“My informal policy is if you’re sick, I don’t shake your hand, but there’s not a formal policy here,” said Dr. Brad Jones of his Irving-based medical office. The Baylor physician admits he’s strict about hygiene.

A recent article from the Journal of the American Medical Association reports that “handshake free zones” are a healthier alternative than what’s considered the norm. The article states that there’s a well-established link between hand transmission of pathogens and disease.

The JAMA article said the common cold, flu and and transmission of Clostridium bacteria and Norovirus can result from a simple handshake. Thus, healthcare professionals are faced with finding a solution. And what they have come up with is yet another universal greeting, only this time, on the basketball court or football field. Health care workers suggest a simple wave, a hand over the heart, even a fist-bump, is much better than a traditional handshake.