A new problem with hand sanitizers: Not strong enough to kill Covid-19

Two months after the U.S. Food and Drug Administration (FDA) discovered that consumers across the country were unwittingly buying and using toxic hand sanitizers to combat the coronavirus, the agency is notifying the public about a completely different problem. Now, nearly two dozen sanitizers have been flagged for not containing enough active ingredients to kill the virus that causes COVID-19. And one has been detected to contain a substance possibly more toxic than methanol: It’s 1-propanol.

With these issues in mind, the FDA’s do-not-use list has expanded this week to about 100 brands and 150 varieties, including, for the first time, a sanitizer produced in China. Also added to the list in recent days were sanitizers manufactured in Ohio, Texas, Utah and North Carolina. Most of the other problematic brands were produced in Mexico.

To be effective, sanitizers should contain high percentages of either of two forms of alcohol — at least 60 percent ethanol or 70 percent isopropanol — that are safe on human skin, according to the Centers for Disease Control and Prevention.In the last 10 days, the FDA has identified 20 sanitizers that didn’t contain enough ethanol, isopropyl or another active ingredient to be effective.

Some of those sanitizers also contained methanol, another form of alcohol that is used to make fuel and antifreeze and is dangerous when absorbed through the skin (or inhaled or ingested). In mid-June, the FDA issued public alerts because five brands involving 19 varieties of hand sanitizer either contained methanol or were produced using equipment contaminated by methanol. The FDA reported a rash of illnesses and four deaths in the United States that it believes were connected to toxic hand sanitizers. The FDA’s ongoing investigation has found methanol contamination ranging from 1 percent to 80 percent in various sanitizers.

On Wednesday, the FDA flagged four varieties of sanitizer manufactured by Harmonic Nature because it was found to contain 1-propanol. That toxin can cause allergic reactions, nervous system problems and even death if it is absorbed through the skin, ingested or comes into contact with the eyes. The FDA on Wednesday asked the company to recall the products. Symptoms of 1-propanol exposure include confusion, slowed pulse and slowed breathing.

Most of the companies producing those dangerous sanitizers never registered before with the FDA to produce over-the-counter drugs. Hand sanitizer falls into that category with the FDA.

The brands called out by the FDA include: V-Klean, CleanCare, dgreen, Clean Humans, Datsen, Bernal, Inflatables Alcohol Antiseptic, Medically Minded, Protz, OZO, UltraCruz and Healthy Food and Nutrition Lab (HF&N).

One of the new brands on the list Tuesday was Leafree Instant Hand Sanitizer, manufactured by Yangzhou Olande Cosmetic Co. in China. The product was labeled “edible alcohol,” the FDA said. No sanitizers containing ethanol or isopropyl alcohol are intended for consumption. The FDA promptly put an import alert on it to stop it from entering the United States.

Consumers are urged to scrutinize any hand sanitizer they’ve bought since March, which is when the FDA relaxed its guidelines to allow unregistered companies to produce hand sanitizer.

The FDA says consumers shouldn’t use sanitizers from any of the named companies, even if the variety or lot numbers are different. Pay close attention to products manufactured in Mexico, products with no disclosure about where they were produced and products with names you’re not familiar with or that sound odd — for example, simply, “Hand Sanitizer.”

“Manufacturers’ failure to immediately recall all potentially affected products is placing consumers in danger of methanol poisoning,” the FDA said. “Additionally, the FDA is strongly urging distributors and retailers to stop distributing and selling hand sanitizers manufactured by the firms on the list immediately, even if the particular product is not included in a recall, due to the risk of methanol poisoning.”

Consumers should continue to check for updates to the FDA’s list of dangerous products because its investigation is ongoing.

Consumers and health care professionals are encouraged to report issues with hand sanitizers to FDA’s MedWatch Adverse Event Reporting program. People can:

Complete and submit the report online; or

Download and complete the form, then submit it via fax at 1-800-FDA-0178.

Consumers, manufacturers or distributors who have questions can email the FDA at COVID-19-Hand-Sanitizers@fda.hhs.gov.

Anyone experiencing symptoms such as headache, blurry or impaired vision, nausea, vomiting, abdominal pain, loss of coordination or confusion and believes it’s connected to hand sanitizer can contact Poison Control at 1-800-222-1222 or your doctor.

Here’s the list of hand sanitizers the FDA has flagged as of Aug. 13 that should not be used:

Alcohol Antiseptic 62% Hand Sanitizer (Quimica Magna de Mexico)

Alcohol Antiseptic 75% Topical (Harmonic Nature)

Alcohol Antiseptic 80% topical (Botanicals Internacional)

All-Clean Hand Sanitizer (EskBiochem)

All Clear Hand Sanitizer (Botanicals Internacional)

Always Be Clean (Open Book Extracts, North Carolina)

AMX Instant Hand Sanitizer (Noticias Mexico Hoy Grupo Multimedia)

Andy’s (Limpo Quimicos)

Andy’s Best (Limpo Quimicos)

Antiseptic Alcohol 70% Topical Solution hand sanitizer (Soluciones Cosmeticas)

Anti-Bac Hand Sanitizer (Real Clean Distribuciones)

Assured (4E Global)

Assured (Albek de Mexico)

Be Safe (Tropicosmeticos)

Bernal (Quimica Magna)

Bersih (Soluciones Cosmeticas)

Bio AAA Advance (AAA Cosmetica)

Blumen (4E Global SAPI de CV)

Born Basic (Real Clean Distribuciones)

Britz (Tropicosmeticos)

BV BYE Virus (Plastico Las Palmas)

Cavalry (Real Clean Distribuciones)

Clean Humans (DEPQ Internacional)

CleanCare NoGerm (Precision Analitica Integral)

CleanCare NoGerm (Eskbiochem)

Cleaner Hand (Tropicosmeticos)

Command Gel (Roque Plast)

DAESI hand sanitizer (Yara Elena De La Garza Perez Nieto)

Datsen (Quimica Magna)

Derma70 Hand Sanitizer (Asiaticon)

Dgreen (DEPQ Internaciona)

Earths Amenities (DDI Multinacional)

Enliven (Real Clean Distribuciones)

Esk Biochem (Eskbiochem)

Foamy iQ (Spartan Chemical)

GelBac (Incredible Products)

Good Gel (Eskbiochem)

Greenfrog (Notarika)

Greenfrog Sanitizing Wipes (Notarika)

Hand Sanitizer (DEPQ Internacional)

Hand Sanitizer (Grupo Insoma)

Hand Sanitizer (Grupo Plast Y Kosas)

Hand Sanitizer (Incredible Products)

Hand Sanitizer (MXL Comercial)

Hand Sanitizer (Real Clean)

Hand Sanitizer (Soluciones Cosmeticas)

Hand Sanitizer Agavespa Skincare (DDI Multinacional)

Hand Sanitizer Disinfectant Gel (Resource Recovery & Trading)

Handzer (Tropicosmeticos)

Hello Kitty (4E Global)

Herbacil (Broncolin)

HF&N (Healthy Food and Nutrition Lab)

Honeykeeper (4E Global)

In Good Hands (Plastico Las Palmas)

Inatek (Botanicals Internacional)

Incredible Products (Pacific Coast)

Jalisco (Grupo Plast)

Jaloma (Laboratorios Jaloma)

Just Hand Sanitizer Single-Use Packs (Open Book Extracts, North Carolina)

Klar and Danver (4E Global)

Kleanz (Tropicosmeticos)

Lavar (Eskbiochem)

Leafree (Yangzhou Olande Cosmetic)

Leiper’s (Leiper’s Fork Distillery, Tennessee)

Lite’n Foamy by Roque Plast (Spartan Chemical Co Inc., Ohio)

LumiSkin (AAA Cosmetica)

Lux Eoi (Real Clean Distribuciones)

M Hand Sanitizer (Grupo Plast)

Medical Mary Clean (Noticias Mexico Hoy Grupo)

Medically Minded (Asiaticon)

Modesa (Albek de Mexico)

Mystic Shield Protection (Mystic International)

NeoNatural (Limpo Quimicos)

NEXT (Albek de Mexico)

NuuxSan (Albek de Mexico)

O.K. Pharmacy (Grupo Plast)

Optimus (Liqesa Exportacion)

OZO (Estrategia Hospitalaria)

OZO (Ismar Soluciones Dinámicas)

Parabola (Tropicosmeticos)

Plus Advanced (Limpo Quimicos)

Protz Real Protection Antibacterial (Asiaticon)

Purity (Soluciones Cosmeticas)

QualitaMed (AAA Cosmetica)

ResQue 1st (Botanicals Internacional)

Saniderm (Eskbiochem)

Sayab (JG Atlas Comercios)

Scent Theory – Keep It Clean (Real Clean Distribuciones)

Selecto (Maquiladora Miniara)

70% Alcohol Gel Hand Sanitizer (Botanicals Internacional)

Shine and Clean Hand Sanitizer (Maquiladora Miniara)

SkinGuard24 All-Day (SG24 LLC, Georgia)

Total Pure (Botanicals Internacional)

TriCleanz (Tritanium Labs USA LLC, Illinois)

TriCleanz (Incredible Products)

UltraCruz (Santa Cruz Biotechnology, Texas)

Urbane Bath and Body (Tropicosmeticos)

V-KLEAN (Asiaticon)

Vidanos Easy Cleaning (DDI Multinacional)

Volu-Sol (Volu-Sol, Inc., Utah)

Wave (Tropicosmeticos)

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Water & Sanitation This WHO-UNICEF Initiative Is Fighting so Everyone Can Wash Their Hands Against COVID-19

Nearly half of the world population can’t wash their hands at home.

Why Global Citizens Should Care

COVID-19 has been called an equaliser, because it doesn’t discriminate based on race, gender, geography, sexuality or religion. Yet, in the months since the World Health Organisation declared coronavirus a pandemic, it’s become increasingly evident that people from marginalised communities and poor countries bear the brunt of the virus due to lack of access to resources, like water and sanitation. You can join us here to take actions to help mitigate the impact of COVID-19 on the world’s most vulnerable communities.

It’s often been said that changing personal behaviour is vital in containing COVID-19: wearing a mask in public, maintaining social distance, and frequently washing hands with soap and clean water.

Yet for 3 billion people globally, access to hygiene is not as simple as turning on a tap, according to the United Nations Children’s Fund (UNICEF).

That’s 40% of the world population who cannot wash their hands with soap and water in their homes.

The majority are in sub-Saharan Africa, while children and people who live in informal settlements, refugee camps, or conflict areas are most affected by the continent’s lack of clean water and sanitation facilities.

The World Health Organisation (WHO) and UNICEF have recently launched a hand-washing initiative aimed at bringing attention to the plight of people who don’t have access to clean water and are, therefore, unable to protect themselves effectively from COVID-19.

“Hand hygiene has never been more critical, not only to combat COVID-19, but to prevent a range of other infections. Yet, nearly six months since the onset of the pandemic, the most vulnerable communities around the world continue to lack access to basic hand hygiene,” said the executive directors of UNICEF and WHO, Henrietta Fore and Dr. Tedros Adhanom Ghebreyesus, in a joint statement.

The statement added: “According to our [UNICEF and WHO] latest data, the majority of people in the least developed countries are at immediate risk of COVID-19 infection due to a lack of hand hygiene facilities.”

The statement said one billion people are at direct risk of contracting COVID-19 as a result of not having water and soap in their homes, and that almost half of then are children.

However, it’s not only homes that lack access to clean water, the statement added. “All too often, schools, clinics, hospitals and other public spaces also lack hand hygiene facilities, putting children, teachers, patients and health workers at risk. Globally, two in five in health care facilities do not have hand hygiene at points of care,” said the statement.

A report by World Vision revealed that nine out of 10 countries in the world with the worst access to water are African.

These include: Eritrea, where 81% of the population do not have clean drinking water. In Uganda, 61% of the population doesn’t have basic water services. The figures are 61% in Ethiopia, 60% in Somalia, 59% in Angola, 58% in the Democratic Republic of the Congo, 58% in Chad, 54% in Niger, and 53% in Mozambique.

“The COVID-19 pandemic has exposed an uncomfortable truth: too many people around the world simply cannot clean their hands,” said the statement.

UNICEF and WHO said they will be working through the initiative with other international partners, national governments, the public and private sectors, and community organisations to ensure that products and services are available and affordable, and to enable a culture of hygiene. This includes ensuring that handwashing stations are accessible, especially in disadvantaged areas and among marginalised communities.

“We must also ramp up investment in hygiene, water and sanitation, and in infection prevention and control,” said the statement. “We urge countries to scale up, systemise, and institutionalise hand hygiene and commit to strengthening the enabling environment, supply vital products and services, and to actively promote hygiene practices as part of a package of actions that save lives.”

You can join us to help mitigate the impact of COVID-19 on the world’s most vulnerable and marginalised communities by taking action here.

By Lerato Mogoatlhe
Published July 2, 2020

Hand washing has been a focus under COVID-19. Here's why we should try and make the habit stick

Never before have so many of us been so attentive to the cleanliness of our hands.

With the quest to avoid COVID-19, we can’t so much as enter a supermarket without magic fluid being squirted into our upturned palms, and most of us are lathering up at the basin multiple times a day too.

But will this newfound love of soap and sanitiser last? And if so, how will it change things?

Will we all enjoy extended stints free of the common bugs that hands can help spread, like nasty colds and gastro illnesses?

Or could there be a downside? Could all this cleanliness perhaps weaken our immune systems, increasing our risk of developing allergies and autoimmune diseases?

Clean hands have benefits beyond controlling coronavirus

Infectious diseases specialist Peter Collignon can’t see anything bad about the current spike in attention to our hands. And he’s talking about more than controlling COVID-19.

Research has shown that hand washing can prevent about 30 per cent of diarrhoea-related sickness and about 20 per cent of respiratory infections.

Some scientists go as far as arguing 80 per cent of diseases could be prevented if we all kept our hands clean.

But the impact of grubby hands in spreading disease has long been under-appreciated by the public.
Coronavirus update: Follow all the latest news in our daily wrap.

Studies before the pandemic said as many as 30 per cent of people did not wash their hands at all after using a bathroom and that correct hand washing was practised at such low rates that only 20 per cent of people in airports had clean hands.

But the fact that hand sanitiser was impossible to buy for many weeks and social media sites buzzed with questions about making your own (perhaps using vodka or gin from your drinks cupboard to meet the required alcohol content), suggested COVID-19 had turned our attitudes to our hands around.

It seems our efforts are paying off.

Not only have we had success in “flattening the curve”, there is now “good evidence” from GP reports and laboratory assessments that there’s been a 70 per cent drop in colds and flu-like illnesses since the pandemic began, Professor Collignon says.

While it’s hard to separate the effects of physical distancing, cleaner hands would certainly have contributed to this.

“You see a lot more hand rub everywhere you go. Overall I think people’s behaviour.. has improved quite markedly.”

In the past it was easy to dismiss the idea grubby hands spread germs, he says.

People thought “oh well maybe [hand washing] works, but I’m not convinced” or “the common cold and even the flu is trivial for me, so it doesn’t matter”.

But it’s since become clear that not only can COVID-19 kill, it can also cause profound and often lasting damage from one end of the body to the other.

Self-interest can be a powerful motivator and “here is a disease you don’t want to get”, Professor Collignon says.

“If you [practise] hand hygiene, you decrease remarkably the chance of inoculating yourself.”

That’s because one of the key ways COVID-19 spreads is as droplets, which you can easily pick up on your hands from surfaces contaminated when an infected person coughs or sneezes.

If you then touch your eyes, nose or mouth, virus can easily latch onto cells and multiply. It can then be inhaled into your airways or possibly even make its way around the body by passing from the inside of one infected cell to another.

Washing your hands with soap and water not only breaks up the virus, it also washes it away.

So long as you don’t have clumps of dirt or other material that could harbour hidden virus particles, a sanitiser that contains at least 60 per cent alcohol, will also destroy the virus.

There’s a good chance our changed behaviour around hand washing will become entrenched, because living with the threat of COVID-19 has become the new normal, Professor Collignon says.

“The reality is this virus isn’t going to go away soon,” he says.

“We’ve got this problem for at least a year-and-a-half or two years and that’s on the proviso a vaccine comes that is safe and effective.

“But no vaccine is 100 per cent perfect, so even vaccination doesn’t make the risk go away completely.

“I think we might see a sustained drop in lots of respiratory transmissions.”

Isn’t a bit of dirt good for your immune system?

But plenty of us have heard the notion being too clean can cause your immune system to stop working properly.

It’s thought this might result in conditions like autoimmune diseases and allergies.

So as we diligently wash and dissolve away the new coronavirus from our hands, could we also be wiping out a host of other microbes that we actually need to keep us healthy?

The notion that exposure to certain bacteria, fungi and other micro-organisms in our environment may be important in ‘training’ our immune systems is known as “the hygiene hypothesis”.

But evidence to support this idea is limited.

In any case, the bugs that seem to matter are mostly those from the gut of our mothers passed to us as babies, along with organisms from the natural environment, not the germs that cause serious infections.

Early research suggested infections in childhood were important, but later work showed this wasn’t the case.

The short story is we have much more to gain than to lose by paying good attention to hand hygiene, Professor Collignon says.

“I don’t think there’s good evidence if you’re more hygienic with your hands, you’re going to have more autoimmune diseases. Even if you are, that [drawback] would be more than offset by having less of the diseases that can kill you in a hurry,” he says.

“The hygiene hypothesis is just that — a hypothesis. Whereas there is no doubt COVID and typhoid and cholera can kill you and you want to avoid them.

“Washing your hands is a great way to help do that.”

There is even evidence that bacteria that are “good” for us are better than other types of bacteria at sticking to the skin of your hands when you wash them with soap and water.

“So basically the bugs that are better for you are less likely to wash down the drain.”

We’re good at hand-washing… for a while

Marylouise McLaws, who has been involved in many studies of hand hygiene, agrees the current pandemic has been a turning point in attitudes, but says it’s common in outbreaks for there to be an initial surge in interest in hand washing. This often subsides when the threat passes.

Her studies of compliance with hand hygiene among health care workers suggest they do the right thing only on average around half the time, with nurses more diligent than doctors.

But both have been shown to perform better when being watched by human auditors compared to remote monitoring based on use of a hand washing station.

Lack of knowledge isn’t the problem, it’s more that doctors and nurses “get busy thinking about other things,” says Professor McLaws, from the University of NSW.

If healthcare workers can manage to do the right thing only about half the time, she’s not so confident the general public will do better.

“The general public don’t see a lot of disease in our community. Only 44 per cent of people get a flu vaccine,” she says.

While Professor Collignon concedes changing any behaviour long term is difficult, he says we need only look at the success of quit smoking and drink driving campaigns to see what is possible.

“There are behaviours you wouldn’t think you’d be able to change, that with time, you can.”

How to wash your hands: a refresher

So do your best to make hand washing a lasting habit.

To reduce the risk of drying out your skin, wet your hands before applying the soap, Professor McLaws says.

Soap that is too concentrated or is not washed away properly can be a problem, she says.

And if you use alcohol-based rub, don’t use soap and water straight afterwards because the alcohol makes your skin more ‘penetrable’ by the soap, and therefore more prone to drying out.

“Once you’ve sanitised, you don’t need to wash your hands until your next hand hygiene.”

By Cathy Johnson
Published at ABC Health & Wellbeing


Nelson Mandela's 2003 hand-washing PSA serves as good reminder today

A 2003 video of Nelson Mandela teaching a child how to properly wash his hands serves as a good reminder in a world crippled by the coronavirus pandemic.


The public service announcement, which was resurfaced this week by the Nelson Mandela Foundation, shows the late activist and former South African president using soap and water while instructing the boy to wash and rinse thoroughly.

“While we continue to deliver safe water and sanitation to all our people, only you can protect yourself through good hygiene,” the PSA’s narrator says.

“Everybody should practice good hygiene,” Mandela continues.
The Centers for Disease Control and Prevention recommends thorough and frequent handwashing as a way to protect oneself from a COVID-19 infection.

Use soap and water for at least 20 seconds, especially after you have been in a public place, the CDC advises.

By abc7ny.com
March 26, 2020 8:38PM