Articles

Importance of


Health and Hygiene in Islam


Section One: Public Health in Islam


The importance of health in Islam and its preservation


of physical and mental health has already been


touched upon under discussion of the benefits of


having belief in the six pillars of faith as well as under


the discussion of the pillars of Islam. This topic has


also been addressed in other chapters such as the


harms and ill-effects of sin on the wellbeing of a


person. The following pages will aim to complete and


supplement what has been previously mentioned


regarding the subject.


Firstly: Islam recommends moderation in eating


and drinking: This is something which is selfevident.


Just as deprivation or abstinence from food


and drink can cause illness, and ultimately, death,


excessive eating and drinking can also cause various


diseases. Moderation is thus what preserves health


and, by the permission of Allah, helps prevent


disease. Allah the Almighty says:


[Meaning: And eat and drink but be not excessive.]


Health and Hygiene in Islam


3


Some of the scholars have said regarding this verse:


“Allah summed up in these words all of medicine.”1


Similar to the meaning of this verse is the narration of


the Prophet  wherein he warns against gluttony by


saying: “No human ever filled a vessel worse than


their stomach. Sufficient for the children of Adam are


a few morsels to sustain them. If one must, then they


should reserve one third for food, one third for drink


and one third for breathing.”2


Secondly: There are many Islamic rulings which


ensure the preservation of health:


For example, Islam forbids alcohol which is harmful


to the health of a person in many ways, such as by


weakening the heart and destroying the kidneys and


liver.


Moreover, Islam forbids fornication and


homosexuality which also have their dangers. Many


diseases such as syphilis, gonorrhoea, herpes, and


AIDS have spread in recent times due to these


practices.


Furthermore, Islam prohibits the consumption of


pork, which is now known to cause many diseases


such as taeniasis, cysticercosis, and trichinosis. The


1 See: ‘Tadhkirat as-Sami’ wal-Mutakallim’ of Ibn Jama’ah (p.


121).


2 Reported by Ahmad (4/132) & al-Hakim (4/121) and


authenticated by al-Albani in ‘as-Sahihah’ (no. 2265) and in


‘Sahih al-Jami’’ (no. 5674).


Health and Hygiene in Islam


4


parasitic worms contained in pork have devastating


effects on humans which often lead to death.3


Among the rulings of Islam which ensure the


preservation of health is ablution which helps to


prevent diseases of the teeth and nose, as well as


tuberculosis, which some doctors say is contracted


primarily via the nose. They also point out that if a


person’s nose is washed up to fifteen times a day, it is


highly unlikely that any bacteria responsible for


causing this infection will remain. For this reason,


tuberculosis is much more prevalent in the West than


it is among Muslims, as they are obliged be in a state


of ritual purity for their five daily prayers which


means they perform ablution and wash their nostrils


one, twice or thrice for each prayer.4


The benefits of ablution will be further elaborated


later on.


Thirdly: Islam advises seeking medical treatment


for health problems and illnesses:


Allah the Almighty says:


3 See: ‘Ta’rif ‘Aam bi Din al-Islam al-Musamma bi Rasa·il al-


Islam wa Rusul as-Salam’ (pp. 38-9).


4 See: ‘Ta’rif ‘Aam bi Din al-Islam’ (p. 45) & ‘at-Tariq Ilal-


Islam’ (pp. 35-6).


Health and Hygiene in Islam


Sura al-Ma·idah; (5):32


[Meaning: Because of that, We decreed upon the


Children of Israel that whoever kills a soul not in


retaliation of murder or for corruption done in the


land, then it is as if he had killed all of humankind.


And whoever saves one life - it is as if they had saved


humankind entirely. And our messengers had


certainly come to them with clear proofs. Then indeed


many of them, even after that, were transgressors


throughout the land.]


The significance of this verse is that Allah the


Almighty praised the one who strives to save a life


and rescue them from death, which is one of the


primary goals of medicine. Medicine treats serious


health conditions which, if left untreated could result


in death, and thus saves lives by the permission of


Allah. This contains an indication of the virtue of


medicine and its excellence.5


Fourthly: Evidence permitting surgery:


There are various Prophetic traditions which indicate


the permissibility of medical surgery, such as the


narrations concerning cupping. For instance, Ibn


‘Abbas – may Allah be pleased with him and his


5 See: ‘Ahkam al-Jirahah at-Tibbiyyah wal-Aathar al-


Mutarattibah ‘Alaiha’ of Dr Muhammad al-Mukhtar ash-


Shanqiti (pp. 85-6).


Health and Hygiene in Islam


6


father – relates that the Prophet  had bloodletting


performed on his head.6 Another example is the


narration wherein Jabir bin ‘Abdullah – may Allah be


pleased with him – visited a sick man and said to him:


‘Why do you not have bloodletting performed on you,


for I heard Allah’s Messenger  say: “There is


healing in bloodletting.”’7 These narrations permit the


practice of bloodletting, which involves making an


incision in a specific part of the body and extraction


of bad blood by way of suction. By way of deduction,


it is possible to conclude the permissibility of making


surgical incisions in the body for the purpose of


removing diseased organs, cysts, tumours and the


like.8 Furthermore, bloodletting is considered in


modern medical terms to be a minor surgical


procedure and is used to treat certain illnesses and


infections.9


Another piece of evidence proving the permissibility


of surgical procedures in Islam is the narration of


Jabir bin ‘Abdullah – may Allah be pleased with him


and his father – wherein he mentions that Allah’s


Messenger  sent a doctor to Ubayy bin Ka’b who


cut one of his veins and then cauterised it.”10 The


significance of this narration is that the Prophet 


approved of the doctor’s practice. Cutting a vein is a


6 Reported by al-Bukhari (no. 5373).


7 Reported by al-Bukhari (no. 5372).


8 See: ‘Ahkam al-Jirahah at-Tibbiyyah’ (p. 88).


9 See: ‘al-Jirahah as-Sughra’ of Dr. Ridwan Babuli and Dr.


Antoine Duli (p. 24).


10 Reported by Muslim (no. 2207).


Health and Hygiene in Islam


7


form of surgical treatment which is still used today,


for instance in cases of arteriovenous blockages or


lesions.11


There are many other narrations in this regard.12


Fifthly: Prophet Muhammad  encouraged people


to study medicine and advance in it:


This is clearly demonstrated in the saying of the


Prophet : “Allah did not send down any disease


except that He sent down its cure.”13 ‘Allah did not


send down’ means: ‘He did not decree’. Shaikh


‘Abdur-Rahman as-Sa’di – may Allah have mercy


upon him – commented on this narration, saying:


“The generality of this narration implies that there are


remedies for the treatment of all internal diseases,


some of which are preventive while others are either


partially or fully curative. It thus contains an incentive


for people to study medicine as a useful means of


treatment just as they study faith healing. All of the


detailed information regarding medicine is merely an


explanation of this narration because Allah mentions


that all diseases have cures, and thus people must


strive to study and implement them.”14


11 See: ‘Ahkam al-Jirahah at-Tibbiyyah’ (p. 88).


12 See the chapters on medicine in the authentic collections of


Prophetic traditions for further narrations.


13 Reported by al-Bukhari (no. 5354).


14 ‘Bahjat Qulub al-Abrar fi Sharh Jawami’ al-Akhbar’ of


Shaikh ‘Abdur-Rahman as-Sa’di (pp. 213-4).


Health and Hygiene in Islam


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Moreover, this narration clearly indicates that there is


no reason to despair of the cure for any illness, since


Allah is Causer of causes and He did not create a


disease except that He created its cure.


Many people used to consider certain diseases


incurable, however, with the progression of medicine


and its development, they came to learn the


truthfulness of this narration.15


Sixthly: Contributions of Muslim scholars to the


field of medicine


Europe in the Middle Ages lived under the grip of


ignorance and underwent a period of stagnation. At


the same time, Islamic civilisation was flourishing


with advancements in many fields to the extent that


foreigners, particularly from Europe, would travel to


the lands of Islam to study the various branches of


knowledge which the Muslims had progressed


significantly in.


The Muslim scholars of the Islamic Golden Age made


impressive contributions to many fields including


medicine, mathematics and astronomy. Their


intellects were fortified with the Quran and Prophetic


traditions, and due to this they were the driving force


behind scientific progress and research in their era.16


Shaikh Muhammad Al-Mukhtar Ash-Shanqiti – may


Allah preserve him – writes in this regard: “The


15 See: ‘Bahjat Qulub al-Abrar’ (p. 214).


16 See: ‘Ahkam al-Jirahah at-Tibbiyyah’ (p. 50).


Health and Hygiene in Islam


9


Muslim scholars of the Islamic Golden Age excelled


in all specialities of medicine, including surgery, as


well as many other branches of knowledge. Surgery


was initially a profession which Muslim doctors


looked down upon and did not engage in. They


described it as manual labour and saw it as belonging


to bloodletters who would perform cauterisation,


bleeding, cupping and amputations under the


supervision and instruction of doctors.


However, as time progressed, surgery became much


more advanced and demanded a much higher level of


skill and precision, thanks to the grace of Allah and


then to the various sincere efforts of such scholars.”17


He adds: “They were the first to dedicate sections of


their books to surgery and they were also the first to


devote entire books to this subdiscipline, which they


wrote in a wonderful, academic style based on the


knowledge they had acquired previously. In these


works, they meticulously recorded the various


medical procedures they pioneered, such as:


1. Lithotomies, which are a surgical method for


removal of calculi, or bladder stones.


2. Nasal fracture surgery.


3. Tracheotomies, or tracheostomies, which refer to


the surgical procedure wherein an incision is made on


the anterior aspect of the neck and a direct airway is


17 See: ‘Ahkam al-Jirahah at-Tibbiyyah’ (pp. 50-1).


Health and Hygiene in Islam


10


opened through an incision in the trachea to relieve


obstructions to breathing.


4. Tonsillectomies, which refer to the surgical


procedure in which both palatine tonsils are fully


removed from the back of the throat.


5. Draining peritonsillar abscesses.


6. Removal of aural polyps.


7. Otitis media, or middle ear infection.


In addition to these discoveries, they were also the


first to discuss various issues pertinent to surgery,


such as the difference between malignant, or


cancerous, tumours and benign, non-cancerous


tumours. They recorded some of the symptoms in


order to help doctors reach correct diagnoses of


patients; if a tumour was malignant then it was to be


avoided, whereas benign tumours could be surgically


removed.”18


Shaikh Muhammad Al-Mukhtar Ash-Shanqiti – may


Allah preserve him – goes on to list many examples


of Muslim doctors who pioneered in various


subdisciplines of medicine, such as Avenzoar19 and


18 See: ‘Ahkam al-Jirahah at-Tibbiyyah’ (pp. 50-1).


19 ‘Abdul-Malik bin Zuhr was born somewhere between the


years 484-487 AH and he died in 557 AH. He is considered to


be the first surgeon to have precisely described a tracheotomy in


his great book ‘at-Taysir fil-Mudawati wat-Tadbir’ (Book of


Simplification Concerning Therapeutics and Diet). See: ‘Ahkam


al-Jirahah at-Tibbiyyah’ (p. 53).


Health and Hygiene in Islam


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Rhazes20. He proceeds to discuss Abulcasis and his


works and contributions to the fields of medicine and


surgery at length, mentioning that Abulcasis had an


enormous impact on physicians and surgeons as far


away as Europe for centuries after his death.


Ash-Shanqiti comments on one of Abulcasis’ works


on the topic of surgery, wherein he describes many


new types of surgery and surgical inventions. Ash-


Shanqiti goes on to speak of the specific surgical


procedures of Abdulcasis, including his revolutionary


technique of lithotomy, as well as surgeries of the eye,


ear, throat, mouth, teeth, and jaw. He mentions


Abulcasis’ treatments for hernias and what is known


as goitre, which is a swelling of the thyroid gland.21


Ash-Shanqiti concludes his discussion by recalling


scholarly praise of Abulcasis, quoting the likes of Dr


Simon Hayek who wrote the following: “Guy de


Chauliac (1300-1367) was the first of a long series of


French surgeons influenced by Abulcasis. He studied


in Boulogne, France, taught in Montpellier and then


joined the Pop's Court in Avignon. He wrote a book:


'La Pratique en Chirurgie' printed in Lyon in 1478.


20 Abu Bakr Muhammad bin Zakariyyah ar-Razi was born in


254 AH and died in Baghdad in the year 311 AH. He was the


first person to discuss the difference between venous and


arterial haemorrhages, and he proposed various methods of


stopping arterial haemorrhages. He also made valuable


contributions to the field of bone fracture repair and surgery.


See: ‘Ahkam al-Jirahah at-Tibbiyyah’ (p. 53).


21 See: ‘Aham al-Jirahah at-Tibbiyyah’ (pp. 54-65).


Health and Hygiene in Islam


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As for the original Latin version, it was printed in


Venice in 1490 and had great influence on the


subsequent surgeons as it advised to stop using


insecticides and to return to the use of ointments oils


and lints following in this way the steps of


Abulcasis.”22


Abulcasis’ influence continued long after his death,


despite the fact he died during the eleventh century,


over a millennium ago, in Andalusia.23


Seventhly: Jurists consider health preservation to


be one of the objectives of Islamic legislation.


All the laws of Islam give importance to bodily health


and wellbeing and consider it from the fundamental


purposes behind Islamic rulings. It is for this reason


that asking Allah for good health is considered to be


from the best of supplications, being surpassed in


importance only by the blessing of faith. Prophet


Muhammad  said: “Ask Allah for certainty and


wellbeing, for verily nobody has been granted


anything better than wellbeing.”24 From the


supplications of the Prophet  was that he would say:


“O Allah, grant me health in my body; O Allah grant


22 See: ‘Ahkam al-Jirahah at-Tibbiyyah’ (p. 65).


23 See: ‘Jadhwatul-Muqtabas’ of al-Humaydi (pp. 208-9) &


‘Ahkam al-Jirahah at-Tibbiyyah’ (p. 55).


24 Reported by at-Tirmidhi (no. 3558) and graded by al-Albani


as: ‘Good, authentic’ in ‘Sahih wa Da’if Sunan at-Tirmidhi’


(no. 3558).


Health and Hygiene in Islam


13


me good hearing; O Allah grant me good eyesight.


There is no god in truth but You.”25


Dr Muhammad Nizar Ad-Daqar writes: “The outlook


of Islam on health corresponds to the modern


conception of health. Modern medicine considers


health to be a reserve of strength which allows a


person to perform bodily functions and withstand


disease and not merely the absence of disease or


infirmity. This corresponds miraculously with the


saying of Prophet Muhammad : ‘The strong believer


is better and more beloved to Allah than the weak


believer.’ 26”27


Eighthly: Islam ensures the good health of humans


even before they are born by advising spouses to


choose their partner while having consideration for


the health of their children. Prophet Muhammad 


says: “Choose the best for your seed.”28


Furthermore, Islam encourages breastfeeding for as


long as possible so that children receive antibodies


which they would not otherwise get. Allah the


Almighty says:


25 Reported by Abu Dawud (no. 5090) and graded by al-Albani


as having ‘a good chain of narration’ in ‘Sahih Abi Dawud’ (no.


5090).


26 Reported by Muslim (no. 2664).


27 See: ‘Rawa·i’ at-Tibb al-Islamiyy’ of Dr. Muhammad Nizar


ad-Daqar (1/2).


28 Reported by Ibn Majah (no. 1968) and declared by al-Albani


to be authentic in ‘as-Sahihah’ (no. 1067).


Health and Hygiene in Islam


Sura al-Baqarah; (2):233


[Meaning: The mothers shall give suck to their


children for two whole years.]29


Ninthly: Islam prescribes certain remedies and


directs people to certain cures. For example, Prophet


Muhammad  says: “Use black caraway, for it


contains a cure from every illness.”30


The Quran encourages with preventive healthcare,


which consists of taking measures to prevent disease.


Allah the Almighty says:


[Meaning: And make not your own hands contribute


to your destruction.]


Islamic legislation was likely the first to prescribe the


globally adopted health practice of quarantine in times


of epidemics such as the plague and cholera. In a


narration referenced by the two canonical collections


of Prophetic traditions, Al-Bukhari and Muslim,


guidelines which are now recognised by modern


medicine are provided for quarantine. Prophet


29 See: ‘Rawa·i’ at-Tibb al-Islamiyy’ of Dr. Muhammad Nizar


ad-Daqar (1/3).


30 See: ‘Rawa·i’ at-Tibb al-Islamiyy’ of Dr. Muhammad Nizar


ad-Daqar (1/3).


Health and Hygiene in Islam


15


Muhammad  said: “Plague is a calamity which was


inflicted on those who were before you. So, if there is


an outbreak in a land while you are in it, then do not


leave it in an attempt to flee from it, and if news


reaches you that it has spread in a land, then do not


enter it.”31


Dr Muhammad Ad-Daqar writes in commentary of


the foregoing narration: “Those who know the


importance of quarantine in public health are aware of


just how much healthcare in Islam has contributed to


the preservation of humanity.”32


Tenthly: Islamic etiquette regarding food and


drink contains many indications of health


promotion.


Dr Muhammad Ad-Daqar writes: “Islamic rules


relating to food are just one example of the excellent


teachings of Prophet Muhammad . They ensure


Muslims consume clean, uncontaminated food by


ordering them to eat with their right hands; to wash


their hands before and after eating; not to eat


excessively and to space meals out.”


He continues: “One of the main objectives which


Allah the Almighty entrusted Muhammad  with is to


make lawful everything good and beneficial and to


prohibit everything evil and harmful. When


31 Reported by al-Bukhari (no. 5398) and Muslim (no. 2218).


The wording mentioned here is that of Musim.


32 See: ‘Rawa·i’ at-Tibb al-Islamiyy’ (1/3).


Health and Hygiene in Islam


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mentioning the objectives of Muhammad’s mission,


Allah says:


[Meaning: He permits for them whatever is good and


pure, and he forbids them from whatever is evil and


harmful.]”33


He proceeds to write: “The prohibition of alcohol,


smoking and narcotics may be considered as one of


the most significant accomplishments of the noble


religion of Islam with regards to preventive


healthcare. In fact, if a society were to abstain from


all evil and harmful matters it would be safe from


many deadly diseases and there would be a reduction


in birth defects, as well as a decrease in the number of


accidents.”34


Eleventhly: Islamic law has prescribed certain


rules in order to prevent the occurrence of


accidents which lead to loss of life or harm of others.


These come in the form of clear commands and


prohibitions which ensure safety while preventing


damage. Examples include the prohibition of stopping


in the middle of a road. Abu Hurairah narrates the


saying of the Prophet : “When you camp late, then


stay away from roads, for they are frequented by


noxious creatures at night.”


33 See: ‘Rawa·i’ at-Tibb al-Islamiyy’ (1/4).


34 See: ‘Rawa·i’ at-Tibb al-Islamiyy’ (1/4).


Health and Hygiene in Islam


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A variant narration states: “When you camp at night,


then stay away from the road, for indeed it is the route


of the beasts and the abode of noxious creatures.”35


Further examples include the prohibition of sleeping


on an unfenced roof terrace36 and the prohibition of


sleeping while a fire is still lit. The Prophet  said:


“Do not leave a fire burning in your houses when you


go to sleep.”37


The foregoing has been but a short overview of health


and its importance in Islam. This discussion will be


continued in the following section on hygiene in


Islam.


35 Reported by Muslim (no. 1926).


36 Reported by Abu Dawud (no. 5041).


37 Reported by al-Bukhari (no. 5935) and Muslim (no. 2015).


Health and Hygiene in Islam


18


Hygiene in Islam


Section Two: Hygiene in Islam


Several parts of this treatise have touched upon the


topic of hygiene in Islam. In this section, hygiene will


be discussed further in light of the narration regarding


the traits of the natural disposition of a person.


Consideration will also be given to ablution, bathing


and public hygiene. It should be noted that what


follows serves only as a brief glimpse into hygiene in


Islam.


Firstly: The narration mentioning the traits of a


person’s innate disposition


On the authority of Aisha – may Allah be pleased


with her – that Allah’s Messenger  said: “Ten things


are from the innate disposition of a person: trimming


the moustache; growing the beard; brushing the teeth;


washing the nostrils; clipping the nails; washing the


finger joints; plucking the armpits; shaving pubic hair


and cleansing the private parts with water.” The


narrator said: ‘I forgot the tenth, but it was possibly


rinsing the mouth.’38


This narration contains a valuable set of


recommendations related to hygiene which are


38 Reported by Muslim (no. 216).


Health and Hygiene in Islam


19


associated as being from the innate disposition, or the


natural inclination which Allah placed in people,


whereby He created them having a love for good and


a dislike for evil.


The traits of a person’s innate disposition can be


categorised into two main categories in the following


manner:


I. Traits which ensure spiritual purification of the


heart and soul, such as faith and its corollaries, which


purify the soul and cleanse the heart by ridding them


of vices and encouraging virtues.


II. Traits which ensure physical purification of the


body and its cleanliness. These traits consist of a


person ridding themselves of everything which may


defile the body, and it is this category which is the


subject of the foregoing narration.39


Each of the ten traits will now be explored in turn.


1. Trimming the moustache, i.e. shortening it so that


the upper lip is visible. This is a hygiene measure to


prevent any nasal discharge from entering the mouth


and it ensures that the moustache is not in contact


with any food or drink. In addition to being


39 See: ‘Sahih Muslim’ with the explanation of an-Nawawi


(3/149) & ‘Bahjat Qulub al-Abrar fi Sharh Jawami’ al-Akhbar’


of Shaikh ‘Abdur-Rahman as-Sa’di (p. 81).


Health and Hygiene in Islam


20


unhygienic, an overly long moustache is also


unsightly.40


Dr Muhammad Ad-Daqar writes: “From a medical


perspective, a long moustache is considered to be


unhygienic because it comes into constant contact


with food and drink and therefore, can easily spread


germs.” He continues: “The Islamic prescription of


trimming the moustache conforms to the


recommendation of modern medicine to remove


whatever overhangs the upper lip.”41


2. Growing the beard, i.e. maintaining it and not


shaving it.


Shaikh ‘Abdur-Rahman as-Sa’di – may Allah have


mercy upon him – comments on this, saying: “Allah


made the beard a symbol of solemnity and beauty for


men, and it is because of the beard that a man remains


handsome in old age.”42


Dr ‘Abdur-Razzaq Kaylani is of the opinion that


men’s exposure to the sun’s rays and the elements


whilst working can cause damage to the elastic fibres


and collagen found in facial skin, which in turn can


lead to the appearance of wrinkles and premature


ageing.43


40 See: ‘Bahjat Qulub al-Abrar fi Sharh Jawami’ al-Akhbar’ (p.


82).


41 See: ‘Rawa·i’ at-Tibb al-Islamiyy’ (1/73-4).


42 See: ‘Bahjat Qulub al-Abrar’ (p. 82).


43 ‘Rawa·i’ at-Tibb al-Islaamiyy’ (1/74).


Health and Hygiene in Islam


21


3. Brushing the teeth, i.e. cleansing the teeth by use


of a twig or similar object in order to rid the mouth of


plaque and remnants of food.44


A person may brush their teeth at any time, but this


practice is strongly recommended at the times of


ablution, prayer, awakening, bad breath, build-up of


plaque and the like.


When a person brushes their teeth, they are cleansing


and purifying their mouth which is the part of the


body they use to communicate. It is also the route


most bacteria enter the body via, and this is why


Prophet Muhammad  associated cleanliness of the


mouth with the pleasure of Allah in his saying:


“Brushing the teeth cleanses the mouth and pleases


the Lord.”45


4. Washing the nostrils, i.e. when a person washes


out their nose by snuffing water and blowing it out at


the time of ablution or bathing. Cleaning the nostrils


is an obligation in both of these acts as they contain


mucus, debris and other impurities which a person


must rid them of.46 In addition to it being an act of


hygiene, washing the nostrils is also a source of


reward and good deeds.


44 See: ‘Lisan al-Arab’ (10/446) & ‘Sahih Muslim’ with the


explanation of an-Nawawi (3/142).


45 Reported by ash-Shafi’i in ‘al-Umm’ (1/23) and Ahmad


(6/47, 62, 124).


46 See: ‘Bahjat Qulub al-Abrar’ (p. 81).


Health and Hygiene in Islam


22


The author of ‘Asbab Ash-Shifa· Min Al-Asqam Wal-


Ahwa· (The Means to Cure Illness and Desires)’


writes: “Recent research carried out by a team of


doctors from Alexandria University reveals that


people who regularly perform ablution have been


found to have clean noses which are free of debris,


bacteria and germs. It is well known that the nasal


cavity is a reservoir for bacteria and germs, however


continuous washing of the nostrils by snuffing water


and forcefully blowing it out cleans the nasal cavity


and causes it to be inflammation- and germ-free. This


in turn leads to an improvement in physical health in


general since there is less risk of microbes being


transferred from the nose to other parts of the body.”47


5. Clipping the nails, i.e. shortening or cutting them,


as occurs in variant narrations.48 Trimming the nails


undoubtedly protects against bacteria which form


under long nails.


6. Washing the finger joints, An-Nawawi – may


Allah have mercy upon him – said: “Finger joint


refers to the creases between each of the finger


segments. The scholars have mentioned that this


ruling is also to be applied to all parts of the body


which have creases or folds in the skin. This includes


the ears which, left uncleaned, accumulate wax and


47 See: ‘Asbab ash-Shifa· minal-Asqam wal-Ahwa·’ of Abu


Ishaq al-‘Iraqi’ (p. 40).


48 See: ‘Sahih Muslim’ (no. 257).


Health and Hygiene in Islam


23


can cause loss of hearing. Likewise, the inside of the


nose and any other part of the body where sweat,


grime and other impurities gather, and Allah knows


best.”49


7. Plucking the armpits, i.e. removal of axillary hair.


An-Nawawi – may Allah have mercy upon him –


commented on this, saying: “Removing underarm hair


is from the Prophetic way according to the consensus


of Islamic scholars. It is better that axillary hair is


plucked if a person can bear the pain, however it is


also permissible to remove it by shaving.”50


8. Shaving pubic hair, i.e. the hair around a man’s


penis and a woman’s vagina, as well as the hair


around the anus.51 An-Nawawi – may Allah have


mercy upon him – writes in this regard: “What is to be


deduced from this is the recommendation of shaving


genital and anal hair, as well as the area surrounding


them. These regions should be shaved as frequently as


is necessary. This rule also applies to trimming the


moustache, plucking the armpits and clipping the


nails. The narration of Anas wherein he states that


‘We were given a time limit with regard to trimming


the moustache, shaving pubic hair, plucking axillary


49 See: ‘Sahih Muslim’ with the explanation of an-Nawawi


(3/150).


50 See: ‘Sahih Muslim’ with the explanation of an-Nawawi


(3/149).


51 See: ‘Sahih Muslim’ with the explanation of an-Nawawi


(3/148).


Health and Hygiene in Islam


24


hair and clipping nails’52 means that a person must not


leave these acts for more than forty days, not that the


frequency of these acts is fixed at forty days, and


Allah knows best.”53


This practice is undoubtedly one which promotes


sophistication, hygiene, cleanliness, health and


comfort.


Regarding the benefits of plucking axillary hair, Dr


Kaylani writes: “Plucking reduces the secretions of


sweat and sebaceous glands. Habitually plucking hair


as soon as it begins to appear, without ever resorting


to shaving it, weakens hair and, in time, leads to


painless plucking. The hair should be removed by


hand or by using depilatory creams.


The appearance of axillary hair at puberty is


accompanied by the development of apocrine glands


which produce odorous secretions which are broken


down and, when mixed with grime and dirt, leads to


unpleasant body odour. Plucking underarm hair


greatly reduces body odour and decreases the risk of


skin diseases of the axillary region such as intertrigo,


fungal infections, hidradenitis suppurativa and


folliculitis. It also prevents parasitic infestations such


as pubic lice.”54


52 Reported by Muslim (no. 258).


53 See: ‘Sahih Muslim’ with the explanation of an-Nawawi


(3/148-9).


54 See: ‘Rawa·i’ at-Tibb al-Islaamiyy’ (1/72).


Health and Hygiene in Islam


25


Dr Muhammad Nizar Ad-Daqar discusses the wisdom


of this Islamic prescription and mentions the hygiene


and health benefits associated with removing pubic


hair, saying: “The pubic and perianal regions are


prone to heavy perspiration and chafing, and if they


are not depilated, oil and sebum can accumulate.


Matters are made worse when there are traces of urine


and excrement, as they make it more difficult to clean


such regions of the body. These impurities may affect


neighbouring areas and their further accumulation can


lead to fermentation and foul odours. If such filth is


left uncleaned, it may reach a stage whereby a


person’s prayer is invalid.”


Dr Ad-Daqar goes on to mention the benefits of


shaving pubic hair, saying: “Shaving pubic hair also


helps to prevent numerous parasitic diseases such as


pubic lice, or crabs, which live at the roots of the hair


and are thus difficult to get rid of. Shaving pubic hair


also reduces the risk of fungal infections. It is for


these reasons that Islam prescribed shaving pubic and


perianal hair whenever it becomes long; in order to


ensure hygiene and because these areas of the body


are the most susceptible to dirt and diseases.”55


9. Cleansing the private parts, i.e. cleaning the


orifices, namely the genitals and anus, with water or


stones. This is a mandatory practice and is one of the


55 See: ‘Rawa·i’ at-Tibb al-Islaamiyy’ (1/72).


Health and Hygiene in Islam


26


conditions of purification.56 Allah praised the people


of Quba village (in Madina) by saying:


Sura at-Tawbah; (9):108


[Meaning: In it are men who love to clean and to


purify themselves.]


Ibn Al-Jawzi – may Allah have mercy upon him –


said: “According to Ash-Sha’bi, the reason for the


revelation of this verse was because some men from


the village of Quba who used wash their private parts


with water. Ibn ‘Abbas said: When this verse was


revealed, Allah’s Messenger  went to them and


asked: ‘Why did Allah praise you?’ They replied:


‘We cleanse ourselves with water after answering the


call of nature.’”57


Allah the Almighty created human beings in such a


way that they naturally dispose of waste contained in


their intestines and bladder through defecation and


urination, respectively. This allows the human body to


remain clean and healthy and facilitates the body’s


natural functions. Thus, after answering the call of


nature, a Muslim must wash affected areas with


water. In this regard, Prophet Muhammad  says:


“Keep yourselves clean from urine, as majority of the


56 See: ‘Bahjat al-Abrar’ (p. 82).


57 See: ‘Zad al-Masir’ of Ibn al-Jawzi (3/501).


Health and Hygiene in Islam


27


punishment in the grave is due to it.”58 i.e. purify and


cleanse yourselves from it. This practice has great


health benefits and modern medicine has proved that


good genital hygiene protects the urinary tract from


inflammations caused by the accumulation of germs


and microbes. Likewise, it protects the anus from


prostatitis, inflammations and abscesses. Those with


chronic illnesses, especially diabetes, should ensure


they clean themselves thoroughly due to high sugar


levels in their urine which can increase risk of


inflammation and purulence. These infections can be


contracted by one’s spouse during intercourse and


may lead to permanent infertility.59


Furthermore, Islam recommends use of the left hand


when cleaning impurities, so that the right hand,


which is reserved for eating, remains clean and pure.


Similarly, Islam enjoins that a person washes their


hands after they finish using the toilet.


The concern Islam has for matters as small as this


may be surprising to some people, however those who


are aware of its magnitude and believe that it is the


religion which Allah perfected and completed for


mankind to follow until the Day of Resurrection are


rather unsurprised. They know it is a way of life


58 Reported by ad-Daruqutni (no. 7) and graded as authentic by


al-Albani in ‘Irwa· al-Ghalil’ (no. 280).


59 See: ‘Asbab ash-Shifa· minal-Asqam wal-Ahwa·’ (p. 35)


Health and Hygiene in Islam


28


which contains nothing but good for Muslims who


choose to follow it. Allah the Almighty says:


[Meaning: This day those who disbelieve have


despaired of defeating your religion; so, fear them


not, but fear Me. This day I have perfected for you


your religion and completed My favour upon you and


have approved for you Islam as religion.]


The cleaning and removal of impurities prevents


many illnesses and prevents the transmission of many


contagious diseases by the permission of Allah.60


Abu Ishaq Al-‘Iraqi writes in his book ‘Asbab Ash-


Shifa· Min Al-Asqam Wal-Ahwa· (The Means to Cure


Illness and Desires)’: “A devastating typhoid outbreak


occurred in the city of Aberdeen in Great Britain


during 1964, causing terror in residents who


frantically searched for a way to stop the epidemic


from spreading. In the end, experts came to the


solution of deciding to broadcast health instructions


which ordered people to stop using paper towels and


advised them to use water for cleaning instead.


60 See: ‘Asbab ash-Shifa· minal-Asqam wal-Ahwa·’ (p. 36).


Health and Hygiene in Islam


29


Residents followed the advice, and amazingly, the


infection stopped spreading and was contained. After


witnessing the benefit of using water, the people


adopted this practice as a habit instead of using toilet


paper.


It is unknown how those residents would have reacted


to the fact that this has been the practice of Muslims


for over one-thousand four-hundred years, not


because of a typhoid epidemic, but because the


Creator of typhoid and other diseases commanded


with all practices which promote health and


wellbeing, and thus they continue to obey and


comply. Allah the Almighty says:


[Meaning: How could He who created not know His


own creation, when He is the Most Subtle, the All


Aware?]61


10. Rinsing the mouth, i.e. swirling water around


inside the mouth during ablution, in order to cleanse


and purify it. Modern science has proven that rinsing


the mouth protects it and the pharynx from


inflammation, just as it protects the gums from


purulence. This practice also cleans and protects the


61 See: ‘Asbab ash-Shifa· minal-Asqam wal-Ahwa·’ (p. 36).


Health and Hygiene in Islam


30


teeth as it removes food particles that gets stuck in the


molars after eating.


Another benefit of rinsing the mouth is that it


strengthens facial muscles and preserves facial shape


and freshness. Sports professionals know the


significance of this exercise which can bring about


psychological calming in a person if they perfect the


movement of their facial muscles when rinsing their


mouths.62


Secondly: Regarding the prescription of ablution:


Ablution is a type of ritual washing involving the


face, arms and legs. Washing these limbs is


considered essential for the validity of this form of


purification.


The ablution also has various recommended acts


which are considered to enhance it. These include:


Brushing the teeth prior to the performance of


ablution; mentioning Allah’s name at the time of


performing ablution; washing the hands thrice at the


beginning of ablution; rinsing the mouth thrice and


expelling water from the nostrils thrice after snuffing


it. It is also recommended at each stage of the ablution


to start by washing with the right limb; running the


fingers of one hand through the fingers of the other to


62 See: ‘Asbab ash-Shifa· minal-Asqam wal-Ahwa·’ (p. 40).


Health and Hygiene in Islam


31


ensure water reaches; wiping the ears and using a


moderate amount of water.63


Allah the Almighty says:


[Meaning: O you who believe! When you intend to


perform prayer, wash your faces and your forearms to


the elbows and wipe over your heads and wash your


feet to the ankles.]


Prophet Muhammad  said: “Allah does not accept


the prayer of any of you who are in a state of impurity


until you perform ablution.”64


Details regarding the performance of ablution occur in


many Prophetic traditions and the scholars and jurists


have discussed them at length. The intent here is not


to describe the ablution, but to explain the link


ablution has to hygiene and health. Some aspects


concerning this relationship were covered in the


previous subsection, however it is possible to add the


following points:


1. Ablution is not merely washing the limbs and


cleaning the body several times daily, rather the


63 See: ‘Fiqh as-Sunnah’ of Sayyid Sabiq (1/38).


64 Reported by al-Bukhari (no. 6554) and Muslim (no. 225).


Health and Hygiene in Islam


32


psychological effects and spiritual elevation felt by


Muslims after performing ablution cannot be


expressed in words, especially if a person fulfils it


properly while being mindful of its merit. Thus,


ablution has a profound impact on the life of Muslims


and causes them to be refreshed, lively and radiant.65


2. Washing the limbs of ablution is considered to be


an act of utmost importance for the promotion of


hygiene and public health. Doctors say that these


limbs are exposed to a huge number of microbes


which are estimated to be in the region of several


million per cubic centimetre of air. These microbes


constantly attack the human body via exposed areas


of skin, however during ablution they are totally


swept from the surface of the skin and even more so


when it is performed thoroughly as Allah’s Messenger


 instructed. In this way, no dirt or germs remain on


the body after ablution apart from those which Allah


decrees.66


3. Washing the face and the arms inclusive of the


elbows during ablution has a greatly helps to rid the


skin of dust, microbes and sweat, as well as cleansing


it of sebum secreted by sebaceous glands. These


65 See: ‘Asbab ash-Shifa·’ (p. 39).


66 See: ‘Asbab ash-Shifa·’ (p. 41).


Health and Hygiene in Islam


33


elements form an optimal environment for germs to


live and grow.67


4. Washing the feet thoroughly during ablution


contributes to hygiene and causes a person to feel


tranquillity, due to the influence of the feet on all


body systems. This partly explains the tranquillity felt


by a Muslim after performing ablution.68


5. It has been scientifically established that blood


circulation is weaker in the upper limbs of the body,


namely the hands and forearms, and the lower limbs


of the body, namely the feet and legs, than in other


parts of the body because they are the furthest from


the heart which is the centre of the circulatory system.


Therefore, washing these distal parts of the body


during ablution improves blood circulation and


hygiene in addition to invigorating and enlivening a


person.


Additionally, it has been proven that the sun’s rays


and in particular, ultraviolet light, can cause cancer.


However, this risk is greatly reduced by the


performance of ablution as it ensures the surface of


the skin is constantly moistened with water, especially


areas of skin which are exposed to sunlight. Ablution


67 See: ‘Sahih Muslim’ with the explanation of an-Nawawi


(1/105).


68 See: ‘Asbab ash-Shifa·’ (p. 41).


Health and Hygiene in Islam


34


thus protects the superficial and inner layers of skin


from the harmful effects of solar radiation.69


Thirdly: Regarding the prescription of bathing


Bathing is the ritual washing of the whole body with


water. Allah refers to it in the Quran in the following


two verses:


[Meaning: And if you are in a state of sexual


impurity, then purify yourselves.]


[Meaning: And they ask you about menstruation. Say:


“It is harm, so keep away from wives during


menstruation. And do not approach them until they


are pure. And when they have purified themselves,


then come to them from where Allah has ordained for


you. Indeed, Allah loves those who are constantly


repentant, and He loves those who purify and cleanse


themselves.]


69 See: ‘Asbab ash-Shifa·’ (p. 41).


Health and Hygiene in Islam


35


Bathing is well-known amongst all people. Humans


throughout history have known the importance of


bathing as a method of cleansing the body and curing


many diseases. However, bathing has not been


prescribed or systematised for any nation in history in


the same way Allah has done for His final religion of


Islam.


A researcher would have a very difficult job trying to


compile the Islamic evidences mentioning bathing


along with their scholarly explanations and would


discover the greatness of Islam and the precision of its


legislation.


In Islam, there are two broad types of bathing:


obligatory and recommended. Bathing is obligatory


upon conversion to Islam; after ejaculation or coitus,


and at the end of menstruation and lochia. It is


recommended, in the sense that its performance it


meritorious but not essential, in the following cases:


on Friday before Friday prayers; on the two days of


Eid before the Eid prayers; before entering into the


state of consecration for pilgrimage; upon entering


Makkah, and for pilgrims on the day of ‘Arafah.70


The benefits of bathing are the same as those of


ablution, however bathing is more effective in


cleaning and better in terms of hygiene.


70 See: ‘Sahih Muslim’ with the explanation of an-Nawawi


(1/219-36) & ‘Fiqh as-Sunnah’ of Sayyid Sabiq (1/59-66).


Health and Hygiene in Islam


36


Fourthly: Islamic texts promoting public health


There are numerous references to public health in


Islamic religious texts concerning cleanliness of


homes, public places, clothing, etc. The following is a


non-exhaustive list of the narrations in this regard:


1. Removing harmful objects from roads is one of the


branches of faith. On the authority of Abu Hurairah –


may Allah be pleased with him – that Prophet


Muhammad  said: “Faith has seventy-odd branches


or sixty-odd branches, the uppermost of which is the


declaration: ‘None has the right to be worshipped


except Allah’; and the least of which is the removal of


harmful objects from the road.. And modesty is a


branch of faith.”71


2. Urinating in standing water is prohibited. On the


authority of Jabir – may Allah be pleased with him –


that Prophet Muhammad  forbade urinating in


stagnant water.72 In a similar narration, Abu Hurairah


– may Allah be pleased with him – relates the saying


of the Prophet : “You should not urinate in still


water that does not flow and then use it to wash.”73


These two narrations prohibit urination in standing


water in order to prevent it from becoming


contaminated and impure for people to use. The


71 Reported by al-Bukhari (no. 9) and Muslim (no. 35).


72 Reported by Muslim (no. 281).


73 Reported by al-Bukhari (no. 239) & Muslim (no. 282).


Health and Hygiene in Islam


37


prohibition of defecation in standing water and of


cleaning oneself after answering the call of nature


using standing water is also inferred from these


narrations.74


3. Bathing in standing water is prohibited according to


the narration on the authority of Abu Hurairah – may


Allah be pleased with him – who said: ‘Allah’s


Messenger  said: “None of you should bathe in


standing water when you are in a state of sexual


impurity.” One of the narrators asked Abu Hurairah:


‘Then what should such a person do, O Abu


Hurairah?’ He replied: ‘They should take some out


and then use it.’75


The foregoing has been a brief overview of the


importance of hygiene in Islam.


74 See: ‘Tawdih al-Ahkam’ (1/129).


75 Reported by Musim (no. 283).



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