A hygienic tissue includes a front side and a back side. The front side includes an absorbent material and the back side includes an absorbent material. A fluid resistant material is between the front side absorbent material and the back side absorbent material, and a pocket is on the back side for receiving one or more of a user's fingers. The back side defines an aperture for providing access to the pocket. The aperture is surrounded on one or more sides by the back side such that one or more pockets are formed along the back side. Attachments can be used to attach the tissue to a user's hand, wrist or ears. The tissue can be used, for example, when sneezing, coughing, nose blowing or touching contaminated surfaces, as a hygienic tissue, face mask, and wet wipe.