Basic Hygiene Research Articles

The Implications of Handwashing and Skin Hygiene on Infectious Disease Dynamics: The African Scenario

Infectious diseases are largely preventable, yet they continue to pose a significant threat to public health, particularly among vulnerable populations in developing countries. Basic hygiene practices, especially hand and skin hygiene, have been shown to significantly reduce the risk of the cross-transmission of infections, including those caused by multi-drug-resistant organisms. In light of the growing global concern about antimicrobial resistance, there is an urgent need to review and reinforce these practices. This study provides a general overview of the role that hand hygiene practices play in decreasing infectious diseases by conducting a comprehensive review. Multiple online databases, including Google Scholar, Scopus, and Web of Science, were searched using relevant keywords such as “hygiene practices”, “infectious diseases”, “public health”, “Africa”, and “sanitation”. After filtering the search results for relevancy, selected studies were narratively synthesized to present the latest data on hand hygiene and its impact on infectious diseases. Strengthening hand and skin hygiene, along with environmental sanitation and preventive measures, can help reduce the spread of nosocomial infections. By emphasizing the importance of these fundamental hygiene practices, particularly in regions where the burden of infectious diseases is highest, the development of antibiotic-resistant diseases can be prevented, improving patient safety, and enhancing public health outcomes. Adopting comprehensive hygiene policies, including regular handwashing, is crucial for reducing the prevalence of infectious diseases and improving health outcomes in developing countries.

Restroom access and health among people experiencing homelessness: A focus on San Diego, CA

ABSTRACT Access to restrooms is vital to personal and public health, particularly among people experiencing homelessness (PEH). This study investigated how restroom access is associated with three domains of self-reported physical health (voiding and defecation-related conditions; skin conditions; and hypertension) among PEH in San Diego, CA. Data from 115 structured interviews with PEH (67.8% male, 40.0% mono-racially White, 57.4% rough sleeping) indicated that 37.4% (n = 43) reported typically using public restroom facilities, 38.3% (n = 44) reported typically using private facilities, and 23.5% (n = 27) reported typically engaging in open defecation. There were moderate to strong associations between urinary, gastrointestinal, and dermatological health conditions and stressors/barriers related to restroom access. The proportion of participants with ≥1 skin-related health conditions who engaged in open defecation was substantially higher (40%) compared to participants who reported no skin-related health conditions who engaged in open defecation (17.9%) (χ2(df = 1,108) = 5.25, p = 0.02). Participants who reported ≥3 voiding or defecation-related health conditions or ≥1 skin-related health conditions reported higher mean restroom-related impediments to health relative to participants without these health conditions. Restricted restroom access may prevent PEH from fulfilling their basic sanitation and hygiene needs, and may exacerbate urinary, gastrointestinal, and skin health conditions.

Hygiene practice and diarrhea prevalence among underfive children in Myanmar: a cross-sectional study

BackgroundOver 1.7 billion instances of diarrheal illness in children are reported worldwide yearly. Diarrhea was a major cause of death in children, accounting for 9% of all global under-five child deaths in 2021. The objective of this study was to identify the association between hygiene practices and childhood diarrhea among under-five children in Myanmar.MethodThis cross-sectional study was conducted in 16 townships from 8 states and regions of Myanmar. 1207 children between the ages of 6 and 59 months were recruited by multistage random sampling. Data were collected with a preformed questionnaire after participants provided consent. Multiple logistic regressions were administered to determine the factors associated with childhood diarrhea.ResultThis study found that 86 (7.13%) under-five children experienced diarrhea disease. This study identified that children receiving limited hygiene services were 2.85 times (AOR = 2.85, 95% CI: 1.31 to 6.21; p value 0.01) and children without hygiene services were 2.63 times (AOR = 2.63, 95% CI: 1.42 to 4.89; p value 0.01) more likely to have diarrhea disease than those with basic hygiene services. Other factors associated with diarrhea included: fathers who washed their hands less than four steps (AOR = 2.20, 95% CI: 1.29 to 3.74; p value 0.01), families taking more than 15 min to collect water (AOR = 1.77, 95% CI: 1.06 to 2.97; p value 0.03), families sharing toilet usage (AOR = 2.00, 95% CI: 1.15 to 3.48; p value 0.01), mother’s inadequate and problematic hygiene promotion health literacy (AOR = 2.20, 95% CI: 1.24 to 3.90; p value 0.01), houses made of bamboo or lacking floors (AOR = 2.31, 95% CI: 1.38 to 3.89; p value 0.01), families with three or more children (AOR = 1.68, 95% CI: 1.01 to 2.79; p value 0.05) and breastmilk being the primary food after 6 months of age (AOR = 2.07, 95% CI: 1.09 to 3.93; p value 0.03).ConclusionsEnsuring access to basic hygiene services, getting water at home 24 h per day, seven days per week, using private toilets, promoting hygiene health literacy, improving house flooring, family planning and introducing a variety of foods after age 6 months could significantly prevent diarrhea among under-five children in Myanmar. This study underscores the critical role of handwashing facilities in reducing the diarrhea incidence in children.

ASSESSING FOOD SAFETY AWARENESS AND PRACTICES AMONG STREET FOOD VENDORS IN KATSINA STATE, NORTH WESTERN NIGERIA

Food safety is a critical global issue, with contaminated food posing serious health risks, particularly to vulnerable populations such as children under five, the elderly, and the sick. This study examined food safety practices among street food vendors in major towns of Katsina State. Using structured questionnaires and a multi-stage sampling technique, data were collected from a total of 316 street food vendors to assess vendors' awareness and adoption of food safety measures. Descriptive statistics and traffic light model were used to analyse the data. While vendors demonstrated high awareness of basic hygiene practices like washing utensils and avoiding work when ill, the adoption of other crucial practices, such as using hand gloves and maintaining clean selling locations, was found to be low. This gap between awareness and practice highlights the need for targeted interventions, including training programs and public awareness campaigns, to bridge the knowledge-behaviour gap. The traffic light model categorized food safety risk to levels, revealing that many vendors operate at high to moderate risk levels. These findings underscore the importance of continuous monitoring, feedback, and enforcement of food safety regulations. Recommendations include enhancing access to resources, providing incentives for good practices, and implementing regular health and safety audits. This can significantly reduce foodborne illnesses, ensuring safer food consumption, and supporting national health and economic development through safer trade and tourism activities. This study contributes to the on-going discourse on food safety in developing regions and highlights critical areas for policy and practical interventions to safeguard public health.

Water and energy deprivation: Addressing the problem of essential utility services poverty in Mayotte

Among the 17 sustainable development goals adopted by the United Nations in 2015 are ensuring “availability and sustainable management of water and sanitation” and “access to modern energy sources”. One problem for Mahorais households is access to safe, clean and affordable essential utility services, such as electricity, water and sewerage. Moreover, Mayotte, a French oversea department, is experiencing an unprecedented drought. The island, which is sinking into a severe water crisis, has been depriving its inhabitants of running water two days out of three since the beginning of September 2023. We define a new concept of utility services poverty (basic utility services deprivation) based on the theoretical capabilities framework of Sen and Nussbaum. Using a latent class model, we identify households that are poor in utility services and characterize four household profiles. One main advantage of this methodology is replicability in many Low and Middle Income Countries’ (LMICs). We demonstrate that access to water is more discriminatory than access to electricity in Mayotte. The top priority in fighting utility services poverty should be access to water and sanitary facilities. Public policies should be implemented not according to income but to facilitate water and energy access and improve basic hygiene conditions notably through social housing.

Water, sanitation, hygiene, and waste management in primary healthcare facilities in war-torn Tigray, Ethiopia: implications for infection prevention and control

BackgroundWater, sanitation and hygiene (WASH) and infection prevention and control (IPC) are compromised during emergencies and in the post-conflict period. The IPC-WASH status of primary healthcare facilities in Tigray, Ethiopia, is not known. The aim of the study was to assess the IPC-WASH status of facilities in war-torn Tigray, Ethiopia. MethodsAs part of a cross-sectional study, data were collected from January to February 2024 in 32 randomly selected primary healthcare facilities using an electronic Open Data Kit (ODK) based on a questionnaire. A descriptive analysis was conducted to describe the IPC-WASH services. The analyzed data were compared with the Joint Monitoring Program (JMP) service ladders and presented in texts, figures and tables. ResultsNearly seven out of ten primary healthcare facilities had improved water sources, nine out of ten had latrines with limited sanitation facilities, and four out of ten had handwashing facilities. Eight out of ten facilities had no access to personal protective equipment, and most facilities surveyed had very limited waste management services, IPC capacity building and IPC committee. According to JMP service ladders, almost one in four primary healthcare facilities had basic water supply, one in ten had basic sanitation, basic hygiene and basic waste disposal. ConclusionsThe overall result of the study shows that access to IPC-WASH is low in primary healthcare facilities in war-torn Tigray, Ethiopia. Collaborative efforts to improve access to basic IPC-WASH facilities and IPC capacity building are essential to improve the quality of care.

Post-war status of water supply, sanitation, hygiene and related reported diseases in Tigray, Ethiopia: A community-based cross-sectional study

Water, sanitation and hygiene (WASH) associated diseases remain a global public health issue and linked with Sustainable Development Goal 6. In November 2020, a war broke out in Tigray, Ethiopia, resulting in a negative health consequence. The post war status of WASH and its associated diseases are not documented. The aim of this study was to assess the status of drinking water, sanitation and hygiene practices and the prevalence of WASH-associated diseases in Tigray, Ethiopia following the war. A community-based cross-sectional study was conducted in 24 randomly selected accessible districts of Tigray, Ethiopia. A standardized questionnaire was used to collect data from households in the study. Data was collected from 2338 households. Descriptive statistics and binary logistic regression were used to analyze the data. The average age of respondents was 28.7 years (SD = 6.2). The majority of respondents 2030 (86.8%) were married and 1698 (72.6%) were rural residents. Nearly one third of the respondents were uneducated and around 40% have either radio or TV as means of communication. More than half (55.2%) of the respondents had a family size of over 5.A quarter (25%, 95% CI: 23.3, 26.8) of study participants had access to a basic water supply. Less than a tenth (7.7%, 95% CI: 6.6, 8.8) of households had access to basic sanitation. Basic hand washing was available in 2% of households. Malaria, diarrhoea, skin infection and eye infection were the common reported disease in the community. Marital status, family size, place of residence and liquid waste management were the most important predictors of reported diseases.Access to basic water, sanitation and hygiene services was low, and the prevalence of malaria, diarrhoea and skin infections was higher. There were differences in WASH services and reported diseases according to zone and place of residence (urban-rural). Post war, improved access to basic water, sanitation and hygiene services is recommended to prevent WASH-associated diseases in Tigray, Ethiopia. Furthermore, the prevention oriented policy of the country needs better implementation to reduce preventable diseases and ensure better health status in the community.

Наблюдения върху аспекти от потребителското поведение онлайн

In a period of less than a decade, technological leaps provide more and more methods of communication, and in addition to a quantitative increase, qualities such as the speed of messages, the volume of information, means and mechanisms, and others, also follow rapid development. And yet, users are losing the basic hygiene of communication. Behaviors that ensure safe, respectful and effective interactions in the digital environment are somehow becoming rare, especially between users who have different opinions. The article offered to your attention looks at the problems of communication in society and more precisely in digital communication, as the main focus will be on modern trends in the behavior of the public when consuming online platforms.

Partnering with community-based organizations to provide contextualized approaches to WaSH inequities in the United States

ABSTRACT While comprehensive data are lacking, estimates suggest at least two million Americans do not have access to basic water, sanitation, and hygiene (WaSH) services. These WaSH challenges are not uniformly distributed throughout the country, but rather, occur in pockets along lines of race and class, mirroring historical and current patterns of marginalization and disenfranchisement. Given the highly context-specific challenges and the geographic, cultural, and policy environments in which they have been produced, the CDC Foundation set out to support community-based organizations (CBOs) in responding to WaSH challenges within their respective communities (n = 7). The mixed-methods evaluation of the application of this CBO model to address WaSH challenges in the United States, suggests that this approach shows promise to bolster CBO capacity to address WaSH gaps within their communities, addressing immediate physical and informational needs. However, additional work is needed to understand the sustainability of these changes and how programs can be designed to support longer-term, systems change.

Seroprevalence of IgG and IgM Antibodies against Toxoplasma gondii in Dogs in Greece.

Toxoplasmosis, caused by the protozoan Toxoplasma gondii, is a zoonotic disease that affects various animal species, including dogs, that can serve as sentinels for indirectly estimating the environmental contamination. The current study aimed to determine the seroprevalence of T. gondii IgG and IgM antibodies in dogs across different regions of Greece and assess their living area as a potential risk factor. In total, 1282 blood samples were collected from dogs in urban and rural areas of Greece, including Attica and Thessaloniki. Serum samples were tested for T. gondii-specific IgG and IgM antibodies using an indirect immunofluorescent antibody test. A chi-square test was performed to assess the association between seropositivity for T. gondii and geographical location (urban/rural). The overall T. gondii seroprevalence was 47.6%, while the seroprevalence of IgG and IgM antibodies was 34.3% and 22.2%, respectively. Dogs from rural areas exhibited a significantly higher seroprevalence (53.8%) than those from urban areas (43.9%) (p < 0.001), with the estimated odds ratio being equal to 1.49 (95% CI, 1.18 to 1.65) and the relative risk increased by 22.4%. Dogs in Greece are highly exposed to T. gondii, particularly in rural areas. Measures to prevent canine infections are necessary, and basic hygiene practices, such as hand washing after petting dogs, are required to reduce human infection risk and safeguard public health.

Dissecting Water, Sanitation, and Hygiene (WaSH) to Assess Risk Factors for Cholera in Shashemene, Oromia Region, Ethiopia.

Cholera outbreaks have afflicted Ethiopia, with nearly 100 000 cases and 1030 deaths reported from 2015 to 2023, emphasizing the critical need to understand water, sanitation, and hygiene (WaSH) risk factors. We conducted a cross-sectional household (HH) survey among 870 HHs in Shashemene Town and Shashemene Woreda, alongside extracting retrospective cholera case data from the Ethiopian Public Health Institute database. Relationships between WaSH and sociodemographic/economic-levels of HHs were examined. WaSH status and cholera attack rates (ARs) were described at kebele-level using geospatial mapping, and their association was statistically analyzed. Access to basic drinking water, sanitation, and hygiene facilities was limited, with 67.5% (95% confidence interval, 64.4-70.6), 73.4% (70.3-76.3), and 30.3% (27.3-33.3) of HHs having access, respectively. Better WaSH practices were associated with urban residence (adjusted odds ratio, 1.7, [95% confidence interval, 1.1-2.7]), higher educational levels (2.7 [1.2-5.8]), and wealth (2.5 [1.6-4.0]). The association between cholera ARs and at least basic WaSH status was not statistically significant (multiple R2 = 0.13; P = .36), although localized effects were suggested for sanitation (Moran I = 0.22; P = .024). Addressing gaps in WaSH access and hygiene practices is crucial for reducing cholera risk. Further analyses with meaningful covariates and increased sample sizes are necessary to understand the association between cholera AR and specific WaSH components.

The Evolution of Ransomware: Tactics, Techniques, and Mitigation Strategies

Ransomware has developed into one of the most dangerous cyber threats. It is developed for the purpose of encrypting the data, and the owner is to pay the specified amount of money for the decoder. From simple rudimentary to developed sort with advanced encryption methods and modern distribution techniques, this research article is a complete historical journey of ransomware. Some of the specific aspects of ransomware development include the process of how the attackers act, starting from the traditional approach of spraying the malware to another strategic approach of singling out industries and organizations for attacks.The article also analyzes how the world came to know about ransomware-as-a-service (RaaS). The analysts have attributed the docket to the fact that it has also made it easy for inexperienced and unskilled hackers to embrace the commodity space by merely launching ransomware attacks. Current ransomware strategies that hackers employ include double extortion, where they steal information and threaten to publish the stolen data publicly, besides demanding a ransom for the encrypted information. The use of coins in the payment of ransom is examined with regard to their anonymity and the emergence of targeting of key infrastructure and other giant entities.Tactics that can allow for minimizing the attacks’ impact are equally crucial in the fight against ransomware. Some of the extensive strategies highlighted in this article are basic cyber hygiene measures, backup and restore methodologies, and endpoint detection and prevention measures. Implementing frequent training exercises to sensitize users to the risks of ransomware attacks is underlined, as is the need to have a clearly outlined incident response procedure in case of infections to enable the speedy handling of the attacks.This paper argues that an ability to comprehend the complexity of today’s ransomware, along with multiple layers of a defense system, will help organizations improve their readiness against this adaptive and continuous threat. This paper contains an analysis of the current state of ransomware and measures that need to be taken to curb the threat posed by this cyber threat; thus, it can serve as a valuable resource to cybersecurity experts.

Determination of Antibiotic Resistance Patterns of Beta-Lactamase-Producing Escherichia coli Strains from Kindirmo in Nasarawa Town, Nasarawa State, Nigeria

Study’s Novelty/Excerpt This study examined the antibiotic resistance patterns of beta-lactamase-producing Escherichia coli in Kindirmo, a traditional fermented milk product, in Nasarawa town, Nasarawa State, Nigeria. It identifies the prevalence of beta-lactamase-producing E. coli in Kindirmo, highlighting a 5.92% contamination rate and revealing complete resistance to six antibiotics among the isolates. The study underscores the public health risks associated with consuming Kindirmo and calls for stringent hygiene measures during its production and sale to protect consumers. Full Abstract This study investigates the antibiotic resistance patterns of beta-lactamase-producing Escherichia coli in Kindirmo in Nasarawa town, Nasarawa State, Nigeria. Over five months, 169 samples were collected from four sampling points. Escherichia coli was isolated using the streak-plating method and identified through biochemical tests. All isolates tested positive for beta-lactamase production. The agar-disc diffusion technique assessed the beta-lactamase-producing E. coli strains' susceptibility to 10 antibiotics. Out of 169 samples, 10 were contaminated with E. coli, resulting in a prevalence of 5.92%. The isolates showed complete resistance to six antibiotics, while 70% and 50% demonstrated susceptibility to ofloxacin, pefloxacin, and gentamicin, respectively. Six antibiotic-resistance phenotypes were identified among the E. coli isolates. The presence of beta-lactamase-producing E. coli in Kindirmo suggests that consuming the product in the area poses a risk to consumers. Authorities should enforce basic hygiene requirements during production and sales to safeguard public health.

Threat Modeling for Cyber Warfare Against Less Cyber-Dependent Adversaries

Cyber warfare poses a substantial threat in today's interconnected world, where digital attacks can transcend physical boundaries and affect targets globally. Technologically, less advanced adversaries, such as smaller nations or organizations with limited resources, face unique challenges in defending against sophisticated cyber attacks from more advanced entities. This paper explores the threat landscape for these adversaries and proposes a tailored threat modeling framework to address their specific vulnerabilities and needs. By examining the evolution of cyber warfare, including historical incidents and the increasing sophistication of cyber attacks, the study highlights the limitations of existing threat modeling approaches like the Cyber Kill Chain, MITRE ATT&amp;CK Framework, and SWOT analysis when applied to less advanced adversaries. A comprehensive literature review underscores the gaps in current research, particularly the necessity for frameworks tailored to asymmetric technological capabilities. Employing a mixed methods approach, the research combines qualitative and quantitative data from primary sources, such as interviews with cybersecurity experts, and secondary sources, including existing literature and case studies. The proposed framework focuses on asset identification and classification, vulnerability assessment, threat analysis, and risk assessment. Proactive measures, such as basic cyber hygiene practices, advanced threat detection systems, and collaboration with technologically advanced allies, are recommended alongside reactive measures like incident response planning and disaster recovery. The importance of international cooperation and information sharing is also emphasized. Case studies of cyber incidents involving less advanced adversaries, such as the attacks on Estonia, Georgia, and Ukraine, validate the framework and demonstrate its practical application. The findings indicate that the tailored threat modeling framework effectively addresses the unique challenges faced by less advanced adversaries, enhancing their ability to mitigate risks and improve their cybersecurity posture. This study provides valuable insights and offers a practical framework to bolster defenses against cyber warfare, with future research needed to explore emerging threats and technologies further.

Rural integrated sanitation assessment at community level in Chongqing, China—A cluster analysis

Equitable access to sanitation for all is a goal of sustainable development, notably in rural areas. However, studies including economic, socio-cultural, and other factors that have been conducted to comprehensively assess rural sanitation at the community level in developing countries are limited. This study aimed to investigate the current state of rural environmental sanitation on the community level and to evaluate the characteristics of the diverse sub-clusters. A multidimensional environmental sanitation survey was conducted on 400 communities in Chongqing, China in 2020, and the priority options for improving sub-clusters’ sanitation were explored using cluster analysis. Among all communities, more than 60 % had positive village appearance, 50.50 % had domestic sewage treatment, and the coverage rate of household sanitary toilets was 72.28 %. The average content for lead, cadmium (Cd), and chromium in soil was 26.01, 0.53, and 54.47 mg/kg, respectively. The communities were clustered into 3 groups (I, II, III) based on similar characteristics including basic information, village appearance, water, sanitation, hygiene management, bio-vector control, and soil pollution. The proportion of cluster I, II, and III was 39.25 % (157/400), 31.75 % (127/400), and 29.00 % (116/400), respectively. Each cluster had its sanitation characteristics, and significant differences among the sub-clusters were observed in Cd of soil (p = 0.001), domestic sewage disposal ratio (p < 0.001), and environmental health funding (p = 0.001). To sum up, the environmental sanitation in rural areas of Chongqing was better than that of the national average in China, but the Cd content of farmland soil was higher. Our study provides novel evidence for assessing the characteristics of rural sanitation at the community level, and communities with similar environmental health status were clustered into the same group, while the heterogeneity of different sub-cluster was thoroughly characterized. The hierarchical control strategy should be performed in communities based on different characteristics and deficiencies of the clusters to improve environmental sanitation.

Poor housing quality and the health of newborns and young children

This study uses linked administrative data on live births, hospital stays, and census records for children born in Hungary between 2006 and 2011 to examine the relationship between poor housing quality and the health of newborns and children aged 1–2 years. We show that poor housing quality, defined as lack of access to basic sanitation and exposure to polluting heating, is not a negligible problem even in a high-income EU country like Hungary. This is particularly the case for disadvantaged children, 20–25% of whom live in extremely poor-quality homes. Next, we provide evidence that poor housing quality is strongly associated with lower health at birth and a higher number of days spent in inpatient care at the age of 1–2 years. These results indicate that lack of access to basic sanitation, hygiene, and non-polluting heating and their health impacts cannot be considered as the exclusive problem for low- and middle-income countries. In high-income countries, there is also a need for public policy programs that identify those affected by poor housing quality and offer them potential solutions to reduce the adverse effects on their health.

Features of information protection in the activity of justice enforcement bodies

Introduction. The perception of information as one of the key resources for the development of society is a widely recognised fact. The quality of its processing, timeliness and completeness of its receipt and professional use largely determine the effectiveness of decision-making. At the same time, achieving these results requires the development and implementation of reliable information protection mechanisms. Protection of information in the activities of the judiciary is a critical aspect, especially in connection with the development of digital technologies. It is important to ensure the confidentiality and integrity of data, which will help to increase trust in the judicial system and ensure human rights and freedoms. The purpose of the paper is to study the peculiarities of information protection in the activities of the judiciary. Results. The paper examines the definition of the category "information" in scientific works and legislation of Ukraine and outlines the need to take into account the sectoral aspect in its interpretation. The author identifies the objects of legal protection in the field of information and proves the need to include information about subjects who have access to information resources and information systems. The author outlines new challenges in the field of information protection which arose during the military invasion of the Russian Federation. Attention is drawn to the problem of non-compliance by officials with the basic rules of information hygiene. The author substantiates the need for a systematic approach to ensuring information security in the judicial system. Attention is drawn to the role of certain specialised structural subdivisions of the High Council of Justice in ensuring information security in the judicial system. The author outlines the peculiarity of the approach to the protection of personal data of participants to the judicial process. Conclusion. Protection of information in the activities of the judiciary is an important tool for the effectiveness of the judicial system, so a clear definition of the objects of protection will optimise the effectiveness of the tools to ensure it. It is important to protect not only resources and information systems, but also information about persons who have access to information resources and information systems. It is important not only to ensure procedural aspects, but also to comply with basic information hygiene methods. Achieving this requires a systematic approach to information security in the judiciary.

Assessment of knowledge, attitude and practice to promote hand hygiene among undergraduate medical and nursing students in a teaching hospital

: A considerable number of epidemiological evidences proved that efficient hand hygiene practices has reduced the risk of infection cross-transmission in hospital facilities. Despite the effortlessness and simplicity of the practice, compliance with hand hygiene among health care workers has been relatively very less. There is a significant lack of evidence regarding infection control training among undergraduate medical and nursing students, hence it becomes essential to re-examine the efficacy of our hand hygiene sessions and conduct programs, CMEs, workshops frequently to keep health care workers sensitized and oriented towards hand hygiene.: The present study was undertaken to assess the overall exposure of medical and nursing students towards basic hand hygiene practices through a knowledge, attitude and practice questionnaire based cross- sectional study. 100 medical and 100 nursing students were grouped into good, moderate and poor categories, based on scores from the questions testing the overall knowledge of hospital acquired infections, attitude towards hand hygiene and actual practice at the field level.: The present study showed poor knowledge among medical and nursing students i.e 41% and 60% of the participants respectively. Nursing staff showed good attitude when compared to medical students (71% and 56%). Regardless of the knowledge, practice of hand hygiene was good in both the groups 59% of medical and 71% of nursing students. On the whole, in comparison nursing population displayed better results compared to undergraduate medical student population. Nevertheless, evidently showing unsatisfactory results among both the study groups in the grounds of knowledge.: Therefore, the study concludes that knowledge and exposure to hand hygiene practices should be improved in undergraduate curriculum for both medical and nursing students which provides an opportunity to correct the bed side hygiene practices of the future health care providers at the foundation level.

„Podatek od bycia kobietą?”, czyli tak zwane podatki: różowy i od tamponów. Analiza porównawcza stanu faktycznego w Polsce i Stanach Zjednoczonych

This article presents the problem of price discrimination resulting from different taxation of hygiene products intended exclusively for use by menstruating people. The analysis includes a comparison of the actual situation in Poland and the United States in terms of taxation of peri-menstrual hygiene products, such as tampons, sanitary pads, pads, as well as basic hygiene products. The article raises the issue of the existence of the "Pink Tax" in Poland and its connection with gender marketing, i.e. the use of gender differences to direct products to specific target groups.

Analyzing the Capacity of the Healthcare System in Gaza to Address Gaza Residents Needs

The present humanitarian crisis in Gaza has resulted in the devastation of medical facilities and health infrastructure. As of January 2024, the World Health Organization reports that 78% of primary care clinics funded by the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA, 2024) have ceased operations, and hospitals’ bed capacity throughout Gaza has decreased by more than 59% (World Health Organization, 2024). Direct military attacks on medical facilities as well as the blockade of medical supplies and humanitarian aid pose the largest obstacles to greater healthcare attainment in Gaza (IRC, 2024). Over the course of the conflict, there has been a surge in the number of people suffering from war injuries, which now totals 71,377 (Shurafa, 2024). The rise in the number of patients who require access to medical services in combination with the limited hospital functionality in the Gaza Strip is putting a massive strain on their already limited healthcare system; before the over 6 month long duration of direct military attacks by the Israeli Defence Forces (IDF) on hospitals in Gaza, data indicated a maximum ratio of 1.55 hospital beds per 1000 individuals across the entire region of the Gaza Strip, while the ratio in the US is around 2.35 hospital beds per 1000 individuals (Taylor, 2024). The already poor living conditions of the demographic–most of whom are housed in temporary structures in severe weather conditions with a lack of access to food and water for sustenance or hygiene–signify a need for a more robust healthcare system. However, triage conditions prioritize treatment of the most severe war injuries, which has forced hospitals to abandon previously established vaccination projects and disease surveillance programs, leaving the remaining population to suffer from preventable diseases such as chickenpox, upper respiratory infections, scabies, and Hepatitis A (Soni, 2024). Individuals who do receive medical care face higher levels of infection due to a lack of adequate sanitation, waste management measures, and basic hygiene supplies (The Economist, 2024).