A touchless hand cleanser dispenser for operation without touching by a user's hand, the dispenser comprising: an outlet disposed to dispense fluid downwardly onto an upwardly directed palm of a user's hand when the hand is within a desired proximity of the outlet below the outlet, spaced from contact with the outlet, a dispensing mechanism to dispense material from the outlet when the dispensing mechanism is activated, a control mechanism to activate the dispensing mechanism to dispense material from the outlet, a hand sensing mechanism to determine whether a user's hand is underneath the outlet within the desired proximity of the outlet below the outlet, characterized by: a non-contact palm reader disposed to read the upwardly directed palm of the user's hand when the user's hand is below the outlet, a palm reader sensing mechanism to determine whether the palm reader has sensed a user's palm, the palm reader sensing a user's palm is below the outlet when the palm reader receives an image representing an image which the control mechanism recognizes as a reasonably representative of veins in an upwardly directed palm of a user's hand, a non-contact thermometer carried on the dispenser to calculate the temperature of the user's hand when the user's hand is below the outlet spaced from contact with the outlet when the non-contact thermometer is activated, a determination mechanism to determine whether the temperature of a user's hand is a temperature which suggests the user has a fever, a signal mechanism provide a signal if the determination mechanism determines the user may have a fever; the control mechanism requiring as a prerequisite to activating the dispensing mechanism both the hand sensing mechanism sensing that a user's hand is within the desired proximity of the outlet below the outlet and the palm reader sensing mechanism making a determination that the palm reader has sensed a user's palm is below the outlet. an outlet disposed to dispense fluid downwardly onto an upwardly directed palm of a user's hand when the hand is within a desired proximity of the outlet below the outlet, spaced from contact with the outlet, a dispensing mechanism to dispense material from the outlet when the dispensing mechanism is activated, a control mechanism to activate the dispensing mechanism to dispense material from the outlet, a hand sensing mechanism to determine whether a user's hand is underneath the outlet within the desired proximity of the outlet below the outlet, characterized by: a non-contact palm reader disposed to read the upwardly directed palm of the user's hand when the user's hand is below the outlet, a palm reader sensing mechanism to determine whether the palm reader has sensed a user's palm, the palm reader sensing a user's palm is below the outlet when the palm reader receives an image representing an image which the control mechanism recognizes as a reasonably representative of veins in an upwardly directed palm of a user's hand, a non-contact thermometer carried on the dispenser to calculate the temperature of the user's hand when the user's hand is below the outlet spaced from contact with the outlet when the non-contact thermometer is activated, a determination mechanism to determine whether the temperature of a user's hand is a temperature which suggests the user has a fever, a signal mechanism provide a signal if the determination mechanism determines the user may have a fever; the control mechanism requiring as a prerequisite to activating the dispensing mechanism both the hand sensing mechanism sensing that a user's hand is within the desired proximity of the outlet below the outlet and the palm reader sensing mechanism making a determination that the palm reader has sensed a user's palm is below the outlet. a non-contact palm reader disposed to read the upwardly directed palm of the user's hand when the user's hand is below the outlet, a palm reader sensing mechanism to determine whether the palm reader has sensed a user's palm, the palm reader sensing a user's palm is below the outlet when the palm reader receives an image representing an image which the control mechanism recognizes as a reasonably representative of veins in an upwardly directed palm of a user's hand, a non-contact thermometer carried on the dispenser to calculate the temperature of the user's hand when the user's hand is below the outlet spaced from contact with the outlet when the non-contact thermometer is activated, a determination mechanism to determine whether the temperature of a user's hand is a temperature which suggests the user has a fever, a signal mechanism provide a signal if the determination mechanism determines the user may have a fever; the control mechanism requiring as a prerequisite to activating the dispensing mechanism both the hand sensing mechanism sensing that a user's hand is within the desired proximity of the outlet below the outlet and the palm reader sensing mechanism making a determination that the palm reader has sensed a user's palm is below the outlet.