RESUMEN
The use of face masks is mandatory in public places in many countries to slow the spread of the COVID-19 pandemic. In developing countries, homemade masks with varying techniques and fabrics are used on the streets. On these fabric masks, the protection against SARS-CoV-2 varies significantly. The most common mask types are N95, surgical masks, and homemade nonwoven and cotton masks. The performance of 227 different face masks used in Brazil was evaluated to quantify their breathability and filtration efficiency (FE) for airborne particles. FE values were measured using NaCl aerosol particles sized from 60 to 300 nm and at 300 nm, minimum efficiency. The differential pressure drop over the mask and the FEmin at 300 nm was used to calculate the mask Quality Factor (QF). The N95 masks showed the highest FE60-300, around 0.98, and a QF of 13.2 KPa−1, and were considered the reference for evaluating homemade masks performance. Surgical masks have an FE60-300 of 0.89, with a good QF of 15.9 KPa−1. Nonwoven masks showed an average FE60-300 of 0.78, with an excellent QF of 24.9 KPa−1, and can be regarded as the best material for homemade masks. The most commonly used material for homemade masks, cotton fabrics, showed significant variability in FE60-300, ranging from a low 0.20 to 0.60, with a low QF of 1.4 KPa−1. Masks always reduce droplets and aerosols emitted by COVID-19 symptomatic and asymptomatic persons, reducing SARS-CoV-2 contamination. [ABSTRACT FROM AUTHOR] Copyright of Aerosol Science & Technology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
RESUMEN
OBJECTIVES: The coronavirus disease 2019 pandemic increased global demand for personal protective equipment (PPE) and resulted in shortages. The study evaluated the re-use of surgical masks and respirators by analysing their performance and safety before and after reprocessing using the following methods: oven, thermal drying, autoclave, and hydrogen peroxide plasma vapour. METHODS: In total, 45 surgical masks and 69 respirators were decontaminated. Visual integrity, air permeability, burst resistance, pressure differential and particulate filtration efficiency of new and decontaminated surgical masks and respirators were evaluated. In addition, 14 used respirators were analysed after work shifts before and after decontamination using reverse transcription polymerase chain reaction (RT-PCR) and viral culturing. Finally, reprocessed respirators were evaluated by users in terms of functionality and comfort. RESULTS: Oven decontamination (75 °C for 45 min) was found to be the simplest decontamination method. Physical and filtration assays indicated that all reprocessing methods were safe after one cycle. Oven decontamination maintained the characteristics of surgical masks and respirators for at least five reprocessing cycles. Viral RNA was detected by RT-PCR in two of the 14 used respirators. Four respirators submitted to viral culture were PCR-negative and culture-negative. Reprocessed respirators used in work shifts were evaluated positively by users, even after three decontamination cycles. CONCLUSION: Oven decontamination is a safe method for reprocessing surgical masks and respirators for at least five cycles, and is feasible in the hospital setting.