The Ease of Cross-Contamination Prevention

Those of you who are seriously concerned about the spread of Coronavirus and other flu viruses should be looking into cross-contamination prevention rather than attempting to defeat contamination with constant hand-washing- which is not a feasible option if you plan on having normal days away from the facilities you would need in order to ‘keep clean’.

In truth, washing your hands constantly doesn’t sterilize them! Only hand sanitizers that have at least a 70% (or higher) ethyl alcohol content can kill most bacteria and similar microbes to 99%. You’re probably wondering at this point if there is any way, then, to prevent the spread of this virus by hand contact!

I feel that the best preventative is to follow the example of surgical physicians who not only scrupulously wash their hands prior to surgeries (and clear up to the elbow, by the way!) but also wear surgical gloves- and often two layers of gloves because it’s so easy for the gloves to be compromised by suture needles and scalpels, etc. (Even double–gloving can’t fully guard against micro-perforations, so doctors, surgical assistants and attendants may change gloves often during a single operation.) This process, however, is the essence of preventing cross-contamination.

     You’re probably wondering how this practice could feasibly be used in an every day consumers day-to-day life that is relevant and comprehensive. Since the break out of the super flu virus COVID-19, I have personally been using disposable gloves on my hands which I don prior to going into stores- before I ever have to manually pull a publicly-used door open! I keep the gloves on while I shop, check out and after I leave the store I pull them off and properly discard them in a wastebasket. You can buy very inexpensive plastic liner gloves in a dollar store for about $1 per hundred. This process makes hand washing irrelevant and unnecessary. It protects you, other shoppers, the checkout clerk and even the stock workers. What could be easier than that, I ask?
     May 28, 2020 update: 
          
In case you’re unfamiliar, here’s a quick recap of how to safely remove your gloves:

• Grasp the outside of one glove at the wrist, being careful not touch your skin.
• Peel the glove away from your body, pulling it inside out.
• Hold the glove you just removed in your other gloved hand.
• Peel off the second glove by putting your fingers inside the glove at the top of your wrist.
• Turn the second glove inside out while pulling it away from your body, leaving the first glove inside the second.
• Throw the gloves into the trash immediately. (Don’t leave them in the store parking lot outside of your vehicle or try to reuse them later.)
• Wash your hands or use hand sanitizer directly after you’ve removed the gloves, if you wish.

      How do I know about this, you say? Well, as a licensed professional manicurist I was trained in sterilization and sanitization while I attended school for my diploma. While in school I did 60 hours instruction and practice in sterilization and sanitization- 20 more hours than is required by law- and I received high grades in every aspect of my training. I received a 100% on sterilization.

     There are some codes and regulations that licensed beauty professionals must adhere to, concerning public safety and health, not just for themselves but the public that they work on every day. The two most important regulations concerning the prevention of spreading viruses are under:

     Section 7312 (e), Busi. and Prof. Code  983 (b) Every licensee or student performing services shall thoroughly wash his or her hands with soap and water and/or any equally effective alcohol-based hand-cleaning product immediately before serving each client.

     Section 7312, (e) Busi. and Prof. Code  984 (a) No establishment or school shall knowingly permit a licensee or student afflicted with an infection or parasitic infestation capable of being transmitted to a client, to serve clients or train in the establishment or school.

     The latter is also under the Health and Safety Code under section 121365 for the California State Board. Colorado and most other states have identical or similarly written and published codes with numerous others under Article 12.

     There are more numerous and extensive laws that prevent us from doing any services on potential patrons who have infectious diseases and illnesses, as well. This is obviously also a cross-contamination prevention measure which should be strictly enforced but many nail salons are being run by unlicensed techs whose salons are often also unlicensed. I’m sure you can see the potential dangers that lurk in ignorance of these laws.

     Application of these laws for both patron and nail techs is imperative in times when virus breakouts like COVID-19 are in a state of epidemic for a nation the size of ours. Obviously, the uses of gloves are not practical or feasible for the patron in these cases, so the nail tech needs to be as vigilant and aware as the patron in discerning problems either way. Get yourself educated. Talk about these concerns with the potential tech before you ever walk through those doors and make certain that you will be protected. If you are sick, quarantine yourself. Think of others. Be responsible. The life you save may be your own.  

Need conversation on this subject? Leave a comment. I'd love to help!

 

Keeping your hands healthy and beautiful

    One subject that I have not yet covered but may be quite timely to discuss, is how we may consistently wear artificial nails or strengthening shields (on natural nails) but keep such problems as mildew and fungus- which may occur at any time- cured or under control. In cases of more than 5 outbreaks, on separate nails, in the same occurrence I usually urge the client to have all artificial products removed and go through a series of nail treatments to cure the outbreaks and also to probe for any provoking activity which may have caused the outbreaks. Excessive lifting of artificial product combined with a lot of hands-in-water usage exacerbates the outbreaks of mildew specifically and that is why removal of all artificial products is crucial to quick recovery in extreme cases.

     First, it is necessary for you and your technician to recognize the difference between mildew breakouts and nail fungus. Mildew breakouts are easily treatable whereas fungus is much more difficult to get under control. (You should also know that fungus is discovered in the nail bed and under the nail and is not caused by wearing artificial nail products.)

    Wearing artificial nail products in continuance with either occurrence will make it more difficult if not impossible to treat with any success. Fungus does not just show up in one nail but may infect every single fingernail because the cause is underlying, in underlying tissue (nail bed), and not the nail itself. Mildew, conversely, starts and spreads on top of the nail and can be treated with professionally formulated products, or thymol and/or white iodine quite effectively and easily. It may infect one nail only, several or all the nails. An old cure method of mildew made use of chlorine to treat mildew but has long been abandoned for use because it is too extreme and can permanently disfigure nails. The practice of using chlorine which has a distinctive and strong odor has also been banned for such use as it was never intended to be used on or near human tissue of any kind.

     (Caution note: Primer does not kill or treat fungus. Its unusually strong odor doesn’t create any such effect on the nail. The sole purpose of primer is to soften nail tissue to make acrylic bond tighter to the nail. If your nail tech thinks primer has any such antiseptic properties, find yourself a licensed nail tech who knows how to treat the problem!)

     Mildew infections are a distinctive green color. Treatments will not remove the color stain at all- only the infection. The nail infected with mildew must be left to open air after one treatment and will fade as long as the nails are kept clean and dry. No band aids, tape or any covering that can trap moisture should be on the nails for at least 72 hours after treatment. After that, artificial nails may be applied over the affected area as long as both client and tech are assured that the artificial product will not lift after application. This is because trapped water between overlay and fingernail may start the infection process all over again.

    

healthy set

A fungus infected nail, however, will have a distinctive and bright yellow look to it. It cannot be filed off or treated topically but should be treated as a highly contagious problem very much like athlete’s foot. Nail technicians should know to refer you to a doctor- although treatments by regular doctors are very controversial and may cause worse problems to the client than the limited effects of nail fungus. Sometimes fungus is transferred from toe nails to fingernails. In any case hands would have to be exposed, in some way, with fungus in order to start a fungal infection. If it goes untreated it will not go away with air exposure because it is trapped between the nail plate and the nail bed. You may have more success in ridding yourself of it if you contact a podiatrist because they deal with this type of fungus much more often and most likely, with more success. For obvious reasons, you should not wear artificial nails at this time and certainly not until the condition has been cured. A podiatrist will insist on removal of artificial product in order to treat a patient. It is for this reason that I only recommend visiting a podiatrist rather than a regular MD.

     I have personally taken some statistics down based on my own experience with all my clients over a forty-two year period and have discovered that I have only had to treat 2% of my clients with mildew breakouts. Most of them were limited- one outbreak or a few and never all ten nails. I have seen fungus under the toenails of quite a few people who were not clients. However, I have not yet encountered anyone with fungus under toenails or fingernails as a client. It is very unlikely, according to my decades of experience, that you will ever contract such a fungus. As I said before, artificial nail products are irrelevant and immaterial to fungal infections. However, I cannot stress enough to you that if you are one of the few people who are prone to nail fungal infections, I would advise you to not wear any types of artificial nails because wearing them would only complicate a cure and perhaps exacerbate the condition and prevent a cure, ultimately.

    Mildew is much more common. You should check your nails- with each lifted nail enhancement- to find out if mildew accompanied the problem. It should be treated by your tech as soon as possible and if this is not possible then you should keep white iodine on hand to treat it yourself until you can get to your tech. If other clients of your tech experience a lot of mildew problems your tech may be spreading the condition because she’s not practicing good sanitation habits. It pays to converse with fellow clients! It is possible that metal bit drills, if not routinely sanitized, can spread mildew like wildfire. You can also just develop it on your own with no fault from the tech but when you are being treated check to make sure that the bit used on you is sanitized before and after your service, regardless. The most important part of professional manicure sanitation is prevention measures. I prefer to use disposable, coarse file wraps on bits, which can be used once and thrown away.