Surgical Masks vs N95 Respirators for Preventing Influenza

JAMA ◽  
2010 ◽  
Vol 303 (10) ◽  
pp. 937 ◽  
Author(s):  
Roger Bitar
Author(s):  
Dominic Dellweg ◽  
Peter Haidl ◽  
Jens Kerl ◽  
Dieter Koehler

Abstract Background:There is a shortage of masks and respirators for the protection of health care professionals during the current SARS-CoV-2 / Coronavirus pandemic. Masks for non-invasive ventilation (NIV) in combination with viral-proof filters could serve as an alternative protection measure. We wanted to determine the aerosol filtering efficacies of such devices in comparison to conventional surgical masks, N95 and FFP3 respirators.Method:Masks and respirators were mounted on a ventilated mannequin head in a test-chamber. Absorption of radioactive particles was measured compared to a non-filtered reference port.Results: Filter efficacies were 93.3 ± 1.5 % for a ResMed AcuCare NIV-mask plus filter, 71.2 ± 0.2 % for a ResMed Mirage Quattro FX NIV-mask plus filter, 89.4 ± 0.9 % for a Loewenstein JOYCEclinc FF NIV-mask plus filter, 48.4 ± 4 % for a surgical mask with rubber band, 60.5 ± 9.1 % for a surgical mask with ribbons, 56.9 ± 7.5 % for a FFP3 respirator, 64.5 % ± 5.1 for a N95 respirator. The ResMed AcuCare and the Loewenstein JOYCEclinic FF mask were more effective than any other of the tested devices (p < 0.001 and p = 0.001 respectively)Conclusion:NIV masks with viral-proof filters effectively filter respirable particles. Two tested NIV masks were more effective than the tested FFP3 and N95 respirators.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0255338
Author(s):  
Siddharth Doshi ◽  
Samhita P. Banavar ◽  
Eliott Flaum ◽  
Surendra Kulkarni ◽  
Ulhas Vaidya ◽  
...  

Global shortages of N95 respirators have led to an urgent need of N95 decontamination and reuse methods that are scientifically validated and available world-wide. Although several large scale decontamination methods have been proposed (hydrogen peroxide vapor, UV-C); many of them are not applicable in remote and low-resource settings. Heat with humidity has been demonstrated as a promising decontamination approach, but care must be taken when implementing this method at a grassroots level. Here we present a simple, scalable method to provide controlled humidity and temperature for individual N95 respirators which is easily applicable in low-resource settings. N95 respirators were subjected to moist heat (>50% relative humidity, 65–80°C temperature) for over 30 minutes by placing them in a sealed container immersed in water that had been brought to a rolling boil and removed from heat, and then allowing the containers to sit for over 45 minutes. Filtration efficiency of 0.3–4.99 μm incense particles remained above 97% after 5 treatment cycles across all particle size sub-ranges. This method was then repeated at a higher ambient temperature and humidity in Mumbai, using standard utensils commonly found in South Asia. Similar temperature and humidity profiles were achieved with no degradation in filtration efficiencies after 6 cycles. Higher temperatures (>70°C) and longer treatment times (>40 minutes) were obtained by insulating the outer vessel. We also showed that the same method can be applied for the decontamination of surgical masks. This simple yet reliable method can be performed even without electricity access using any heat source to boil water, from open-flame stoves to solar heating, and provides a low-cost route for N95 decontamination globally applicable in resource-constrained settings.


2020 ◽  
Vol 13 (2) ◽  
pp. 93-101 ◽  
Author(s):  
Youlin Long ◽  
Tengyue Hu ◽  
Liqin Liu ◽  
Rui Chen ◽  
Qiong Guo ◽  
...  

2010 ◽  
Vol 20 (2) ◽  
pp. 265-277 ◽  
Author(s):  
Craig Davidson ◽  
Christopher F. Green ◽  
Adelisa L. Panlilio ◽  
Paul A. Jensen ◽  
Beth H. Stover ◽  
...  

2020 ◽  
Vol 9 (5) ◽  
pp. 169-177
Author(s):  
Hari Bhimaraju ◽  
Nitish Nag ◽  
Ramesh Jain

The use of face masks is recommended worldwide to reduce the spread of COVID-19. A plethora of facial coverings and respirators, both commercial and homemade, pervade the market, but the true filtration capabilities of many homemade measures against the virus are unclear and continue to be unexplored. In this work, we compare the following masks in keeping out particulate matter below 2.5 microns in decreasing order of their efficacy: N95 respirators, cloth masks with activated carbon air filters, cloth masks with HVAC air filters, surgical masks, heavily-starched cloth masks, lightly-starched cloth masks, and regular cloth masks. The experiments utilize an inhalation system and aerosol chamber to simulate a masked individual respiring aerosolized air. COVID-19 disproportionately affects people in low-income communities, who often lack the resources to acquire appropriate personal protective equipment and tend to lack the flexibility to shelter in place due to their public-facing occupations. This work tests low-cost enhancements to homemade masks to assist these communities in making better masks to reduce viral transmission. Experimental results demonstrate that the filtration efficacy of cloth masks with either a light or heavy starch can approach the performance of much costlier masks. This discovery supports the idea of low-cost enhancements to reduce transmission and protect individuals from contracting COVID-19.


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