Could the Queen Of Pop have got her her hands dirty while cleaning her mud covered heels from the previous day?
Or maybe she's developed an unhealthy obsession with hygiene?
Whatever the reason, Madonna was snapped waving hand sanitiser out of her car window as she left the Malawian orphanage where her son David was adopted from.
Scroll down to see the MailOnline video report
Madonna waves her hand gel as she leaves the Home Of Hope Orphanage where she previously adopted David Banda
The unusual gesture came at the end of her visit to the Home Of Hope Orphanage, where she was accompanied by adopted children David Banda and Mercy and daughter Lourdes.
Madonna is in the country to launch the construction of her school for girls
Read more: http://www.dailymail.co.uk/tvshowbiz/article-1223437/Madonna-makes-clean-getaway-waving-hand-gel-jets-Malawi.html#ixzz0VXPrOaPr