It's Time to Upgrade Your Mask, Experts Say. Here's Why

Many countries are rethinking their COVID mask advice because of the rapid spread of Omicron.

In Austria, public places have to have respiratory protection. The United States Centers for Disease Control and Prevention suggests that respirators be considered for greater protection, for instance, on public transport or in crowded spaces. It's time to upgrade your masks.

Personal protective equipment made to a particular standard and designed to prevent inhalation of hazardous airborne contaminants, are called radors, and are wrongly called "masks" because of their appearance.

The National Institute for Occupational Safety and Health (NIOSH) in the US manages respirator standards and covers three things: filter efficiency, breathing resistance, and fit.

The N95 standard requires a filter to capture at least 95 percent of particles in the most penetrating size range at a high flow rate. In Australia, a respirator is required to meet standards.

A filter facepiece respirator is called a FFR because it consists of all of the material that was used to make it. An FFR can be worn many times but must eventually be thrown away.

Research shows that FFRs lose their ability to fit after 20 wears due to stretching of straps or nose clips failing.

The non-woven polypropylene electret used in the filter material carries an electrical charge to enhance the collection of particles.

95 percent of particles are captured by N95 respirators. Songsak rohprasit is a photographer.

We were told to wear masks.

It was assumed that the disease was spread via droplets in coughs and sneezes, which caused infections in the mouth, nose, or eyes. A cloth or surgical mask is an efficient form of source control for such particles.

The virus is airborne now. Breathing and speaking can cause the air inside to build up with particles from the outside.

It depends on how long you are exposed to. Depending on where you are, what you're doing, with whom, and how long you're there, it's important to consider your risk.

Everyone is wearing N95 respirators when in crowded settings.

It's difficult to show evidence to support the use of a respirator in the community. Studying masks or respirators at a population level involves a lot of variables.

There is strong evidence that respirators are effective for personal protection.

I like my mask. Is it okay to wear it?

Probably not. The quality and properties of cloth masks are different.

Poor filters of small airborne particles are what they are.

The table has a mask on it. Lisa M. Brosseau is a person.

Can I just switch to surgical masks?

Not really. The purpose of surgical masks was to prevent the emission of large droplets. Medical-grade surgical masks may offer protection from body fluid splashes.

No surgical mask can prevent the emission of infectious particles.

The loose fit of surgical and cloth masks is a problem.

Older, hard-cup style respirators may be uncomfortable, but newer styles are better. Their surface area may contribute to the lower breathing resistance.

Should I have a professionally fitted respirator?

No. Employers are required to fit-test when they use respirators to protect workers from airborne dangers such as dust or pollution. Even non-fit tested respirators will provide superior protection over cloth or surgical masks.

The nose and chin should be protected by a respirator. To create a tight seal, place the nose clip around your head and adjust the straps if necessary.

If the facepiece collapses a small amount when you breathe in, the respirator fits well. Do a "self seal-check" before each wear.

Shouldn't healthcare professionals be the ones who use respirators?

No. The public was discouraged from buying respirators because of a global shortage of personal protective equipment and the assumption that healthcare workers were at higher risk of catching COVID from so-called "aerosol-generating procedures" such as intubation.

Talking and singing are more likely to generate infectious aerosols than medical procedures.

There are global equity issues and we need to expand manufacturing capacity to ensure enough supply for everyone.

The environmental impact of respirators is greater than that of cloth masks. If disposable respirators are not wet or damaged, they can be used for extended periods.

The straps, nose clip, and other components of a respirator should be thrown away if it gets dirty.

Costs and environmental concerns need to be weighed against the costs and waste produced by a single hospital admission. The average cost of an intensive care unit stay in Australia is $4,300.

If I can't afford a N95 respirator, what would I do?

The Korean KF94 and Chinese KN95s provide better protection than a surgical or cloth mask. Those without a GN stamp can be counterfeits.

You can improve protection of a surgical or cloth mask if you can't get a respirator.

Double masking can be done by wearing a cloth mask over a surgical mask. You can "knot and tuck" a surgical mask by tying the sides and keeping the rest inside. A good quality cloth mask can perform as well as a good quality surgical mask.

It's true that something is better than nothing. Don't count on these types of masks to provide the same level of protection as an N95 respirator.

Respirators should be provided.

The World Health Organization stresses the importance of a "vaccines-plus" approach.

There is a strong case for governments to both mandate and fund the provision of respirators for the public when prevalence of COVID is high.

C Raina MacIntyre, Professor of Global Biosecurity, NHMRC Principal Research Fellow, Head, Biosecurity Program, Kirby Institute, UNSW, and Lisa M Brosseau, Research Consultant, Center for Infectious are all PhD candidates.

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