Hand Washing & Sanitizing to Inactivate COVID-19 Coronavirus

Hand Washing & Sanitizing to Inactivate COVID-19 Coronavirus
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My recipes for DIY hand sanitizer and surface disinfectant for SARS-CoV-2.

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Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.

Because it’s so difficult for people to keep themselves from unconsciously touching their face, it’s critical to be able to disinfect your hands by washing your hands with soap and water, sudsing up for at least twenty seconds. It’s not clear why the CDC chose that duration. There is evidence that if you have bacteria-contaminated meat debris on your hands, washing with soap for 20 seconds is preferable to without soap for 5 seconds. Duh, but most of the published soap-to-soap studies compared 15 seconds to 30 seconds, and have found there does not appear to be a meaningful difference between 15 and 30. The recommendation to wash your hands with soap and water for 20 seconds was likely made to encourage sufficient hand coverage.

Using invisible fluorescent or UV dyes, researchers have found the most frequently missed areas when washing your hands include the fingertips, thumbs, and backs of hands. So it’s good to get into a habit of going through all the steps to cover all the surfaces instead of just happy birthday-ing your way through the same motions. Makes the time go a little faster if you have a routine down. Oh, and artificial nails are discouraged, as they’ve been shown to interfere with handwashing efficacy.

Should you use hot water for hand-washing? When I gave a webinar on this topic and asked people to vote, about 1,000 of the 5,000 participants got it wrong. Contrary to popular belief, there is no need to use hot water. Studies going back more than eighty years show no benefit in germ removal when using hot water over cool water, and frequent hand-washing with hot water may increase the risk of skin irritation. (As an aside, the false belief that warm or hot water is preferable may also add an additional million metric tons of carbon, through energy usage, to the atmosphere from the United States alone every year.) The use of hand lotions or creams has been shown to help protect hands from the minor skin damage associated with frequent hand-washing, at any temperature.

Now, for healthcare professionals, the World Health Organization recommends the use of alcohol-based hand sanitizer—whether gel, foam, or spray—over hand-washing for routine hand disinfection, that is, when hands are not visibly soiled. And, so does the CDC. What type of hand hygiene is recommended? The CDC continues to recommend the use of alcohol-based hand rubs as the primary method for hand hygiene. Why? Part of the reason is greater compliance compared to hand-washing with soap and water.

Just as we can’t rely on people to not touch their face, we can’t rely on people to wash their hands properly. In a family medicine clinic, fewer than 1 in 10 hand-washings met even a 10-second version of the CDC standards. Less than 10%. In contrast, more than 8 out of 10 instances of disinfections with alcohol-based cleansers hit the mark, which simply entails rubbing your hands together until the alcohol covers all surfaces of the hands and waiting for product to dry completely.

Normally cheap and ubiquitous at dollar stores everywhere, hand sanitizer was one of the first items to disappear from store shelves and internet inventories as the COVID-19 crisis loomed. Anyone heeding my decade-old advice on pandemic preparedness to stock up should already be well supplied, but if not, you can make your own.

Although 40% alcohol (either ethanol, regular drinking alcohol, or isopropyl, found in rubbing alcohol) has been found to topically kill some enveloped viruses, like SARS or MERS, others, like hepatis C and ebolavirus, require 60% alcohol or more (as measured on a volume rather than weight basis). That’s why recommended alcohol concentrations in hand sanitizers range from a minimum of 60%, recommended by the CDC, to 75 or 80% recommended by the WHO, because they want to account for a wide variety of pathogens. But what do we need specifically for COVID-19?

On Snopes, the social media meme that a “homemade hand sanitizer made with Tito’s Vodka can be used to fight the new coronavirus” was ruled as false, since most vodkas (including Tito’s) only contain 40% alcohol, and Snopes cited the CDC’s 60% minimum rule. However, the CDC has since published evidence by a respected team of researchers, funded by the European Commission and German government, finding that the COVID-19 virus could be inactivated within 30 seconds by just 30% alcohol (either ethyl alcohol or isopropyl alcohol). So, like 30% alcohol, 70% water wiped out the COVID-19 coronavirus.

In that case, a variety of hard liquors or “spirits” could indeed be repurposed for use as hand sanitizers for COVID-19, either straight or even diluted to a certain extent. Most vodka, rum, brandy, tequila, gin, and whisky exceed 30% alcohol by volume. So, from a COVID-19 standpoint, there are still bottles of hand sanitizer available on the shelves, just on those of liquor stores rather than drug stores.

It’s funny, past guests in my home are surprised to see so many big plastic bottles of cheap, 120-proof vodka in my wine rack (especially for someone who doesn’t drink at all). I stocked up a decade ago, following my own pandemic prep guidelines to make extra DIY, budget-friendly hand sanitizer for the next outbreak. And, with the current virus, it looks like I may be able to even cut it 50:50. Note that 30 percent alcohol isn’t enough to kill many other pathogens; so, I’d still recommend 60–80 percent alcohol products if you can get them. So, you can have “one rub to rule them all.” But, in a pinch during this crisis, it can be comforting to know there may be some alternatives.

Both the WHO and interim FDA guidelines for those making their own hand sanitizer include the use of an emollient (1.45% by volume glycerol, also known as glycerine) to help keep the alcohol from drying the skin, as well as a preservative (0.125% by volume of the standard over-the-counter 3% hydrogen peroxide) to kill any contaminating bacteria spores. What’s important for inactivating the virus, though, is the alcohol content.

So, here’s the recipe for making a gallon. Assuming 30% alcohol is sufficient, and you had all of the ingredients, you could make a gallon of COVID-19 hand sanitizer by combining 12 cups of an 80-proof liquor with a quarter cup of glycerin (which is also spelled glycerine with an e, or glycerol), and a teaspoon of regular strength hydrogen peroxide, and then just fill the rest of a gallon container with water, and nothing else. The addition of a gelling agent, such as aloe vera, is not recommended, as it might compromise antiviral efficacy.

You could also quarter the recipe to make a quart (three cups spirits, a tablespoon glycerine, quarter teaspoon hydrogen peroxide, and water). But, no need to get so fancy. For this particular virus, the easiest method would probably be to just use the 80-proof liquor straight up as a hand-sanitizing rub. Just pour it into a squirt or spray bottle and apply enough to completely cover all surfaces of your hands, and then rub together for 30 seconds until they’re dry.

On inanimate surfaces, bleach is recommended for disinfection (1 part household bleach diluted in 49 parts water); so, about 1 teaspoon bleach per cup of water, and nothing else. NEVER mix bleach with any other cleanser. Bleach reacts with ammonia (found in many glass cleaners) to create hazardous gases called chloramines, and reacts with acids (like vinegar, or some toilet bowl and drain cleaners, and automatic dishwashing detergents) to create chlorine gas, which is also toxic.

Note the more typical 1:100 dilution of bleach, as sometimes recommended by the manufacturer on the back of the bottle, may not be sufficient, based on data from other coronaviruses. That’s why it seems more appropriate to recommend a dilution of 1:50 of standard bleach in the coronavirus setting. Note this 1:50 recommendation is for standard bleach, meaning 5% sodium hypochlorite. Read the label. If you have 2.5% hypochlorite bleach, you’d have to use two teaspoons per cup, and if you have 10% hypochlorite bleach, you’d only need a half teaspoon per cup.

The bleach solution can be used within a month of preparation, if stored in a closed, opaque container at room temperature. Though it’s recommended that you leave it on the surface you’re disinfecting for at least ten minutes, when put to the test, five minutes at that concentration was found to wipe out the COVID virus. Note that surfaces grossly contaminated by bodily secretions, meaning visibly contaminated with snot or blood or poop, may require a stronger bleach solution (one part standard bleach to nine parts water, left for 10 minutes). So, that would be five teaspoons of bleach, for inanimate surfaces that are visibly contaminated with bodily fluids, per cup of water.

Alcohol can be used on surfaces that aren’t suitable for bleach, such as metal, which bleach can stain or even corrode. Sufficiently concentrated povidone-iodine, chloroxylenol, and chlorhexidine have also been shown to clear the virus within five minutes.

Although the EPA suggests common quaternary ammonium compounds should be effective, I found an old paper…that reported they were “virtually useless” as a sole disinfecting agent against viruses dried on surfaces,––ncluding one of the common cold human coronaviruses. Though when put to the test, a 0.1% solution of benzalkonium chloride has been found to be effective against SARS-CoV-2 within five minutes. But just a straight soap solution (1 part hand soap, 49 parts water) appeared to take as long as 15 minutes to inactivate it. That would be one teaspoon liquid hand soap in a cup of water. Dishwashing detergent appears to work faster, at least against the SARS virus, with the same 1:50 dilution of dish soap to water working within five minutes. No word yet on dish soap and the SARS 2 coronavirus

Within 30 seconds, Lysol disinfectant spray and a 1:64 dilution of Pine-Sol destroy murine hepatitis virus, a mouse coronavirus that’s used as a potential surrogate for human coronaviruses (since it’s safer to handle in the lab than something like SARS), but Lysol and Pine-Sol have yet to be tested against the COVID-19 virus. In a pinch, wine vinegar (6% acid) was shown to destroy more than 99.9 percent of the SARS virus within 60 seconds, but, again, no word on the new virus.

The most macabre decontamination advice I found was published in the Journal of the Chinese Medical Association: “Corpses… should be burned or buried deep.”

Please consider volunteering to help out on the site.

Motion graphics by AvoMedia

Image credit: Bowonpat via Adobe Stock Photos. Image has been modified.

Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.

Because it’s so difficult for people to keep themselves from unconsciously touching their face, it’s critical to be able to disinfect your hands by washing your hands with soap and water, sudsing up for at least twenty seconds. It’s not clear why the CDC chose that duration. There is evidence that if you have bacteria-contaminated meat debris on your hands, washing with soap for 20 seconds is preferable to without soap for 5 seconds. Duh, but most of the published soap-to-soap studies compared 15 seconds to 30 seconds, and have found there does not appear to be a meaningful difference between 15 and 30. The recommendation to wash your hands with soap and water for 20 seconds was likely made to encourage sufficient hand coverage.

Using invisible fluorescent or UV dyes, researchers have found the most frequently missed areas when washing your hands include the fingertips, thumbs, and backs of hands. So it’s good to get into a habit of going through all the steps to cover all the surfaces instead of just happy birthday-ing your way through the same motions. Makes the time go a little faster if you have a routine down. Oh, and artificial nails are discouraged, as they’ve been shown to interfere with handwashing efficacy.

Should you use hot water for hand-washing? When I gave a webinar on this topic and asked people to vote, about 1,000 of the 5,000 participants got it wrong. Contrary to popular belief, there is no need to use hot water. Studies going back more than eighty years show no benefit in germ removal when using hot water over cool water, and frequent hand-washing with hot water may increase the risk of skin irritation. (As an aside, the false belief that warm or hot water is preferable may also add an additional million metric tons of carbon, through energy usage, to the atmosphere from the United States alone every year.) The use of hand lotions or creams has been shown to help protect hands from the minor skin damage associated with frequent hand-washing, at any temperature.

Now, for healthcare professionals, the World Health Organization recommends the use of alcohol-based hand sanitizer—whether gel, foam, or spray—over hand-washing for routine hand disinfection, that is, when hands are not visibly soiled. And, so does the CDC. What type of hand hygiene is recommended? The CDC continues to recommend the use of alcohol-based hand rubs as the primary method for hand hygiene. Why? Part of the reason is greater compliance compared to hand-washing with soap and water.

Just as we can’t rely on people to not touch their face, we can’t rely on people to wash their hands properly. In a family medicine clinic, fewer than 1 in 10 hand-washings met even a 10-second version of the CDC standards. Less than 10%. In contrast, more than 8 out of 10 instances of disinfections with alcohol-based cleansers hit the mark, which simply entails rubbing your hands together until the alcohol covers all surfaces of the hands and waiting for product to dry completely.

Normally cheap and ubiquitous at dollar stores everywhere, hand sanitizer was one of the first items to disappear from store shelves and internet inventories as the COVID-19 crisis loomed. Anyone heeding my decade-old advice on pandemic preparedness to stock up should already be well supplied, but if not, you can make your own.

Although 40% alcohol (either ethanol, regular drinking alcohol, or isopropyl, found in rubbing alcohol) has been found to topically kill some enveloped viruses, like SARS or MERS, others, like hepatis C and ebolavirus, require 60% alcohol or more (as measured on a volume rather than weight basis). That’s why recommended alcohol concentrations in hand sanitizers range from a minimum of 60%, recommended by the CDC, to 75 or 80% recommended by the WHO, because they want to account for a wide variety of pathogens. But what do we need specifically for COVID-19?

On Snopes, the social media meme that a “homemade hand sanitizer made with Tito’s Vodka can be used to fight the new coronavirus” was ruled as false, since most vodkas (including Tito’s) only contain 40% alcohol, and Snopes cited the CDC’s 60% minimum rule. However, the CDC has since published evidence by a respected team of researchers, funded by the European Commission and German government, finding that the COVID-19 virus could be inactivated within 30 seconds by just 30% alcohol (either ethyl alcohol or isopropyl alcohol). So, like 30% alcohol, 70% water wiped out the COVID-19 coronavirus.

In that case, a variety of hard liquors or “spirits” could indeed be repurposed for use as hand sanitizers for COVID-19, either straight or even diluted to a certain extent. Most vodka, rum, brandy, tequila, gin, and whisky exceed 30% alcohol by volume. So, from a COVID-19 standpoint, there are still bottles of hand sanitizer available on the shelves, just on those of liquor stores rather than drug stores.

It’s funny, past guests in my home are surprised to see so many big plastic bottles of cheap, 120-proof vodka in my wine rack (especially for someone who doesn’t drink at all). I stocked up a decade ago, following my own pandemic prep guidelines to make extra DIY, budget-friendly hand sanitizer for the next outbreak. And, with the current virus, it looks like I may be able to even cut it 50:50. Note that 30 percent alcohol isn’t enough to kill many other pathogens; so, I’d still recommend 60–80 percent alcohol products if you can get them. So, you can have “one rub to rule them all.” But, in a pinch during this crisis, it can be comforting to know there may be some alternatives.

Both the WHO and interim FDA guidelines for those making their own hand sanitizer include the use of an emollient (1.45% by volume glycerol, also known as glycerine) to help keep the alcohol from drying the skin, as well as a preservative (0.125% by volume of the standard over-the-counter 3% hydrogen peroxide) to kill any contaminating bacteria spores. What’s important for inactivating the virus, though, is the alcohol content.

So, here’s the recipe for making a gallon. Assuming 30% alcohol is sufficient, and you had all of the ingredients, you could make a gallon of COVID-19 hand sanitizer by combining 12 cups of an 80-proof liquor with a quarter cup of glycerin (which is also spelled glycerine with an e, or glycerol), and a teaspoon of regular strength hydrogen peroxide, and then just fill the rest of a gallon container with water, and nothing else. The addition of a gelling agent, such as aloe vera, is not recommended, as it might compromise antiviral efficacy.

You could also quarter the recipe to make a quart (three cups spirits, a tablespoon glycerine, quarter teaspoon hydrogen peroxide, and water). But, no need to get so fancy. For this particular virus, the easiest method would probably be to just use the 80-proof liquor straight up as a hand-sanitizing rub. Just pour it into a squirt or spray bottle and apply enough to completely cover all surfaces of your hands, and then rub together for 30 seconds until they’re dry.

On inanimate surfaces, bleach is recommended for disinfection (1 part household bleach diluted in 49 parts water); so, about 1 teaspoon bleach per cup of water, and nothing else. NEVER mix bleach with any other cleanser. Bleach reacts with ammonia (found in many glass cleaners) to create hazardous gases called chloramines, and reacts with acids (like vinegar, or some toilet bowl and drain cleaners, and automatic dishwashing detergents) to create chlorine gas, which is also toxic.

Note the more typical 1:100 dilution of bleach, as sometimes recommended by the manufacturer on the back of the bottle, may not be sufficient, based on data from other coronaviruses. That’s why it seems more appropriate to recommend a dilution of 1:50 of standard bleach in the coronavirus setting. Note this 1:50 recommendation is for standard bleach, meaning 5% sodium hypochlorite. Read the label. If you have 2.5% hypochlorite bleach, you’d have to use two teaspoons per cup, and if you have 10% hypochlorite bleach, you’d only need a half teaspoon per cup.

The bleach solution can be used within a month of preparation, if stored in a closed, opaque container at room temperature. Though it’s recommended that you leave it on the surface you’re disinfecting for at least ten minutes, when put to the test, five minutes at that concentration was found to wipe out the COVID virus. Note that surfaces grossly contaminated by bodily secretions, meaning visibly contaminated with snot or blood or poop, may require a stronger bleach solution (one part standard bleach to nine parts water, left for 10 minutes). So, that would be five teaspoons of bleach, for inanimate surfaces that are visibly contaminated with bodily fluids, per cup of water.

Alcohol can be used on surfaces that aren’t suitable for bleach, such as metal, which bleach can stain or even corrode. Sufficiently concentrated povidone-iodine, chloroxylenol, and chlorhexidine have also been shown to clear the virus within five minutes.

Although the EPA suggests common quaternary ammonium compounds should be effective, I found an old paper…that reported they were “virtually useless” as a sole disinfecting agent against viruses dried on surfaces,––ncluding one of the common cold human coronaviruses. Though when put to the test, a 0.1% solution of benzalkonium chloride has been found to be effective against SARS-CoV-2 within five minutes. But just a straight soap solution (1 part hand soap, 49 parts water) appeared to take as long as 15 minutes to inactivate it. That would be one teaspoon liquid hand soap in a cup of water. Dishwashing detergent appears to work faster, at least against the SARS virus, with the same 1:50 dilution of dish soap to water working within five minutes. No word yet on dish soap and the SARS 2 coronavirus

Within 30 seconds, Lysol disinfectant spray and a 1:64 dilution of Pine-Sol destroy murine hepatitis virus, a mouse coronavirus that’s used as a potential surrogate for human coronaviruses (since it’s safer to handle in the lab than something like SARS), but Lysol and Pine-Sol have yet to be tested against the COVID-19 virus. In a pinch, wine vinegar (6% acid) was shown to destroy more than 99.9 percent of the SARS virus within 60 seconds, but, again, no word on the new virus.

The most macabre decontamination advice I found was published in the Journal of the Chinese Medical Association: “Corpses… should be burned or buried deep.”

Please consider volunteering to help out on the site.

Motion graphics by AvoMedia

Image credit: Bowonpat via Adobe Stock Photos. Image has been modified.

94 responses to “Hand Washing & Sanitizing to Inactivate COVID-19 Coronavirus

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  1. The animation is so adorable. Can I give a special round of applause to the person who did that? Excellent choices! Excellent little details! I love that it starts with the words “past guests in my home” and that part is totally black and white and gray all over. Who could resist the grandmother picture? Then, Dr. Greger enters the scene and with him comes the colors. The use of color and geometry is exceptional. Really sweetly clever choices! Whoever you are, you are so talented. I love the long, lanky alcohol bottle with a label coordinating with the long, lanky tie. I smile that the tie has a curve and that the suit is apparently an old suit and it coordinates with the ghost of kitchen past. It is fabulous that all of the bottles pop into the scene all at the same time. And who could resist that fabulous plant?. My favorite part is the “light bulb” lowering as a thought bubble with the blinking Dr. Greger. I laugh because it looks like he started blinking the minute he had to explain the alcohol bottles to each and every guest. Excellent choice to just have the eyes animated and have his mouth and beard be so still and non-3-d. Between the blinks, the eyes go back to 2-D in a fabulous way. Whoever did that, I am smiling at you.

    1. I say to the person who animated that. Your ability to keep a sense of 3-D and 2-D at the same time and your ability to keep part of the image in “the past” and part in “the present” and part in a “thought bubble” realm is something you could be developing as an artist. It is so much fun.

      1. You could even play more with the keeping parts of the body without motion and maybe suddenly have a finger on the hand move. I used to be out in California and used to watch people do animation and some of them are brilliant but my favorite animators are playful and you have got something right there to play with.

        1. Hi Deb! Thank you so much for your kind words! We were really excited to have the opportunity to put a little extra scene in this video and to make it special. We’re glad that you picked up on the little touches! ☺️

          This sequence was illustrated by our talented design intern Kimberly Lemon (behance.net/darthkimie)!

          And the animation came to life via our amazing video team at Avo Media(avomedia.ca)!

          – Dustin
          Design Director, NutritionFacts.org

          1. DHKirkpatrick,

            Thank you so much for coming and giving us that bit of information.

            An intern illustrated that!

            THAT makes it even more special! Someone is at the beginning of a glorious career!

            Great job, Kimberly Lemon! Excellent choices! Excellent! I love all of it.

            Down to the beard stubble which looks perfectly like a sharpie or something just fabulously fun.

            And, thank you to the video team at Avo Media!

    2. I wondered if the object on the shelf with an image of a person (at Dr. G’s 5 o’clock position) was a framed picture of “Gramma” …

      Eighteen bottles… Hmmmm. I wonder if that represents the number of years Dr. Ornish added to her life by showing her the power of plants.

      1. dr cobalt, Grandma went to Pritikin’s health center (not Ornish) for treatment. They did eat a lot plants, but he did ( The center still does?) include small amounts of animal food as well.

            1. Crud.

              That’s what I get for writing without researching first. I knew that. My memory ain’t what it used to was.

              Maybe I need to eat more plants.

              1. Or you just need to watch the introductory videos again.

                I have watched it so many times.

                Partly, it comes up every time I go to the YouTube channel.

        1. Yep, you’re right.

          You know, decades ago, Dr. Dean Ornish and colleagues published evidence in one of the most prestigious medical journals in the world that our leading cause of death could be reversed with diet and lifestyle changes alone—yet, hardly anything changed. Even now, hundreds of thousands of Americans continue to needlessly die from what we learned decades ago was a reversible disease. In fact, I had seen it with my own eyes. My grandmother was cured of her end-stage heart disease by one of Dean’s predecessors, Nathan Pritikin, using similar methods.

          https://nutritionfacts.org/video/evidence-based-weight-loss-live-presentation/

          1. Good eye, spotting Francis Greger on the shelf, Dr. Cobalt!

            We all know how much she inspired Dr. Greger! We had to include her in the scene. :)

            – Dustin Kirkpatrick
            Design Director, NutritionFacts.org

            1. =]

              My mother had a similar story and history. At 78 she had congestive heart disease so badly she could not take ten steps without feeling chest pains, what she called a “brick on her chest.” Prior to that time she had several angina attacks so badly that she had to be admitted to the hospital. They did angioplasty and other treatments for her, but basically sent her home.

              My dad died that year. I moved in and took over kitchen duties. Over the years I reduced and eliminated junk food and animal food sources and replaced them with plant sources. Mom, lived another 17 years, to age 95, and finally “departed the pattern” last September. She and I used to walk the entire length of our local mall, down and back, with no chest pain at all. I believe her cardiac health was better at 95 than it was 17 years earlier at 78: A testimony to the power of plants…

    3. I was told Methane is in all hand-sanitizer! As someone very concerned about climate Change that was very upset? True or not!??

  2. Chlorine + ammonia creates chloramine gas. This is what you get gagged with at a public swimming pool. Chlorine is put in the pool to oxidize contaminants, like pee, which has ammonia in it.
    Oh, and I like the animation also.

      1. Fauci also did not mislead at any time. We fact-checked Steve Bannon’s claim. Bannon, a Virginia. native, cited two instances in late January when Fauci said the disease wasn’t a big threat to Americans. Each time, however, Fauci added that the situation could change.

        Newsmax interview

        On Jan. 21 – the day the first COVID-19 case in the U.S. was confirmed – Fauci appeared on conservative Newsmax TV. “Bottom line, we don’t have to worry about this one, right?” asked Greg Kelly, the host.

        Fauci said, “Obviously, you need to take it seriously and do the kind of things the (Centers for Disease Control and Prevention) and the Department of Homeland Security is doing. But this is not a major threat to the people of the United States and this is not something that the citizens of the United States right now should be worried about.”
        Sources

        So Fauci, in a qualified response said, don’t worry “right now;” “you need to take it seriously;” and although “this is not a major threat,” keep an ear open to the CDC and Homeland Security.

        Catsimatidis interview

        On Jan. 26, Fauci gave an interview to John Catsimatidis, a syndicated radio host in New York. “What can you tell the American people about what’s been going on?” Catsimatidis asked. “Should they be scared?”

        “I don’t think so,” Fauci said. “The American people should not be worried or frightened by this. It’s a very, very low risk to the United States, but it’s something we, as public health officials, need to take very seriously.”

        Fauci reiterated that COVID-19 “isn’t something the American people need to worry about or be frightened about” because, at the time, it was centered in China and the U.S. could screen travelers from that nation.

        But Fauci also twice described the virus as “an evolving situation,” and said, “Every day, we have to look at it very carefully.”

        All while his boss was telling him to not make it a big deal.

        By the way, the New World Order crap has been around for decades now and every time it is different people supposedly trying to do it and failing until the next conspiracy rumor.

        More than 130,000 Americans are dead. That’s 32,500 times the death toll at Benghazi, or 44 times the 9/11 attacks…..you call it ‘not a killer’.

        Lastly, this post appears more like a BOT post than a human post.

        1. Comparing apples with peers , not reality mr bites

          The swine flew Killed more people, look at age of people who died like most of time older people die , age between 80 and 89.

          Now they test and see people who have so called corona with no symptoms , people just use your eyes and you see nobody fall dead on the street .

          The harm done by shutting down world economy is far greater and planned , look at event 201 , next plan, problem reaction solution a vaccine .

          We live in a world of lies, just use your brain and senses end shut of your tell lie vision ..

          PLANDEMIC 2 – Fear Me Now

          https://www.youtube.com/watch?v=btNGl2QbSI8

          1. Logic Doctor,

            You are wrong about the Swine Flu. COVID-19 has more deaths both in the USA and it has almost reached Swine Flu’s upper estimate globally this week and COVID is not finished.

            Swine flu had over 12,000 deaths in the USA but COVID has already had close to 135,000 deaths in the USA.

            Globally according to its page on Wikipedia, the number of lab-confirmed deaths reported to the WHO is 18,449,[7] though this 2009 H1N1 flu pandemic is estimated to have actually caused about 284,000 (range from 150,000 to 575,000) deaths.[

            1. Right now, globally COVID already has 551,974 confirmed deaths.

              In the USA the actual deaths, so far, are expected to be 30% higher than the lab-confirmed deaths.

              So that would be another 40,500 deaths that are still being verified from people who died at home and in nursing homes. They know that they have the extra deaths. They are still verifying whether those deaths were from COVID or not.

              As far as whether it is all people in their 90’s, the fact that my coworker has lost 3 people who weren’t anywhere near 90 and my brother’s friend was 46, and another friend lost someone who was an 18-year-old with autoimmune disease.

              Right now, we have 43 states with their r t – which is a real time R naught above 1 with 3 states on the bubble and, even Connecticut, which has been hovering at the bottom with D.C. started having a few more hospitalizations and deaths. It is still low, but hospitalizations and deaths rising is happening in so many states.

              New Jersey just mandated wearing masks OUTDOORS. That sounds miserable, but they have done the math and places like Lousiana have already said that they have erased any gains that they had achieved through shutting down and ICU’s are getting filled hospital by hospital. 50 hospitals in Florida have already filled their ICU’s to capacity. Texas and Arizona and California are reporting record hospital admissions and so are 23 other states.

              In some hospitals, 75% of the patients are under age 50 and, even still, the ICU’s are filling to the brim. In Texas, there are people in their 20’s who need ECMO to live and a doctor said that he had 10 young people needing it and only had the ability to give it to 3 people.

              Logic Doctor,

              You are using old information and the real truth about how many deaths we are going to have is about to come to the USA.

              Australia just shut down Melbourne because they are in Winter and they have started having it start spiking again.

              We haven’t even gotten to Winter and the SECOND Winter is when Swine Flu and the Pandemic of 1918 killed most of the people.

              Tens of thousands of people under the age 65 have already died in the USA.

              What happens over these next few months will tell us how deadly it is to our young people.

                1. Logic Doctor,

                  It took closer to 400 days for Swine Flu to have close to the same death count that COVID-19 already has in 190 days.

                  And we have not experienced the second wave yet.

                  Australia is starting its second wave and we have been watching them to see if there was going to be a worsening when the Winter comes. There is going to be such a ridiculously bad Winter in America because we aren’t even going to flatten the curve again.

                  This is so serious and, you don’t understand, NOBODY is suggesting closing society down again. We know that we can’t afford it.

                  This time, people are just going to die.

                  I pray that nobody listens to you and minimizes it.

                  Not in America.

                  It is not going to just be elderly people dying. There were tens of thousands of people under 65 who died in America while we were in lock down. This is so serious and people are throwing frat parties and they may just end up with $38,000 to $75,000 medical bills on top of their student loans, but thousands of people 45 and under died and twenty year olds are filling up hospital beds right now.

                  I don’t mean to be disrespectful at all to anybody but America is not any other country and if you live here, you had better make decisions as if you do.

                  1. I go back to the 400 days versus 190 for about the same deaths and the reality is that the Swine Flu death count is after the adjustment and COVID-19 death count is before the adjustment and in the USA it is expected to be about 30% more deaths than we have now.

                    There are places like Russia that they believe lied about their numbers. There are places like Third World nations where it is nearly impossible to get the numbers yet because they don’t have the same computers or hospitals.

                    If the 30% remains consistent, then we may already have 100,000 more deaths than Swine Flu in less than half the time.

                  1. This is spreading like a cold and those of you who are coming against Dr Greger’s logic need to know the logic you are using was theoretically derived.

                    Death certificates are coming soon and right now it is mostly people under 50 in these hospitals.

                    Don’t just watch some fancy math equations, watch to see whether the young people require hospitalization and whether it gets serious enough for them to go to the ICU.

                    Once it is serious enough that the ICU’s are operating at over 100%, Dr Fauci and Dr Greger gave incredible wisdom.

                    The thing is, the mathematicians decided it is worth it to have these people die.

                    But you have the ability to wake up every morning and say, “Nope, it is not worth me dying if I can make choices not to.”

                    1. Young people were naive enough to believe that logic and it might be tens of thousands of them who die in America.

                      With tens of thousands more of them giving their parents medical bills – some over a million dollars. People do lose houses and go bankrupt for medical bills for their children every year but they are only allowed to do that process once.

        2. Reality bites says:
          JULY 8TH, 2020 AT 1:42 PM
          By the way, the New World Order crap has been around for decades now and every time it is different people supposedly trying to do it and failing until the next conspiracy rumor.

          yeah right, if you can not figged out reality , sorry for you that something does not make sense and it is not a pandemic with death rate of 3,4 % of population, far from it it is a flew .
          Healthy people do not die, just look around you and find the first healthy person in your environment who died.
          Why is the government not telling how to boost your immuun system ..
          O they do that by water Fluoridation and GMO, Aspartame, Corn Fructose Syrup, Chemtrails , Mercury as fillings, Mercury in vaccinations.

          LISTEN CAREFULLY , to the rumor, yeah right ..

          George H W Bush New World Order Speech
          https://www.youtube.com/watch?v=8DtEcZ3cfg4&t=3s

          1. Logic Doctor,

            Those arguments were ones people put forth so that we would open the economy.

            It is open and you can drop the logic now because we are not closing the economy again and now we can just analyze the reality of the deaths that will be coming.

            People had to wait a few months for elective surgery and that is over and not many people will have died from that because radiation and chemo and surgery for evasive cancers were not postponed. Mammograms were postponed and Stage 0 surgeries were postponed but if you watch Dr. Greger’s videos, those don’t really save lives so that is a wash. Probably more lives were saved by not having the elective surgery people exposed to COVID-19. I had 2 friends whose children did go to the hospital for non-COVID related things and there was no delay and we had pretty full hospitals in the Northeast.

            As far as the economy goes, if you look at the data on the Pandemic of 1918, it was the places that closed earliest that had the best economy because I will tell you this, when younger people do start dying and that looks like it is about to happen at a higher level, people stop going out to eat and stop flying on planes and stop taking their children to the aquarium or going shopping.

            The USA NEVER shut down more than 50% of its economy. People talk about Sweden as if they could be a model for how to keep more things open but the USA never shut down more than 50% of its economy to begin with and now just about everything other than bars are open.

            So everybody can just sit back and watch what happens and you don’t have to use the math defensively anymore.

            1. If you live in the United States of America, you had better do the math as if you lived in United States of America.

              If you are dark-skinned or have comorbidities or are a medical person, you had better not listen to the people saying only 90-year-olds die.

              I am not worried about the people in Vietnam. If you live there, go to work and enjoy your day.

              1. Hey Deb, Could you define what you mean by “dark-skinned” people? I don’t think there is a scientific definition for this term. Many of my friends have various shades of skin color from very light to very dark. Where do you draw the line? I myself, don’t even know if I am dark-skinned or not. And skin color changes from summer to winter depending on how much sun one gets!

                1. Darwin, she may have forgotten she even said this.

                  Yes, looking in the mirror I can see that my face and arms are darker than usual, thanks to the sun, so I guess I’m (relatively speaking) dark-skinned too.

                  1. YR, Yes, Deb seems to use a lot of fictitious terms in her posts. I’m sure she means well, but seems to be heavily “influenced” by the media narrative ;-)

                    1. The evidence shows that American indigenous peoples, blacks, Asians and Pacific islanders all have much higher rates of covid 9 hospitalisation than whites.
                      https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/racial-ethnic-minorities.html

                      The evidence also shows that low levels of vitamin D appear to play a role in covid 19 severity/mortality
                      https://news.northwestern.edu/stories/2020/05/vitamin-d-appears-to-play-role-in-covid-19-mortality-rates/

                      And darker skinned people do find it more difficult to generate vitamin D than lighter skinned people, all other things being equal.

                      Simply dismissing Deb’s comment as mere ‘media narrative’ sounds like the alternative health crowd’s usual way of justifying ignoring evidence that they don’t like doe one reason or another. She may be incorrect in her assessment. I don’t know. there isn’t enough evidence to know for sure but her view is based on a range of evidence. .

                      I also suspect that she has done much more research on this matter than the three of us put together. But hey what does the evidence matter when it contradicts our opinions?

                      Perhaps I should change my pen-name to Mr Sarcastic?

                    2. “Perhaps I should change my pen-name to Mr Sarcastic?”
                      — – – – – –

                      OR……how ’bout “Mr. Can-Be-A-Pain-In-The-Ass”? *_^

          2. I just had the thought that the Texas governor is blaming the one month of elective surgery postponement for the people in the ICU who don’t have COVID

            But NY, NJ, MA, CA, CT, and places that shut down longer don’t have that ICU phenomenon.

          1. Tom Fumblefingers,
            I have no idea what you mean by the “alternative health crowd”.
            You seem to be demonizing everyone who doesn’t worship Big Pharma.
            I guess you must be including Dr. G in that group.
            Do you think that nature is trying to kill you?
            Why is it so terrible to gather whole natural plants and eat them?

            1. John

              Haven’t you twigged by now that I am a shill for Big Pharma, Big Vaccine, Big Medicine and Big Food? Oh, and the NWO. that’s why I drive around in a Rolls Royce these days.

              The fact that I refer to scientific evidence instead of instead of to unsubstantiated claims made by assorted looney tunes should have tipped you off a long time ago.

  3. “but Lysol and Pine-Sol have yet to be tested against the COVID-19 virus”

    Bad timing for this video. Yesterday the EPA approved two Lysol products for Covid-19 disinfection. Lysol Disinfectant Spray and Lysol Disinfectant Max Cover Mist.

        1. Marilyn,

          Yes, they all stink.

          The problem with soap and water is the people.

          I was talking with a young Amazon driver and he said, “I am not washing my hands all of the time or being careful or anything like that.” His sister who also works for Amazon agreed.

          The 5 second rinse with no soap is probably seriously accurate for what young people do normally.

  4. the Koch principal has never been satisfied for Covid 19 so how can you deal with something that does not exist!!!

    1. Koch himself recognised that his 1884 postulates were incorrect.

      ‘ These postulates were generated prior to understanding of modern concepts in microbial pathogenesis that cannot be examined using Koch’s postulates, including viruses (which are obligate cellular parasites) and asymptomatic carriers. They have largely been supplanted by other criteria such as the Bradford Hill criteria for infectious disease causality in modern public health.’
      https://en.wikipedia.org/wiki/Koch%27s_postulates

      1. Fumbles,
        Thanks for the reference to TimeGhost history a hear while back. I got to hear some new history—that JFK had full knowledge of the Bay of Pigs invasion. (See the Lieing Kennedy video) Being the accomplished politician that he was, he disclaimed involvement. About ten years ago, maybe, new history came about that The Cuban Missle Crisis came down to the wire–a nano particle wire. It came so close that it is a wonder we are still here. . . .writing about nutrition.

        1. Dan C,
          Thank you for a completely irrelevant post about Kennedy. I agree-Nixon was a much better president. Completely honest all the time. Thank you for your very relevant post.

  5. This was a great and timely video for someone who has no wipes or sanitizing “stuff.” Thank you, Dr. Greger! And thumbs up for the animator!

    1. Hi WFPBLiisa! Thank you so much for your kind words!

      This sequence was illustrated by our talented design intern Kimberly Lemon (behance.net/darthkimie)!

      And the animation came to life via our amazing video team at Avo Media(avomedia.ca)!

      – Dustin Kirkpatrick
      Design Director, NutritionFacts.org

  6. Might want to stay with vodka in washing your hands. I certainly don’t want to be walking around smelling like Jack Daniel’s or whiskey/bourbon.

    1. I was thinking the same things. Also, make sure you don’t sanitize that way directly before driving recklessly or before a job interview.

      We have one worker who sometimes smells like Dr. Greger’s hand sanitizer. Though, sometimes he must use beer.

      1. Laughing.

        I am not a drinker, but my sense of humor imagines some people saying, “Now, if only we could take the alcohol and figure a way to sanitize our mouths and throats. Hmmmm, I can’t think of anything.”

        1. Laughing again.

          As a joke, that hit me at so many different levels as if the whole history of drinking, mouthwash, denial, sarcasm, sanitation theories, microbiome, etcetera, passed before my mind, but the last thought after a wonderfully humorous mental jaunt through history with mental illustrations of someone inventing Listerine saying that exact same sentence, but they thought of something.

          Oh yeah, my last thought was that I just put something facetious on the internet and someone might get alcohol poisoning or become an alcoholic or think that they will be more protected from COVID-19 if they start drinking and think that might have been what the French paradox was about.

          So, I had better say, “It is not a good idea” and look up mouthwashes which have alcohol as to why.

          But secretly, I will have other thoughts that I will not say because I have to be more careful with my mental curiosity during a pandemic.

  7. Good morning.

    Every paper that I have read has a section on strengths and limitations. These are frequently ignored by the mass media, which is why people come to conclusions contrary to the scientific evidence. I was wondering if Dr. Greger reads these limitations sections when he highlights a study in his videos or blog posts.

    I have nothing against Dr. Greger, and I deeply respect his work on NutritionFacts.org. I was just curious.

      1. I did watch the video. What I was curious about was whether or not Dr. Greger and his team read strengths and limitations of the studies that are presented on the website, because Dr. Greger did not mention that in his video.

        I am curious because strengths and limitations are important factors in determining a study finding’s significance.

        1. That is a good point Mr Kalva, 200 doctors don’t weigh much against only 1 person who really cares as you do.

          And even the most sophisticated artificial intelligence based on thousands of computers don’t weigh much against simple and natural intelligence of a good human being.

        2. Vinay,

          Following Dr. Greger for 2-1/12+ years, I can confidently say that Dr. Greger and his team do examine the strengths and limitations of the studies.

          The videos are generally not based on a single study. They are based on a greater body of work.

          He often talks about the problems with the study designs. He often shows systematic reviews and forest plots.

          They look at who funds the studies and he talks about P values and confounding factors.

  8. I am confused. If sanitizer is superior to soap and water why do surgeons scrub with said rather than just soak their hands and arms in alcohol?

    1. There are hand sanitizers throughout the hospitals. Near the elevators, near the rooms, etc.

      Alcohol doesn’t kill everything.

      For instance, it doesn’t kill bacterial spores, some protozoa, and some “nonenveloped” viruses.

  9. Hi, Anonymously, want to know the answer about deworming, It is good to be dewormed once a year?, currently i eat a 100% plant based diet, i hadn’t been dewormed since i was a child, Maybe the best thing to do on my shoes is deworming once because i ate animal origin food before?, if someone could let me know that such valuable info i will love it, Bye. Note – The substance Albendazole + quinfamide. 2 pills.

    1. Anonymous,

      Trichinosis is fairly rare in the United States. Do you live here or someplace else? About 400 trichinosis cases are reported each year in the United States – mostly in rural areas is what they say.

      Do you have a reason to believe that you have worms? Do you have symptoms? Did you eat undercooked meat? Or live someplace with poor sanitation?

      I would say that if you are worried, you can always get tested, rather than self-treating.

      https://www.cdc.gov/parasites/references_resources/diagnosis.html

      I watched documentaries where children had worms and it was visibly obvious. Not sure if it always is.

      1. It is something similar to prevention in my country. Does anyone have any information on how we eliminate parasites? My relatives are convinced to buy some deworming pills once a year, all based on the fact that it is recommended by the word of mouth by doctors, such as final note, I’m more concerned about consuming them than not. In theory, it could be a little disturbing to have to convince of something that did not arise from something in particular, but it amuses me to use my skills in these situations.

        Thanks Deb.

  10. These vids should probably come out 2 at a time now, since they are already pre-done and becoming a bit irrelevant, though of course still useful in summary. It would be great to have them come out at least earlier in the day like they used to, since again, they are already likely done.

  11. Hey great news!

    Fact: Jeff Bezos just made another approximately 10 billion in the last 7 days.

    Fact: Our health system government and corporate choices have influenced and this profit, as has our lockdown, no matter what percentage of lockdown we are on.

    So congrats to Jeff, and we will chalk it up to anecdotal co-instances, with no direct connections proven or unproven.

    No opinion or conclusions are drawn here, just facts. (for evidence, please see: Google)

  12. Something has been bothering me for many months now. From day 1 to even today, the CDC website has always said the main way they they believe the virus to spread is airborne. Someone who has it coughs, sneezes, whatever, then you inhale these droplets and it passes to you. It is not likely that it is spread from surfaces. Again, that is the CDC, not me, saying that.
    My question is, why all the constant hand washing advice. My belief is that the possibility of spread this way is not zero, so why not do something as simple as hand washing. But I am interested in what others here have to say.

        1. We also know that handwashing does significantly reduces pandemic influenza transmission. It is more effective than masks for that.

          https://pubmed.ncbi.nlm.nih.gov/28487207/

          There have been studies where it statistically significantly prevented colds and flu for children.

          https://pubmed.ncbi.nlm.nih.gov/9052131/

          Handwashing before food prep decreases diarrheal conditions in studies and it helped soldiers on the field in the same way.

          To me, I don’t need a COVID-19 study at that point because we also care about viral load and not having a bacterial infection on top of COVID-19 so it just seems to be something we can just take as a common sense approach but it only lowered transmission by a certain amount in one f the studies. I think it was 7%-ish, so that would be why they call it hard to get it that way, but not impossible.

          7% of multi-millions of cases is a very large number. Don’t be one of them.

    1. wgm_32, you might find this new video by dr john campbell interesting. He is discussing a paper submitted by many scientists together as they address the WHO. To get right to the current recommendations you can go to around 14 min spot to start.

      There is a difference between droplets from coughing/sneezing and aerosolized microdroplets. The first clear from the air relatively quickly, but the second type do not. The WHO will be releasing a statement in coming days since this could complicate matters .

      https://m.youtube.com/watch?v=CjuaPuiqYnA

  13. I am concerned about you and others recommending the use rubbing alcohol. Important dangers are ommited. It has been 40 years since a case was won in Louisiana by a Lawyer friend of mine against the company that makes that product. The result never got on the label. There was a woman who rubbed it on her next adn chest because she was very hot, Its gets 95 in New Orleans for a week sometimes. @0 minutes later she left her living roon which was 4 rooms away and went to the kitche, turned on a gas stove burner and the vapors still hanging around her ignited and she burned her face and chest disfiguring her for life. The case was settle for about 1 million I think, and the warning was never put on the labels. So when you recommend rubbing alcohol I think you need to look into the litigation around 1976 in the Louisiana supreme court 5th District. if you email me I will look up the lawyer’s name.

    1. Phyllis,

      Dr. Greger has talked about waiting for hand sanitizers to dry before doing anything because of the risk of them catching on fire.

  14. Med Cram had an interesting video on how people who were asymptomatic may not have neutralizing antibodies.

    Meaning 40% of them are more likely to be able to get it again.

    https://www.youtube.com/watch?v=KRCnj3c_x7U

    20% of them didn’t show antibodies even during the infection.

    That part makes me wonder if we really understand how many false positives there are.

    The MedCram video also mentioned the increase in deaths from COVID.

    Deaths lag behind cases, hospitalizations, and ICU visits.

    Most of the country is still low in deaths and the experts are waiting to see if we have lower deaths than back in the Spring.

    The rate of hospitalizations around the world no longer directly correlates to the rate of deaths. That is good news.

    But deaths in the USA are already rising and the ICU’s are at or above 100%.

    We are going to find out what happens over the next 3 weeks.

    My coworker said that a man he trades things with refused to wear a mask the last he saw him and he has died from it now. He saw him a few months ago and they debated about the masks.

  15. There is a study in Spain in the video but it doesn’t answer much except that they were a long way away from herd immunity even after all of the deaths they had.

  16. There is a pre-print that seems to be slightly more hopeful that suggesting that some people may not have antibodies but they had activated T-cells against SARS-COV2 antigens.

  17. I have been using the standard disinfectant hydrogen peroxide 3% solution for COVID 19 and spraying it on hard surfaces like kitchen countertops and leaving it for ten minutes before wiping it off. I thought I read that on the CDC site in late March or early April. Was I wrong or did it change?

  18. In this video you state that the diluted bleach solution for disinfecting surfaces is stable for 1 month. Everything I have read has suggested it is only effective for 24 hours.

  19. John Hopkins U is sending ’round this about less than 65% alcohol:

    Please comment as Dr, G said 40% was fine as while he doesn’t imbibe [moi aussi] he does use Vodka diluted with water as a sanitizer. My sense is that John Hopkins U is a corporate sponsored institution, as I have found some of the facts as dubious.

    “NO SPIRITS, NOR VODKA, serve. The strongest vodka is only 40% alcohol, and you need a minimum of 65%.

      * LISTERINE is 65% alcohol.

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