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<div><p>Contouring on your commute may save you time, but it’s not just the eyeballing from fellow passengers you need to worry about. Doing your makeup on the tube is a practice riddled with hidden risks. Everything from quick touch-ups to a full face of makeup can expose you to a host of germs and pollutants that lurk in London's underground. That’s why we swabbed all 12 tube lines and measured pollution levels to see exactly what's out there. We also teamed up with microbiologist Jason Tetro, and dermatologist Dina Keen, to further understand how doing your makeup in a contaminated environment can impact upon your skin and overall health.</p></div>

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<div><p>As you step onto the escalator and descend into the underground, it’s hard not to notice a change of atmosphere. The air thickens, the temperature becomes more stifling, and the humidity leaves a film on your skin. The pollution in London's underground transportation network comes from a myriad of sources including gas fumes, particles from the wear and<br/>tear of the wheels and brakes as they run along the tracks. Combined with the CO2 exhaled by from other passengers, it’s not the ideal environment for your skin or your eyes.</p></div>

The punch that pollution packs on your skin and eyes

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<div><p>When you hop on the tube, you probably already assume you’re not breathing in the freshest of air. But what exactly are we exposing ourselves to? We looked at a variety of pollution levels to get a clearer picture of what the tube environment is emitting. One factor we looked into was PM2.5 which refers to particulate matter with a diameter of 2.5 micrometres or less, but basically, you should be concerned about anything above 50 ug/m3 (micrograms per<br/>cubic metre). This is because it can irritate the skin and eyes upon impact and leave them feeling dry, uncomfortable and irritated. The Central line and Jubilee line are the two lines that you should be most concerned about as they had 125 and 124.2 ug/m3 respectively.</p><p>It’s no secret that the underground can feel muggy and close – especially during peak times with high passenger density and in the summer heat. In this regard, the Central line takes the top spot with 79% humidity on the tube. High humidity levels can lead to excess moisture on your skin’s surface, creating a damp and sticky environment, which can contribute to<br/>feelings of heaviness and discomfort. Combine this with the perspiration that usually comes hand-in-hand with high humidity levels, which can aggravate congestion and oiliness, and you’re increasing the risk of clogged pores and acne breakouts.</p></div>

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<div><p>Feeling less than stellar when you come off the tube is to be expected when you’ve been travelling in an environment that spews out all sorts of pollutants. The study found that many of the lines have high levels of pollutants such as PM2.5, CO2 and TVOC, all of which can negatively impact eye comfort and health.</p></div>

A smoggy outlook: How environmental factors affect eye health

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<div><p>PM, including PM2.5, can deeply penetrate the respiratory organs and enter the bloodstream. Not only does this result in cardiovascular, cerebrovascular, and respiratory effects, but <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834466/" data-show="new">toxic changes to the intraocular tissues of the eye</a>. Here are some specific ways in which PM2.5 pollution can affect the eyes:</p><ul><li><p><strong>General eye irritation</strong>: Exposure to PM2.5 can also lead to general eye irritation, including increased tearing, redness, and discomfort. This is due to an inflammatory response which is triggered by the particles when they come into contact with the eyes.  </p></li><li><p><strong>Conjunctivitis</strong> : PM2.5 pollution can contribute to the development or worsening of conjunctivitis (pink eye), an inflammation of the clear tissue covering the white part of the eye and inner surface of the eyelids. Symptoms can include redness, itching, tearing, and discharge. </p></li><li><p><strong>Corneal damage</strong>: Some <a href="https://particleandfibretoxicology.biomedcentral.com/articles/10.1186/s12989-023-00540-y" data-show="new">studies</a> have shown that long-term exposure to PM2.5 pollution has been linked to potential damage to the cornea, the clear outer layer of the eye. This can cause changes in vision quality or increased susceptibility to corneal infections.</p></li><li><p><strong>Macular degeneration</strong>: Other <a href="https://www.ucl.ac.uk/news/2021/jan/air-pollution-linked-higher-risk-sight-loss-amd" data-show="new">studies</a> suggest that long-term exposure to air pollution, including PM2.5, may be associated with an increased risk of age-related macular degeneration (AMD), which is the leading cause of vision loss among older adults.</p></li></ul></div>

PM2.5

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<div><p>High levels of Total Volatile Organic Compounds (TVOCs) can also result in some of the issues above, including eye irritation, corneal damage and dry eye.</p></div>

Total Volatile Organic Compounds (TVOCs)

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<div>
 <p>Travelling on the tube is a necessary evil for millions of people daily, but there are measures travellers can take to help mitigate the risks of these pollutants on their eyes.</p>
 <ul>
  <li><p><strong>Avoid rubbing your eyes</strong>: In cases where PM2.5 levels are high; your eyes may feel more irritated due to this pollutant being tiny particles. While it may be uncomfortable it is vital that you avoid rubbing your eyes, as this could cause micro abrasions which could lead to more severe issues.&nbsp;&nbsp;</p></li>
  <li><p><strong>Use artificial tears</strong>: Before and after travelling, with clean hand, administer hydrating eye drops to keep your eyes moist by supplementing the natural tear film and providing lubrication to the surface of the eye.&nbsp;&nbsp;</p></li>
  <li><p><strong>Switch to daily contact lenses</strong>: Just as with the bacteria, some of these pollutants can stick to the eyes more easily when there is something to cling to, such as contact lenses. Switching to <a data-show="replace" href="/en-uk/contact-lenses/silicone-hydrogel-contact-lenses">silicone hydrogel daily lenses</a>, such as the <a data-show="replace" href="/en-uk/everclear-elite">Everclear ELITE contact lenses</a>, can help. These hydrophilic lenses retain water which is perfect for dry eyes and are disposable so if any pollutant particles have stuck to the lens, they can be changed with ease.</p></li>
 </ul>
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What can be done to protect your eyes?

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<div><p>Time is a luxury that few can afford which often means corners get cut and multi-tasking seems like a wise move. That's why scoffing a snack or doing your makeup on your commute to work or a social function, may seem like a good way to optimise your time. But it isn’t. Seats and handrails retain bacteria introduced to the tube in a variety of ways including coughs, sneezes, food, and pets. It’s a messy situation. But let’s face it, sometimes needs must. So, in that case, which lines should you avoid multitasking on?</p><p>Well, that would be the Victoria line. The swab data revealed an exceptionally high colony-forming unit (CFU) of 16000 for E. coli. The presence of this bacterium could indicate unhygienic practices on the part of other passengers, such as travelling with dirty hands or allowing an unwashed dog to sit on the seat. No matter what it is it is, it’s not good news. To then be touching your face when applying makeup is a risky business.</p></div>

The germiest tube lines

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<div><p>Up next is the Metropolitan line with traces of Pseudomonas aeruginosa (400 CFU) and streptococci and enterococci (960 CFU) on the seat and the pole (80). The presence of these bacterial types indicates potential contamination from human skin. Pseudomonas aeruginosa is found in the environment and can cause havoc to your skin and eyes.  </p><p>Even if you take extra care not to touch anything when you’re on the tube itself, there’s also the escalator you should look out for. For safety reasons, you should be holding on to the handrail but that leaves you open to contamination by a plethora of bacteria, again including Pseudomonas aeruginosa. A CFU count of 720 was found on Escalator 3, which again isn’t too concerning but make sure you apply hand sanitiser on your way in and on your way out of the tube and you should be okay.</p></div>

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<div><p>It’s fair to assume most people won’t be wiping their eyes on the seats of the London Underground. However, there are those that opt to do their make-up to save time while on their morning commute or even when they’re getting ready to go out after work.</p><p>This can mean that through a simple removal of a mascara smudge, a tautening of an eyelid to apply eyeliner or using your fingers to blend eyeshadow, these harmful bacteria can make its way into your eyes, which can result in some painful side effects.</p><p>Our own professional services optician Nimmi Mistry explains the impact these bacteria could have on eye health, hopefully persuading on the go make-up artists to reconsider their place of application. </p></div>

Eye-spy bad bacteria: The impact of tube germs on eye health

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<div>
 <p>Pseudomonas aeruginosa is a bacterium that can cause severe eye infections, particularly in individuals who wear <a data-show="replace" href="/en-uk/contact-lenses">contact lenses</a> or are immunocompromised. When it comes into contact with the eyes it can lead to a condition called bacterial keratitis, which is an inflammation of the cornea.&nbsp;</p>
 <p>The impact of this type of bacteria on the eyes can be significant and potentially result in vision loss. Some symptoms of this type of infection include:</p>
 <p><strong>1. Pain and Redness</strong>: The eye will often become very painful and appear red.&nbsp;<br><strong>2. Discharge</strong>: There may be a yellow-green discharge from the eye.<br><strong>3. Blurry Vision</strong>: Vision can become blurred due to inflammation and corneal damage.<br><strong>4. Photophobia</strong>: Eyes can become sensitive to light.&nbsp;<br><strong>5. Ulceration</strong>: The infection can lead to the formation of ulcers on the cornea, which can be serious and require prompt treatment from a healthcare professional to prevent permanent damage.</p>
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Pseudomonas aeruginosa

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<div>
 <p>Streptococci is most known to cause eye infections, however, E. coli which spreads to the eye can be as equally infectious.</p>
 <p>One eye infection that can be caused by these bacteria is bacterial conjunctivitis. Conjunctivitis is a relatively common eye infection and there are typically three types, viral, allergic, and bacterial. E. coli and streptococci being bacteria could cause the latter, the symptoms of which include redness, irritation, discharge, and crusting of the eyelids. &nbsp;</p>
 <p>Luckily, conjunctivitis is mostly self-limiting, meaning it will resolve independently. However, sufferers of bacterial conjunctivitis may need to resort to antibiotic eye drops if symptoms persist. Self-care includes cleaning the eye using a clean cotton pad dipped in tepid boiled water and wiping once in a singular motion, avoiding contact with the other eye. Always wash your hands and refrain from sharing towels to prevent the spread.</p>
 <p>In more severe cases especially when the cornea is compromised due to injury or trauma (such as an abrasion or scratch), E. coli and streptococci can cause corneal infections including ulcers. This can result in significant pain, blurred vision, and potential scarring of the cornea. If you are experiencing these symptoms, it is important to seek immediate medical advice, to prevent any long-term complications.</p>
 <p>Lastly there is Endophthalmitis, a rare inflammation of the intraocular structures of the eye. Most commonly present following surgical complications of the eye, or through trauma, this rare condition has the potential to cause irreversible sight loss if not seen to immediately.&nbsp;</p>
 <p>Most of these issues can be avoided by being sure to follow best hygiene practices when travelling on any public transport, such as:</p>
 <ul>
  <li><p><strong>Carrying hand sanitiser</strong>: This can help eradicate lingering bacteria on the skin, ensuring it won’t make its way into your eye, especially if you accidentally rub your eyes.&nbsp;</p></li>
  <li><p><strong>Not doing makeup while travelling</strong>: For many, makeup application becomes a subconscious activity, and for eye makeup this can involve using fingers to wipe, pull and smudge around the eyes. Either wait until you’re at your destination to apply makeup or sacrifice a bit of your sleep and get up earlier to protect your eyes in the long run. In addition, all it takes is someone to bump into you on the tube whilst you’re applying make-up to end up with a corneal abrasion (corneal scratch).</p></li>
  <li><p><strong>Switch to daily contact lenses</strong>: Contact lens wearers are at an increased risk of spreading bacteria through inserting and removing lenses. Switching to <a data-show="replace" href="/en-uk/contact-lenses/daily-contact-lenses">daily contact</a> lenses minimises this risk through replacing them daily. Be sure though to always wash your hands with mild soap thoroughly before changing your contact lenses.&nbsp;</p></li>
 </ul>
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E. coli and streptococci

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<div><p>When you see hundreds if not thousands of fellow commuters, it can be hard to not think about all the germs being left behind. After all, humans shed millions of microbes every hour. All it takes is one grip of a pole or a hand on the seat and you may be put at risk. But our swab data reveals that the underground environment is relatively clean, with only four out of the 12 tube lines returning positive results for microbial contamination. While the presence of some germs is inevitable in densely populated environments, the low frequency of microbial contamination suggests that sanitation efforts and cleaning protocols implemented by TfL are working like a charm. However, despite this encouraging result, it’s still not clean enough to be touching your face, so being vigilant with personal hygiene practices is crucial to make sure you have a safe and hygienic commute.</p></div>

It’s not all doom and germs

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<div><p>We enlisted the help of Jason Tetro, a microbiologist, and Dr. Dina Keen, a dermatologist, to provide expert insights on the cleanliness standards and potential health risks associated with the tube and the impact it can have on your health.  </p></div>

What the experts have to say

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<div><p>Jason “The Germ Guy” Tetro is a long-time microbiologist and immunologist focusing on human health and infection prevention in control in healthcare. He’s also recognised for  translating complex information into easy-to-understand content. He has written two bestselling books, The Germ Code and The Germ Files, and is the host of the Super Awesome Science Show. </p></div>

Jason Tetro

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<div><p>There is little doubt that public transport is flooded with germs and if we could see them, I’m sure people would not be applying their make-up and other cosmetics. There are two risks at play. The first is contamination of the cosmetics themselves with unsafe hands. This can lead to the introduction of unwanted microbes on the skin such as bacteria that cause cellulitis, impetigo, and acne. Then there is the risk of putting unsafe hands in the mouth to aid in the application of make-up. This can lead to exposure to a variety of different pathogens including SARS-CoV-2.</p><p>There is an easy answer to lower this risk – application of hand sanitiser. Using 62-70% ethanol for 20 seconds of wetness will remove the majority of bacteria and other pathogens allowing you to safely administer cosmetics.</p></div>

What are your thoughts on people applying make-up while on the way to work or a social engagement on the tube?

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<div><p>That would be <em>Staphylococcus aureus</em> (Staph). It’s a naturally occurring bacterium found on the skin but can cause infections when it enters the skin through cuts, abrasions or through touching the eyes and mouth.</p></div>

Which bacteria is most likely to cause damage to the skin?

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<div><p>It’s important to remember that makeup cosmetics are already dirty enough as it is. They are products that you’re putting on your face, so you really don’t want to contaminate it further. You need to be safe when you apply the makeup, and you don’t know if the tube will be clean enough, but you can take the necessary precautions when you’re at home. Plus, the oils in makeup can help microbes grow and thrive, so while it may not be an issue at the time, it could be the next time you apply your makeup, once they’ve had a chance to grow and cultivate. However, your biggest concern is the dust and pollution when it comes to your skin when you’re on the tube.</p></div>

How easy is it for bacteria to get onto your skin when doing your make-up? 

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<div><p>With over 20 years of experience as a dermatologist, Dr. Dina Keen has extensive experience working with various ages, ethnicities, and cultures. Skilled in acne, laser rejuvenation, body contouring, rosacea, and IPL treatments.</p></div>

Dina Keen

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Learn the results of our study to understand
the risks of applying makeup on the London
Underground for your eye health and hygiene.

Eye health and hygiene on your London commute

Makeup Station

<div><p>We've all seen a woman apply makeup on a shaky tube carriage with a perfectly steady hand. If you're this woman, then we applaud you, but there are a few reasons why you might want to do your make-up at home...</p></div>

 Makeup station: Hygiene on your London commute