Sounds a lot like hospitals in Quebec.
Hospitals everywhere. Even local doctor's clinics you'll find physicians fail to wash their hands between patients. People all over the place will walk straight out of a filthy washroom and sit down to eat without even a thought about washing their mitts.
Granted everyone has an immune system to handle the common bugs that come along but it's a problem and it probably starts when kids are young, failing to be taught the importance of washing hands.
But where it's a disgrace is in hospitals where there are some seriously contagious patients. CBC has done an investigation into this very topic and found startling conditions in a number of hospitals across Canada. So you can be sure that there is ten times more in the US.
And the worst part of it is, that people just sit there watching.
If your family doctor came into the room and failed to go directly to the sink or to a sanitation station, would you stop them and remind them to wash up first before they examine you? Actually most people would feel embarrassed to speak up. Speak up!