By W. Gifford-Jones, MD and Diana Gifford-Jones —— Bio and Archives--April 29, 2023
Health and Medicine | Comments | Back To Full Article

When asked how to become a famous comedian, Steve Martin replied, “Be so good they can’t ignore you.” It’s true, bad performers can usually be ignored. But there’s no ignoring bad public washrooms.
Public washrooms have a reputation for abysmal filth, as evidenced by dirty toilets, overflowing trash, empty or broken soap dispensers, sloppy countertops, and door handles not to be touched.
An American survey found that 21 percent of respondents used a public washroom at least six times a week, sometimes over 15 times! The reason was not always obvious.
Youth tend to visit washrooms to use their phones, change their clothes, or “get away”. In fact, 21 percent of youth acknowledge the use of public washrooms to take a mental health break, to avoid someone, and on occasion to cry.
Older people, in addition to using the facilities, also visit public washrooms to check their appearance.
Whatever the reason to visit, how important is it to take precautions? The good news is that some of the germs found in public washrooms are no different than the germs found in many other places, including the bathroom at home.
Take Staphylococcus aureus for example. It will be found in dirty public washrooms. But it is also commonly carried around by 20-30 percent of people on their skin or in the respiratory system. It is an opportunistic pathogen, meaning it starts to cause trouble not when commonly encountered in the washroom but when the immune system is weakened or when the natural balance of bacteria in the gut is altered.
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