The shift of percent excess mortality from zero-COVID policy to living-with-COVID policy in Singapore, South Korea, Australia, New Zealand and Hong Kong SAR.

Introduction: With the economic recession and pandemic fatigue, milder viral variants and higher vaccine coverage along the time lay the basis for lifting anti-COVID policies to restore COVID-19 normalcy. However, when and how to adjust the anti-COVID policies remain under debate in many countries. Methods: In this study, four countries (Singapore, South Korea, Australia, and New Zealand) and one region (Hong Kong SAR), that have shifted from the zero-COVID (ZC) policy to or close to the living-with-COVID (LWC) during or after the Omicron outbreak, were selected as research objects. All-cause mortality data were collected for these objects from 2009 to 2019. The expected mortality was estimated by a simple linear regression method. Excess mortality over time was calculated as the difference between the expected mortality and the observed mortality. Finally, percent excess mortality (PEM) was calculated as the excess mortality divided by the expected mortality. Results: In the examined four countries, PEM fluctuated around 0% and was lower than 10% most of the time under the ZC policy before 2022. After shifting to the LWC policy, all the examined countries increased the PEM. Briefly, countries with high population density (Singapore and South Korea) experienced an average PEM of 20-40% during the first half of 2022, and followed by a lower average PEM of 15-18% during the second half of 2022. For countries with low population density under the LWC policy, Australia experienced an average PEM of 39.85% during the first half of 2022, while New Zealand was the only country in our analysis that achieved no more than 10% in average PEM all the time. On the contrary, Hong Kong SAR under their ZC policy attained an average PEM of 71.14% during the first half of 2022, while its average PEM decreased to 9.19% in the second half of 2022 with LWC-like policy. Conclusion: PEM under different policies within each country/region overtime demonstrated that the mortality burden caused by COVID-19 had been reduced overtime. Moreover, anti-COVID policies are suggested to control the excess mortality to achieve as low as 10% in PEM.

Tribo-charge enhanced hybrid air filter masks for efficient particulate matter capture with greatly extended service life.

Face masks have been an effective and indispensable personal protective measure against particulate matter pollutants and respiratory diseases, especially the novel Coronavirus disease recently. However, disposable surgical face masks suffer from low filtration efficiency for particles ranging from nano- to micro-size, and the limited service life of ~ 4 h. Here, a nano/micro fibrous hybrid air filter mask composing of electrospun nanofibrous network and poly(3,4-ethylenedioxythiophene:poly(styrenesulfonate) coated polypropylene (PP) is proposed. Furthermore, the resultant filter is supplied with tribo-charges by a freestanding sliding triboelectric nanogenerator. Through the enhanced synergistic effect of mechanical interception and electrostatic forces, the hybrid air filter demonstrates high filtration efficiency for particle size of 11.5 nm to 2.5 µm, with a 9.3-34.68% enhancement for particles of 0.3-2.5 µm compared to pristine PP, and 48-h stable filtration efficiency of 94% (0.3-0.4 µm) and 99% (1-2.5 µm) with a low pressure drop of ~110 Pa. In addition, sterilization ability of the tribo-charge enhanced air filter is demonstrated. This work provides a facile and cost-effective approach for state-of-the-art face masks toward high filtration performance of nano- to micro- particles with greatly extended service life.