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Are second-hand shoes safe to wear? For adults — and especially for children. Kids' feet are always growing.

When the proper precautions are taken, are second-hand shoes safe? Or are they too likely to transmit fungal infections (e.g. athlete's foot) and/or harm the feet of the wearer?

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Please assume that you bought the shoes from a thrift store in a developed country.

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All my daughters' shoes are hand-me-downs except for her athletic shoes. I figure she isn't spending enough time in her other shoes to cause any serious damage.

Let me elaborate.

I had an aunt that bought my sister and I special shoes designed to help children walk correctly and healthfully and gave those shoes to my parents. She continued to "keep us in these shoes" by purchasing the next size every six months or so until she passed away.

By the time I was a year old, my parents had learned not to use the shoes, despite her purchase of them. We constantly had ingrown toenails. The ingrown toenail thing actually runs in the family and was not caused by the shoes, but because of the problem, Mom had consulted a physician on the matter. The doctor said, "The best thing for babies are bare feet." I still have really healthy arches and have feet "ballerinas would kill for" because I have such a nice arch. This article at unshod.org, and the doctors quoted in it, gives more information about why this statement is true. Thinking about things this way, I would guess that if the shoes are to be worn a lot, more damage is likely done by shoes that don't fit quite right or are worn out unevenly than newer shoes. But knowing my daughter spends so little time in the shoes, I'm not afraid to take hand-me-downs from family members and let my daughter wear them.

I want my daughter to have healthy, new, correctly-fitting, supportive cross-trainers if she's going to be doing something like hiking, playing tennis or basketball or some other sporty activity. We tend to buy one pair of her own cross-trainers as needed as she grows.

For everyday activities around the house, she goes barefoot. If we go to run errands, she is often in flip-flops, sandals or whatever she happens to grab (or, in winter, knock-off Uggs!). Since she never spends a lot of time in these shoes, as long as I know they're clean, I don't worry about it too much.

It seems natural fibers and materials are less likely to carry these kinds of diseases (or at least hang onto them) based on a tiny bit said at the very end of a health 24 article. And based on one of the links provided in unforgettableid's answer, socks also create a pretty good barrier in preventing spread of such diseases. I have always just washed hand-me-down shoes using the hot water cycle in my dishwasher. (Weird? Yes. But it works.) My daughter has never had any such infection. Nor have I, come to think of it, despite serious blisters and all kinds of nastiness from dancing en pointe through college.

Having feet that are moist a lot and for long periods increases the likelihood of infection. Perhaps the fact that my family wears socks when wearing closed shoes, and goes barefoot in the house, means that our feet just don't get sweaty and damp enough to encourage the growth of such diseases. This is another reason I'd personally recommend the barefoot life as much as possible.

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Regarding fungi

I looked at an article by the South Australian health department. It discusses second-hand goods and how to disinfect them. The article mentions that second-hand stores may clean the outside of donated shoes, but not disinfect them on the inside. The article adds:

Parasites (including fungi) ... may survive for extended periods of time. While transmission of these organisms is ... unlikely, some second-hand goods may result in a risk to health if they are not thoroughly cleaned before use.

How long can fungi survive? It depends. Regarding ringworm fungi, a Healthline article states:

Fungal spores can ... stay alive on clothing ... as long as their food supply (dead skin cells) is present, and they have a moist and warm environment. Spores can live for as long as 12 to 20 months in the right environment.

Tanaka K, Katoh T, Irimajiri J, Taniguchi H, and Yokozeki H studied two matters. They investigated whether or not socks and stockings prevent the transmission of fungal infections. They found that cotton socks do, but nylon stockings don't. They also investigated how to remove fungi from shoes. They found that if you wipe the shoes with a wet towel, or if you pour in boiling water, you'll successfully remove fungi.

Regarding general safety to feet

Note that I've found zero peer-reviewed information that discusses whether second-hand shoes are bad for feet. I've never found a literature review or meta-analysis of this topic. In fact, I've never found even a single peer-reviewed paper. On PubMed, [ used ] seems to be a stopword and ignored in searches. My searches there for [ second-hand shoes ] and [ used shoes ] turned up nothing. I didn't find anything relevant on Google Scholar. Blogger "Miser Mom" couldn't find anything either.

Freelance writer Roz Zurko discusses the matter. She cites Dr. Neil L. Horsley, Dr. B.D. Schmitt, and the South Australia Women's and Children's Health Network. In the end, she accepts the Health Network article's opinion. Their article begins, "In a perfect world, it is better to have new shoes. If you need to use second-hand shoes, choose carefully." They continue with advice on how to choose the healthiest second-hand shoes. For example, they write that if the shoes are misshapen or if the heel is worn unevenly, the shoes should be avoided.

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There is an Austrian research team which does regular research on the topic. I will translate their key points for you:

  1. It is OK to wear used shoes,
  2. as long as they are not too worn out (recognizable by an intensely used profile)
  3. The kid does not have any disadvantage.
  4. Experts describe it as a fairy tale, originating from former times when materials used to be much worse than nowadays. This fairy tale has been perpetuated by the shoe industry which, of course, does not recommend wearing used shoes.
  5. A much bigger threat to a kid's healthy feet are too-small shoes. Shoes' inner space should always be at least 12 mm bigger than the feet. The huge problem is that the shoe size (at least in Germany) is almost always wrong. Measure the size of your children's feet yourself and compare with the inner space of the shoes.

Source: https://www.kinderfuesse.com/sopassts (PDF file, in German).

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