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DR ARUNEEMA BARDHAN
ASSISTANT PROFESSOR
BASIRHAT COLLEGE
BASIRHAT, NORTH 24 PARGANAS, WEST BENGAL, INDIA
UNMASKING THE MASK IN THE
COVID-19 SITUATION
Transmission of Coronavirus(SARS CoV-2)
• Between family members
• Intimate contact with asymptomatic carriers
• Intimate contact with infected patients
– through nasal fluids
– saliva
– respiratory secretions
– direct contact
Generation of salivary
droplets
• Coughing
• Sneezing
• Talking in close proximity
Generation of Saliva Droplets
• 1 normal exhalation-generates saliva droplets reaching 1
metre in air
• 1 cough→3000 droplet nuclei=amount produced during 5
minutes talk
• 1 sneeze→40,000 saliva droplets reaching several metres
in air
nCoV Load in Saliva/Oral secretions
• Aerosols
– suspensions of particles in air
– size-.001µm-100µm
• Large droplets
– dia >60µ
– quickly settle from air
• Small droplets
– dia≤ 60µ
– evaporate into droplet nuclei in favourable environment
– potential for long-distance aerosol transmission
• 3.3x106 RNA copies/ml(ranging from 9.9x102-1.2x108
copies/ml)
Aerosol Transmission
• Whether saliva droplets
can travel long distances:
-how
long saliva droplets can
reside in air
• Biological decay-how
long pathogen(virus) in
saliva droplets remain
infectious
• People can transmit COVID-19 to others
without showing no signs or symptoms
• Widespread use of face masks slows the
spread of virus
• Use simple cloth face covering when in public
places
Types of Face Masks
• Function wise:
– Comfort mask
– Surgical face mask
– Surgical respirator
– Particulate respirator
• Usage wise:
–Disposable
–Reusable
ERGONOMIC REQUIREMENTS OF MASKS
• Should be breathable and have less breathing resistance
• Loosely cover mouth and nose
• Made of soft materials and comfortable to wear
• Should be light in weight
Surgical Masks
• Loose-fitting, disposable, create physical barrier between
mouth/nose of wearer and potential contaminants in the
environment
• Prevents patients from direct transmission of infectious
agents from healthcare professionals
• May be 2 ply, 3 ply or 5 ply
Difference between masks and respirators
Surgical masks
• Not PPEs
• Prevent droplets being
expelled into environment
by wearer and protect
patients and operative
sites
Respirators
• Are PPEs
• Used to reduce potential
contact of wearer to
airborne hazardous
contaminants
PARTICULATE RESPIRATORS
• Filter particles from air, help to reduce number of particles
or germs the wearer breathes in
• Ideal for protection from PM 2.5
• Secured tightly to face with 2 head straps and an
adjustable nose clip to allo custom fit.
• Approved by NIOSH/ISI
Dust Masks
• Prevent inhalation of dust in air and protect lungs-dust is
captured on outside of mask
• Limitations:
– leak if they don't fit
– don't filter out chemical vapors
– may not be suitable for highly toxic dusts
Reusable (Fabric) Masks
• Adjustable elastic loops
• Give excellent seal and
nose fit
• Light weight and
comfortable
• Available in all sizes
• Can be homemade
• Washable and reusable
upto 3-4 months
Source:[facebook.com/goldenhelix2015/posts/965391937216347]
References
• med.stanford.edu/news/all-news/2020/06
• https://www.medrxiv.org/content/10.1101/2020.03.09.20033217v1.full.pdf
• https://www.weforum.org
• https://www.cdph.ca.gov
• https://www.who.int/emergencies/diseases/novel-coronavirus-2019
• https://www.int/health-topics/coronavirus#tab=tab_1
• https://www.nature.com/articles/s41368-020-0080-z#ref-CR8
• https://www.nature.com/articles/s41368-020-0080-z#ref-CR40
• slideshare.net/muralikrishnan71697092/respiratory-protection-face-masks-
and-respirators
• 3mindia.in/3M/en-1N/safety-in/stories/full-story/
• academic.oup.com/cid/article/
Unmasking the mask in the covid 19 situation

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Unmasking the mask in the covid 19 situation

  • 1. DR ARUNEEMA BARDHAN ASSISTANT PROFESSOR BASIRHAT COLLEGE BASIRHAT, NORTH 24 PARGANAS, WEST BENGAL, INDIA UNMASKING THE MASK IN THE COVID-19 SITUATION
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  • 4. Transmission of Coronavirus(SARS CoV-2) • Between family members • Intimate contact with asymptomatic carriers • Intimate contact with infected patients – through nasal fluids – saliva – respiratory secretions – direct contact
  • 5. Generation of salivary droplets • Coughing • Sneezing • Talking in close proximity
  • 6. Generation of Saliva Droplets • 1 normal exhalation-generates saliva droplets reaching 1 metre in air • 1 cough→3000 droplet nuclei=amount produced during 5 minutes talk • 1 sneeze→40,000 saliva droplets reaching several metres in air
  • 7. nCoV Load in Saliva/Oral secretions • Aerosols – suspensions of particles in air – size-.001µm-100µm • Large droplets – dia >60µ – quickly settle from air • Small droplets – dia≤ 60µ – evaporate into droplet nuclei in favourable environment – potential for long-distance aerosol transmission • 3.3x106 RNA copies/ml(ranging from 9.9x102-1.2x108 copies/ml)
  • 8. Aerosol Transmission • Whether saliva droplets can travel long distances: -how long saliva droplets can reside in air • Biological decay-how long pathogen(virus) in saliva droplets remain infectious
  • 9. • People can transmit COVID-19 to others without showing no signs or symptoms • Widespread use of face masks slows the spread of virus • Use simple cloth face covering when in public places
  • 10. Types of Face Masks • Function wise: – Comfort mask – Surgical face mask – Surgical respirator – Particulate respirator • Usage wise: –Disposable –Reusable
  • 11. ERGONOMIC REQUIREMENTS OF MASKS • Should be breathable and have less breathing resistance • Loosely cover mouth and nose • Made of soft materials and comfortable to wear • Should be light in weight
  • 12. Surgical Masks • Loose-fitting, disposable, create physical barrier between mouth/nose of wearer and potential contaminants in the environment • Prevents patients from direct transmission of infectious agents from healthcare professionals • May be 2 ply, 3 ply or 5 ply
  • 13. Difference between masks and respirators Surgical masks • Not PPEs • Prevent droplets being expelled into environment by wearer and protect patients and operative sites Respirators • Are PPEs • Used to reduce potential contact of wearer to airborne hazardous contaminants
  • 14. PARTICULATE RESPIRATORS • Filter particles from air, help to reduce number of particles or germs the wearer breathes in • Ideal for protection from PM 2.5 • Secured tightly to face with 2 head straps and an adjustable nose clip to allo custom fit. • Approved by NIOSH/ISI
  • 15. Dust Masks • Prevent inhalation of dust in air and protect lungs-dust is captured on outside of mask • Limitations: – leak if they don't fit – don't filter out chemical vapors – may not be suitable for highly toxic dusts
  • 16. Reusable (Fabric) Masks • Adjustable elastic loops • Give excellent seal and nose fit • Light weight and comfortable • Available in all sizes • Can be homemade • Washable and reusable upto 3-4 months
  • 18. References • med.stanford.edu/news/all-news/2020/06 • https://www.medrxiv.org/content/10.1101/2020.03.09.20033217v1.full.pdf • https://www.weforum.org • https://www.cdph.ca.gov • https://www.who.int/emergencies/diseases/novel-coronavirus-2019 • https://www.int/health-topics/coronavirus#tab=tab_1 • https://www.nature.com/articles/s41368-020-0080-z#ref-CR8 • https://www.nature.com/articles/s41368-020-0080-z#ref-CR40 • slideshare.net/muralikrishnan71697092/respiratory-protection-face-masks- and-respirators • 3mindia.in/3M/en-1N/safety-in/stories/full-story/ • academic.oup.com/cid/article/