I suppose a case could be made for temporarily suspending handshakes during an epidemic, or in the event of illness.
I recall going into an office one day and shaking a persons hand. The person then said, "I'm sorry, I shouldn't have shaken your hand. Please wash your hands immediately, as I have just come back from the Orient and am carrying a single celled organism in my blood that can be transferred to others".
That was kind of a scary experience.
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