Not a joke, but it seems that HSE are beginning to think of the handwashing demands of some healthcare professionals as ‘wet work’. This suggests that, quite rightly, special provision will be expected for the prevention of dermatitis and other skin irritation caused by repeated exposure to water and soap/detergents, to residual moisture and drying of hands, and the use of a range of protective skin care products. Logically, this will extend also to issues of glove use.

How does this affect ancillary staff working in healthcare establishments, and waste handlers in the commercial sector?

In all probability it will not, but perhaps it should. Hand hygiene deficiencies and glove-related skin damage are not uncommon but are treated as something of a fact of life. These should not be thought of as unavoidable and with care can be avoided though it takes some care.

The risks of skin damage are the same as for healthcare professionals. Handwashing is not such a regular occurrence – though perhaps it should be – and the risks may be less. That is howvere no reason not to consider hand hygiene and hand (skin) care. The lessons learned can protect a workforce and reduce the incidence of minor and more serious skin irritation that can make glove use uncomfortable and, in extremis, almost impossible to bear. Infection risks are increased.