I teach the children to cough and sneeze onto their arm and not onto their hands. If they put all the germs on their hands then they spread germs everywhere they touch after that and it's hopeless. I wipe super runny noses with the diaper wipes instead of tissues to really clean their faces and keep the germs away from my hands. I also wipe their hands a lot while they are playing just at random times throughout the day besides the handwashing at meal time. I ask the parents to carry wipes in their cars and purses and wipe up their children's hands after being in shopping carts which are like petrie dishes on wheels in my opinion.