Researchers rank various mask protection, modifications against COVID-19

Dec. 15, 2020

Using a custom-built exposure chamber, UNC School of Medicine and Environmental Protection Agency (EPA) scientists tested consumer-grade masks and improvised face coverings to show how effective they can be at protecting individuals from airborne particles of similar size to those carrying SARS-CoV-2, the virus that causes COVID-19, reported the University of North Carolina (UNC).

It has been shown that when two people wearing masks interact, the chance of COVID-19 transmission is drastically reduced. This is why public health officials have pleaded for all people to wear masks: they not only protect the wearer from expelling particles that might carry SARS-CoV-2, but masks also protect the wearer from inhaling particles that carry the virus. Some people, though, still refuse to wear a mask. So UNC School of Medicine scientists, in collaboration with the EPA, researched the protectiveness of various kinds of consumer-grade and modified masks, assuming the mask wearer was exposed to the virus, like when we interact with an unmasked infected person.

Published in the journal JAMA Internal Medicine, the research shows that some masks were as much as 79 percent effective at blocking particles that could carry the virus. These were masks made of two layers of woven nylon and fit snug against the wearer’s face. Unmodified medical procedure masks with ear loops – also known as surgical masks – offered 38.5 percent filtration efficacy, but when the ear loops were tied in a specific way to tighten the fit, the efficacy improved to 60.3 percent. And when a layer of nylon was added, these masks offered 80 percent effectiveness.

“While modifications to surgical masks can enhance the filtering capabilities and reduce inhalation of airborne particles by improving the fit of the mask, we demonstrated that the fitted filtration efficiencies of many consumer-grade masks were nearly equivalent to or better than surgical masks,” said co-first author Phillip Clapp, PhD, an inhalation toxicologist and assistant professor of pediatrics at the UNC School of Medicine.

Mask with ear loops (54 percent recycled nylon, 43 percent nylon, three percent spandex), tested with and without an optional aluminum nose bridge and non-woven filter insert in place (A), a cotton bandana folded diagonally once “bandit” style (B), a cotton bandana folded in a multi-layer rectangle (C), a single-layer woven polyester/nylon mask (80 percent polyester, 17 percent nylon, three percent Lycra) with ties (D), a non-woven polypropylene mask with fixed ear loops (E), a single-layer woven gaiter/neck cover balaclava bandana (92 percent polyester and 8percent spandex) (F), and a three-layer woven cotton mask (100 percent cotton) with ear loops (G).

Co-first author Emily Sickbert-Bennett, PhD, director of infection prevention at the UNC Medical Center, added, “Limiting the amount of virus is important because the more viral particles we’re exposed to, the more likely it is we will get sick and potentially severely ill.”

As the adoption of face coverings during the COVID-19 pandemic became commonplace, there was a rapid expansion in the public use of commercial, home-made, and improvised masks which vary considerably in design, material, and construction. There have been a number of innovative “hacks,” devices, and mask enhancements that claim to improve the performance characteristics of conventional masks – typically surgical or procedure masks. Despite their widespread dissemination and use during the pandemic, there have been few evaluations of the efficiency of these face coverings or mask enhancements at filtering airborne particles.

In this study, the researchers used a recently described methodological approach based on the OSHA Fit Test to determine the fitted filtration efficiency (FFE) of a variety of consumer-grade and improvised facemasks, as well as several popular modifications of medical procedure masks. Seven consumer-grade masks and five medical procedure mask modifications were fitted on an adult male, and FFE measurements were collected during a series of repeated movements of the torso, head, and facial muscles as outlined by the OSHA Quantitative Fit Testing Protocol.

Here are the different mask types with filtration efficacy. Bolded below is the top-of-the-line N-95 mask, which proved to be 98 percent effective.

Consumer-grade facemasks include:

2-layer woven nylon mask, ear loops, w/o aluminum nose bridge: 4.7 percent

2-layer woven nylon mask, ear loops, w/ aluminum nose bridge: 56.7 percent

2-layer woven nylon mask, ear loops, w/ nose bridge, 1 non-woven insert: 74.4 percent

2-later woven nylon mask, ear loops, w/ nose bridge, washed, no insert: 79 percent

Cotton bandana – folded Surgeon General style: 50 percent

Cotton bandana – folded “Bandit” style: 49 percent

Single-layer woven polyester gaiter/neck cover (balaclava bandana): 37.8 percent

Single-layer woven polyester/nylon mask with ties: 39.7 percent

Non-woven polypropylene mask with fixed ear loops: 28.6 percent

Three-layer woven cotton mask with ear loops: 26.5 percent

Medical facemasks and modifications include:

3M 9210 NIOSH-approved N95 Respirator: 98 percent

Surgical mask with ties: 71.4 percent

Procedure mask with ear loops: 38.5 percent

Procedure mask with ear loops + “loops tied and corners tucked in”: 60.3 percent

Procedure mask with ear loops + “Ear Guard”: 61.7 percent

Procedure mask with ear loops + “23mm claw hair clip”: 64.8 percent

Procedure mask with ear loops + “Fix-the Mask (3 rubber bands)”: 78.2 percent

Procedure mask with ear loops + “nylon hosiery sleeve”: 80.2 percent

UNC Healthcare has the release.

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