Some of the actual comments from the manicure / pedicure survey participants regarding the low hygiene levels they experienced were as follows:

"The technician picked up the metal scissors ... used on someone else's feet ... she used them to cut some skin from around her own nail. She then went to use them on me."

"This salon had an overpowering smell that burnt my throat and made me feel ill."

"The technicians washed the handtowels in the foot spas."

"Counters and floors were dirty, instruments reused and technicians did not wash their hands at all."

"The technician had open wounds on her hands. I asked her to put gloves on."

Although different state departments of health have their own guidelines for health and safety that nail artists are supposed to follow, a basic requirement of infection control is hand washing - either with soap and water, or a 70% alcohol (or alcohol and chlorhexidine) rub. According to basic hygiene guidelines, both the nail artist and their clients should clean their hands before a manicure.

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