Which one is more effective in killing our hand germs- Hand sanitizer or soap?


Which one is more effective in killing our hand germs- Hand sanitizer or soap?


Hand sanitizers are in huge demand in this face of covid -19 and are extremely useful when you don’t have sink and soap nearby. 

 The emergence of coronavirus from Wuhan district of China in November has affected 216 countries and there are 6.6 million confirmed cases and 0.4 million mortality according to WHO on June 06, 2020.  This virus primarily spreads by getting in contact with infected person or by touching a surface that already has virus on it. As of now there is no vaccine to prevent it and only maintaining a social distance and good hygiene are the only measures which people are recommended to take to avoid this disease. Washing and sanitizing hands frequently give protection from coronavirus and other diseases. This has led the immense demand of hand sanitizer. Global hand sanitizer market is expected to reach $1755.7 million by 2023.

But is the fame of hand sanitizers justified?

Most health officials recommend that the best way to keep our hands virus-free is by using soap and water. But, when you’re not near a basin, the experts say, hand sanitizers are the next best thing. Hand sanitizers containing at least 60% alcohol works maximum according to Centers for Disease Control and Prevention (CDC) and while applying it must cover all surfaces of the hands with the product, and rub them together until dry.
You will be surprised to know that doctors found the link between health and hand washing much early than scientist knew abut the existence of germs. American medical reformer Oliver Wendell Holmes and the Hungarian “Savior of Mothers,” Ignaz Philipp Semmelweis, both connected poor hand hygiene with high rates of postpartum infections in the 1840s, nearly 20 years earlier than the popular French biologist Louis Pasteur printed his first germ theory discoveries. In 1966, a nursing student, Lupe Hernandez published an alcohol-containing, gel-based hand sanitizer for hospitals. And in 1988, the firm Gojo announced Purell, the first alcohol-containing gel sanitizer for consumers.
Alcohol is a very effective disinfectant and its role is to disrupt the outer coatings of bacteria and viruses. SARS-CoV-2 is an enveloped virus and according to chemist Pall Thordarson (from University of New South Wales), SARS-CoV-2 is surrounded by the lipid bilayers which are held together by hydrogen bonds and hydrophobic interactions. Lipids protects these microorganisms but alcohols (like ethanol and other alcohols) having a polar and a nonpolar region disrupt these supramolecular interactions and efficiently ‘dissolving’ the lipid membranes. However, high concentration of alcohol is recommended to swiftly disrupt protective coating of the organisms. Therefore, CDC recommends at least 60% alcohol should be there in hand sanitizers.
Unfortunately, effect of high concentration of alcohol on your skin is not pleasant.  Alcohol dries the skin and break down the protective layer of oils on your skin. Therefore, hand sanitizer must contain a moisture to counteract this drying.

WHO offers two simple formulations for making your own hand-sanitizing liquids.

Reagents for formulation (for small scale production )
1
2
Ethanol 96%
Isopropyl alcohol 99.8%
Hydrogen peroxide 3%
Hydrogen peroxide 3%
Glycerol 98%
Glycerol 98%
Sterile distilled or boiled cold water
Sterile distilled or boiled cold water

Other moisturizing compounds available in liquid hand sanitizers are poly(ethylene glycol) and propylene glycol. When an alcohol-based hand sanitizer is rubbed into the skin, its ethanol evaporates, leaving behind these soothing compounds.
People who have attempted to get their own gel-based hand sanitizers can tell you that classic gelling agents like gelatin or agar won’t behave when mixed with the high concentrations of alcohol that you need to kill viruses and bacteria. These agents won’t form a gel that’s stable because polar alcohol groups interrupt the intermolecular bonds. Manufacturers get around this obstacle by using high molecular- weight cross-linked polymers of acrylic acid. The covalent cross-links help make a viscous gel that’s resistant to alcohol’s disruption.
While most hand sanitizers contain either ethanol or isopropanol, alcohol-free hand sanitizers are also available commercially. These usually contain antimicrobial compounds like benzalkonium chloride that helps in protection against bacteria. But alcohol-free products aren’t endorsed by the CDC for fighting the novel coronavirus, because it is still doubtful that it can be used successfully against SARS-CoV-2.
Thordarson emphasizes that soap and water are still the best option for hand hygiene. Soap molecules not only break noncovalent interactions that hold viruses and bacterial cell walls together but can also surround and help remove microbes from the skin. By using hand sanitizers, you can’t get rid of microbes from the skin and also aren’t effective against all germs. For example, noroviruses don't have a lipid membrane coating that can be broken up by alcohol, and the spores of Clostridium difficile have a tough coating of keratin that can protect them for years. Alcohol is ineffective when hands are dirty or greasy.

“Alcohol-based products work,” Thordarson says. “But nothing beats soap.”

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