The
World Health Organization (WHO) and the
Centers for Disease Control and Prevention both stress the importance of frequent and thorough hand washing followed by complete drying as a means to stop the spread of bacteria. Bacteria transmit more easily from wet skin than from dry skin. WHO recommends that everyone "frequently clean [their] hands" and "dry [them] thoroughly by using paper towels or a warm air dryer". The Centers for Disease Control and Prevention report that "both [clean towels or air hand dryers] are effective ways to dry hands". A study in 2020 found that hand dryers and paper towels were equally hygienic hand-drying solutions. Other research suggests paper towels are much more hygienic than the electric hand dryers found in many public toilets. A review in 2012 concluded that "From a hygiene standpoint, paper towels are superior to air dryers; therefore, paper towels should be recommended for use in locations in which hygiene is paramount, such as hospitals and clinics." The key findings were: • After washing and drying hands with the warm-air dryer, the total number of bacteria was found to increase on average on the finger pads by 194% and on the palms by 254%. • Drying with the jet-air dryer resulted in an increase on average of the total number of bacteria on the finger pads by 42% and on the palms by 15%. • After washing and drying hands with a paper towel, the total number of bacteria was reduced on average on the finger pads by up to 76% and on the palms by up to 77%. The scientists also carried out tests to establish whether there was the potential for cross contamination of other public toilet users and the public toilet environment as a result of each type of drying method. They found that: • The jet-air dryer, which blows air out of the unit at claimed speeds of , was capable of blowing microorganisms from the hands and the unit and potentially contaminating other users and the environment up to two metres away. • Use of a warm-air hand dryer spread microorganisms up to 0.25 metres from the dryer. • Paper towels showed no significant spread of microorganisms. In a study conducted by TÜV Produkt und Umwelt GmBH from May 2004 to February 2005, different hand drying methods were evaluated. The following changes in the bacterial count after drying the hands were observed: Another paper found that air dryers dispersed marker bacteria in a radius of three feet (one metre) and onto the investigator's
laboratory coat. Another study found that hot air dryers had the capacity to increase the bacterial count on the skin, and that paper towel drying decreased skin bacterial count. This is corroborated by another study which found that the mechanical action of paper towel drying removed bacteria, something air dryers cannot do. Doctors at the University of Ottawa claim that "the blowing of warm air may lead to an accelerated dehydration of the skin surface, thereby affecting the viability" of the microorganisms, and that the warm air may "penetrate all the crevices in the skin, whereas absorbent towels may not reach such areas, even though the skin appears dryer". The European Tissue Symposium has produced a position statement on the hygiene standards of different hand drying systems. This summarises some of the scientific research undertaken. Dyson (creators of the
Dyson Airblade dryer) have countered the claims presented, suggesting that the results were intentionally falsified. ==Noise==