party animals include
Then there is the ubiquitous cell phone. When it’s not blaring out show tunes at
is a tough little bug that can persist for weeks on inanimate surfaces. A few years ago, an Israeli
doctor studied some of his hospital colleagues and their cell phones. He found 12% of their cell
1
phones and 24% of their hands where contaminated with antibiotic-resistant strains of A.
baumannii. Dr. Gilad, the study author, said cell phones might play a role in the transfer of drug-
It might be possible to ban cell phones from certain places, but what about computer
keyboards. Various types of bacteria can survive for many hours on keyboards. A study of
hospital computer keyboards in Chicago found three different types of dangerous bacteria able to
persist on keyboards and contaminate gloved and ungloved hands. ICU and burn unit keyboards
also were contaminated with A. baumannii. Chicago epidemiologist Gary Noskin told Reuters
the best defense against keyboard contamination was frequent hand washing.
What about contaminated feet? Some nail salons recently have been identified as sources
of nail infections, athlete’s foot, staph infections, and other types of skin infections. In 2000, the
Centers for Disease Control and Prevention investigated a California outbreak that affected 100
women. The culprit was a whirlpool footbath contaminated with a cousin of the tuberculosis
bacterium. These bacteria cause boils and skin ulcers, and the infections often take months to
clear up. Interestingly, one way to reduce the risk of infection—aside from avoiding footbaths—
is not to shave your legs before the appointment. Nicks and cuts can provide easy entry for
bacteria.
I don’t like wearing neckties, and Steve Nurkin at New York Hospital Medical Center
recently gave the tieless another excuse to remain so. He found that half the neckties of
healthcare workers were contaminated with potentially pathogenic bacteria. Ties have always
been good for catching crumbs and coffee drips, dangling into salad bars and office equipment,
and reducing blood flow to the heads of overweight executives, but now they may be transferring
2
bacteria to patients as tie-wearing physicians make their rounds. This may not be a serious
public health threat, but it could be good news for bowtie sales.
If your mother ever warned you about playing in the mud she was probably thinking
about the mess and not the microbe. In Australia a few years ago, a “mud football” competition
sent 26 people to the emergency room with infected skin abrasions and pustules. A waterborne
In American football, where mud is optional, abrasions from turf have led to skin
abscesses from drug-resistant staph. In 2003, eight such infections occurred among St. Louis
Rams players. The same bacteria also were found in the team’s whirlpools.
If you feel the urge to run to the grocery store to stock up on bleach, soap, and
disinfectants, you should watch out for the shopping cart handles. According to the Korea
Consumer Protection Board the cart handles have about 1,100 bacteria per square centimeter.
The Board also sampled bus hand straps, bathroom doorknobs, elevator buttons, and computer
mice and keyboards. Suffice to say, the phrase, “germ-free,” should not be tossed about lightly.
Few things are germ-free. And maybe that’s good. The “hygiene hypothesis” suggests
that early and frequent exposure to germs primes the immune system, and reduces the chances of
The polio epidemics of the early 20th century, for example, and increases in asthma and
Too clean or not too clean? That is the question. Go wash your hands while you’re