2026 Clean Hands Index

Media

“When my hands are clean, my whole body feels clean,”

Angelina, Sydney, Australia

“It may have something to do with age, lifestyle, etc., but it’s something you catalog, and you know the places to stop . . . and you just feel safe,”

Eric, Texas

“I think it shows they are invested and care about the people that are coming in and out of their facilities,”

Rylan, Kentucky

“The cleaner my hands are, the cleaner someone else’s are too,”

Brandon, Indiana

“Being able to clean my hands is important to me and that the place is clean, and the places that are, I want to go back to,”

Jennifer, Texas

“The one thing I would change is that every motion-activated sink would work properly . . . without a doubt,”

Brandon, Colorado

“Bathrooms are a sign of how they’re running their whole business,”

Jennifer, Texas

“Handwashing is more than a personal habit; it is a public health responsibility and a matter of dignity,”

Momina Naveed, Pakistan

“When you have a bad experience washing your hands in a restroom at a restaurant, you think that the staff is using that same restroom and cooking your food . . . yeah, you’d think twice about going back,”

Brandon, Colorado

“I’m kind of a germophobe, so I don’t like touching what everyone else has touched,”

Jenna, Kentucky

“In this day, there’s no reason that everything shouldn’t be touchless,”

Ben Clark, Throne Labs

“If we’re not taking care of the restrooms and providing a clean facility for the customer, then they could think, ‘What else is not being taken care of?'”

Greg Bunten, Director of Operations, Louisville Airport

Videos

Public Experience

Brandon McNeil | Windsor, Colorado

Business Traveler  |  Interviewed at Denver International Airport

Business traveler Brandon McNeil explains why he is intentional about what he touches in public facilities and why dependable handwashing matters. He believes Clean Hands Certified provides a clear standard for what a quality public handwashing experience should be.

Nick, Angelina, Antoinette | Sydney, Australia

Leisure Travelers | Interviewed at Pier 39, San Francisco

While visiting San Francisco’s Pier 39, Australians Nick, Angelina, and Antoinette share why public handwashing is a global issue and how Clean Hands Certified can help build trust in public facilities. Their interview highlights the universal expectation for clean, reliable handwashing wherever people travel.

Eric Frank | Allen, Texas

Leisure Traveler | Interviewed in Basement of Willis Tower, Chicago

After experiencing a perfect 5 out of 5 handwash at Chicago’s Willis Tower, Eric Frank explains why he remembers facilities with outstanding handwashing and seeks them out again. He believes every public facility should be Clean Hands Certified because a great restroom experience creates confidence and makes people feel safe.

Jennifer | San Antonio, Texas

Leisure Traveler | Interviewed in Independence Hall Visitor’s Center, Philadelphia

Jennifer from San Antonio, Texas shares how the quality of a public restroom influences whether she’ll return to a business. After visiting the Independence Hall Visitor Center in Philadelphia, she explains why touch-free handwashing builds trust and why she believes every public facility should strive to be Clean Hands Certified.

Jenna Carrico | Owensboro, Kentucky

Leisure Traveler | Interviewed at Louisville Airport

Jenna Carrico from Kentucky shares how being mindful of germs influences the way she uses public restrooms. Interviewed at Louisville Muhammad Ali International Airport, she explains why she prefers touch-free fixtures and how she adapts her behavior when they aren’t available.

Brandon | Indiana

Leisure Traveler | Interviewed at Chicago Union Station

Brandon works in a lab, so he says good handwashing is necessary to protect not only himself but others from him.

Waseem Kashif | Chicago, Illinois

Business Traveler | Interviewed at Louisville Airport

Waseem Kashif from Chicago explains why clean hands are essential to both his religious practice and managing severe allergies. He shares why touch-free restrooms, especially in airports, help him feel safer and believes they should become the standard in public facilities.

John | Vacaville, CA

Leisure Traveler | Interviewed at Pier 39, San Francisco

John from Vacaville, California shares why he believes touch-free fixtures should be the standard in public restrooms. He explains that, especially after the pandemic, travelers have come to expect a hygienic, touch-free handwashing experience.

Rylan Smith  | Owensboro, Kentucky

Leisure Traveler | Interviewed at Louisville Airport

Rylan Smith shares why thoughtful handwashing design matters to customers, explaining that a restroom should allow people to leave with clean hands—not immediately recontaminate them. He believes intentional design demonstrates that a facility truly cares about the people it serves.

Facility Leadership

Greg Bunten | Louisville, Kentucky

Director of Operations | Interviewed at Louisville International Airport

Greg Bunten, Director of Terminal Operations at Louisville Muhammad Ali International Airport, explains how thoughtful restroom design, proactive maintenance, and attention to passenger needs create a better travel experience. He shares why investing in handwashing amenities and cleanliness is ultimately an investment in customer trust.

Ben Clark | Salt Lake City, Utah

Co-Founder, Throne Labs | Interviewed at Arena Green Park, San Jose, CA

Ben Clark, Co-Founder and VP of Hardware at Throne, explains how his team reimagined the portable restroom with touch-free technology, smart sensors, and a focus on human dignity. He shares why the future of public restrooms should be connected, transparent, and completely touchless.

Architecture

Carol Vaughan | Severance, Colorado

Architect

Architect Carol Vaughan of Carol Vaughan Design & Architecture (CVDA) shares how decades of experience have shaped her perspective on public facility design. She discusses the architect’s role in creating better handwashing environments while emphasizing that the decision to pursue Clean Hands Certified ultimately rests with the facility owner.

Cleaning & Operations

Sean Whitehouse

Facility Manager, Flagship Aviation Services | Interviewed at Louisville International Airport

Sean Whitehouse, Facility Manager for Flagship Aviation Services at Louisville Muhammad Ali International Airport, explains what it takes to maintain high-performing airport restrooms. He discusses how reliable fixtures, consistent replenishment, and standardized cleaning protocols help deliver the kind of handwashing experience that earned Louisville Airport the world’s first Clean Hands Certified designation.

Public Health

Dr. Jonathan Sexton | Tucson, Arizona

Environmental Microbiologist & Researcher | Interviewed at University of Arizona

Environmental microbiologist and public health researcher Dr. Jonathan Sexton shares how germs spread through our everyday environments and why proper handwashing remains one of the most effective ways to prevent disease transmission. Drawing on more than two decades of research, he explains why touch-free technology can reduce recontamination and improve public hand hygiene.

Health & Advocacy Perspective

Momina Naveed

Khyber Pakhtunkhwa, Pakistan
Independent Researcher, Public Health Advocate & Science Communicator

Key Data or References on the Health Impact of Handwashing

Handwashing with soap remains one of the most effective and affordable public health interventions. According to the World Health Organization (WHO) and UNICEF, proper hand hygiene can reduce diarrheal diseases by up to 30–40% and respiratory infections by approximately 20%. Studies published in journals such as The Lancet also highlight that improved hand hygiene significantly decreases healthcare-associated infections and antimicrobial resistance. In low and middle-income countries like Pakistan, where infectious diseases remain prevalent, access to functional handwashing facilities is directly linked to reduced morbidity and mortality, especially among children. Beyond physical health, visible hygiene infrastructure also fosters a culture of dignity, safety, and trust in public spaces. 

 

Are there design factors in public handwashing facilities that influence compliance?

Yes, design plays a pivotal role in encouraging consistent handwashing behavior. Facilities that are accessible, visible, safe, and easy to use significantly increase compliance. Touch-free technologies such as sensor- based soap dispensers and faucets minimize cross-contamination and enhance user confidence. Adequate lighting, clear signage, gender-sensitive placement, and regular maintenance further influence usability. Behavioral research also shows that when handwashing is perceived as convenient and socially reinforced, individuals are more likely to comply. In settings like schools, hospitals, and transport hubs, thoughtful design can transform hand hygiene from an occasional act into a habitual practice.

 

What common misconceptions exist about handwashing in public spaces?

Several misconceptions continue to hinder effective hand hygiene:  

  • “Rinsing with water alone is enough.” In reality, soap is essential to remove pathogens.
  • “Hand sanitizers can always replace handwashing.” While useful, sanitizers are less effective on visibly soiled hands.  
  • “Warm or hot water kills germs.” The temperature does not significantly impact germ removal; soap and friction are key factors.  
  • “Public restrooms are inherently unsafe, so handwashing doesn’t make a difference.” Proper hygiene practices substantially reduce infection risks.  
  • “If hands look clean, they are germ-free.” Many pathogens are invisible and still transmissible. 

Addressing these myths through education and facility design is crucial for

sustained behavioral change. 

 

If public restrooms had the Clean Hands Certified criteria, would it contribute to improved public health? Why?

Yes, incorporating these criteria would significantly enhance public health outcomes by ensuring that handwashing is effective, safe, and user-friendly. 

  • Touch-Free Soap Dispenser: Reduces cross-contamination and encourages use by increasing user confidence in hygiene.  
  • Touch-Free Faucet: Prevents re-contamination after washing and supports infection prevention, particularly in high-traffic areas
  • Warm Water: While not essential for germ removal, it improves user comfort and increases the likelihood that individuals will wash their hands for the recommended duration (at least 20 seconds).  
  • Hygienic Hand Drying Method (Disposable Towels): Evidence suggests that single-use paper towels efficiently remove residual microbes and minimize environmental contamination compared to some air dryers.
  • Touch-Free Exit: Eliminates the need to touch potentially contaminated door handles, completing the hygiene sequence. 

Collectively, these measures strengthen infection prevention and control (IPC) strategies, especially in densely populated public settings. Such infrastructure is particularly valuable in reducing the spread of respiratory and gastrointestinal infections, as demonstrated during the COVID-19 pandemic.

“Handwashing is more than a personal habit; it is a public health responsibility and a matter of dignity. By investing in thoughtfully designed hygiene infrastructure, we not only prevent disease but also promote equity and trust in shared public spaces.”

Momina Naveed