Correct hand-washing is best achieved by washing with adequate quantities of water and soap or an alcohol-based solution and rubbing hands thoroughly for at least 20 to 30 seconds in order to cover all surfaces (WHO, 2014). Hand washing with chlorinated water is not considered ideal since this may lead to skin lesions which would increase risk of infection. http://www.globalhandwashing.org/reso...
As I expected the cited WHO guideline warns against relying too much on hand-disinfection rather than soap:
"Alcohol-based hand rubs should be made available at every point of care (at the entrance and within the isolation rooms and areas); running water, soap, and single use towels should also be always available. Soap and running water should always be used when hands are visibly soiled. - See more at: http://www.globalhandwashing.org/reso... use"
"Chlorine should NOT be used as a replacement for soap or alcohol-based hand rub. Chlorine needs to be in contact with your hands for a prolonged period to have an effect on Ebola virus, typically much longer than it takes to wash your hands, so the added benefit in handwashing is not clear. - See more at: http://www.globalhandwashing.org/reso... use"
A locally used solution to supplying soap if soap bars is removed is supplying washing powder like OMO. At the Q and A on WHO guidelines, I discuss uses of ash for soap substitute and disinfectant if needed, eg. outside health centers: It is based on 6 pp referenced text I compiled I link to here as well. Ash as a neglected low-cost alternative for soap for hand washing (and disinfectant) relevant for Ebola prevention -- and some more suggestions.docx
This thread is public, all members of KnowledgePoint can read this page.