Reuse of medical face masks in domestic and community settings without sacrificing safety: Ecological and economical lessons from the Covid-19 pandemic.

The need for personal protective equipment increased exponentially in response to the Covid-19 pandemic. To cope with the mask shortage during springtime 2020, a French consortium was created to find ways to reuse medical and respiratory masks in healthcare departments. The consortium addressed the complex context of the balance between cleaning medical masks in a way that maintains their safety and functionality for reuse, with the environmental advantage to manage medical disposable waste despite the current mask designation as single-use by the regulatory frameworks. We report a Workflow that provides a quantitative basis to determine the safety and efficacy of a medical mask that is decontaminated for reuse. The type IIR polypropylene medical masks can be washed up to 10 times, washed 5 times and autoclaved 5 times, or washed then sterilized with radiations or ethylene oxide, without any degradation of their filtration or breathability properties. There is loss of the anti-projection properties. The Workflow rendered the medical masks to comply to the AFNOR S76-001 standard as "type 1 non-sanitory usage masks". This qualification gives a legal status to the Workflow-treated masks and allows recommendation for the reuse of washed medical masks by the general population, with the significant public health advantage of providing better protection than cloth-tissue masks. Additionally, such a legal status provides a basis to perform a clinical trial to test the masks in real conditions, with full compliance with EN 14683 norm, for collective reuse. The rational reuse of medical mask and their end-of-life management is critical, particularly in pandemic periods when decisive turns can be taken. The reuse of masks in the general population, in industries, or in hospitals (but not for surgery) has significant advantages for the management of waste without degrading the safety of individuals wearing reused masks.

Sterilization Induced Changes in Polypropylene-Based Ffp2 Masks.

In the context of the SARS-CoV2 pandemic and because of the surgical and FFP2 mask (equivalent to the American N95 masks) shortages, studies on efficient sterilization protocols were initiated. As sterilization using irradiation is commonly used in the medical field, this method was among those that were evaluated. In this work, we tested irradiation under vacuum and under air (under both γ-rays and e-beams), but also, for acceptance purposes, undertook washing prior to the e-beam irradiation sterilization process. This article deals with the modifications induced by the sterilization processes at the molecular and the macromolecular scales on an FFP2 mask. Fourier transform infrared spectroscopy in attenuated total reflectance mode, size-exclusion chromatography and thermal-desorption-gas chromatography-mass spectrometry were used to characterize possible damage to the materials. It appeared that the modifications induced by the different sterilization processes under vacuum were relatively tenuous and became more significant when irradiation was performed using γ-rays under air.

[Shades of grays for implanting an enzymatic biofuel cell]. / La biopile enzymatique à glucose/oxygène - Quelques nuances de Grays .

An implanted biofuel cell (IBFC) is a novel device that provides the means to create electricity from glucose and oxygen, using an original architecture for the IBFC that provides efficient work inside a living organism. In the future these IBFCs will be required to power implanted devices to assist failing physiological functions in humans. The active ingredients of such IBFCs are glucose oxidase at the anode and laccase at the cathode. These enzymes are entrapped in a 3D network of conductive and insulated materials. This publication solves the issue of the sterilization of such a complex device, using gamma irradiation. A 12kGy dose was sufficient to show absence of implant infection in all the implantations performed. We also prove in vitro functioning of both bioelectrodes with a high dose of 42kGy.