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“The school stank of Lysol, and several times a day they all had to line up and wash their hands. Clean hands save lives was the message being hammered into them. When it came to spreading infection, they were informed, they themselves--school kids--were the biggest culprits. Even if you weren't sick yourself, you could shed germs and make other people sick. Cole was struck by the word shed. The idea that he could shed invisible germs the way Sadie shed dog hairs was awesome to him. He pictured the germs as strands of hair with legs like centipedes, invisible but crawling everywhere. Minibottles of sanitizer were distributed for use when soap and water weren't available. Everyone was supposed to receive a new bottle each day, but the supply ran out quickly--not just at school but all over. Among teachers this actually brought relief, because the white, slightly sticky lotion was so like something else that some kids couldn't resist. Gobs started appearing on chairs, on the backs of girls' jeans, or even in their hair, and one boy caused an uproar by squirting it all over his face. Never Sneeze into Your Hand, read signs posted everywhere. And: Keep Your Hands to Yourself (these signs had actually been there before but now had a double meaning). If you had to sneeze, you should do it into a tissue. If you didn't have a tissue, you should use the crook of your arm. "But that's vomitous," squealed Norris (one of the two whispering blondes). These rules were like a lot of other school rules: nobody paid much attention to them. Some school employees started wearing rubber gloves. Cafeteria servers, who already wore gloves, started wearing surgical masks as well. Cole lost his appetite. He couldn't stop thinking about hospitals. Flesh being cut open, flesh being sewn up. How could you tell if you had the flu? The symptoms were listed on the board in every room: Fever. Aches. Chills. Dry cough. What must you do if you had these symptoms? YOU MUST STAY HOME.”

“Pastor Wyatt still shakes hands with people. He pays no attention to the warning to switch to the elbow bump. Cole remembers learning about this while he was still in regular school. Public health officials were trying to get people to switch because touching elbows did not spread infection the way touching hands did. Cole knows there are many people who have switched, but he sees the elbow bump only when he is around strangers. The people he sees every day make fun of the elbow bump. They shake hands and they hug one another, even through Pastor Wyatt says the disease that spared them all this time around is neither the last nor the worst of its kind. Other plagues are coming, he says, smiling. And he thinks they will be here soon.”

“People must learn that shaking another person's hand is not a friendly thing to do. It is not a friendly thing to put other people at risk for infectious diseases." She and several other people were shown demonstrating the elbow bump, and the auditorium got raucous again. "We must also consider limiting the use of coins and paper money. For this, too, may cause diseases to spread. We must use technology and human ingenuity to develop ways so that, in their daily public transactions, people touch one another as little as possible. Ideally, we also want to touch as few buttons and handles and knobs as possible.”