Can decontamination and reuse of N95 respirators during COVID-19 pandemic provide energy, environmental, and economic benefits?

The widespread COVID-19 pandemic led to a shortage in the supply of N95 respirators in the United States until May 2021. In this study, we address the energy, environmental, and economic benefits of the decontamination-and-reuse of the N95 masks. Two popular decontamination methods, including dry heat and vapor hydrogen peroxide (VHP), are investigated in this study for their effective pathogen inactivation and favorable performance in preserving filtration efficiency and structural integrity of respirators. Two multiple reuse cases, under which the N95 masks are disinfected and used five times with the dry heat method and 20 times using the VHP method, are considered and compared with a single-use case. Compared to the single-use case, the dry heat-based multiple-use case reduces carbon footprint by 50% and cumulative energy demand (CED) by 17%, while the VHP-based case decreases carbon footprint by 67% and CED by 58%. The dry-heat-based and VHP-based multiple reuse cases also present environmental benefits in most of the other impact categories, primarily due to substituting new N95 respirators with decontaminated ones. Decontaminating and reusing respirators costs 77% and 89% less than the case of single-use and disposal. The sensitivity analysis results show that the geographical variation in the power grid and the times of respirator use are the most influential factors for carbon footprint and CED, respectively. The result also reaffirms the energy, environmental, and economic favorability of the decontamination and reuse of N95 respirators.

A Practical Approach to Filtering Facepiece Respirator Decontamination and Reuse: Ultraviolet Germicidal Irradiation.

Purpose of review: Prior outbreaks of respiratory viruses have demonstrated the need for adequate personal protective equipment (PPE) for healthcare workers, particularly filtering facepiece respirators (FFR). Due to shortfalls of PPE during the SARS CoV-2 pandemic, the need for FFR decontamination and reuse (FFR-DR) strategies is paramount. This paper aims to discuss primary decontamination strategies, with an in-depth analysis of ultraviolet germicidal irradiation (UVGI), arriving at the decontamination strategy utilized at the Nebraska Medical Center (NMC). Methods: Review of the primary literature in regard to FFR-DR as well as a synopsis of the current protocol for FFR-DR at NMC. Recent findings: UVGI demonstrates effective decontamination of multiple pathogens-including several human respiratory viruses-while maintaining mask integrity and filtering capacity. UVGI was associated with degradation of strap integrity at higher doses than that utilized for decontamination or with reuse beyond 20 times. Summary: UVGI effectively decontaminates N95 FFRs without significant reduction to fit or strap integrity and can be employed as a strategy for FFR-DR in times of emergency.