As a result, many people have resorted to making their own masks, recycling used masks, or settling for masks offering less protection than actually needed. The surge in demand for surgical masks and respirators has led to a global shortage of supply and raw materials. Mask-wearing can be effective in the containment of communicable diseases and has thus become a new normal in many societies in the COVID-19 pandemic. Relative size chart of common airborne contaminants and pathogens. For instance, although the tight-fitting N95 respirator has filtering capacity superior to surgical masks, they have lower breathability and may cause discomfort after hours of wearing. In addition to filtering capacity, factors such as user comfort and breathability also vary across different models. Likewise, masks and respirators made of or coated with water-resistant materials are more effective against large virus-laden respiratory droplets and fluid spills. Therefore, masks and respirators made of materials with larger pore sizes, such as cotton and synthetic fabric, will not be able to effectively filter these viruses or tiny virus-laden droplets, as compared with those made of materials with much smaller pore sizes. SARS-CoV-2 has a size ranging from 60 to 140 nm, smaller than bacteria, dust, and pollen. Contaminants in the air differ vastly in size ( Figure 1). The filtering capacity, and hence the level of protection against pollutants and pathogens, depends on the materials used and the engineering design. They all serve the general purpose of providing some form of protection against contaminants in the air, ranging from pollen to chemical fumes to pathogens.
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Reusable ones include industrial-use half or full facepiece respirators with cartridge filters attached and homemade or commercial cloth masks disposable ones include surgical masks, N95 respirators, and KN95 respirators. Masks and respirators may be reusable or disposable. Generally, masks do not fit tightly while respirators do. There are many different types of face masks and respirators offering different levels of protection to users. Their role may be particularly important in COVID-19, where infected individuals may be shedding virus while asymptomatic or presymptomatic. They are a physical barrier to respiratory droplets that may enter through the nose and mouth and to the expulsion of mucosalivary droplets from infected individuals. Masks and respirators are arguably the most important piece of PPE. Where safe distancing is not possible, personal protective equipment (PPE) is the accepted mode of self-protection. The best nonpharmaceutical interventions against disease spread via the respiratory route are broadly termed social or safe distancing measures, i.e., reducing close contact between individuals. The recent COVID-19 pandemic is caused by the novel coronavirus, SARS-CoV-2, which is transmitted largely by the respiratory route ( vide infra). The control of an infectious disease is based on knowledge of its mode of transmission. Lockdowns and travel restrictions imposed to halt the spread of COVID-19 have led to devastating economic repercussions. The world is in the midst of the COVID-19 pandemic, which is caused by the SARS-CoV-2 virus. The virus causing the Middle East Respiratory Syndrome, for example, emerged in the Middle East but caused an outbreak in Korea. Given how interconnected the world is today, a pathogen capable of human-to-human transmission can spark an outbreak far from where it originated. This review will cover mask-wearing from the public health perspective, the technical details of commercial and home-made masks, and recent advances in mask engineering, disinfection, and materials and discuss the sustainability of mask-wearing and mask production into the future.Įmerging and reemerging infections have emerged as a threat to human health in recent decades. At the same time, research has been accelerated towards improving the quality and performance of face masks, e.g., by introducing properties such as antimicrobial activity and superhydrophobicity. The ongoing COVID-19 pandemic has even resulted in a global shortage of face masks and the raw materials that go into them, driving individuals to self-produce masks from household items. Different types of masks give different levels of protection to the user. Routes of transmission differ, but the respiratory droplet or airborne route has the greatest potential to disrupt social intercourse, while being amenable to prevention by the humble face mask. The increasing prevalence of infectious diseases in recent decades has posed a serious threat to public health.