{"id":256,"date":"2009-05-06T15:01:57","date_gmt":"2009-05-06T05:01:57","guid":{"rendered":"http:\/\/blog.dbohs.com\/?p=256"},"modified":"2020-05-14T00:56:14","modified_gmt":"2020-05-13T14:56:14","slug":"surgical-masks-vs-p2-n95-respirators-2","status":"publish","type":"post","link":"https:\/\/blog.dbohs.com\/?p=256","title":{"rendered":"Surgical masks vs P2 (N95) respirators #2"},"content":{"rendered":"<p>A recent paper <strong>MacIntyre, C. R., S. Cauchemez, et al. (2009). &#8220;Face Mask Use and Control of Respiratory Virus Transmission in Households.&#8221; Emerging Infectious Diseases 15(2): 233-241<\/strong>. is available from the CDC&nbsp; as free <a title=\"MacIntyre paper CDC\" href=\"http:\/\/www.cdc.gov\/EID\/content\/15\/2\/pdfs\/233.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">download<\/a> Unfortunately, despite the warning <!--more-->&#8220;<strong>We urge caution in extrapolating our results to school, workplace, or community contexts, or where multiple, repeated exposures may occur, such as in healthcare settings. <\/strong>&#8220;, the report is being taken in media reports to mean that surgical masks give adequate protection against the Influenza H1N1 swine flu virus.<\/p>\n<p>The paper studied the performance of <strong>un-fitted <\/strong>P2 masks and surgical masks for protection <strong>in the home<\/strong> against Influenza like diseases in the home found that they gave similar (60-80%) protection, though statistically they could not differentiate the approaches. The masks were only worn about 30% of the time and no information was given on the fitting instructions, despite this being a key piece of information. Interestingly, many of the references are about hand washing, but none (except for a 3M information sheet) were about the fit of respirators.<\/p>\n<p>For the very narrow context of the applicability of the paper, it was well designed. To me, the paper shows the real need for proper fit testing of P2\/ N95 respirators to reach their protection potential.<\/p>\n<p>I think most people who were concerned enough about swine flu to wear a face mask would want to get a high level of protection and know how to fit one to give significantly better protection than a surgical mask. Common surgical masks are not designed or certified for respiratory protection.<\/p>\n<p>Some of the papers and reports relating to both N95\/P2 respirators and surgical masks are:<\/p>\n<ul>\n<li>Balazy, A., M. Toivola, et al. (2006). &#8220;Do N95 respirators provide 95% protection level against airborne viruses, and how adequate are surgical masks?&#8221; Am J Infect Control 34(2): 51-7.<\/li>\n<li>Brosseau, L. M. and K. Harriman (2007). &#8220;In vivo protective performance of N95 respirator and surgical facemask.&#8221; American Journal of Industrial Medicine 50(12): 1025-1026.<\/li>\n<li>Duling, M. G., R. B. Lawrence, et al. (2007). &#8220;Simulated Workplace protection factors for half-facepiece respiratory protective devices.&#8221; Journal of Occupational and Environmental Hygiene 4(6): 420-431.<\/li>\n<li>Guo, Y. (2007). &#8220;Reply to the comments on ldquoin vivo protective performance of N95 respirator and surgical face mask rdquo.&#8221; American Journal of Industrial Medicine 50(12): 1027-1029.<\/li>\n<li>Jefferson, T., R. Foxlee, et al. (2007). &#8220;Interventions for the interruption or reduction of the spread of respiratory viruses.&#8221; Cochrane Database of Systematic Reviews(4).<\/li>\n<li>Lawrence, R. B., M. G. Duling, et al. (2006). &#8220;Comparison of performance of three different types of respiratory protection devices.&#8221; Journal of Occupational and Environmental Hygiene 3(9): 465-474.<\/li>\n<li>Lee, S. A., S. A. Grinshpun, et al. (2008). &#8220;Respiratory performance offered by N95 respirators and surgical masks: human subject evaluation with NaCl aerosol representing bacterial and viral particle size range.&#8221; Ann Occup Hyg 52(3): 177-85.<\/li>\n<li>Li, Y., T. Wong, et al. (2006). &#8220;In vivo protective performance of N95 respirator and surgical facemask.&#8221; American Journal of Industrial Medicine 49(12): 1056-1065.<\/li>\n<li>Li, Y., T. Wong, et al. (2006). &#8220;In vivo protective performance of N95 respirator and surgical facemask.&#8221; American Journal of Industrial Medicine 49(12): 1056-1065.<\/li>\n<li>PandemicFlu.gov (2007). Interim Public Health Guidance for the Use of Facemasks and Respirators in Non-Occupational Community Settings during an Influenza Pandemic, US Department of Health and Human Services.<\/li>\n<li>Qian, Y. G., K. Willeke, et al. (1998). &#8220;Performance of N95 respirators: Filtration efficiency for airborne microbial and inert particles.&#8221; American Industrial Hygiene Association Journal 59(2): 128-132.<\/li>\n<li>Rebmann, T., R. Wilson, et al. (2009). &#8220;Hospital infectious disease emergency preparedness: A 2007 survey of infection control professionals.&#8221; American Journal of Infection Control 37(1): 1-8.<\/li>\n<li>Roberge, R. J. (2008). &#8220;Effect of surgical masks worn concurrently over N95 filtering facepiece respirators: extended service life versus increased user burden.&#8221; J Public Health Manag Pract 14(2): E19-26.<\/li>\n<li>WHO (2005). Clarification &#8211; Use of masks by health-care workers in pandemic settings. Geneva.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>A recent paper MacIntyre, C. R., S. Cauchemez, et al. (2009). &#8220;Face Mask Use and Control of Respiratory Virus Transmission in Households.&#8221; Emerging Infectious Diseases 15(2): 233-241. is available from the CDC&nbsp; as free download Unfortunately, despite the warning<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[73,20,25],"tags":[76,253,259,74],"class_list":["post-256","post","type-post","status-publish","format-standard","category-infection-control","category-occupational-hygiene","category-respiratory-protection","tag-face-masks","tag-myths","tag-respiratory-protection","tag-swine-flu","czr-hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"A recent paper MacIntyre, C. R., S. Cauchemez, et al. 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