1/ On February 2, 2021 the National Personal Protective Technology Laboratory (NPPTL) published assessments for many foreign made masks, including KN95s. Some minimum #KN95 filtration results were < 26%! But others had >95%. @AbraarKaran @linseymarr @zeynep @CorsIAQ
2/ Before we get to the results at tweet 7, you should read the introduction. Excerpts: @nataliexdean

"[T]en respirators were submitted for evaluation. The samples were tested using a modified version of NIOSH Standard Test Procedure...
3/ "Only particulate filter efficiency was assessed. The results of these tests are for the sample tested and may or may not be representative of a larger lot or population of similar respirators.
4/ "The results of any filter penetration test can only be used to provide a check of the product’s filter efficiency. No conclusions can be made regarding equivalency to N95 products that are NIOSH approved.
5/ "No certificates of approval were provided with the samples received. Therefore, the authenticity of the claims, that the product meets a particular international standard, cannot be validated….

"Most of these products have an ear loop design.
6/ "NIOSH-approved N95s typically have head bands. "Furthermore, limited assessment of ear loop designs, indicate difficulty achieving a proper fit. While filter efficiency shows how well the filter media performs, users must ensure a proper fit is achieved."
8/ The fit of your mask is just as important as filtration. If you want top protection, you should only buy versions with a head band design, not earloops.

If you do buy a KN95, be sure it has filtration results of over 95% from this report.
9/ Even then, that is NO guarantee that the one you buy will perform the same.
10/ Generally, my cheat sheet for #bettermasks is:

➡️Get N95 level protection with @armbrustusa (or other) Level 3 surgical mask + reusable mask fitter like @fixthemask.
➡️Beats double masking + easier to breathe.
➡️CDC says this works.
11/ I have no financial interest in these recs.
13/ KF94s
14/ Open Standard Industries Model 1 elastomeric
openstandardindustries.com
15/ The Envo Mask (also worn by @Don_Milton, I think, it looks like one on his Twitter photo)
store.envomask.com/envomask-n95-r…
16/ And if you have $249 to spend on a mask, the JustAir consumer powered air purifying respirator (PAPR). My son bought one, it's awesome. Easiest to breathe by far. Great protection. They expect NIOSH approval for a similar model this month.
myjustair.com
17/ And if you don't mind a gas mask vibe, go to Grainger, Amazon, Home Depot, Lowes, etc. Search for “Half Facepiece Reusable Respirator” or a similar term and you will find many options. Many of these start at around $20 (without the necessary filters).
18/ It can be difficult to talk through these types of elastomerics compared to the medical/consumer market ones, but you will get very strong protection if you wear it correctly.
19/ P100 rated filters for these masks, which filter nearly 100% of small particles, are inexpensive and will last for a long time. Leading manufacturers of these masks include MSA, 3M, and Honeywell.
20/ If you get one of these construction/industrial masks, you only need to buy and install a particulate filter. There is no need for a filter that is rated for organic vapors to protect yourself from the virus.

Elastomerics were not designed with a pandemic in mind.
21/ Therefore, the NIOSH certified elastomerics typically have an exhaust valve. You should cover it with a surgical mask.
And thanks to @PPEtoheros for his great advice on elastomeric masks. Any errors in my thread are my fault, not his!
It goes without saying, but obviously N95s are great too. Just make sure you understand how to wear them!

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More from @DavidLKeating

10 Feb
1/ I tweeted earlier on the NIOSH report testing foreign masks. More warning bells about #KN95 masks. Many fakes. @AbraarKaran @linseymarr
@zeynep @CorsIAQ
2/ "NIOSH has been informed that many legitimate manufacturers in China have been counterfeited. In such cases, NIOSH has no way of verifying which products are counterfeit and which are authentic.
3/ "While the manufacturer listed in the table is shown as the manufacturer of the product evaluated, NIOSH has been informed that some of these are actually counterfeit products.
Read 6 tweets
15 Jan
This new mask to prevent #COVID19 is on the market. If you need solid comfortable protection, it seems like a solid product. I've not bought one yet. They are going for NIOSH approval as a respirator and I'll think they'll get it.
openstandardindustries.com
I looked at their test results. It seems like the best you can get.

Watch this video to learn more about the story of how it came into being.
The only uncertainty I have is how well people can hear you when you have it on. I think it is better than most reusable masks.

So it is probably best for essential workers who don't have to do a lot of talking. So not great for a teacher, for example.
Read 4 tweets
13 Jan
Great article by @zeynep and @jeremyphoward. To answer the question they get asked what and "where to buy proper masks," below is a thread. I have no financial interest in these recommendations. My family uses this near N95 solution that costs 17-60 cents/day.
I'll tell you what to do and then I'll explain why and provide the evidence.

You need a good quality surgical mask plus a mask fitter like the one made by @FixTheMask.

A disposable face mask made out of meltblown polypropylene layer that passes the candle test is likely good. Image
Those candle grade ones appear to cost 17 cents each on Amazon. Personally I prefer to buy ASTM Level 2 or 3 certified masks. Those run 40 to 60 cents. I prefer the Ambrust, which @FixTheMask found in their testing to offer the best filtration and

Read 21 tweets
6 Jan
1/ Must read new preprint: Strategies to minimize #SARSCoV2 #COVIDisAirborne transmission -- combined impacts of ventilation and mask effective filtration efficiency. medrxiv.org/content/10.110…

Extensive set up of manikins and analysis of indoor classroom.
2/ Key take away @zeynep @ScottGottliebMD @DrTomFrieden @EricTopol @DrEricDing @ASlavitt: we can all upgrade our masks cheaply. Conditional indoor infection probabilities as low as <0.0001 (0.01%) per hour might be reached with the use of surgical masks and mask fitters alone. Image
3/ @FixTheMask makes a cheap reusable mask fitter. I use it, it's great. UW invented a DYI Badger fitter. making.engr.wisc.edu/mask-fitter/ but @FixTheMask one tested better. N95-like protection for 26-50 cents per use.
Read 25 tweets
11 Dec 20
@linseymarr @MonicaGandhi9 I have to say this is really frustrating to read this. People are still scrambling to figure out mask hacks. STOP!😀

The BEST and CHEAPEST protection for the average person is a Level 2 or 3 certified surgical mask with the @FixTheMask brace. It's better than an N95
@linseymarr @MonicaGandhi9 @FixTheMask for most people because the fit is a no brainer. And it is MUCH more comfortable than all the hacks.

Data:
fixthemask.medium.com/fix-the-mask-d…
@linseymarr @MonicaGandhi9 @FixTheMask When I wear the @FixTheMask brace, the fit is fantastic. Way better than futzing with an N95. Look at how simple!

Read 5 tweets
18 Sep 20
1/25 @Gladwell did a brilliant interview podcast with @michaelmina_lab. One of the questions @Gladwell asked is why don’t we have the #dailyrapidtest already to fight #covid? The answer is the FDA. Here is a lightly edited transcript of that part of the podcast.
2/ The rapid tests for #covid look like a pregnancy test, and they work like a pregnancy test actually. It's a little piece of paper, generally speaking.
3/ And you put some of the sample, whether that is a swab that's been mixed with some saline solution, or saliva onto a paper strip, and... and it shows up with line. It turns either, for example, red if it's positive or blue if it's negative.
Read 26 tweets

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