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Posted: 2020-03-16T12:29:19Z | Updated: 2020-03-16T12:32:51Z

As the coronavirus pandemic continues to escalate, government leaders and others are getting creative in greeting one another, as the world transitions away from traditional handshakes and hugs to minimize the spread of germs.

World leaders have adopted a range of new greetings including elbow bumps and foot shakes following World Health Organization advice to stop handshaking. Even some of those methods, however, dont go far enough, say health officials, who advise social distancing with greetings that dont require touching at all.

Here are some of the greetings that are being used as society moves away from contact.

Hand on heart

WHO Director-General Tedros Adhanom Ghebreyesus said hes opting for hand on heart in lieu of handshaking, which enables him to greet people at least three feet away.

When greeting people, best to avoid elbow bumps because they put you within one meter of the other person. I like to put my hand on my heart when I greet people these days, he said.

During #COVID19, I am opting for hand-on-heart instead of hand shakes.

The photo of @Hughcevans and me was taken a year ago when he visited @WHO.

Thanks for noting this and special thanks for taking protective measures against #coronavirus. https://t.co/Bz0SAsYyKY

Tedros Adhanom Ghebreyesus (@DrTedros) March 12, 2020","type":"rich","meta":{"author":"Tedros Adhanom Ghebreyesus","author_url":"https://twitter.com/DrTedros","cache_age":86400,"description":"During #COVID19, I am opting for hand-on-heart instead of hand shakes.The photo of @Hughcevans and me was taken a year ago when he visited @WHO. 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During #COVID19 , I am opting for hand-on-heart instead of hand shakes.

The photo of @Hughcevans and me was taken a year ago when he visited @WHO .

Thanks for noting this and special thanks for taking protective measures against #coronavirus . https://t.co/Bz0SAsYyKY

Tedros Adhanom Ghebreyesus (@DrTedros) March 12, 2020

Elbow bump

While no longer recommended, this handshake alternative was already adopted by many officials, including Vice President Mike Pence , former Vice President Joe Biden , Sen. Bernie Sanders (I-Vt.) and Prince Harry , who was spotted exchanging the move with singer Craig David.

While the elbow bump does limit skin-to-skin contact, its better to use greetings that allow for more distance, given the virus can spread between people within six feet of one another.

Joe Biden and Bernie Sanders share an elbow bump before the start of the #DemDebate, which is in a closed studio with no audience. https://t.co/BsboYY8h26 pic.twitter.com/XUiYCAgQhR

CNN Newsroom (@CNNnewsroom) March 16, 2020","type":"rich","meta":{"author":"CNN Newsroom","author_url":"https://twitter.com/CNNnewsroom","cache_age":86400,"description":"Joe Biden and Bernie Sanders share an elbow bump before the start of the #DemDebate, which is in a closed studio with no audience. https://t.co/BsboYY8h26 pic.twitter.com/XUiYCAgQhR CNN Newsroom (@CNNnewsroom) March 16, 2020\n\n","options":{"_hide_media":{"label":"Hide photos, videos, and cards","value":false}},"provider_name":"Twitter","thumbnail_height":675,"thumbnail_url":"https://pbs.twimg.com/media/ETMGCYhWsAA6opB.jpg","thumbnail_width":1200,"title":"CNN Newsroom on 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Joe Biden and Bernie Sanders share an elbow bump before the start of the #DemDebate , which is in a closed studio with no audience. https://t.co/BsboYY8h26 pic.twitter.com/XUiYCAgQhR

CNN Newsroom (@CNNnewsroom) March 16, 2020

Trump went for a handshake and was met with an elbow bump.

Yes, that really just happened. In the Rose Garden. On live television. pic.twitter.com/pL0pIvNBuW

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Trump went for a handshake and was met with an elbow bump.

Yes, that really just happened. In the Rose Garden. On live television. pic.twitter.com/pL0pIvNBuW

Jake Lahut (@JakeLahut) March 13, 2020

So @VP and @GovInslee making the elbow bump the new handshake. What is your substitute for the handshake? #Q13FOX #COVID19 pic.twitter.com/PsgPGuwE9i

Hana Kim (@hanamkim) March 7, 2020","type":"rich","meta":{"author":"Hana Kim","author_url":"https://twitter.com/hanamkim","cache_age":86400,"description":"So @VP and @GovInslee making the elbow bump the new handshake. 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So @VP and @GovInslee making the elbow bump the new handshake. What is your substitute for the handshake? #Q13FOX #COVID19 pic.twitter.com/PsgPGuwE9i

Hana Kim (@hanamkim) March 7, 2020

The namaste bow

Many have taken to the Indian greeting of namaste, and Indian Prime Minister Narendra Modi claimed the world is increasingly moving to adopt it.

Israeli Prime Minister Benjamin Netanyahu, French President Emmanuel Macron , President Donald Trump , and Prince Charles are among world leaders spotted using the greeting.

Netanyahu encouraged Israelis to adopt the Indian alternative, Trump joked during a press conference following his return from his India trip that it was easy to avoid handshaking there, and Prince Charles was seen retracting a handshake and offering the palms-together greeting instead at a recent London event.

Nice to see the namaste gesture being used by Prince Charles, as he avoids handshakes amid fears of coronavirus. Namaste is a Sanskrit word, used predominantly by Hindus, meaning I bow to you. The gesture is used by people of many religions. #CommonwealthDay #coronavirus pic.twitter.com/gsShKEOMnA

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Nice to see the namaste gesture being used by Prince Charles, as he avoids handshakes amid fears of coronavirus. Namaste is a Sanskrit word, used predominantly by Hindus, meaning I bow to you. The gesture is used by people of many religions. #CommonwealthDay #coronavirus pic.twitter.com/gsShKEOMnA

Anila Chowdhry (@AnilaDhami) March 9, 2020

A month ago we were talking of Namaste Trump.

Now -
Namaste Macron,
Namaste Charles,
Namaste Netanyahu
and more.... pic.twitter.com/HYct735deK

Kiran Kumar S (@KiranKS) March 15, 2020","type":"rich","meta":{"author":"Kiran Kumar S","author_url":"https://twitter.com/KiranKS","cache_age":86400,"description":"A month ago we were talking of Namaste Trump.Now - Namaste Macron, Namaste Charles, Namaste Netanyahuand more.... pic.twitter.com/HYct735deK Kiran Kumar S (@KiranKS) March 15, 2020\n\n","options":{"_hide_media":{"label":"Hide photos, videos, and cards","value":false}},"provider_name":"Twitter","title":"Kiran Kumar S on 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A month ago we were talking of Namaste Trump.

Now -
Namaste Macron,
Namaste Charles,
Namaste Netanyahu
and more.... pic.twitter.com/HYct735deK

Kiran Kumar S (@KiranKS) March 15, 2020

The foot shake

Tanzanian President John Magufuli was pictured tapping feet with the leader of the opposition party Maalim Seif Sharif Hamad earlier this month. And in China, some of those in the original epicenter of the COVID-19 outbreak reportedly dubbed the greeting the Wuhan shake.

Again, while this is safer than handshaking, unless you have extraordinarily long legs youll probably not be able to stick to the distance rule when using this greeting, so its better to use an alternative.

Goodbye handshake - it's all about the 'Wuhan shake'. pic.twitter.com/9YFnF3NIc9

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Goodbye handshake - it's all about the 'Wuhan shake'. pic.twitter.com/9YFnF3NIc9

Al Jazeera English (@AJEnglish) March 8, 2020

A range of other options have been proposed on social media. Here are some of the suggestions that dont require contact:

Curtsy

We as a society need to stop shaking hands. I recommend a Curtsy. Its lovely. #CoronaVirus pic.twitter.com/53v4u6Ms0s

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We as a society need to stop shaking hands. I recommend a Curtsy. Its lovely. #CoronaVirus pic.twitter.com/53v4u6Ms0s

Keppler (@RadioKeppler) March 11, 2020

Thumbs up

Acceptable alternatives to a handshake:
Thumbs up
Slight nod
Bow from the waist
Tapping shoes
Miming being stuck in a box
Warily circling one another with eyes locked
Curling into a ball and rolling away
Full Donald Sutherland#coronavirus pic.twitter.com/6QiHHlxTZs

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Acceptable alternatives to a handshake:
Thumbs up
Slight nod
Bow from the waist
Tapping shoes
Miming being stuck in a box
Warily circling one another with eyes locked
Curling into a ball and rolling away
Full Donald Sutherland#coronavirus pic.twitter.com/6QiHHlxTZs

Oonagh (@Okeating) March 11, 2020

Spocks Live long and prosper

Spock's Vulcan salute should replace handshakes in coronavirus era - CNET https://t.co/lg2Xy0VNIm

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Spock's Vulcan salute should replace handshakes in coronavirus era - CNET https://t.co/lg2Xy0VNIm

Garrett Wang (@GarrettRWang) March 11, 2020

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Jazz hands

I I feel like my suggestion of jazz hands in lieu of handshakes yesterday was not as enthusiastically received as I anticipated it to be pic.twitter.com/IKTl2po2d8

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I I feel like my suggestion of jazz hands in lieu of handshakes yesterday was not as enthusiastically received as I anticipated it to be pic.twitter.com/IKTl2po2d8

Julie Van Rosendaal (@dinnerwithjulie) March 12, 2020