Hey Hands, Hey two

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Slide 1:

SONG - A TALE FOR THE CLEAN HANDS “Sung” for you by Prof . Nasya Hadjieva

Slide 2:

HEY, HANDS (A FAMOUS CHLIDREN'S SONG in BULGARIA) Hey, hands , hey, hands , hey the m two , Тhey are really my friends too, The one washes the other and other washes the one, Аnd both of them washes my eyes and fac e. Done! Hey, hands , hey, hands , hey the m two , Тhey are really my friends too, The one washes the other and other washes the one, Аnd both of them washes my eyes and fac e. Done !

Slide 3:

HAND WASHING SONG (AN ENGLISH TEXT) Twinkle, twinkle little star, Look how clean my two hands are, Soap and water, wash and scrub Get those germs off rub-a-dub, Twinkle, twinkle little star, Look how clean my two hands are.

Slide 4:

CLEAN HANDS SAVE LIVES Тhis is the logo of the Centers for Disease Control in USA and Europe (С D С and ECDC ) Тhis world campaign has been initiated since 2005 in many countries of the world and demonstrates that clean hands save the people from different diseases and epidemics like influenza, SARS,AIDS, etc . Each year Global Handwashing Day is held - 5.05.09

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CLEAN HANDS HISTORY Following Jesus sentence, the first thing of Pontius Pilate (the Roman prefect, having sent Jesus Christ to death by crucifix) had been to wash his hands as a symbol of a clear conscience and irresponsibility for the sentence. Jesus Christ and the first christians had been baptized in running water. With the muslims the custom is to wash their legs before a prayer. The hinduses also perform a ritual washing. In „Lady Macbeth“ play Shakespeare describes how the villain woman is praying to cover up the king's murder tracks from her hands at the washing. “To wash o.'s hands" in all countries is used in the sense of “to shirk o.'s responsibilities”.

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ITS NAME IS AT THE BASIS OF THE WORD HYGIENE Hygiene is a medical science, which examines the interactions of man and the surrounding environment with the purpose of human health improvement and the ensurance of active longevity. It is named after Hygia (ancient Greek goddess) Hygia is a goddess of health, cleanliness and hygiene. She is a daughter of Asclepius – the God of medicine. HYGIA

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HIPPOCRATIC OATH Тhis is the oath that each physician swears before his practice starts. It begins like that: "I swear by Apollo, the healer, Hygieia, and Panacea, and I take to witness all the gods, all the goddesses, to keep the following oath...."

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DIRTY HANDS HISTORY I. Semmelweis ( 1818-1865) demonstrated that the students in medicine have transmitted via their hands infections in the maternity ward, and therefore the young mothers have died of „microbial fever“. He was the first to introduce the hands' disinfection, and in the clinic of his the ill young mothers signicantly decreased! He is clean hands' father! I. Semmelweis (1818-1865) and his hospital

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WHERE COULD MICROBES HIDE? We accept the greatest number of microbes (germs) when touching different things, and with our unwashed hands we take them to our face... Once set upon our face, the microbes may creep (get) into our body through the mouth, the nose and eyes,thus causing an illness to us.

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AT THE PICTURE IS SHOWN HOW MOST DIFFERENT MICROBES ARE FOUND IN ALL OUR FLAPS OF THE FINGERS, NAILS AND PALMS – BOTH „GOOD“ AND „BAD“ GERMS

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HOW TO SAVE OURSELVES? An important way of saving ourselves from infections is to wash our hands. It seems very simple, but most people do not perform it correctly. The soap needs about fifteen seconds in order to act. If you soap your hands and rinse them immediately, you woudn't have removed the microbes (germs). The germs are tiny (small), but strongly adhesive.

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OH, IF THE MICROBES WERE BIGGER ??? IF THE MICROBES WERE BIGGER, AND WERE BEING SEEN, THE PEOPLE WOULD HAVE BEEN WASHING THEIR HANDS MORE OFTEN, WOULDN'T HAVE THEY, ??? AND YOU WOULD WASH WITHOUT BEING TOLD BY MUMMY??? THE TROUBLE IS THAT THEY ARE SMALL, AND WE CANNOT SEE THEM... but let's imagine???

Slide 13:

WHEN SHOULD BE WASHED THE HANDS? The ordinary wash with soap and water is always done, whenever: the hands seem dirty, before eating, before and after a visit to an ill person, at handshake, after touching of common subjects and surfaces, after a game outdoors, following sneezing or couphing, a game with pets, following a visit to the toilet, and any time you remember about that... The purpose is only to reduce the number of microbes, which make us ill.

Slide 14:

STAGES OF THE CORRECT WASHING 1 . Open the water tap and wet your hands. 2. Put 3 to 5 ml soap and rub them one to another. Rub them back and forth and don't forget underneath fingernails as well. You should do this for 15 – 20 seconds, in order to give time to the soap to act (try to count to fifteen, saying „a thousand“ after each figure, in order to see how long fifteen seconds last). 3. R i nse the soap through rubbing the hands under the running water. 4. Dry your hands in a clean towel and use it in order to close the faucet.

Slide 15:

ОRDINARY HANDWASHING 1. Wet your hands at the tap. 2. Put 3-5 ml soap and rub it upon the two hands. Rub them above and underneath, and don't forget the surface around the nails. 3. Do this for 15 – 20 seconds (in order to give time to the soap to act). 4. Rinse the soap through rubbing the hands under the running water. 5. Dry your hands in a clean towel and use it in order to close the faucet. Тhis is the easiest handwashing!!!

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WASHING AND DISINFECTION I f you want to be more neat, or you have touched anything heavily dirty, you may add, following the ordinary washing, 3 tо 5 ml of any hand disinfectant . T he alcohol disinfectant will do a fine work when there is no water and soap!!! Тhe latter is called disinfectant washing.

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SURGICAL WASHING The decontamination of surgeons' hands prior to operation is a serious and difficult problem, as microorganismes of great number and variety are found upon them. Especially rich in microbes is the fingernails underneath, the hair and all types of small wounds, lichen (herpes) formations, scratches and other skin changes. The microorganisms are found not only on the skin surface, but in the depth as well, in the oil- and sweat glands channels, in the hair follicles, in the skin flaps, and considerable efforts are needed the former to be removed more steadily. The surgeons are washing, disinfecting and rinsing themselves more than 20 minutes!!! РЪЦЕТЕ НА ХИРУРЗИТЕ

Slide 18:

DISINFECTION Disinfection is a part of hygiene, and represents a complex of measures for microbes destruction in the surrounding environment, which is performed through physical, chemical and biological methods. The most important method of disinfection is the ordinary handwashing with soap and water, but performed correctly.

Slide 19:

CLEANLINESS OR STERILITY Keeping hygiene should not be mixed up with the idea of sterility. Very often people become maniac on the theme of hygiene. The irony is that often in the desire to be perfect, we vacillate to the desire for sterile environment. Verification Monk? This is impossible, of course. Without bacteria our life wouldnot have been possible.

Slide 20:

VACCINATIONS AND IMMUNIZATIONS Another way of preventing infections is vaccination. The purpose of the vaccine is to strengthen the immunity and to protect us from contagious diseases distribution, which may lead to epidemics.

Slide 21:

HOSPITAL-ACQUIRED INFECTIONS The hospital-acquired infections have too much in common with the hygiene in hospitals. A lot of these „bad“ germs would not have existed if there has been a possibility for a higher level of hospital hygiene. Disinfection and single use items are not adequate. Much better hygiene is needed as well!

Slide 22:

HOSPITAL WASTE Hospital waste pertains to the most dangerous waste, which may lead to infections, contagions, and even epidemics in case it is not rendered harmless (decontaminated). As a rule there should be special buildings and incinerators where this type of waste to be burnt, but as we know in Bulgaria are not so rare the cases when out of the hospitals illegal „dung-hills“ are „found“. Тhis is a serious danger for all оf us and we should be intolerable to the infringers! We should inform, at least, the specialized institutions for such dung-hills found, shouldn't we?

Slide 23:

BIOLOGICAL DISINFECTION In the most modern methods of wastewater treatment (purification) „good“ bacteria are used, which may destroy the organic substances and transform them into water and carbon. We call them water health-officers! About 200 species of bacteria and other microorganisms (fungi and algae) may use petroleum and other waste as nutriment and that's why the biological methods prove to be perspective for cleaning of petroleum spots and other contaminants.

Slide 24:

The greatest quantity of harmful bacteria are contained over: the handles of the supermarkets' trolleys the computer mice in Internet cafes (coffee-houses) The handles oftoilet doors the handles in the underground (subway) the telephone receivers, the open-air kindergartens the bancomat keyboard the parapet of the escalators bank-notes/ money the lift buttons

Slide 25:

THE CHILDREN'S TOYS Special attenshion should be paid to the children's toys! Whatever we do, the children and the microbes are inseparably linked. The children often take out their toys outdoors and transmit many bacteria from the home and street with them.

Slide 26:

THE TELEPHONES H ello, thousands of microbes, as if the telephones say to us! Both the stationary, and mobile telephones are an ideal environ-ment for the growth of microorganisms, which we transmit with our hands towards the mouth. A few people guess that telephones have to be cleaned often and disinfected likewise.

Slide 27:

QUICK DISINFECTION For quick hand disinfection you may use readymade preparations (a mixture of alcohols and other chemical substances). For example Hibiscrub is a readymade solution for hygienic and surgical hand disinfection with rapid and residual action . These preparations are applied through scrubbing of 3-5 ml for 30 seconds, i.e. they act more rapidly than the soaps.

Slide 28:

LET'S REPEAT, АH? Handwashing is the easiest and the cheapest method for preventing infection. Handwashing should be performed (done) correctly, i.e. at least 15 seconds the hands to be rubbed with soap. There should be soap on all parts of the hands - palms, fingers,nails and... Readymade alcoholic hand disinfectants may be used too (30 seconds) when there is no soap and water!

Slide 29:

Тhat was my song! Let's sing it together? LITTLE HANDS FROM ALL COUNTRIES, LET'S WASH TOGETHER! Hey hands, hey two....

Slide 30:

“THE CLEAN HANDS WILL SAVE OUR LIFE” Let's think out a logo of Bulgaria, in order to participate in the Global Day of the Clean Hands – October 15, 2010, and to help the world to understand that we also have our own program of „clean hands“ to educate and to protect the Bulgarians from infections and other curable diseases like AIDS, hepatitis, influenza, measles, enterocolitis, etc. I expect your suggestions for a logo at the address nasya@omega.bg HERE IS THE PLACE OF BULGARIA'S LOGO, which we shall make together , SHAN'T WE???

Slide 31:

Clean Hands Week will take place September 20-26, 2009. SEE www.globalhandwashingday.org Global Handwashing Day – October 15, 20 10 ТHESE ARE THE WORLD EVENTS RELATED TO THE CLEAN HANDS

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