This infographic highlights how effective washing your hands can be in an outbreak

Mar 13, 2020

This article is published in collaboration with Business Insider.

Schoolchildren wash their hands during an activity for the upcoming Global Handwashing Day in Lima October 12, 2009. October 15 has been appointed to become Global Handwashing Day in accordance with the year 2008 as the International Year of Sanitation by the UN Coronavirus china virus health healthcare who world health organization disease deaths pandemic epidemic worries concerns Health virus contagious contagion viruses diseases disease lab laboratory doctor health dr nurse medical medicine drugs vaccines vaccinations inoculations technology testing test medicinal biotechnology biotech biology chemistry physics microscope research influenza flu cold common cold bug risk symptomes respiratory china iran italy europe asia america south america north washing hands wash hands coughs sneezes spread spreading precaution precautions health warning covid 19 cov SARS 2019ncov wuhan sarscow wuhanpneumonia pneumonia outbreak patients unhealthy fatality mortality elderly old elder age serious death deathly deadly

Frequent hand washing is one of the most effective ways to prevent the spread of disease. Image: REUTERS/Mariana Bazo

Kieran Corcoran

A visualization shared this week on Twitter shows how a serious outbreak can be slowed by extra hand-washing.
It comes from a 2018 BBC documentary, which modeled the spread of a hypothetical flu-like disease in great detail.
It estimates that stepping up hand-washing across the board can reduce virus transmission by up to 22%, which would help control any outbreak.
While it obviously will not be an exact match for the current coronavirus outbreak, it underlines the importance of hand-washing, one of the main pieces of public-health advice.

A remarkable graphic from a 2018 simulation of a modern pandemic shows how dramatically a disease like the coronavirus could be slowed by people stepping up the amount they wash their hands.

Have you read?

The visualization is created from data gathered in the UK for "Contagion!", a 2018 BBC documentary to mark 100 years since the 1918 flu pandemic which killed more than 10 million people.

A still image from a simulation broadcast as part of the 2018 BBC documentary Coronavirus china virus health healthcare who world health organization disease deaths pandemic epidemic worries concerns Health virus contagious contagion viruses diseases disease lab laboratory doctor health dr nurse medical medicine drugs vaccines vaccinations inoculations technology testing test medicinal biotechnology biotech biology chemistry physics microscope research influenza flu cold common cold bug risk symptomes respiratory china iran italy europe asia america south america north washing hands wash hands coughs sneezes spread spreading precaution precautions health warning covid 19 cov SARS 2019ncov wuhan sarscow wuhanpneumonia pneumonia outbreak patients unhealthy fatality mortality elderly old elder age serious death deathly deadly

The effect hand-washing could have on a flu like disease such as coronavirus. Image: BBC

It got a lot of attention on Twitter this week when it was posted by Hannah Fry, a math professor at University College London who led the data-gathering project and presented "Contagion!"

It models the spread of a hypothetical pandemic in the UK. On the left is how a disease moves under normal conditions. On the right is how it moves when people wash their hands at least five more times a day than usual.

The data was generated by around 29,000 people who volunteered to turn over their phone's location data to the BBC, along with a manual log of who they came into contact with.

Mathematicians then modeled this to simulate the spread of a flu-like virus, as described in this scientific paper for the journal Epidemics.

They then experimented with variables like whether people started washing their hands more. Based on previous scientific analysis, they estimated that hand-washing would reduce transmission by 22%.

In the model, 90 days after the beginning of the hypothetical outbreak, the simulation predicted that 42 million of the UK's 66 million or so people would have caught the disease.

In the heavy-hand-washing scenario, the figure is instead around 17.5 million, less than half.

The hypothetical pandemic appears a good deal more infectious than the coronavirus, which has in just over two months infected people by the hundreds of thousands rather than the millions. The salient point is the difference between the two scenarios.

Frequent hand-washing is one of the most common pieces of public health advice being shared around the world as the real coronavirus spreads. More than 100,000 people worldwide had been infected so far.

Unlike the wearing of face masks — which governments in Asia have promoted, but authorities in the US say is ineffective — everyone seems to agree that hand-washing will help.

In the UK, the government got out of its comfort zone by employing an internet-famous doctor to make a TikTok video promoting the benefits of thorough hand-washing.

Three fairly obvious disclaimers about the graphic:

The data is not from a real-world pandemic. Scientists are still working out exactly how the coronavirus spreads.
It models a severe pandemic. Even in China, where the virus has been spreading for more than two months, case numbers are in the high tens of thousands, not the millions. Experts do not currently consider the coronavirus to be a pandemic.
The simulation is based on people in the UK. Perhaps people in other countries interact with one another very differently — for example in a place with much higher or lower population density, or different cultural habits around physical closeness.

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