Traditional hand rubs are based on alcohol as the active ingredient, but that has led to numerous concerns. Three of the most prominent concerns are:
- Alcohol evaporates before it has killed the highly infections Noro-like viruses
- Alcohol stings when it enters cuts and grazes in the skin
- Alcohol is offensive to certain religious groups.
As a result the number of disease outbreaks due to Noro-like viruses is increasing around the world because alcohol rubs offer no barrier to those viruses. In addition many users avoid using the alcohol rubs for discomfort and religious reasons so bacteria in hospitals effectively go unchallenged which results in the infection of patients.
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