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CAN YOU GET SICK FROM THE GERMS IN TOILET PLUMES?

When you flush a toilet, invisible plumes, which may contain viruses, can shoot
almost five feet into the air and spread horizontally within a short time, a
study showed.

4 min

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Key takeaways

Summary is AI-generated, newsroom-reviewed.

 * Flushing a toilet causes aerosols containing any pathogen residing in the
   bowl to spray out.
 * Plumes can reach five feet high within eight seconds
 * Pathogens can stay airborne for tens of minutes
 * Infection risk is low unless someone with a highly contagious disease
   previously used the toilet.
 * Good hand hygiene is among the most effective ways to protect against
   infections.

Did our AI help? Share your thoughts.

When you flush a toilet, invisible plumes, which may contain viruses, can shoot
almost five feet into the air and spread horizontally within a short time, a
study showed. (Linnea Bullion for The Washington Post)
By Lindsey Bever
August 16, 2024 at 7:00 a.m. EDT


THE QUESTION:

Is it true that there’s an invisible plume of pathogens that spews out of the
toilet when you flush it — and that it can make you sick?

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THE SCIENCE:

When you flush a toilet, aerosols containing any pathogen residing in the bowl
spray into the bathroom.

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IS IT TRUE?

Lindsey Bever digs into the science and reveals surprising truths in this weekly
myth-busting feature.

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A 2022 study that used lasers to illuminate these aerosolized plumes found that
the plumes, which may contain bacteria and viruses, can shoot almost five feet
into the air — the approximate height of the nose and mouth of an average adult
— within about eight seconds of the flush, said John Crimaldi, a professor of
civil, environmental and architectural engineering at the University of Colorado
at Boulder, who was the lead author of the study.


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The plume also spread several yards horizontally within a short time, Crimaldi
said.

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“We were able to see it spread across a fairly large lab in the span of
minutes,” he said. “If you’re in a large, public restroom that has a dozen
stalls, there’s a dozen plumes spreading throughout there constantly.”

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The largest particles, which can be as big as droplets, can land on nearby
surfaces and items such as a towel or toothbrush almost immediately, but the
smallest ones can stay airborne for “tens of minutes,” Crimaldi said. Air flow
can then blow the particles through the room.

“By the time the next user goes into the toilet stall, certainly that plume is
still present,” Crimaldi said.

Movie showing the laser-illuminated aerosol plume ejecting from a commercial
toilet during the first eight seconds of the flush cycle. (Video: John
Crimaldi/University of Colorado Boulder)

But it is unlikely for most people to become infected by pathogens in the plume
unless someone with a highly contagious disease such as the stomach bug
norovirus previously used the toilet, said Katrin Kuhn, an infectious-disease
epidemiologist who is also an associate professor and vice chair of the
department of biostatistics and epidemiology at the University of Oklahoma
Health Sciences.

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Bacteria and viruses can live on certain surfaces from hours to weeks but, to
become infected, a person would have to inhale or ingest what is called an
infectious dose, which varies from one pathogen to the next. For instance, with
shigella, a gastrointestinal bacteria, it may take 10 organisms to cause
illness, whereas with salmonella, it would take more than 50,000, research
shows.

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A 2013 literature review reported that while infectious aerosols may be produced
by flushing a toilet, no study has proved that toilet plumes lead to infection.

“That’s why you don’t see public health advisories about making sure the lid is
down before you flush,” said William Schaffner, a professor of infectious
diseases and preventive medicine at Vanderbilt University.

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The risk from the organisms on your hands is much higher than from the organisms
in the toilet plume, experts said. When you touch surfaces, including doorknobs,
elevator buttons and shopping carts, you can pick up pathogens and then, when
you scratch your nose or wipe your mouth, you can become infected.




WHAT ELSE YOU SHOULD KNOW:

Studies have shown that closing the toilet lid before you flush does reduce the
number of particles that are ejected into the air, but it does not eliminate
them. One study reported that the lid reduced the total concentration of
particles by 48 percent, and total surface area concentration by 76 percent.

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Typically, there are spaces between the toilet lid and the seat as well as
between the seat and the bowl. These spaces redirect “the energy in the plume to
be more horizontal rather than vertical,” Crimaldi said. It changes the
distribution, but closing the lid “certainly does not eliminate the plume,” he
added.

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Another study also reported that closing the lid did not reduce viral
contamination of other bathroom surfaces.

Good hand hygiene is among the most effective ways to protect against infection,
Kuhn said.


THE BOTTOM LINE:

When you flush the toilet, there is an invisible aerosolized plume that spews
any pathogen residing in the bowl into the air. While it is theoretically
possible to become infected, more so when someone with a highly contagious
disease has previously used the toilet, it is unlikely in most cases.

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221 Comments
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