Universal use of face masks for success against COVID-19: evidence and implications for prevention policies.
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ABSTRACT:
SUBMITTER: Esposito S
PROVIDER: S-EPMC7191114 | biostudies-literature | 2020 Jun
REPOSITORIES: biostudies-literature
Publications
Universal use of face masks for success against COVID-19: evidence and implications for prevention policies.
Esposito Susanna S Principi Nicola N Leung Chi Chi CC Migliori Giovanni Battista GB
The European respiratory journal 20200618 6
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Project description:Many governments have instructed the population to wear simple mouse-and-nose covers or surgical face masks to protect themselves from droplet infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in public. However, the basic protection mechanisms and benefits of these masks remain controversial. Therefore, the aim of this work is to show from a fluid physics point of view under which circumstances these masks can protect against droplet infection. First of all, we show that the masks protect people in the surrounding area quite well, since the flow resistance of the face masks effectively prevents the spread of exhaled air, e.g. when breathing, speaking, singing, coughing and sneezing. Secondly, we provide visual evidence that typical household materials used by the population to make masks do not provide highly efficient protection against respirable particles and droplets with a diameter of 0.3-2 μm as they pass through the materials largely unfiltered. According to our tests, only vacuum cleaner bags with fine dust filters show a comparable or even better filtering effect than commercial particle filtering FFP2/N95/KN95 half masks. Thirdly, we show that even simple mouse-and-nose covers made of good filter material cannot reliably protect against droplet infection in contaminated ambient air, since most of the air flows through gaps at the edge of the masks. Only a close-fitting, particle-filtering respirator offers good self-protection against droplet infection. Nevertheless, wearing simple homemade or surgical face masks in public is highly recommended if no particle filtrating respiratory mask is available. Firstly, because they protect against habitual contact of the face with the hands and thus serve as self-protection against contact infection. Secondly, because the flow resistance of the masks ensures that the air remains close to the head when breathing, speaking, singing, coughing and sneezing, thus protecting other people if they have sufficient distance from each other. However, if the distance rules cannot be observed and the risk of inhalation-based infection becomes high because many people in the vicinity are infectious and the air exchange rate is small, improved filtration efficiency masks are needed, to take full advantage of the three fundamental protective mechanisms these masks provide.
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Project description:The coronavirus (COVID-19) pandemic has not only created a global health crisis, but it is also now threatening the environment. A multidisciplinary collaborative approach is required to fight against the pandemic and reduce the environmental risks associated with the disposal of used personal protective equipment (PPE). This paper explores an innovative way to reduce pandemic-generated waste by recycling the used face masks with other waste materials in civil constructions. In this research, for the first time, a series of experiments, including modified compaction, unconfined compression strength and resilient modulus tests, were conducted on the blends of different percentages of the shredded face mask (SFM) added to the recycled concrete aggregate (RCA) for road base and subbase applications. The experimental results show that RCA mixed with three different percentages (i.e., 1%, 2% and 3%) of SFM satisfied the stiffness and strength requirements for pavements base/subbase. The introduction of the shredded face mask not only increased the strength and stiffness but also improved the ductility and flexibility of RCA/SFM blends. The inclusion of 1% SFM to RCA resulted in the highest values of unconfined compressive strength (216 kPa) and the highest resilient modulus (314.35 MP). However, beyond 2%, increasing the amount of SFM led to a decrease in strength and stiffness.
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Project description:Community face masking is possibly of great value in reducing COVID-19 transmission, especially when universally adopted with high compliance. The aim of this study is to investigate the knowledge, common misconceptions, barriers, and the compliance of the community with the use of face masks for the prevention of COVID-19. A validated questionnaire was administered to the participants through a web link by using various social media. The collected data were statistically analyzed for significant differences according to demographic variables. The average knowledge of face masks and their role in preventing COVID-19 transmission was 95.64%, with no differences among most of the demographical factors. Older groups and females demonstrated a better attitude towards wearing face masks than other groups did (p<0.001). Another significant difference in the participant's attitude was noticed between the various educational levels, employment, and nationality (p<0.001). Of the total respondents, 88.2% encouraged wearing face masks. Misconceptions about wearing face masks were very low. The frequency of wearing face masks at public places, workplaces, or social gatherings was 87.2%, 80.5%, and 47.5% respectively. There was a significant variation in the compliance with wearing face masks between the various groups based on age, gender, nationality, and employment status (p<0.001). The inconvenience in wearing face masks was reported by 36.3%. Face irritation and ear pain were reported by 70.2% and 43.5%, respectively. The inconvenience of wearing face masks with eyeglasses was reported by 44.3% of those wearing eyeglasses. In general, the study demonstrated a good attitude among participants towards wearing face masks. Although the respondents in the study were aware of the benefits of wearing face masks, the barriers may have decreased their desire to do so. These barriers include difficulty in breathing, discomfort, face irritation, and ear pain.
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Project description:A significant number of health care professionals subjected to high-risk situations have been infected by Covid-19 due to the lack of adequate protection equipment or the deficient safety margins that these present. The aim of this study was to investigate whether the use of a personal peripheral sealing device (PSD) on surgical face masks (SM) allows them to achieve double mask properties, by providing two-way protection to professionals or users. The proposed device is a thermoplastic resin ring composed of a reusable and biodegradable polylactic acid (PLA) designed to be used in a healthcare setting. Since it is a thermoplastic device, it can be molded and adapted to each individual, becoming personalized and ensuring a correct adjustment to the user's face. First, a qualitative fit test was performed using a saccharin solution (SS) to evaluate respiratory protective equipment in recruited professionals exposed to high-risk situations of infection by Covid-19. Individuals were divided into an intervention group, who used SM with the PSD, and a control group, who used SM without the PSD. In addition, a quantitative inward air leakage fit test was performed using a 2% sodium chloride (NaCl) aerosol in a sealed cabinet with probes sensitive to this substance, in order to validate the SM with the PSD as a Face Filtering Mask (FFP). Only 5% of the individuals who performed the qualitative fit test with the PSD perceived the sweet taste of the SS, while 100% of the individuals who performed the test without the PSD sensed it (p = 0.0001). In the quantitative fit test, the percentage of air leakage of 2% NaCl aerosol into the SM with the PSD was 6.5%, achieving the same range of air leakage as a FFP mask. Thus, the use of a personalized PLA thermoplastic PSD, together with an inexpensive and widely available SM, could have a significant impact in terms of preventive safety by providing bi-directional protection to its user.
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Project description:Today, the world faces an enormous increase in plastic waste pollution caused by the emergence of the COVID-19 pandemic. Plastic pollution has been already one of the greatest threats to our planet before the Coronavirus outbreak. The disposal of millions of personal protective equipment (PPE) in the form of face masks has significantly contributed to the generation of plastic waste and has exacerbated plastic pollution. In an attempt to mitigate pollution caused by the excess PPE waste, an innovative way was developed in this research to reduce pandemic-generated wastes by using the shredded face mask (SFM) fibers as an additive to hot mix asphalt (HMA) to enhance rutting resistance. Rutting or permanent deformation is one of the major distresses of asphalt pavement. Since the SFM behaves as a semi-liquid between 115.5 and 160 °C, which is in the range of HMA mixing and paving temperature, it can function as a binding agent to glue the aggregates. When the pavement is cooled down to ambient temperature, the hardened SFM can provide stability and stiffness to HMA. Based on the results of this study, the modified mixes exhibited excellent resistance to permanent deformation under the Asphalt Pavement Analyzer (APA), as rutting depth values were reduced from 3.0 mm to 0.93 mm by increasing the SFM content from 0% to 1.5%. From the rutting test results and premature distress mechanism study, the appropriate addition of SFM modifiers could improve the high-temperature properties of HMA that can be used to strengthen high-compression and shearing zones in the pavement structure.
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Project description:Mask wearing has been required in various settings since the outbreak of COVID-19, and research has shown that identity judgements are difficult for faces wearing masks. To date, however, the majority of experiments on face identification with masked faces tested humans and computer algorithms using images with superimposed masks rather than images of people wearing real face coverings. In three experiments we test humans (control participants and super-recognisers) and algorithms with images showing different types of face coverings. In all experiments we tested matching concealed or unconcealed faces to an unconcealed reference image, and we found a consistent decrease in face matching accuracy with masked compared to unconcealed faces. In Experiment 1, typical human observers were most accurate at face matching with unconcealed images, and poorer for three different types of superimposed mask conditions. In Experiment 2, we tested both typical observers and super-recognisers with superimposed and real face masks, and found that performance was poorer for real compared to superimposed masks. The same pattern was observed in Experiment 3 with algorithms. Our results highlight the importance of testing both humans and algorithms with real face masks, as using only superimposed masks may underestimate their detrimental effect on face identification.
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