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⭐ Core Definition: Hygiene

Hygiene is a set of practices performed to preserve health.According to the World Health Organization (WHO), "Hygiene refers to conditions and practices that help to maintain health and prevent the spread of diseases." Personal hygiene refers to maintaining the body's cleanliness. Hygiene activities can be grouped into the following: home and everyday hygiene, personal hygiene, medical hygiene, sleep hygiene, and food hygiene. Home and every day hygiene includes hand washing, respiratory hygiene, food hygiene at home, hygiene in the kitchen, hygiene in the bathroom, laundry hygiene, and medical hygiene at home.

Many people equate hygiene with "cleanliness", but hygiene is a broad term. It includes such personal habit choices as how frequently to take a shower or bath, wash hands, trim fingernails, and wash clothes. It also includes attention to keeping surfaces in the home and workplace clean, including bathroom facilities. Adherence to regular hygiene practices is often regarded as a socially responsible and respectable behavior, while neglecting proper hygiene can be perceived as unclean or unsanitary, and may be considered socially unacceptable or disrespectful, while also posing a risk to public health.

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In this Dossier

Hygiene in the context of Human waste

Human waste (or human excreta) refers to the waste products of the human digestive system, menses, and human metabolism including urine and feces. As part of a sanitation system that is in place, human waste is collected, transported, treated and disposed of or reused by one method or another, depending on the type of toilet being used, ability by the users to pay for services and other factors. Fecal sludge management is used to deal with fecal matter collected in on-site sanitation systems such as pit latrines and septic tanks.

The sanitation systems in place differ vastly around the world, with many people in developing countries having to resort to open defecation where human waste is deposited in the environment, for lack of other options. Improvements in "water, sanitation and hygiene" (WASH) around the world is a key public health issue within international development and is the focus of Sustainable Development Goal 6.

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Hygiene in the context of Transmission (medicine)

In medicine, public health, and biology, transmission is the passing of a pathogen causing communicable disease from an infected host individual or group to a particular individual or group, regardless of whether the other individual was previously infected. The term strictly refers to the transmission of microorganisms directly from one individual to another by one or more of the following means:

  • airborne transmission – very small dry and wet particles that stay in the air for long periods of time allowing airborne contamination even after the departure of the host. Particle size < 5 μm.
  • droplet transmission – small and usually wet particles that stay in the air for a short period of time. Contamination usually occurs in the presence of the host. Particle size > 5 μm.
  • direct physical contact – touching an infected individual, including sexual contact
  • indirect physical contact – usually by touching a contaminated surface, including soil (fomite)
  • fecal–oral transmission – usually from unwashed hands, contaminated food or water sources due to lack of sanitation and hygiene, an important transmission route in pediatrics, veterinary medicine and developing countries.
  • via contaminated hypodermic needles or blood products

Transmission can also be indirect, via another organism, either a vector (e.g. a mosquito or fly) or an intermediate host (e.g. tapeworm in pigs can be transmitted to humans who ingest improperly cooked pork). Indirect transmission could involve zoonoses or, more typically, larger pathogens like macroparasites with more complex life cycles. Transmissions can be autochthonous (i.e. between two individuals in the same place) or may involve travel of the microorganism or the affected hosts.

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Hygiene in the context of Fecal–oral route

The fecal–oral route (also called the oral–fecal route or orofecal route) describes a particular route of transmission of a disease wherein pathogens in fecal particles pass from one person to the mouth of another person. Main causes of fecal–oral disease transmission include lack of adequate sanitation (leading to open defecation), and poor hygiene practices. If soil or water bodies are polluted with fecal material, humans can be infected with waterborne diseases or soil-transmitted diseases. Fecal contamination of food is another form of fecal-oral transmission. Washing hands properly after changing a baby's diaper or after performing anal hygiene can prevent foodborne illness from spreading..Toilet flushing & subsequent inhaled aerosols is another potential route.

The common factors in the fecal-oral route can be summarized as five Fs: fingers, flies, fields, fluids, and food. Diseases caused by fecal-oral transmission include typhoid, cholera, polio, hepatitis and many other infections, especially ones that cause diarrhea.

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Hygiene in the context of Undernutrition in children

Undernutrition in children, occurs when children do not consume enough calories, protein, or micronutrients to maintain good health. It is common globally and may result in both short and long term irreversible adverse health outcomes. Undernutrition is sometimes used synonymously with malnutrition, however, malnutrition could mean both undernutrition or overnutrition (causing childhood obesity). The World Health Organization (WHO) estimates that malnutrition accounts for 54 percent of child mortality worldwide, which is about 1 million children. Another estimate, also by WHO, states that childhood underweight is the cause for about 35% of all deaths of children under the age of five worldwide.

The main causes of malnutrition are often related to poverty: unsafe water, inadequate sanitation or insufficient hygiene, factors related to society, diseases, maternal factors, gender issues as well as other factors.

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Hygiene in the context of Community-led total sanitation

Community-led total sanitation (CLTS) is a participatory approach used primarily in developing countries to improve sanitation and hygiene practices within communities. CLTS aims to achieve behavior change with a "trigger" that leads to spontaneous and long-term abandonment of open defecation practices, thereby improving community sanitation and overall health. The term "triggering" is central to the CLTS process. It refers to methods of igniting community interest in ending open defecation, usually by building simple toilets such as pit latrines. The effect of CLTS is two-fold: actions that increase self-respect and pride in one's community and actions that promote shame and disgust about one's open defecation behaviors. CLTS takes an approach to rural sanitation that works without hardware subsidies by facilitating communities to acknowledge the problem of open defecation, taking collective action to become "open defecation free," and improve sanitation.

The concept was developed around 2000 by Kamal Kar for rural areas in Bangladesh. CLTS became an established approach around 2011. Local governments may reward communities by certifying them with "open defecation free" (ODF) status. The original concept of CLTS purposefully did not include subsidies for toilet installations, as they might hinder the process.

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Hygiene in the context of John Snow

John Snow (15 March 1813 – 16 June 1858) was an English physician and a leader in the development of anaesthesia and medical hygiene. He is considered one of the founders of modern epidemiology and early germ theory, in part because of his work in tracing the source of a cholera outbreak in London's Soho, which he identified as a particular public water pump. Snow's findings inspired fundamental changes in the water and waste systems of London, which led to similar changes in other cities, and a significant improvement in general public health around the world.

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Hygiene in the context of Dishwashing

Dishwashing, washing the dishes, doing the dishes, or (in Great Britain) washing up, is the process of cleaning cooking utensils, dishes, cutlery and other food-soiled items to promote hygiene and health by preventing foodborne illness. This is either achieved by hand in a sink or tub using dishwashing detergent, or by using a dishwasher, and may take place in a kitchen, utility room, scullery or elsewhere.

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Hygiene in the context of Bidet

A bidet (UK: /ˈbd/, US: /bɪˈd/ ) is a bowl or receptacle designed to be sat upon in order to wash a person's genitalia, perineum, inner buttocks, and anus. The modern variety has a plumbed-in water supply and a drainage opening, and is thus a plumbing fixture subject to local hygiene regulations. The bidet is designed to promote personal hygiene and is used after defecation, and before and after sexual intercourse. It can also be used to wash feet, with or without filling it up with water. Some people even use bidets to bathe babies or pets. In several European countries, a bidet is now required by law to be present in every bathroom containing a toilet bowl. It was originally located in the bedroom, near the chamber-pot and the marital bed, but in modern times is located near the toilet bowl in the bathroom. Fixtures that combine a toilet seat with a washing facility include the electronic bidet.

Opinions as to the necessity of the bidet vary widely over different nationalities and cultures. In cultures that use it habitually, such as parts of Western, Central and Southeastern Europe (especially Italy, Portugal, Spain, France and Turkey), Eastern Asia and some Latin American countries such as Argentina, Uruguay or Paraguay, it is considered an indispensable tool in maintaining good personal hygiene. It is commonly used in North African countries, such as Egypt. It is rarely used in sub-Saharan Africa, Northwestern Europe, Australia, and North America.

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