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I know you didn't want criticism when you created the thread, and if it had been in the advice forum you probally would have had nothing but helpful comments.
Although I don't really agree with your level of cleanliness, I have had to turn down a few handshakes from people that I'd rather not touch. I just tell them straight out that I'd rather not shake hands. When you do this though, Make sure you start the conversation or you'll get that long awkward silence. To avoid end conversation handshakes act like your in a hurry and keep distancing yourself from them. Sometimes its unavoidable though and if they mean anything to you then its best to just shake hands.
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“It is better to be rich and healthy than poor and sick” - Dave Barry
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