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My handwash liquid states that it kills 99.9% of bacteria. This usually comes with a disclaimer at the back: "based on laboratory tests".

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First of all, if I make a handwash, I would certainly like it to have this attribute too. One way is to lie and simply add this (now) ubiquitous phrase (which probably nobody cares anymore). Alternatively, I would actually perform some tests. Yet, these tests do not need to be peer reviewed in any sense, and hence I just need some basic, quick test that can be designed to prove the point.

I doubt these tests are actually carried out. There is no incentive for companies to do so, probably because very few consumers really care about this. In my opinion the 99.9% (instead of 100%) is just a way for these companies to avoid any legal consequence for cases in which some bacterias are not removed by the product.

Maybe some of you do know more about this? Is this just unscientific advertising?

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    Obligatory xkcd reference. – Jordy Aug 25 '17 at 11:24
  • Can you narrow it down a bit? The concentration of alcohol in hand sanitizes vary, can we assume >60% alcohol? Also their effectiveness depends on the type of microbes, how do you want to handle that? – ventsyv Aug 25 '17 at 17:09
  • They all use pretty similar active ingredients, which are also used in labs and hospitals. – user36688 Aug 25 '17 at 17:09
  • @ventsyv Could try, but not sure how exactly. The point of the question is to challenge that these handwash kill 99.9% of bacterias, as they claim they do based on "laboratory tests". – luchonacho Aug 25 '17 at 17:19
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    I think an also relevant question that relates to this is, "If they do, does regular, non-anti-baterical soap and water washing perform worse?" – PoloHoleSet Aug 30 '17 at 16:56
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Short answer: no

Longer answer: yes, but in a cleverly limited way

http://www.nycoproducts.com/news/what-does-the-phrase-kills-99-9-of-germs-really-mean/

Many of these products have marketing statements that say the product “kills 99.9% of germs*.” However, somewhere on the container in small print is the list of germs it actually kills, and this list of germs may or may not include some or all of the Influenza viruses.

When a marketing claim of “kills 99.9% of germs” is used, it may or may not kill the specific variety of bacteria or pathogen you need killed. By law, disinfectants must list the microorganisms which a product has been tested for and found to be effective against on their label, as well as proper dilution and directions for use. Check the label for the specific pathogens you need protection from.

So - they may only test on a couple of strains of germs, and claim it kills 99.9% of them.

There are also other "get-outs" for manufacturers of disinfectants and soaps - such as there being no upper limit to the time taken to kill all those germs. Most disinfectants need a contact time of 10-30 minutes to properly disinfect a surface - the 10-20 seconds on your hand before rinsing just isn't the same.

That said - don't stop using soap - because some disinfection is better than no disinfection, but the home disinfectants aren't any better than regular soap for handwashing. The stuff they have in hospitals is a bit harsher, though.

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    "this list of germs may or may not include some or all of the Influenza viruses". Viruses are not affected by hand sanitizers. Sanitizers kill bacteria, not viruses. The normal, healthy human body deals very well with bacteria; we are very resilient against that type of germs. But we are (comparatively) easily afflicted by viral infections. So why the hype? The hype about hand sanitizers originates from patients seeing them used at hospitals. The difference is that at hospitals there are people with weakened immune defences, that do not deal will with bacteria. – MichaelK Aug 28 '17 at 12:50
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    If you have a weakened immune defence, even the otherwise harmless bacterial you have on your hands can become life-threatening. So a bacterial infection — once it takes hold — is a very serious issue, an issue that is becoming a even bigger problem over time as more strains of antibiotics resistance bacterial strains evolve. That is why sanitizers are used at hospitals. But out in plain old everyday life, hand sanitizers are pretty much a waste of effort, because your body deals with the bacteria. Soap and water work better, as they physically wash away both bacteria and viruses. – MichaelK Aug 28 '17 at 12:54
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    @MichaelKarnerfors: "Viruses are not affected by hand sanitizers." -- That is false. There are quite some hand sanitizers that have virucidal properties, especially those used in hospitals. – DevSolar Aug 30 '17 at 13:06
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    @DevSolar The majority of consumer hand sanitizers do not do enough about viruses lest you pour so much over your hands you are physically rinsing the viruses away. The CDC states that soap & water are the best way to cleanse your hands of germs. In fact, over reliance on hand sanitizers may even worsen the spread of for instance seasonal flu. – MichaelK Aug 30 '17 at 14:01
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    @MichaelKarnerfors: You're taking reports about specific types of pathogens -- the slate.com article is about influenca specifically -- or simply misquoting -- the CDC link says that soap and water are "the best way to reduce the number of microbes on them in most situations", but then goes on to talk about e.g. high-alcohol sanitizers, or linking to this certifying "excellent" virucidal properties to alcohols, chlorhexidine, iodine compounds, and tricolsan. The statement that viruses are not affected by hand sanitizers is false. – DevSolar Aug 30 '17 at 14:12
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Answering mainly: "Is this just unscientific advertising?"

The main effect of a handwash is that it washes away the bacteria/germs. Water, especially warm and hot water does its own thing to remove them, a soap-like substance adds to this effect and so is a towel. The added ingredients that qualify for the 99ish%-label are just icing on the cake. None of the above methods I listed will so much kill but remove bacteria or dilute them in the sense of reducing their numbers. None of the advertised substances added to such washes will kill all of the bacteria. As long as you are not ill and required to live as sterile as possible that is a good thing.

You are yourself a living being. Sounds like a fun fact but is meant to convey that "a human" might have different definitions now than a few decades ago. Not all bacteria are harmful. Most of them are not. Many of them are actually beneficial or even needed, like those in your gut. While gut bacteria might have quite a good reputation by now, those on your skin, that those handwashes would like to kill are only slowly getting a better stand. Everyone lives in a symbiosis with their individual microbiome. Sanitation at least disrupts this balance. Costs and benefit should be carefully calculated. These labels certainly do not do that.

It is therefore quite important to qualify this kind of advertising as scientifically incomplete, if it is directed at the general public. Scientists and the medical practitioners as well as the ill do not need any advertising at all. They need robust information. Normal handwash is usually (more than) enough. It is not possible to really sterilise everything completely, nor would that be desirable.

Add to that the effects of evolution: Consider that the tests you question really are carried out. What does that mean in the slightly longer term? In using them you create an environment on your skin where the pressure to adapt is directed towards resisting the chemicals used in that handwash. According to the label, 0.1% of all bacteria survive this attack. Compare that to their phenomenal ability to multiply and overcome chemical onslaughts with for example antibiotics. This leads to the situation that you un-train your own immune system to deal with any bacteria and disrupt the workings of the good bacteria your microbiome needs or can tolerate. Indiscriminate killing also tends to have the very unwelcome side effect of giving just the most harmful bacteria an edge in the fight for survival.

As advertising goes, these big label numbers are abuse of science, fear mongering and a generally misleading disservice.

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