Toilet paper rolls are the best choice for public restrooms, since they allow easy access to the toilet paper by all users of the facilities. The folded tissue style of toilet paper dispenser is not effective as a handicap bathroom fixture because it requires a finger pinching action that may be difficult for an impaired person. Install toilet tissue dispensers so the center line of the dispenser is at least 19 inches (915 mm) above the floor and so the forward edge of the dispenser is not more than 36 inches (485 mm) from the back wall of the handicap toilet.

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