Episode 2 Health: Truth or Scare


Episode 2

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Transcript


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Every day, we're bombarded with conflicting messages

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about how to live a healthy, happy life.

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One minute, we're told something's the right thing to do.

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The next, it's the complete opposite,

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and we're left without a clue which advice to follow.

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So we've been wading through the confusion to separate the

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scare stories from the truth

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to help you work out what's best for you.

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Hello and welcome to Health: Truth Or Scare,

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the series that asks whether or not the dramatic headlines and

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shocking stories that we read about every day are really giving us

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the whole picture when it comes to what is really good or bad for us.

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Yeah, and today we'll be getting to grips with reports that

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suggest the technology millions of us use every day and

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might be hard pushed to live without could actually be doing

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irreparable damage to our senses.

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So whether it's our gadgets, our sedentary lifestyles,

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or even our desk jobs,

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it really does seem that some aspects of 21st century life

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may not represent progress in quite the way that we had all hoped.

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And actually, it could even be doing us harm, so by the end of

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today's programme,

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we do rather hope that you're going to have a much better idea of which,

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indeed if any, of those stories you need to pay a bit more attention to.

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Coming up, is modern technology making us blind and deaf?

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We hit the streets to find out.

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Oh, my goodness!

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-That's bad.

-And when it comes to washing your hands,

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should we dig the dirt rather than blitz that bacteria?

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How can my hands possibly be dirtier after I wash them?

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Now, Kevin, I know you're a fair bit younger than me, but when you were a

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little lad, did your mum used to say to you, "Now, Kevin, don't you get

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"too close to that television screen,

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"cos you'll ruin your eyesight."

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She did, Angela. All the time.

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I've got to be honest, though, I didn't listen to her.

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I don't think any of us did.

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But I say the same things to my kids as well and they don't listen

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to me, but they get so much closer to their smartphones and

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tablets than I ever did to my mum's old telly.

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And that's exactly the problem that some of these headlines are

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suggesting we are now facing.

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"How modern life could be harming our health," says this one.

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And they're worried not just about what damage we might be doing

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to our eyes by looking at all these electronic devices, but just as

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importantly, what damage we might be doing to our ears because we're

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listening to everything on headphones, and actually

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they're talking about the possibility of lots of people

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going prematurely deaf.

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But hang on, before any of you throw away your tablets,

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your smartphones, or even your headphones, let's find out for sure

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whether or not our gadgets really are playing havoc with our senses.

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Over the past few decades,

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Britain has slowly turned into a nation of headphone addicts.

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Walk down a busy city street today and you might find the

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people not wearing headphones are in the minority.

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I must admit, I do use headphones, and that's

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so that I can listen to or watch things that I've downloaded on the

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tablet, usually before I'm about to make a trip on a train or a plane.

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But I do always try to ensure that the volume is low enough

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so that I'm not annoying everybody else who's around me.

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Because when I hear other people with sound coming out of their

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headphones, I must admit, I do worry what that is doing to their hearing.

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There have been plenty of reports claiming those headphones are

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causing a rise in the number of cases of the condition tinnitus,

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which causes a ringing in the ears.

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And one study even predicted that

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Britain is facing an epidemic of deafness.

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But how accurate are these reports?

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And how aware are we all of the dangers of our listening habits?

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You've got earphones in. Can you hear what I'm saying to you?

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-Barely.

-Do you want to take them out?

-Yeah.

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What level do you have the sound at?

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Middle, cause my older brother's a doctor and he's got tinnitus,

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so he's warmed me about this sort of thing already.

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-So you're aware of the damage that noise can do to your ears.

-Yes.

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How much time in the day do you reckon you listen on your

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-headphones?

-A good three or four hours a day.

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Are you aware of how high the level is?

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It's actually got a warning and I always push it above the warning.

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-Why?

-I've got a few years left in

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me yet before I have to worry about my hearing.

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I'm a musician so I try to look after my ears, so I keep it down.

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-Are you worried about going deaf?

-Yeah, of course I am.

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Yeah, I'm really conscious of that. Music is my first love.

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I would be lost without music.

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So is this love of listening to music putting our hearing at risk?

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Chris Plack is a professor of audiology

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at the University of Manchester

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who's studied the impact of noise exposure on our ears.

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I think one of the main problems these days is people

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listening to loud music on their MP3 players using their earphones.

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A lot of them use what I use,

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which are those... What I call the little buds that go in the ear.

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So if they're in a noisy environment,

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then they'll tend to crank these things up to quite dangerous levels

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so that they drown out all external sound.

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What is the damage that we are actually doing to our hearing?

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I think one of the main causes of sort of conventional hearing loss,

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that you can measure in a clinic, is damage to the sensitive hair

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cells in the inner ear.

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The damage will build up and you get this sort of permanent loss

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-in function.

-Is it reversible? Is there anything you can do?

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At the moment, I'm afraid there's nothing you can do.

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Hearing loss affects a staggering 11 million people in the UK,

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and although the majority of those cases aren't caused by listening

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to loud music, many stories are still predicting widespread hearing

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damage among young people.

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I think young people tend to expose themselves to more loud noise

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-than older people.

-So they'll go deaf earlier?

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It's possible that this generation are going to experience

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hearing problems at an earlier age than the previous generation.

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So to find out just how loud people listen to their music,

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we've headed to a noisy city centre with Professor Plack, his colleague

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Keith, and this guy, Kemar, who's used for hearing and sound research.

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We'll be testing whether the younger generation are

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cranking up their headphones to ear-damaging levels.

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And first up is 21-year-old student Mubina,

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who reckons she spends about half her day listening on earphones.

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Do you turn the levels up to try

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and get rid of the sound that's around you?

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Yeah. If it's blasting... I don't know. I like it more.

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Crucially, all personal music players and mobile phones

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sold in the EU since 2013 must now display a warning when

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a sound limit of 85 decibels exceeded, but many users,

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like Mubina, often override this level.

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How high have you got that up?

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-Like, up to here.

-It's up to the red?

-Yeah.

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That's really quite loud.

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Yeah. I just got kind of used to it.

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Time for Kemar to test Mubina's levels.

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Play the music. Let's see what we get up to.

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OK, so we're getting levels here of about sort of 80, 83 DBs.

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Not too bad. It's not too bad.

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I wouldn't recommend listening to it at that level all day.

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It might, you know, be causing some minor damage.

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This level is about the equivalent of standing 15 metres from

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a moving freight train, so Mubina needs to limit the volume and

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amount of time she uses her headphones.

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Fellow student Shannon has also volunteered to be tested.

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She reckons she spends about two hours a day on her headphones.

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Oh, my goodness!

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-That's bad.

-Oh, no.

-That is very loud.

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So we're getting readings of sort of 95 DBs,

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so that's 10 DB more than would be considered safe.

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This is the equivalent of Shannon listening to a power mower,

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and according to official advice, this could cause permanent damage.

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Our next participant, Christian, is rarely without his headphones

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and loves his music on maximum.

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I go to a lot of concerts, so I've had occasions where one ear

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has just gone completely deaf for a couple of days.

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And there's further cause for concern when Chris tests

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Christian's usual listening level.

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It was showing readings there of about 95.

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Saw one there of over 100 DB.

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That's really very loud indeed, so you wouldn't need to listen

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to that for very long to start causing damage to your hearing.

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-He's admitted there are days when you go deaf.

-Yeah.

-Oh, my goodness.

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Do you have any problems with hearing people speak in

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-a noisy environment?

-Yeah, a lot of the time.

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So I think you'd have to go to an audiologist to get your

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hearing checked if you're worried about it.

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Christian, how much of a shock was that reading that you are way

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-over the top for dangerous sound levels?

-It was quite a shock.

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I knew I was listening to it way over probably what I should be,

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but I didn't realise it was probably significantly damaging my ears.

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That's not something I want to happen.

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But, if like Christian, you go to a lot of concerts,

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then headphones aren't the only way you can damage your ears.

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If you've ever experienced ringing in your ears after

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a concert or event,

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then you'll know it doesn't usually last for more than a day or

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so, but even so, being exposed to loud sounds can damage your hearing.

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And for anyone who does that frequently over a long period,

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it could pose a serious and

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irreparable damage risk to their hearing.

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The music young people listen to at festivals,

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gigs and clubs has helped spark reports predicting that they

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are going to be generation deaf,

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but just how true is that?

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I think it's a worrying trend that more young people are

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reporting hearing problems,

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and I think one of the issues is that these hearing problems

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often don't get picked up, so we're looking for ways in which we

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might be able to detect the early signs of noise damage.

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So Professor Plack has already showed us how loud people have their

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headphones, but now he and his colleague Hannah are going to

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carry out tests to see whether three volunteers who love live music

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have any hearing loss at high frequencies,

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the frequencies that disappear first when you start to lose your hearing.

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First to be tested is Kieran,

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a 31-year-old electric guitarist in a band and regular gig goer.

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OK, so if you want to take a seat in the booth and we'll get you set up

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for the hearing test.

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I've especially noticed I've lost the left-hand side of me,

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which is the side that is next to the speakers.

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Some of the beeps will be quite easy to hear and some will be very,

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very quiet indeed.

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Every time you hear one, press the button.

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If Kieran fails to hear the high frequency tones,

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it could be a sign of hearing damage.

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It looks like for this very highest frequency, Kieran's hearing

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does drop off, but it's still just about within the normal range.

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He doesn't seem to be quite as good in the left ear.

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Kieran's results for that left ear could be the first

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indicators of potential future hearing loss.

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Next up is loud metal lover Christian from earlier.

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He's already experienced hearing problems after regularly

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listening to loud music for long periods of time.

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So his performance starts to drop a little bit at the very

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highest frequency,

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but it's still well within the normal range.

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Yeah, I mean, I think at the moment, he's actually doing slightly

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better than you would normally expect someone of his age.

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Professor Plack and Hannah are surprised by Christian's results.

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He's someone who does subject his ears to an awful lot of

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high-level noise and so we would expect to see some kind of

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damage showing up, but not so in his case.

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I mean, different individuals have different susceptibility to

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noise damage so it could be that Christian has quite tough ears.

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All done, so I'll just pop those headphones off you.

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So Christian is lucky, but he needs to turn it down.

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Next into the booth is professional DJ Paulette,

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who spent 30 years DJing in noisy clubs.

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When I'm DJing, I will start at eight o'clock and finish at

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two in the morning and that will be right through.

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And her tests show that years of DJing have definitely had an

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effect on her hearing.

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Left ear, there's a little bit of hearing loss.

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We understand that Paulette has a monitor on that side in her work,

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so she's exposed to more noise.

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But it's her right ear that gives the biggest surprise of the day.

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So we've just tested the very highest frequencies in the

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right ear on Paulette and she can't hear any of them at all,

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no matter how loud we make them.

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So her hearing for the very highest frequencies has really dropped down.

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So that might be indicative that she's been listening to loud

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-music for a large portion of her life.

-Yeah.

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At the moment, it's only sounds outside the everyday range of

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hearing that Paulette can't detect.

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But if she doesn't take precautions now,

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and continues to listen to loud music, the damage could get

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worse and affect her ability to hear everyday sounds.

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The good news for you is that you haven't really done much

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damage in the important range, so there's still time for you to

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take precautions against noise exposure.

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OK, so I do need to wear my ear plugs.

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Yeah, I think professional ear plugs that you can get are very

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good at reducing the levels of sounds,

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but evenly across the different frequencies.

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So Paulette doesn't have to hang up her headphones just yet,

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and Chris and Hannah have another top tip for the rest of the group

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to help prevent hearing damage.

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One of the things that can help you hear your music clearly in a loud

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environment is if you have sound isolating earphones that have

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a sort of squidgy tip that lodge really firmly in your ear and

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seal it closed and block out the background sounds,

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or equally if you have headphones that surround your ears entirely.

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It means that you can pop your volume down to

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a really quite safe level and still be able to appreciate your

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music in all environments.

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And it's listening to music at a safe level that is key to

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avoid the hearing problems we've been warned about.

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As we've found out, there's a lot of people listening to music that's too

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loud for too long, and the damaging effects of that can be irreversible.

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So remember to look after your lugs.

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I have to admit,

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I was really quite relieved to read a bit of research that was

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done recently by a germ specialist into what's known as the

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five-second rule.

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It's that rule that suggests that if you drop some food on the floor,

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provided you pick it up and eat it within five seconds,

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it's actually all right to eat. And apparently it's true.

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Well, you know what?

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I'm just thinking back now to when I was a child and maybe you can

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relate to this as well - I'm sure we played the 20, 30, 40 second rule.

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I think we all did!

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I mean, the world's gone antibacterial mad, hasn't it?

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There seems to be a gel, lotion or spray that can pretty much

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kill every imaginable germ out there.

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And, you know, when it comes to your hands,

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the question is how often should we wash them, and in what?

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Because there are headlines that suggest that it's our

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obsession with keeping our hands clean that is actually doing

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more harm than good, so we sent Steve Brown off to investigate.

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Now, when I was growing up,

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I thought a bar of soap and plenty of hot water always did the

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trick when it came to washing our hands properly.

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But these days, this old-fashioned method has become exactly that,

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as we all splash out on antibacterial gels,

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wipes and sprays.

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Whether we're at home, in the office, or out and about,

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we've been led to believe they're all we need to keep germs at bay.

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I'm also really conscious about how dirty my hands get.

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Hundreds of times a day, they touch my wheels and in turn my

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wheels then touch the floor.

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In autumn 2016, some antibacterial soaps were banned in America

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amid claims they didn't work any better than soap and water,

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and worse still, they might actually do more harm than good.

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And the ban was followed by more stories saying we should

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instead embrace a bit of dirt,

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contrary to what we've long believed.

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So to help me find out if we're unnecessarily obsessed with

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bacteria, I've recruited an accomplice.

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Katie's a mum to three-year-old Tabitha.

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And while she's not a complete clean obsessive,

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her home is always well-stocked with cleaning products.

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I tend just to buy what's on offer in the supermarket or in the shops.

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We use antibacterial soaps.

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I've got a variety of different wipes

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that I use on different surfaces.

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Lots of them claim to kill 99.9% of bacteria so I think as a mum,

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you think, "Oh, that must be good. That must be doing the job then."

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But recently, Katie's become concerned that it might not

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be money well spent.

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It's just really difficult to know what to do for the best.

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Do you make sure that they're immaculately clean and

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everything they touch is immaculately clean all of the time,

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or do you actually just be a bit more relaxed about it?

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But the bacteria inside the house is just the tip of the iceberg.

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Katie worries even more might be lurking outside.

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Something she has in common with the

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other parents at the local playgroup.

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Generally, when I'm on the move, though, I'll always have, like,

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a hand sanitiser in my handbag and I use that for myself and my daughter.

0:16:530:16:56

Because when you're out and about with a child,

0:16:560:16:58

they get messy all the time,

0:16:580:17:00

and it's not always in toilets and in restaurants.

0:17:000:17:04

It's not always as hygienic as you would like.

0:17:040:17:07

I always thought antibacterial soaps and gels would do the best

0:17:070:17:11

job at keeping my hands clean.

0:17:110:17:13

But there are suggestions that the opposite is true.

0:17:130:17:16

So are we placing too much faith in their antibacterial powers?

0:17:160:17:21

To find out, Katie and I are meeting clinical bacteriologist

0:17:210:17:24

Professor Peter Hawkey at the University of Birmingham.

0:17:240:17:28

-And come through to the laboratory.

-Thanks very much.

0:17:280:17:31

So my hands, Katie's hands, your hands,

0:17:310:17:33

they get dirty during the day.

0:17:330:17:35

Obviously, one of the issues I have is the second I wash my hands,

0:17:350:17:39

I'll clean them, dry them, put them straight on my wheels.

0:17:390:17:42

Today, they've been on two trains, through the high streets,

0:17:420:17:46

up through the lifts, through the bathrooms, and then I come in here.

0:17:460:17:50

The risk of you getting something very nasty from that exposure

0:17:500:17:53

is negligible.

0:17:530:17:55

However, if you're going to go and eat some sandwiches,

0:17:550:17:58

then you need to wash your hands.

0:17:580:18:01

Despite touching my wheels regularly,

0:18:010:18:03

the professor says that, just like everybody else, the bacteria I

0:18:030:18:06

pick up on my hands from my day to day environment are unlikely

0:18:060:18:10

to make me ill.

0:18:100:18:12

But when I do wash my hands, what should I use?

0:18:120:18:14

Well, the university is going to run a little experiment for us to

0:18:160:18:19

find out what's best out of antibacterial handwash,

0:18:190:18:23

soap and water, and alcohol-based sanitiser.

0:18:230:18:26

So we've got jelly in here,

0:18:260:18:28

which has got nutrients for the bacteria, so we put the four fingers

0:18:280:18:32

on there, lightly pressed, so we've just got an impression,

0:18:320:18:35

-and then put your thumb in the middle.

-Right, OK.

0:18:350:18:37

First, we're going to test the levels of bacteria on our

0:18:370:18:40

hands as they are now, having not washed them for a couple of hours.

0:18:400:18:44

Katie next.

0:18:440:18:45

-This way?

-Yeah, perfect, and thumb in the middle.

0:18:450:18:48

And now that's done,

0:18:480:18:50

we're going to wash them and test for bacteria once again.

0:18:500:18:53

Katie will be using antibacterial handwash to clean hers.

0:18:530:18:57

I'll be using good old soap and water, and Professor Hawkey,

0:18:570:19:00

an alcohol-based sanitiser gel.

0:19:000:19:03

Each of these work in a different way.

0:19:030:19:05

Soap and water washes the grime from your hands and hopefully the

0:19:050:19:08

bacteria too.

0:19:080:19:09

The antibacterial wash is similar,

0:19:090:19:12

but with an antibacterial agent to kill the bacteria on your hands.

0:19:120:19:16

And the alcohol-based sanitiser gel doesn't need any water and

0:19:160:19:19

also directly kills the bacteria.

0:19:190:19:22

We'll come back to get the results in a couple of days.

0:19:220:19:25

So with two days to fill, Katie's keen to get to the bottom of the

0:19:270:19:30

claims that washing our hands with antibacterial soap might

0:19:300:19:34

actually be bad for us.

0:19:340:19:35

Ian Henderson is professor of microbial biology at

0:19:380:19:41

Birmingham University, and he's concerned about the problems

0:19:410:19:44

caused by applying hospital levels of hygiene to our homes.

0:19:440:19:47

We know that with the over-use of antibiotics or the over-use

0:19:480:19:53

of certain antibacterials that bacteria can become

0:19:530:19:58

resistant to both the disinfectants as well as the antibiotics.

0:19:580:20:03

So although antibacterials might help us individually kill germs

0:20:030:20:07

around the house, when used on a mass scale,

0:20:070:20:10

they can, in some cases, promote antibody resistance

0:20:100:20:13

and increase the number of superbugs around.

0:20:130:20:17

And Ian thinks they might also play a role in children's allergies.

0:20:170:20:21

Those children that live in uber clean environments,

0:20:210:20:24

they don't get exposed just to environmental bacteria,

0:20:240:20:28

they tend to suffer more with allergy.

0:20:280:20:30

-READS:

-Why you should NOT wash your hands.

0:20:300:20:33

Less soap could be a good thing for your health.

0:20:330:20:35

You should not wash your hands? What?!

0:20:350:20:37

I'm being told I should wash my child's hands all the time.

0:20:370:20:40

It's these mixed messages that just cause all the confusion.

0:20:400:20:43

Crucially, Ian thinks our fear of bacteria is heightened

0:20:430:20:46

by stories that don't differentiate

0:20:460:20:48

between harmful and harmless bacteria.

0:20:480:20:51

The majority of microbial life is harmless.

0:20:510:20:55

You know, there are ten times more bacterial cells on and in your

0:20:550:20:59

body than there are human cells.

0:20:590:21:01

You're more germ than you are human.

0:21:010:21:03

There are germs all over your skin, what you might call germs -

0:21:030:21:06

microbes, fungi, bacteria, all over your skin.

0:21:060:21:10

But how many bacterial cells were on our hands?

0:21:120:21:15

Well, the samples are now ready and we are back with Professor Hawkey

0:21:150:21:18

to find out the results.

0:21:180:21:20

Right, what did we find?

0:21:210:21:23

So, Steve, let's start with you, and you had the plain soap.

0:21:230:21:26

Soap. Soap and water, I was.

0:21:260:21:28

So that is your hand. So in fact your hands weren't that dirty.

0:21:280:21:30

They're very typical, I would say.

0:21:300:21:32

So there's no need for me to worry about my hands and how often

0:21:320:21:35

they come into contact with my wheels,

0:21:350:21:37

but what the professor says next really takes me by surprise.

0:21:370:21:40

After washing, and again it is the same for both hands,

0:21:400:21:44

what is your observation there?

0:21:440:21:46

-There's more on there after washing.

-Exactly.

0:21:460:21:49

Yep, there is more after washing.

0:21:490:21:51

How can my hands possibly be dirtier after I wash them?

0:21:510:21:55

You produce, on your skin, something called sebum.

0:21:550:21:58

That's got some acids in it and other chemicals that

0:21:580:22:01

inhibit the bacteria on your skin.

0:22:010:22:03

When you wash your hands, you wash away that inhibitory substance.

0:22:030:22:07

Well, I never!

0:22:070:22:08

-So, my hands have really got their own antibacterial.

-Yep.

0:22:080:22:12

And that means that after washing them, I have washed away my

0:22:120:22:15

natural antibacteria and more bacteria has been able to grow.

0:22:150:22:19

Exactly.

0:22:190:22:20

-Wow.

-So you may say, "Why bother to wash your hands?"

0:22:200:22:22

If you have viruses and spores of that C diff hospital organism,

0:22:220:22:27

then they will be washed away.

0:22:270:22:29

I have to admit, I am blown away by what Professor Hawkey

0:22:290:22:32

has just told me. Time to see if Katie's results with the

0:22:320:22:35

antibacterial wash turn up any more surprises.

0:22:350:22:38

Your hands were a little bit more dirty than Steve's.

0:22:380:22:40

-Oh, no!

-Don't worry.

0:22:400:22:42

But that's... Nothing bad there, as you can see.

0:22:420:22:45

That's the other hand there.

0:22:450:22:46

That's dealing with a three-year-old for you.

0:22:460:22:49

Probably, yes. But what happened?

0:22:490:22:51

So, you might think, "Well, we spent all that money on those

0:22:510:22:53

-"antibacterial washes, they'll do some good."

-Yeah.

0:22:530:22:56

-Wow. So it looks like there is more there.

-Yes.

0:22:560:22:59

Although there is an antibacterial substance in here,

0:22:590:23:02

it gets washed away as you put it on.

0:23:020:23:05

It's really surprising because a lot of these products claim

0:23:050:23:08

to kill 99% of bacteria.

0:23:080:23:09

So nothing on there, then, is actually a dangerous bacteria,

0:23:090:23:12

-that's shown up on either of these plates?

-It shouldn't be, no.

0:23:120:23:14

They're very, very unlikely to be.

0:23:140:23:17

So Katie's antibacterial hand wash is actually no more effective

0:23:170:23:20

in killing general bacteria than the soap and water I used.

0:23:200:23:24

Time to see if the alcohol hand sanitizer fared any better at

0:23:240:23:27

the job.

0:23:270:23:28

-That's the result with the alcohol.

-That's completely different.

-It is.

0:23:280:23:33

So, virtually wiped out. There are some bacteria coming through.

0:23:330:23:37

The professor's hands had virtually

0:23:370:23:39

no bacteria left on them after cleaning with the sanitizer.

0:23:390:23:42

However, there is a downside.

0:23:420:23:44

The alcohol not only killed any potentially bad bacteria but

0:23:440:23:48

also the body's natural fatty acids that fight bacteria.

0:23:480:23:52

So the soaps, both the soaps, have still left some bacteria on

0:23:520:23:56

our hands, but you have got nothing at all, Professor.

0:23:560:23:59

What's the difference between the soaps and the gel?

0:23:590:24:02

Well, the soaps are physically removing bacteria and they're

0:24:020:24:05

removing these fatty acids, but the alcohol hand rub,

0:24:050:24:08

you have to remember, was designed for hospital use,

0:24:080:24:10

where they needed something to quickly kill the bacteria

0:24:100:24:14

on nurses' hands.

0:24:140:24:15

We don't need that in the home.

0:24:150:24:17

So, although you might be tempted to use the wash or alcohol gel

0:24:170:24:20

for normal domestic use, unless someone in the house

0:24:200:24:23

has a nasty bug you don't want to spread, it's really not necessary.

0:24:230:24:26

And this advice Katie intends to follow from now onwards.

0:24:260:24:29

I probably won't worry quite so much about some of the

0:24:290:24:32

antibacterial products that make all of these claims and I'll try

0:24:320:24:36

not to be quite so led by the TV adverts and the

0:24:360:24:39

headlines that scare you into taking action.

0:24:390:24:42

I was blown away by the results today.

0:24:420:24:44

Not only did I have more bacteria after I washed my hands,

0:24:440:24:48

but it also turns out,

0:24:480:24:49

soap and water is as good as pricier antibacterial washes and gels.

0:24:490:24:53

And more importantly, when we look at the effects

0:24:530:24:56

of bacteria-killing products being used in so many homes,

0:24:560:25:00

there is some truth to the reports it's causing more harm than good.

0:25:000:25:03

Still to come, are desk jobs damaging our health?

0:25:050:25:09

You are more at risk of cancer, diabetes,

0:25:090:25:11

of cardiovascular diseases.

0:25:110:25:13

But first... Earlier, I asked whether technology was damaging our

0:25:180:25:22

hearing, but there are claims that that is not the only harm our

0:25:220:25:26

devices might be causing. Our love of screens is in the frame, too.

0:25:260:25:30

Three generations of screen users from the same family -

0:25:310:25:34

84-year-old Great Aunt Dorothy,

0:25:340:25:37

42-year-old mum Gaynor and her son, Leo, aged five.

0:25:370:25:41

They might use their laptops, smartphones,

0:25:410:25:43

tablets and TVs for different reasons, but they all have

0:25:430:25:46

one thing in common - they're glued to them every day.

0:25:460:25:49

The tablet is my favourite because it has games that nothing else does.

0:25:520:25:58

The Black household is like many others, mine included.

0:25:580:26:02

Like millions of people, I own a smartphone and a tablet,

0:26:040:26:08

and I do spend quite a lot of every day looking at them.

0:26:080:26:11

When you add to that my laptop and my television at home, clearly I

0:26:110:26:15

spend many hours of every day looking at one screen or another.

0:26:150:26:19

And frankly, I'd be lost without any of them.

0:26:190:26:22

In fact, we spend on average a reported 5 1/2 hours

0:26:220:26:25

a day on our tablets and smartphones,

0:26:250:26:27

but read some stories and you'll see claims that our screen habits

0:26:270:26:32

are doing serious damage to our eyes and causing record

0:26:320:26:35

levels of slight loss in screen-addicted children,

0:26:350:26:39

who hardly venture out of the house.

0:26:390:26:41

But these warnings don't seem to bother some people.

0:26:430:26:46

How long during the day do you think you spend looking at a screen?

0:26:460:26:51

-About four hours.

-Probably about six.

0:26:510:26:54

I know that I am spending too much time in front of a screen.

0:26:540:26:56

It's just you can't avoid it these days.

0:26:560:26:59

Do you worry about any damage that the screen might be

0:26:590:27:01

doing to your eyes and your eyesight?

0:27:010:27:03

Not really. No.

0:27:030:27:05

-Stella has now got glasses and I need them too.

-Yes.

0:27:050:27:07

I've been diagnosed with migraine before.

0:27:070:27:09

The doctor, like, he told me that I have to reduce the time I spend

0:27:090:27:12

on my cellphone especially.

0:27:120:27:14

Clearly, lots of us worry about the effect of screens on our eyes,

0:27:150:27:19

so with the help of the Black family,

0:27:190:27:21

I'm going to find out whether our screen habits are actually

0:27:210:27:24

quite as bad for us as some reports seem to suggest.

0:27:240:27:28

Gaynor runs a children's party business from home and often

0:27:280:27:32

spends much of the day online.

0:27:320:27:33

I use the screen four to five hours a day, and that's mainly

0:27:350:27:38

because of my business. I'm constantly checking e-mails.

0:27:380:27:42

I have had that feeling when I have spent quite a few hours on

0:27:420:27:46

the laptop, where it's just almost like,

0:27:460:27:48

"Ugh, I just need to get away from the screen."

0:27:480:27:50

It does get too much.

0:27:500:27:52

-Do you want some juice, Leo?

-Yes, please.

0:27:520:27:56

After work, Gaynor switches screens, from her phone and laptop to

0:27:560:28:00

her tablet, but only if five-year-old Leo isn't using it.

0:28:000:28:04

He's very much sort of homed in.

0:28:040:28:06

We'll see that he doesn't want to speak anyone,

0:28:060:28:09

he is just absolutely focused on that screen, and that's it.

0:28:090:28:12

Great Aunt Dorothy doesn't have to worry about sharing her tablet

0:28:120:28:15

with anyone.

0:28:150:28:17

I have the iPad on in the evening.

0:28:170:28:19

I also have the TV on in the evening,

0:28:190:28:22

so it is kind of one eye on one, one eye and the other.

0:28:220:28:25

One exception is Gaynor's partner,

0:28:250:28:28

Barnaby, who actively tries to reduce his screen time

0:28:280:28:31

outside of work.

0:28:310:28:32

I use screens as probably half of the working day, so at least four

0:28:320:28:37

hours a day, so when I come home, I very rarely look at them at all.

0:28:370:28:41

Over the next week, we're going to track how long the whole

0:28:410:28:44

family spends on their screens, whether it is a laptop,

0:28:440:28:47

tablet, smartphone, TV or games console.

0:28:470:28:50

The question is, are their screen habits bad for their eyes?

0:28:500:28:56

To find out more, I've come to meet Daniel Hardiman-McCartney

0:28:560:28:59

from the College of Optometrists.

0:28:590:29:01

Daniel, what actually happens to our eyes when we are focusing on

0:29:040:29:08

a screen, be it a mobile phone, a tablet or a computer?

0:29:080:29:12

So our eyes are designed to focus far away. And what happens is

0:29:120:29:15

the muscles in the eyes change the shape of the lens in order to

0:29:150:29:19

focus on a screen close-up. When people do use a screen for

0:29:190:29:23

a long period of time,

0:29:230:29:24

they can get eyestrain and discomfort,

0:29:240:29:26

and that's relatively common.

0:29:260:29:28

In fact, between 50% and 90% of people experience some degree of

0:29:280:29:31

eyestrain, and that might be to do with the focusing.

0:29:310:29:34

We blink less effectively,

0:29:340:29:36

and that makes your eyes feel dry and sore.

0:29:360:29:38

We think, at the moment, that actually the difference

0:29:380:29:41

between the screen and a manuscript or a book

0:29:410:29:43

actually isn't that different.

0:29:430:29:45

Daniel says eyestrain is easily solved,

0:29:450:29:48

but there's been more serious reports saying screens

0:29:480:29:51

could be a major factor in short-sightedness in children.

0:29:510:29:55

I think we are all using screens a lot more,

0:29:550:29:57

and if we look at short-sightedness, in the 1960s,

0:29:570:30:01

only about 7% of children were short-sighted,

0:30:010:30:03

whereas recently, it's something like 16%.

0:30:030:30:05

So more people are becoming short-sighted.

0:30:050:30:08

But that has nothing to do with screens.

0:30:080:30:10

Well, maybe not directly.

0:30:100:30:13

Daniel says short-sightedness is on the rise because children

0:30:130:30:16

spend more time indoors,

0:30:160:30:18

often on their screens, and less time outdoors in the sunshine.

0:30:180:30:23

We know that being outside has a protective value,

0:30:240:30:28

so by spending two hours each day outside in sunlight doing

0:30:280:30:31

something, not using your screen,

0:30:310:30:33

is likely to reduce your risk of being short-sighted.

0:30:330:30:37

So it's the lack of sunlight rather than the screen time which is

0:30:370:30:40

causing short-sightedness.

0:30:400:30:42

But another worry is that the blue light emitted by screens may

0:30:420:30:47

cause blindness.

0:30:470:30:49

But Daniel says there is no cause for concern.

0:30:490:30:51

Scientists have been concerned that blue light might be harmful

0:30:530:30:56

because it has similar properties to UV light.

0:30:560:30:59

But actually, the evidence suggests that the blue light

0:30:590:31:02

emitted from screens is a lot less than that that you find in sunlight.

0:31:020:31:06

There is no evidence that there will be harm.

0:31:060:31:09

There is evidence that blue light can disrupt our sleep patterns,

0:31:090:31:13

but according to Daniel,

0:31:130:31:15

our only real worry about screens is eyestrain.

0:31:150:31:19

Bottom line then, looking at a screen does not damage our eyes,

0:31:190:31:23

-though it might strain them.

-Absolutely.

0:31:230:31:26

-And sunlight is good for our eyes.

-Correct.

0:31:260:31:29

Although, it is important to wear sunglasses when you're out

0:31:290:31:31

in sunlight, which is the UV.

0:31:310:31:33

So, there you have it from the expert.

0:31:330:31:35

Screens won't cause the epidemic of blindness that has been claimed.

0:31:350:31:39

However, they can strain your eyes.

0:31:390:31:42

-Hello.

-Hello.

0:31:420:31:44

Back in Salford,

0:31:440:31:45

It's time to catch up with the Black family to see how their

0:31:450:31:48

screen time over the past week may have had an effect.

0:31:480:31:52

Day one, the total was 140 minutes.

0:31:520:31:54

How about you, Leo, what have you been up to?

0:31:540:31:57

Playing on the iPad a lot.

0:31:570:31:59

I think today's probably been the most screen time,

0:32:000:32:03

just because I was going from one computer to laptop,

0:32:030:32:06

to tablet, back to laptop.

0:32:060:32:08

I think Gaynor would come out on top. The winner, if you like.

0:32:100:32:15

Or the loser, whichever way you look at it.

0:32:150:32:17

At the end of the week,

0:32:170:32:18

Daniel is paying them a visit to compare their screen time and help

0:32:180:32:22

them all deal with any strain they might be causing to their eyes.

0:32:220:32:25

Who do you think, Leo?

0:32:280:32:29

Who do you think has been using the screen the most?

0:32:290:32:32

-Me.

-OK. Let's have a look at the results.

0:32:320:32:35

-GAYNOR:

-I think it might be me.

0:32:350:32:36

-Yeah?

-I'm at the bottom. Definitely.

0:32:360:32:38

Well, we topped up all the results and actually it

0:32:380:32:41

was almost a joint first place with yourselves.

0:32:410:32:44

Me? Rubbish!

0:32:440:32:46

Much to everyone's surprise,

0:32:470:32:49

Dorothy's screen time added up to about 37.5 hours for the week.

0:32:490:32:54

That's three quarters of an hour more than Gaynor.

0:32:540:32:57

THEY LAUGH

0:32:570:32:59

What are you laughing at?

0:32:590:33:01

And Gaynor's attempts to limit how long five-year-old Leo spends

0:33:010:33:05

playing games on the tablet means he's clocked up just over 12 1/2

0:33:050:33:08

hours for the week.

0:33:080:33:10

The least... High-five, Leo.

0:33:100:33:13

While none of those screen habits are known to do long-term

0:33:130:33:17

damage, they could cause pain and irritation,

0:33:170:33:20

so Daniel had some advice.

0:33:200:33:22

The advice we give to everyone, that's useful, is the 20-20-20 rule,

0:33:220:33:26

so that's for every 20 minutes that you are looking at a screen,

0:33:260:33:29

you spend 20 seconds just away from it and looking at something

0:33:290:33:32

20 ft away, or just outside the window

0:33:320:33:34

or across the other side of the room.

0:33:340:33:35

When you're taking the break, screwing up your eyes

0:33:350:33:38

and having really big blinks can refresh your tears

0:33:380:33:40

and make them feel more comfortable.

0:33:400:33:41

There are different considerations for Dorothy.

0:33:410:33:44

As the oldest in the family,

0:33:440:33:46

her eyes will find it harder to react to changes in focus and

0:33:460:33:50

they will strain more easily,

0:33:500:33:51

so Daniel has got some dedicated tips for her, too.

0:33:510:33:55

Were you using the screen more or less than you thought?

0:33:550:33:58

-LAUGHS:

-More than I thought.

-More.

0:33:580:34:00

There is a temptation to make things really small on the screen, so try

0:34:000:34:03

and make the screen bigger, so it's really easy to see things,

0:34:030:34:07

and you can do that just by pinching out or changing the

0:34:070:34:10

option to make the text bigger, so it is easier to see.

0:34:100:34:13

So, while there is no epidemic of blindness on the horizon,

0:34:130:34:18

we shouldn't just take that as a reason to spend more time

0:34:180:34:21

staring at our screens.

0:34:210:34:23

Once again, spending more time outside rather than in the

0:34:230:34:26

house is what is best for our health.

0:34:260:34:30

Next, we read a lot about how our lifestyles are becoming

0:34:350:34:39

more sedentary and how bad that might be for our health.

0:34:390:34:42

But while that might conjure an image in your mind of someone who's

0:34:420:34:45

stuck on the sofa with a bag of crisps...

0:34:450:34:46

-I'll say!

-..in fact, the latest headlines suggest it's anyone

0:34:460:34:50

sitting at a desk that could be at risk.

0:34:500:34:52

I've been looking at some of those headlines, Kevin, and I tell you,

0:34:520:34:55

anyone who does have a desk job is in for a pretty rude awakening.

0:34:550:34:59

Sitting down makes you age by eight years, and in women it speeds

0:34:590:35:04

up the ageing process.

0:35:040:35:05

Do you know, Kevin, I think we should be standing up

0:35:050:35:08

doing this programme.

0:35:080:35:09

Well, just to get more of an understanding on this,

0:35:090:35:11

I went to find out whether or not

0:35:110:35:13

it's time we all stood up for our health.

0:35:130:35:16

Like millions of office workers around the country,

0:35:180:35:21

these colleagues in Brighton like to sit down an awful lot.

0:35:210:35:24

I'm chained to my desk normally nine to five.

0:35:260:35:28

Go home, sit on my sofa.

0:35:280:35:30

I don't stand a lot at all.

0:35:300:35:31

I'm really conscious of the fact that I sit at my desk a lot,

0:35:310:35:34

so I do think about it.

0:35:340:35:35

The only time I get up is for lunch or to go to the toilet.

0:35:350:35:38

The World Health Organisation has branded physical inactivity as

0:35:380:35:42

the fourth biggest killer in the world,

0:35:420:35:45

and sitting down is proven to be a contributing factor to

0:35:450:35:48

a wide range of conditions such as

0:35:480:35:51

heart disease, diabetes and cancer,

0:35:510:35:53

all information that has been very widely reported.

0:35:530:35:57

Over the years, I've been an actor, dancer, personal trainer, amongst

0:35:580:36:03

a few other things as well, but I've never really had a desk job.

0:36:030:36:07

Now, if I'm to believe all of those headlines,

0:36:070:36:09

then I should be feeling smug right now because I'll have

0:36:090:36:12

a body that is fitter, stronger, younger, healthier.

0:36:120:36:16

Professor John Buckley has spent four years looking into the activity

0:36:160:36:20

of office workers, and he thinks I am right to feel a bit smug.

0:36:200:36:24

Well, there has been quite a few large-scale studies in the

0:36:240:36:27

past ten years looking at a strong link between those people who have

0:36:270:36:30

jobs where they sit a lot and the incidence of things like

0:36:300:36:33

diabetes and heart problems and strokes and obesity.

0:36:330:36:37

People who spend more than six or seven hours

0:36:370:36:40

a day seated tend to start developing these problems.

0:36:400:36:45

John says around two thirds of the population spend more

0:36:450:36:48

than 60% of their day seated, which is asking for trouble.

0:36:480:36:51

How long is too long to sit down?

0:36:530:36:54

You shouldn't be sat for more than an hour.

0:36:540:36:57

If you could break it up throughout the day.

0:36:570:36:59

Opening the blood vessels, getting that glucose flowing

0:36:590:37:02

into the tissues on a frequent basis

0:37:020:37:04

seems to bring the levels of those unhealthy things

0:37:040:37:07

in the body down over the course of the day.

0:37:070:37:10

Because it also increases our heart rate,

0:37:100:37:12

standing up burns energy and gives you health benefits.

0:37:120:37:16

To find out just how much energy it burns,

0:37:160:37:19

John has fitted up our team with heart rate monitors to see the

0:37:190:37:22

changes between standing up and sitting down.

0:37:220:37:25

OK, Sophie, how much has yours gone up by? Is it going?

0:37:250:37:29

-Yeah, it's going up now.

-Going up?

0:37:290:37:30

-Is yours going up?

-Yeah, about five beats a minute.

-OK.

0:37:300:37:33

You're doubling your energy expenditure

0:37:330:37:36

compared to sitting down.

0:37:360:37:37

Now, that is 0.8 calories extra every minute, on average,

0:37:370:37:41

that you are doing that.

0:37:410:37:43

It doesn't seem much, but added up over a year and it comes to

0:37:430:37:46

the equivalent of about eight pounds of fat of energy.

0:37:460:37:49

John's challenging the team to reduce their sitting time

0:37:490:37:52

over the next two days, so he has given them all activity monitors.

0:37:520:37:56

On day one, the team will behave as normal.

0:37:580:38:00

But on day two, they'll attempt to increase their standing time.

0:38:000:38:04

Rather than use a big bottle of water, I could maybe use

0:38:060:38:09

a little glass and just keep making more trips to the water machine.

0:38:090:38:12

Rather than eating my lunch at my desk,

0:38:120:38:14

I might just get up and go for a walk for the hour.

0:38:140:38:16

I'm going to come back in a couple of days to see how much

0:38:160:38:20

activity you've been doing.

0:38:200:38:22

John has high hopes that the team can significantly reduce the

0:38:220:38:26

percentage of time they spend inactive.

0:38:260:38:28

And in this case, 70 is the magic number.

0:38:280:38:31

The data shows that we start to see problems occur when people

0:38:310:38:35

start to spend more than 70% of their waking hours seated.

0:38:350:38:39

What I am hoping to see, and I haven't primed them at all on this,

0:38:390:38:43

is whether they're sitting for less than 70% of their waking hours.

0:38:430:38:48

It's not just office workers that could do with paying attention

0:38:480:38:51

to how much time they spend on their backsides.

0:38:510:38:55

GP Aisha Shareef says her surgery is full of people whose

0:38:550:38:59

illnesses stem from a life spent sitting.

0:38:590:39:01

I see this problems of a sedentary lifestyle day in, day out.

0:39:010:39:06

The muscular support that you have, for example,

0:39:060:39:09

in your spine is not that strong, so you have a weaker back,

0:39:090:39:12

you're more prone to back injuries and back pain.

0:39:120:39:15

And you are also... Interestingly, you can be more risk of

0:39:150:39:18

things like constipation because you literally aren't moving those

0:39:180:39:21

bowels, so we see this a lot in the elderly population.

0:39:210:39:25

But some conditions can be more serious and even life-threatening.

0:39:250:39:29

You are more at risk of cancer, diabetes,

0:39:290:39:32

of course cardiovascular diseases like stroke, heart disease.

0:39:320:39:37

Aisha's advice is clear, that we all need to get moving if we want

0:39:370:39:41

to live a long and healthy life.

0:39:410:39:43

So my advice would be definitely try to get a more active lifestyle,

0:39:440:39:47

not through the big things,

0:39:470:39:49

but through the little things that we can incorporate day-to-day -

0:39:490:39:52

parking the car further from the entrance

0:39:520:39:54

to a shop, for example, taking those stairs instead of hitting the

0:39:540:39:58

elevator... Small things make a big difference.

0:39:580:40:01

Back in Brighton, it is day two of the experiment, and some of

0:40:030:40:06

the team are showing promise when it comes to increasing their activity.

0:40:060:40:10

Here we are, beautiful, sunny day and I'm going to go for a walk.

0:40:110:40:14

I'm just going to go on to the IT floor to speak to one of the IT

0:40:140:40:17

guys instead of e-mailing him.

0:40:170:40:19

Today, I've just been trying to keep coming up and down the stairs to

0:40:190:40:22

give messages to people and talk to people rather than using the phones.

0:40:220:40:26

I thought I would come over to use IT's standing desks to get off of my

0:40:260:40:30

desk for a while.

0:40:300:40:31

The next day, Professor Buckley returns to Brighton,

0:40:310:40:34

and the results are in for his tests.

0:40:340:40:36

-Welcome back.

-Hi, John.

-How did you find it?

0:40:360:40:39

-Yeah, it was good.

-Enjoyable.

0:40:390:40:41

So what we are going to do is we're going to look at the results.

0:40:410:40:44

The team were assessed for how much of both their working day and

0:40:440:40:47

their whole day they were sitting.

0:40:470:40:49

The more they can reduce their time toward the 70% target,

0:40:490:40:53

the more they will decrease their chances of developing some

0:40:530:40:55

cancers, heart disease and diabetes.

0:40:550:40:58

First up, it's the working day.

0:40:580:41:00

So, the average sitting time at work reduced from 430 minutes in

0:41:000:41:07

the day, which is about 85% of your working hours, down to about 364,

0:41:070:41:12

which is about 75% of your working hours.

0:41:120:41:15

That is good, you're getting towards that 70% target.

0:41:150:41:18

So there is still room for improvement whilst at work.

0:41:180:41:21

But across the whole waking day,

0:41:210:41:23

the team have broken below the magic 70.

0:41:230:41:26

You actually have become more healthy in terms of the

0:41:260:41:29

activity. On average 83%, as a team, you were spending sitting down.

0:41:290:41:34

I put a red line here, which is our target, and you're down to 64%.

0:41:340:41:41

So all of the team have done well across their whole day,

0:41:410:41:44

but they are still way off when it comes to work.

0:41:440:41:47

The experiment has been a wake-up call, though,

0:41:470:41:50

and they are now sold on the idea of standing more.

0:41:500:41:52

I'm going to make sure I stand up when I am on the phone.

0:41:540:41:57

Yeah. Steve?

0:41:570:41:58

I think I'll continue to go out at lunchtime and try and be on my

0:41:580:42:01

feet for the whole hour rather than eat my lunch sitting down.

0:42:010:42:04

Get away from the office for lunch. And maybe one day it

0:42:040:42:07

will become more habit rather than you having to consciously think

0:42:070:42:11

about it.

0:42:110:42:12

It seems many of those reports were right and we just don't have any

0:42:120:42:16

idea how sedentary our lifestyles are or the impact it could have

0:42:160:42:20

on our health, but simple lifestyle changes could help

0:42:200:42:23

us all get under that crucial 70%.

0:42:230:42:26

I think the overall general message is really never to be on your

0:42:260:42:30

backside for more than an hour at a time.

0:42:300:42:33

You know, Kevin, ever since I made that film about screens,

0:42:410:42:43

-and headphones in particular...

-Yeah.

0:42:430:42:45

..I have really been extra careful

0:42:450:42:47

with my own gadgets, but I have to admit,

0:42:470:42:49

every time I walk down the street and I see someone with

0:42:490:42:52

headphones on, I do worry about how loud their music is and what

0:42:520:42:56

damage they might be doing to their ears.

0:42:560:42:58

You know, working on this series has really opened my eyes, too.

0:42:580:43:01

No pun intended, by the way.

0:43:010:43:03

But it is at least good to know that not all the headlines about

0:43:030:43:06

how bad the latest technology is for our eyes are true and there are

0:43:060:43:10

ways to avoid really straining your eyes.

0:43:100:43:12

But don't worry, that means you can watch our programme as much as you

0:43:120:43:16

like, which is what exactly what I hope you will do

0:43:160:43:18

when we return next time.

0:43:180:43:19

-Until then, though, from both of us....

-Bye-bye.

-Bye-bye.

0:43:190:43:22

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