I think the only thing that hurt you here was the strange texture of the skin, like you over-used neat image or something. I would LOVE to see how this looks without that one flaw. Unfortunately it's so pervasive and distracting that it otherwise ruined it. I didn't vote, but in answer to Sandy's question: I believe they were thinking just that. "Dammit, killed a great picture."
The yellow thing in the middle has meaning to you, but it's not obvious enough to most people (confirmed by other commenters) to really work. At first glance it completes the the composition, then it becomes a distraction because of confusion.
Nice image, lovely colours. Could be a bit sharper - looks like it went blurry because of noise reduction, but I could be wrong. What is the little yellow chicken looking thing in the middle?
Do they need to wash their hands? Sort of half joking here, not fond of this type of processing at all. Would be a bit better if all the hands were in focus. Idea is good and creative.