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Recent years have shown an increase in interest in the study of cleanliness from a historical and sociological perspective. Many of such studies on bathing and washing, on keeping the body and the streets clean, and on filth and the combat of dirt, focus on Europe. In Cleanliness and Culture attention shifts to the tropics, to Indonesia, in colonial times as well as in the present. Subjects range from the use of soap and the washing of clothes as a pretext to claim superiority of race and class to how references to being clean played a role in a campaign against European homosexuals in the Netherlands Indies at the end of the 1930s. Other topics are eerie skin diseases and the sanitary measures to eliminate them, and how misconceptions about lack of hygiene as the cause of illness hampered the finding of a cure. Attention is also drawn to differences in attitude towards performing personal body functions outdoors and retreating to the privacy of the bathroom, to traditional bathing ritual and to the modern tropical Spa culture as a manifestation of a New Asian lifestyle. With contributions by Bart Barendregt, Marieke Bloembergen, Kees van Dijk, Mary Somers Heidhues, David Henley, George Quinn, and Jean Gelman Taylor. Full text (Open Access)

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The WHO Guidelines on Hand Hygiene in Health Care provide health-care workers (HCWs) hospital administrators and health authorities with a thorough review of evidence on hand hygiene in health care and specific recommendations to improve practices and reduce transmission of pathogenic microorganisms to patients and HCWs. The present Guidelines are intended to be implemented in any situation in which health care is delivered either to a patient or to a specific group in a population. Therefore this concept applies to all settings where health care is permanently or occasionally performed, such as home care by birth attendants.

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