Domb down wash times, dumb down detergents, etc...
Something to think about...
Here most of the washer don't have internal heaters and/ or hot fills. Some models even can't stand hot water in the tub as it would ativate the thermal clutch and start to spin instead of agitate...
But the wash cycles are LOOOOOONG!
The cheapest machine we have at Elux is a top loader all made of plastic, so cheap that it doesn't even have the outer tub (the cabinet is the tub), but it washes for more than 1 hour (30 minutes of agitation intermited with the same time of soak)
Cold water only, etc, etc, etc... But... clothes ome out sparkling clean and smelling great.
Will it kill more bacteria? Maybe yes, maybe not but... who cares? As soon as the final spin finishes, the load will be hung on a line, maybe under the sun, maybe not. and it can be contaminated again.
Anyway, we're normal humans, not a statue made of sugar. If we start this germ paranoia, soon we will start living inside an hermetic bubble. We wouldn't shake hands hug or kiss (as germs could be transfered) we wouldn't even eat because even the safest and well made foods still have some germs..
Wait, we would have to take long baths with LCB because humans normally have billions of microorganisms on the skin.
I strongly believe good sense is the best thing. Hot washes can AND DO kill more germs, it's a fact. If i have someone sick at home, of course i'd wash using the hottest temperature the fabric can stand.
But on normal washes, why do that if i can get my clothes clean? Of course, if i notice smelly clothes, it means my washing procedures are failing and I have to check what's going on to avoid the same results in the future. If the problem is water temperature, it's obvious i'm going to increase the temperature on the next washes. but nobody needs to be paranoid about temperature and turn our washing machines into ice cream makers or pyrolitic washers.
But if everything comes out clean, why spend more? why increase my environmental impact?
Also, if i'm going to wash a super delicate item like a 100% wool blouse, of course i'd never do a boil wash, otherwise it could damage it.
The best advice i can do is: try to use the lowest temperature that gives good results with your washer, your detergent and your clothes. If you can get excellent results with almost freezing water, great! The environment will love it. If you need to increase the temperature until you find the best balance, ok too. but i'm sure nobody really needs to strictly wash everything at boiling temperatures. This is exagerated, wate energy, waste of products, waste of money and bigger impact.
Also, hospital laundry is not household laundry. there are two completelly different worlds. Of course, in that situation, more is better so, more temperature, more detergent, more time, more chemicals because the clothes are more contaminated than a regular T-shirt and all the knowledge and technology available should be used to prevent contamination and cross contamination.