Think about this: according to US CDC, 81% of people globally do not wash their hands after they urinate or defecate. In some countries, they just do not have the infrastructure set up to allow that. But I noticed when I was working in #Baton_Rouge, #LA, one time that three out of five men did not even pretend to wash their hands. One out of five pretended, and one out of five actually did. As a fairly heavy coffee drinker, I spent a lot of time in the facilities "returning water", so I got pretty good at telling what was happening just by the sound.

Think about that for a moment. In a government office in the US, handwashing rates were approximately the same as the global rate, which includes people in countries or areas where soap and running water are not available.