Washing hands frequently is the most important way to prevent the spread of germs and illness. Germs can be picked up from other people, contaminated surfaces, animals, or animal waste and then spread to oneself by touching the eyes, nose, or mouth. Common illnesses like colds are often spread this way. Proper hand washing with soap and water for at least 15 seconds is needed to remove germs and prevent their transmission to others or surfaces. Hands should be washed before, during, and after food preparation; before eating; after using the bathroom; when dirty; and more often when someone is sick.