I guess they're linking it to easing COVID restrictions because hand washing helps prevent it. Did people stop washing their hands after using the toilet in Japan once the restrictions let up?
this post was submitted on 16 Jun 2024
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Did people stop washing their hands after using the toilet in Japan once the restrictions let up?
Did...they start?
Having lived briefly in Japan and for a while in Korea, most people left public (and workplace) washrooms without washing their hands. Even during the pandemic.
That's hilarious for a country with very ingrained bathhouse culture.
Someones been watching Thermae Romae.
You're fucking joking. I give people the side-eye when they do that here in the U.S. and there are still plenty of people that at least go through the trouble of rinsing off their hands. Sure, most people don't make sure to really get the soap everywhere like I do, but for most people to do absolutely nothing...
How is hand washing not an emoji?
💦👏🧴👏💦 damn. That’s really the closest you can get
A hand holding soap bubbles. How cute would that be?
Yeah, applaud to the water. Hydrohomies. :)
Can confirm as someone who lives in Japan. It's an oft-dis used thing in foreigner groups when the new arrivals show up and notice
This one's kind of funny to me. I lived for two years in Japan not knowing that men's restrooms typically don't even have soap. Women's restrooms usually do, and they get used. Despite me having lived there, it was my husband who taught me that there is no soap in the men's restrooms when we went on a visit.
That was the weirdest part to me. In Korea, there was usually soap in the washrooms. But in either of those countries, you'd occasionally either find no soap in the men's rooms, or you'd find empty soap canisters.
Telling a staff member there was no soap got the reaction that a tourist in NA politely telling a police officer that they saw some litter on the sidewalk over there, lol
I was in Japan on vacation and no one washed the hands. Also soap was either empty or none existent
Went for 2 weeks in March, can 2nd this.
Not having soap drove me nuts! There was like 4-5 bathrooms I used that didn't have it.
Definitely a thing that japanese men doesn't wash their hands when visiting a public restrooms... At least what I have noticed
Or because we are comparing rates now to those when COVID restrictions were in place?
Pretty sure I saw this referred to as Flesh Eating Bacteria a couple of days ago. I'm sure "tissue-damaging" is just as effective a warning moniker to keep people alert.
That’s correct. A majority of the increase is due to strep throat cases; there’s also an increase in streptococcal toxic shock syndrome from the bacteria going systemic. There is not a significantly increased amount of necrotizing fasciitis that I’m aware of. It’s been going on for a few months now.
So, if it's bacterial, isn't all that I would need for that is a course of antibiotics?
I mean, this desease is not a threat even if it starts spreading.
It's a bit more complex.
The bacteria causing this (Streptococcus pyogenes) causes hundreds of millions of illnesses each year, ranging from the mild "strep throat" to the extremely severe scarlet fever. Whilst there have been a few outbreaks of antibiotic resistant strains of this bacterium, that doesn't appear to be what's going on in this outbreak, so thankfully the underlying streptococcus infection should be treatable with standard antibiotics.
Unfortunately, the condition that's actually killing people (Streptococcal Toxic Shock Syndrome (STSS)) is caused by exotoxins released by the bacteria, and killing the bacteria only stops further exotoxins from being produced — antibiotics can't do anything about the exotoxins that have already been secreted by the bacteria. If you've ever wondered why we can't cook spoiled food to make it safe to eat, this is a large part of why — exotoxins are often better at sticking around than the bacteria that produce them. It doesn't help that exotoxins are often super potent toxins (Botulism is a particularly potent and well known example).
It's not clear what causes some cases of Streptococcus pyogenes to escalate and non-eventful cases of strep are common enough that treating every case with antibiotics is implausible. It's tricky because if symptoms are severe enough to warrant a diagnosis of STSS, then things will have already progressed enough that the exotoxins present s risk to health even if antibiotics are administered. This outbreak of many cases of the severe STSS is concerning because it might indicate that the strep bacteria has evolved to be more deadly, but we really don't know why there's such a cluster of severe illness in one place.
You'll need to monitor it and take antibiotics before symptoms kick in, otherwise it may be too late.
In any case, the higher mortality, the lower the chance of spreading. There are and were plenty of viruses, for example, that have a similar mortality rate, but that's exactly why there's no outbreak - patients are easy to identify and isolate, and in the wild many die before propagating anything.