Oct 21 2009, 12:15PM

Health/Medicine

Getting a Grippe

3026261940_44f2124695.jpgIn flu season, what price prevention? That's a question the Philadelphia Inquirer is asking as religious and medical leaders discuss the ethics of the handshake. While there is medical debate about avoiding the gesture -- some doctors say a ban is only minimally effective, others carry hand sanitizer in bottles with them -- some people fear a moral contagion. One mother whose family had swine flu last summer called avoidance

"extreme. . . . That's who we are as human beings. We do shake hands. We do hug each other. We do kiss our friends on the cheek. If we let go of all that, then what do we have left? We're just walking by each other as strangers."

She still shakes hands, kisses cheeks, and refuses to use hand sanitizer, even though Har Zion Temple in Penn Valley, where her husband is the rabbi, recently installed dispensers after a member made the request.

Philadelphians' concerns on such questions have deep historic roots. Handshaking was once a common form of greeting in Europe, then displaced in the seventeenth and eighteenth centuries by hat doffing and bowing, only to re-emerge as an allegedly English innovation. But it was the Quakers, first settlers of Philadelphia, whose founder George Fox promoted the gesture as a symbol of the equality of believers -- at a time when authorities considered refusing to doff a hat to magistrates something between heresy and treason. Philadelphia even has a handshake historian with a classics Ph.D.

There's a sinister side of anti-handshake campaigns. Mussolini cited hygiene in officially banning the handshake in favor of the "Roman Salute," a gesture that has its own scholars. (Some historians think the Duce just wanted "excuse to avoid one form of human contact.") And Youtube hosts a virtual festival of conspiracy-theory handshake videos like this.

Despite hygienic reservations, the handshake, like the chair, is a Western custom that has made its way around the world. Influenza did not reverse the trend even after the 1918 pandemic, so it's not going to do so now. Some alternative gestures like elbow bumps make as much sense (outside their original cultural contexts) as rituals of safe blood brotherhood. In fact the small risk makes the clasp even more meaningful. So handshakes, perhaps followed by discreet private disinfection, are here for the duration.

(Photo: Flickr/star5112)

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Comments (1)

Dear Dr Tenner,

Good post and very interesting to read. Back in August I came up with the shoulder-shake, aka the shoulder-touch, which I illustrated here:

http://northwardho.blogspot.com/2009/08/as-swine-flu-spreads-globally.html

My blog post was titled: As Swine Flu Spreads Globally, Handshakes Are Out and Namaste, Japanese-style greetings and Shouldershakes Take Over as Human Greetings in the Age of Pandemics!

Doctors now advise about NOT shaking hands or kissing on the lips or even cheeks as a form of greeting as the SWINE FLU PANDEMIC spreads worldwide, putting millions at risk. So as handshakes go out of fashion, upon doctors' medical advice, a new kind of human greeting is taking over, and for want of a better word, it is being called the SHOULDER TOUCH. Other alternatives include Namaste greetings, based on Indian traditions, and Japanese style bow greetings. And more: new alternative greetings will likely spring up, too.
To do a shoulder-touch, extend your right hand out straight in front of you with the palm down, place it gently on the person you are greeting's right shoulder, as he or she does the same to you. This way, your hands do not TOUCH and no germs or bacteria are exchanged, flesh to flesh.

Was I too worried and anxious?

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