EXPIRED? REALLY?

After a recent trip to the dentist, I noticed that the little sample size Colgate dental floss has an expiration date of 01/07/2025. Really? Dental floss?

It turns out that dental floss is pretty sturdy stuff, meant to last long. The floss itself does not go bad, though the string might begin to fray a bit. The wax coating of waxed floss might start to break down. Any flavoring agents can start lessening after a long period.

So that made me wonder about the usefulness of other expiration dates.

Please note: what follows is information I found online—i.e., generally available information, not advice or recommendation.

How About Cleaning Products?

The U.S. Environmental Protection Agency (EPA) requires all disinfectants to publish expiration date information for all formulations that change significantly over time.

So, yes, cleaning products can expire. “Like many products purchased at the grocery store, cleaning products can degrade over time,” says Brian Sansoni, senior vice president of communications, outreach & membership at the American Cleaning Institute (ACI). “Even if they contain preservatives, that doesn’t mean they last forever. As they begin to break down, it might affect how well the enzymes work or change the pH, resulting in a less effective product,” Sansoni explains. You might need to scrub longer or harder.

Once it has expired, some of the claims a product makes (such as the percentage of germs it kills on a surface) may no longer be valid.

Medicines?

Surely everyone knows they do. Indeed, the U.S. Food and Drug Administration (FDA) requires all medications to have an expiration date.

Manufacturers create over-the-counter and prescription medication dosage instructions that reflect the product’s strength, quality, and purity when stored properly. This is indicated by “Expires: [DATE]” or “EXP: [DATE]” on the bottle or packaging. Think aspirin, neosporin, etc.

Beyond the expiration date, the manufacturer cannot guarantee the product will work effectively when taken as directed, and there is no easy way to determine the potency of the expired medication.

Rarely but more seriously, the drug manufacturer cannot ensure that the product will not degrade and produce toxic compounds that could cause harm.

The FDA has recently begun allowing manufacturers to extend specific medication expiration dates for the purposes of national emergency preparedness. However, you generally shouldn’t take expired medications without consulting a state-licensed, board-certified medical professional like a pharmacist or medical doctor.

The FDA has extended printed expiration dates for at-home COVID tests. Before throwing away an expired test, check with a pharmacist to see if it might still be accurate.

What About Skin Care Products?

Unless the product is classified as a drug, as acne treatments and sunscreen products are, you probably won’t find an expiration date on it, said Dr. Bruce Brod, a dermatologist at Penn Medicine. Still, if you can’t remember when you bought, you should probably toss it. Like cleaning products and medications, the effectiveness of active ingredients in these products can start to break down over time.

And Then There Is Food…

Generally speaking, it is safe to buy food on its expiration date. Expiration dates have more to do with the food’s overall quality and texture rather than whether it is safe or not safe to eat. As long as there are no signs of spoilage, you can eat it (though it might not taste as fresh as it once was).

What Foods Can You Not Eat After the Expiration Date?

ItemMonths
Bacon and sausage1 to 2
Casseroles2 to 3
Egg whites or egg substitutes12
Frozen dinners and entrees3 to 4
Gravy, meat or poultry2 to 3
Ham, hotdogs, and lunchmeats1 to 2
Meat, uncooked roasts4 to 12
Meat, uncooked steaks or chops4 to 12
Meat, uncooked ground3 to 4
Meat, cooked2 to 3
Poultry, uncooked whole12
Poultry, uncooked parts9
Poultry, uncooked giblets3 to 4
Poultry, cooked4
Soups and stews2 to 3
Wild game, uncooked8 to 12
Recommended Freezer Times

Most shelf-stable foods are safe to eat much longer than their expiration date. But things like milk (and other dairy) should not be consumed past its expiration date unless frozen. One can tell that these foods have gone bad based on their appearance and smell.

Posted by Marianne Gravely, Technical Information Specialist, Food Safety and Inspection Service in Health and Safety: “Food poisoning bacteria does not grow in the freezer, so no matter how long a food is frozen, it is safe to eat. Foods that have been in the freezer for months (recommended freezer times chart) may be dry, or may not taste as good, but they will be safe to eat. Often seasonings and additional ingredients can make up for loss of flavor.

Before you throw out limp lettuce or brown bananas, consider the possibilities! Wilted herbs can infuse oils. Turn mushy fruit into pie or compote. Almost any vegetable past its prime can still make great soup. Leftover milk or cream make great ricotta or milk jam. Recently expired milk can even substitute for buttermilk in baked goods. You can even use expired food as cleaning agents or skin care ingredients!

While not food per se, baking powder and baking soda both have expiration dates that should be heeded—assuming you want your baked goods to turn out right.

Things You Never Knew Had an Expiration Date

They’re meant to keep you safe or to ensure that the product will still work, so don’t blow them off.

  • Infant/child carseats: every one has an expiration date, usually printed on the bottom of the seat. The longevity of a car seat varies by manufacture date and brand. For example, Graco and Britax car seats tend to expire after six to ten years, depending on the type of seat you have.
  • IOSAT (Potassium Iodide) Nuke Pills expire but have a shelf life of around 5-6 years. They are relatively inexpensive and provide assurance for nuclear accidents and attacks. Be sure to check the expiration date of your supplies of this “must have” if you are prepping for a radiation emergency. Ensure you have one packet for everyone in your household.
  • Kevlar clothing items have an expiration date. Yes, bullet proof vests and motorcycle pants have expiration dates, generally five years for Kevlar.
  • Condoms have an expiration date, usually printed on the package. Generally, a condom expires about five years after manufacture if stored under proper conditions—i.e., in a cool, dry place. Condoms with spermicide will last just two years. Heat, light, and humidity will affect condom integrity.
  • Disposable respirators (the majority, anyway) have expiration dates. The respirator mask should not be used after this date.
  • Bottled water has a date stamped on the bottle, though this is sometimes a sell-by or use-by date rather than an expiration date. Water, of course, does not go bad or expire. However, the bottles can start to break down and leak antimony and microplastics into the water when stored at high temperatures or for a long time.

“Sell By” or “Use By”

Then there are “sell by” and “use by” dates:

  • “Sell by” dates:
    • This is information for the store for their own stock rotation to let the stores know how long to display the food. It helps them keep track: out with the old, and in with the new.
  • “Use by” dates
    • Best if used by dates are for the consumer to advise about the texture, color or quality of the food. This totally voluntary information a manufacturer passes along to protect their brand. Generally, you can stretch the date and still enjoy the food.

Bottom Line: Pay attention to expiration dates, especially on products related to one’s health and well-being.

TOO CLEAN? NOT CLEAN ENOUGH?

When we talk about cleanliness, we often combine grooming habits with hygiene. Society dictates certain standards of personal grooming, such as combing hair or masking body odor, that we unconsciously absorb. These habits might contribute to health, but they might simply be the result of doing it the way you’ve always done it.

Hygiene, on the other hand, refers to grooming practices that contribute to health or prevent the spread of disease. Habits like regularly flossing and washing your face can help you to stay healthy.

Personal grooming is largely a matter of personal preference, but researchers have determined the ideal levels of cleanliness for best hygiene.

So, how clean should you be keeping everything above your neck?

Note: Grooming patterns, hygiene standards, and social expectations of cleanliness vary wildly around the world, but this blog will focus on America.

Wash Your Face

Experts do not recommend using a squirt gun to wash your face. Or your sister’s face.

When it comes to cleanliness—to hygiene—one of the first activities that comes to mind is washing hands and faces.

In general, wash your face twice a day. According to Nazanin Saedi, MD, a board-certified dermatologist based in Philadelphia, “I tell patients that it’s important to wash your face in the morning and at the end of the day.”

Washing your face is an important tool to keep yourself healthy, especially during cold and flu season. In addition to removing dirt and sweat from your skin, proper face-washing removes germs that could spread illness. In particular, you can help stop the spread of airborne, respiratory infections (like Covid-19 and the common cold) by regularly washing off droplets from coughing and sneezing. Washing your face is particularly effective in removing allergens, bacteria, and viruses that spread through contact with mucous membranes (like pink eye).

hygiene
Face washing

If you’re not doing it frequently enough you might notice a buildup of skin cells and clogged pores, which could result in acne. How often you wash your face often depends on your skin type, your goals, and (to some extent), your environment. On average, you should be washing your face one to two times per day. But do we?

According to a recent study, 55 percent of people say they don’t cleanse their faces each day, a statistic that most dermatologists would shake their heads at. The study found that 48 percent of Americans don’t use cleanser when they do wash their faces—and almost half admit to using shampoo or conditioner or hand soap instead. Not only are people choosing the wrong products (a.k.a., ones that aren’t meant for facial skin), but many are also using the same washcloth up to four times before washing it. (For reference, experts say you should use a clean cloth every single time.)

Note: Splashing one’s face with water in the morning isn’t washing at all.

A 2017 survey showed that 60% of men don’t wash their faces at all. Most men, along with 48% of women, admitted to often skipping facial cleansing before bed.

Which Brings Us to Oral Hygiene

oral hygiene
Veterinarians recommend brushing your dog’s teeth as often as you brush your own. Instead of mint, dog toothpaste often tastes like meat or peanut butter!

Good oral hygiene plays a surprisingly large role in maintaining overall health. It can help prevent endocarditis, periodontitis, and pneumonia. People with good oral hygiene habits have lower incidences of cardiovascular disease and fewer pregnancy complications.

The American Dental Association recommends brushing your teeth at least twice a day. However, fewer than 70% of Americans report meeting that standard. This means that more than 30% of Americans don’t brush enough.

Additionally, only 1 in 10 Americans brush their teeth correctly. Most people spend only about fifteen seconds per round of brushing. Studies have shown that you need a full two minutes of brushing to properly clean all tooth surfaces.

Frayed bristles can’t clean correctly, and even worse — they harbor all kinds of nasty germs. The American Dental Association suggests changing your toothbrush every three or four months.

Our modern standard of having perfectly white, even, straight teeth stems from black and white films. Because naturally-colored teeth showed up as gray on screen, many stars whitened their teeth or wore veneers. Ordinary people soon began to follow the fashion of bleaching and straightening their teeth for cosmetic reasons. Today, the American smile has become a $29.6 billion industry.

Electric toothbrushes may clean teeth and gums much better than a manual toothbrush. Either sort of toothbrush can be effective, though electric toothbrushes are easier to use effectively. People who use an electric toothbrush generally have healthier gums and less tooth decay. They also keep their teeth for longer, compared with those who use a manual toothbrush. But electric toothbrushes can be messy!

Listerine created the word “halitosis” as part of a marketing campaign to sell mouthwash. Humans have had bad breath for as long as we’ve had teeth, but a Listerine campaign in the 1920s turned it into a social problem. By gargling with Listerine, people could remove an invisible barrier to popularity, sex appeal, marriage, and career advancement. (Listerine also worked as a dandruff shampoo, cold remedy, and floor cleaner!)

oral hygiene

Daily flossing prevents cavities and helps to keep our gums in good shape.

Surveys conducted by the American Dental Association have shown that less than 50 percent of adults in the U.S. floss on a daily basis. In fact, studies show that only 30% of Americans floss at least once a day.

The majority of adults, about 68%, reported flossing at least once weekly. A 2023 Delta Dental national public opinion poll of 1,003 adults found that 20% of Americans never floss. A report published in the Journal of Periodontology found that 32% of adults reported no flossing in the past week.

What About Hair Care?

shampoo hygiene
“Shampoo” comes from the Hindi word chapo (चाँपो), meaning “to press, knead the muscles.” It was first used in English as a cleanser for hair in 1860.

With the exception of treating certain conditions like head lice or ringworm, regular hair washing is not medically necessary. The scalp naturally produces sebum, an oil that protects against infection as well as moisturizing the skin. In fact, washing hair too frequently can strip the sebum from the scalp and cause itchiness and flaking.

Today, most people’s hair hygiene routine stems from social or cosmetic reasons rather than health concerns. A recent survey conducted by LookFantastic found that 49% of women polled reported washing their hair every day.

Carolyn Goh, MD, assistant clinical professor of medicine at the David Geffen School of Medicine at UCLA says, “There is no blanket recommendation. If hair is visibly oily, scalp is itching, or there’s flaking due to dirt,” those are signs it’s time to shampoo.

Hair texture plays a huge role in determining hygiene routines. People with thin or fine hair may need to wash more often. Those with thick, curly, or coiled hair might be more comfortable waiting longer between washes.

Experts recommend using the flat side of a hairbrush rather than the bristles to avoid breakage and split ends.

For the average person with straight hair, shampooing every other day, or every 2 to 3 days, is generally fine. Hair with a very straight texture is likely to start looking oily and limp faster, calling for more frequent washing.

People with curlier or wavier hair may be able to go longer between washing before their hair starts to look dirty. Some dermatologists recommend washing hair no more than once a week or even every other week. This will help prevent build-up of hair care products, which can be drying to the hair.

The scalp can produce varying levels of sebum, which also affects how often hair needs to be washed. Washing too often can cause the scalp to overproduce oil as well as upsetting the pH balance of the microbiome on the skin. According to dermatologist Blair Murphy-Rose, MD, “Too frequent washing of the scalp with harsh cleansers can upset that microbiome, and an imbalance in the microbiome can lead to scalp problems.”

And Last But Not Least: Facial Hair

The World Beard and Moustache Association hosts a facial hair competition every year.

Like washing the hair on your head, shaving the hair on your face generally serves no medical purpose. However, the presence or lack of facial hair is highly important to a sense of self-identity and social acceptance. Grooming or removing facial hair is an integral part to many people’s hygiene routines.

Having hair and not wanting it leads many people to bleach, shave, or wax to remove or disguise hair temporarily. Laser hair removal or electrolysis treatments kill hair cells below the skin surface for permanent hair removal.

Facial shaving in women is more common than you might think. It’s done to remove vellus and terminal hairs from the cheeks, chin, upper lip, and side burn areas. Facial shaving also provides mechanical exfoliation, which can help skin look brighter and cleaner.

Many women wax their chins or upper lips to remove unwanted facial hair. Using warm or cool wax to pull hairs out by the roots gives a longer-lasting smoothness, but the risk of side effects is higher. People have reported pain, rashes, sun sensitivity, or even scarring after facial waxing.

Some facial hair can be cleaned in the dishwasher!

Rather than removing unwanted facial hair, some people choose simply to bleach it. Lightening hair follicles reduces the appearance of facial hair but leaves it in place. Though generally easier and cheaper than waxing, bleaching hair still runs the risk of irritating skin.

Three out of four American women ages 18 to 34 have had facial hair removed or done it themselves in the last year. Most common removal locations are eyebrows (58 percent), upper lip (41 percent) and chin (21 percent), according to a 2014 survey by Mintel, which did not track removal methods.

How often a woman shaves her face is usually down to genetics and personal preferences. In general, the recommendation is that women shave their faces every 2-3 days if they like a clean shave and every 3-5 days if they’re just looking to style or trim.

A 2019 survey showed that more men [35%] than women [6%] shaved once or more daily (though razors marketed to women cost more).

Not every facial hair transplant looks natural.

The presence or absence of facial hair serves as strong indicator of gender in our society. For many transgender people, transitioning begins with the daily application or removal of facial hair. Hormone therapy can eventually help people to grow or stop growing facial hair on their own. Transgender women report laser hair removal as the most common form of facial procedure. Transgender men may turn to hair transplants to fill in hairlines and eyebrows as well as beards and moustaches.

Some cisgender men also use hair transplants to achieve their desired facial hair. Doctors move strips of hair or individual hair follicles from the back of a patient’s head to the jaw, cheek, or upper lip. Because this is such an expensive procedure, many medical tourists travel to Turkey for hair transplants.

During a June 2017 survey, 29 percent of men reported trimming or shaving their beard every day.

Bottom Line: Too clean or not clean enough? YES!

Sometimes you might need a little hygiene help from a friend for those hard-to-reach places.