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What are the common misunderstandings about hand sanitiser and sore hands?

This answer is a draft. It stays unpublished until legal review and source verification are complete.

The answerThe biggest misunderstanding is "washing and then sanitising every time is the safe option." The Ministry of Health, Labour and Welfare (MHLW) makes washing with running water and soap the basic method, and alcohol sanitiser the fallback for when you cannot wash. Doing both every time stacks up irritation and makes sore hands worse. The guide is "wash if there is dirt, sanitise if there is none", "rub sanitiser in until it is dry" and "moisturise in between."

Since 2020 alcohol sanitiser has been part of everyday life in Japan — there is a bottle at almost every shop entrance — and complaints of sore, cracked hands have risen. This article sets out when to wash and when to sanitise, what concentration to use, and how to protect your skin, based on the Ministry of Health, Labour and Welfare's approach to hand hygiene.

Points to weigh up

ItemDetailSource
BasicsWash with running water and soap for about 30 secondsMHLW
Where sanitiser fitsA means for when you cannot wash. If there is visible dirt, washSame
Alcohol concentration60–95% (around 70% is the guide). Wet hands dilute itSame, WHO
MethodA generous amount in the palm (a 500-yen coin's worth); rub over the whole hand until dry (15–30 seconds). Do not wipe it offSame
Sore handsAlcohol strips sebum; repeated use leads to dryness and cracking. Products with added moisturisers, and moisturising after sanitisingDermatology
CategoryAlcohol hand sanitiser is a "medicine" (医薬品) or a "quasi-drug" (designated quasi-drug, 指定医薬部外品 — a Japanese category between cosmetics and medicines). Different from general goods labelled "anti-bacterial" (除菌)MHLW
FireAlcohol is flammable. Do not use or store it near flames. Do not inhale spraysFire and Disaster Management Agency
[Verify] Check the basics of hand hygiene against the MHLW "Hand washing and hand sanitising" material, and the concentrations against the WHO guidelines.

Misunderstanding 1|Washing and sanitising every time is the cleanest

Irritation stacks up and hands become sore, and sore hands are worse for hygiene too. If you can wash, just wash; sanitise when you cannot.

Misunderstanding 2|The higher the concentration, the better it works

60–95% is the effective range, and higher concentrations are generally described as evaporating faster and working less well without some water present. Around 70% is the guide.

Misunderstanding 3|A quick spray and a shake of the hands is enough

Rub in for 15–30 seconds until dry. Too little, or wiping it off straight away, reduces the effect.

Misunderstanding 4|"Anti-bacterial" on the label means the same as sanitising

"Anti-bacterial" (除菌) is wording for general goods, and is regulated differently from "disinfect" (消毒) or "kill bacteria" (殺菌) on medicines and quasi-drugs. For hands, look for at least a designated quasi-drug label.

Misunderstanding 5|You just have to put up with sore hands

Many people improve with sanitiser containing moisturisers, hand cream after sanitising, cotton gloves and intensive moisturising at night. Cracking, bleeding or strong itching should go to a dermatology clinic (covered by Japanese health insurance).

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Sources

https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000121431_00094.html

https://www.who.int/publications/i/item/9789241597906

https://www.dermatol.or.jp/uploads/uploads/files/guideline/hand_eczema_GL.pdf

⚠️ Editorial note: the source URLs above were identified by search. Our working environment cannot reach go.jp domains, so the contents have not been checked against the text. Verify every source before publication and record who checked it and when.

About this article

What we share here are ideas and everyday practices passed down among people living in Japan, together with general information drawn from public sources. They are not official recommendations, and they are not professional instruction. Practices vary between households and regions.

This is general information. Results vary from person to person and depend on your own conditions and surroundings.

Please decide for yourself, using your own judgement, whether any of this suits your situation. We cannot accept responsibility for any damage, loss or injury arising from following this article.

Cosmetics are not medicines and are not meant to diagnose, heal or prevent any condition. If your skin reacts, stop using the product and see a dermatologist.

Sources

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