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Reproductive, Maternal, Newborn, and Child Health: Key Messages of This Volume. Black RE, Walker N, Laxminarayan R, et al.The spread of pinworms can be reduced by proper hygiene, including clipping nails and showering children immediately after they wake in the morning.Inadequate contact lens hygiene, such as failure to properly disinfect lenses, increases the risk of acquiring the eye infection Acanthamoeba keratitis.14 An estimated 41 million people suffer from active trachoma, and nearly 10 million people are visually impaired or irreversibly blind as a result of trachoma. Trachoma, the leading cause of preventable blindness worldwide, is related to the lack of facial hygiene.13 Showering with soap before swimming helps stop the spread of germs by removing fecal material from the body. The average individual swimmer contributes at least 0.14 grams of fecal material to the water, usually within the first 15 minutes of entering.12 Showering before entering recreational waters (such as pools) prevent the spread of germs by reducing the microbial load.

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11 Within the first 15 minutes of bathing, the average person sheds 6 x 106 colony forming units (CFU) of Staphylococcus aureus.

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