This thing about cold water and sanitising laundry gets me on several levels.
First in all my years both while at nursing school, and reading various historic accounts of world events; have never heard of a healthy person becoming ill, much less dying from laundry with modern methods. Mind you, there are certian diseases which can be transfered by handling soiled and or infected linen/textiles, smallpox comes to mind, but by and large today's modern health care and sanitiation practices have eliminated such diseases. In the rare case one did come down with a highly infectous disease, one is likely to be in hospital, not like years ago when you would have been nursed and or died at home.
While taking bacteriolgy one of our assignments was to swab and culture various surfaces around the lab/school; an am here to tell you if you saw what was growing on your own hands (even after being washed), computer keyboards, telephones and any of the hundreds of objects one comes into contact daily, you'd never feel safe in your own skin again. Yet, unless one is already ill, you still go on each day despite contact with these said germs.
People still wash dishes/clean counter tops with a grungy sponge that has been used for said tasks longer than it should have been. Touch toilet seats, shower curtains/liners ( a proven huge breeding ground for all sorts of nasty germs, much of which comes from wind passed which sends lots of said germs into the air where they find a nice comfy home in the warm,moist environment. Soaps and dead skin provide the food. And you are standing in that shower naked, NAKED think about all those germs, just waiting to get you! Now you've touched that shower curtain then a towel, now you are drying off with that infected towel! Oh how will you live! Yet you do, don't you.
Bacteria and "germs" are not very hardy creatures, and have been around humans long as there have been humans. Our bodies have developed quite well to respond to germs, and it is only when those systems are compromised that we become ill. Even then a healthy person recovers on their own, and or seeks medical care. There are people doing laundry in bodies of water all over the world where animal and human waste is present, along with god only knows what else. Yet they live. Mind you drinking or bathing in that same water is another story all together, but wearing laundry washed in those bodies of water has not caused an epidemic.
Modern laundry practices do a great job of sanitising laundry, even using cold water. If it didn't there would be legions of reports regarding various skin and or infections, which simply hasn't happened.
All things being equal hot water washing may not provide the level of germ killing one might expect. This is true when the washing machine in question has a high "germ" count to begin with, and laundering takes place at temps not high/long enough to kill off all the said germs. While 160F at 20mins may be good for E Coli, there are yeasts, and other viruses that require 180F or even 200F for longer periods of time to be killed. Yes, a good portion of "germs" are sent floating way with the wash water, but those that survive are on the laundry and in the machine to live and "fight" another day. If you ever really wish to be grossed out, ask washer repair person to show you what grows between washing machine tubs after several years, even with "boil" washes.
L.