Following my @guardianopinion article, people asked which #mask I recommend. I won't recommend a specific brand or model but I can recommend features of masks that will enhance comfort and fit. This🧵relates to industry-certified masks. 1/ theguardian.com/commentisfree/…
#BetterMasks
2/ Firstly, what do I mean by 'industry-certified'? These respirators conform to (and have passed tests for) industry standards of filtration efficiency (at a minimum). To cut a long story short, mainly #N95/N99 (US), #FFP2/FFP3 (Europe/UK) & KF94 (Korea). theguardian.com/commentisfree/…
3/ Although these masks pass tests for how well they filter (capture) particles & aerosol, and all are excellent at doing this, the actual effectiveness of your mask also depends on how well it seals to your face. This also depends on your face shape/size. sciencedirect.com/science/articl… Image
4/ You may need to try several masks to find one that fits well and doesn't let air out of the edges of the mask. Air should only enter/exit through the mask's fabric - this is the filter. Facial hair also gets in the way of a tight seal. #LoseThe#Beard Image
5/ Masks come in different shapes. I find that bi-fold masks (with a vertical fold) don't make a great seal because the nose clip is bent in the middle. When you fit a mask, you should mould the clip to your nose, not pinch it, otherwise air escapes around your nose bridge. Image
6/ 'Hard-cup' masks often do not fit small or narrow faces and are the least flexible in terms of moulding them to your face shape. Image
7/ There are other shapes on the market (too many to go through!) but I really like the 'boat shaped' masks. They fit really well to different face shapes and I find them to be very comfortable. Photo: @3MUK Image
8/ Regarding earloops versus head straps, ear loops rarely provide sufficient tension (without hurting the ears) to maintain a good facial seal. Head straps are more comfortable, too. If you can't get masks with headstraps, consider using an 'extender head strap' with ear loops.
9/ Make sure the headstraps are not twisted. The upper one should sit at the crown of your head and the lower one should sit on your hairline. Image
9/ An excellent mask might also have foam around the edge, to make a really good and comfortable facial seal, especially around the nose. This really helps prevent misting of glasses, too. Image
10/ Note: none of the masks I've shown has a valve on the front or side (image below, for reference). These valves are designed to improve comfort. They let a portion of your breath out unfiltered, so they give insufficient #Covid_19 protection to those around you. Photo:@3MUK Image
11/ For information on how to fit an N95-style mask, you might like this video that we (#IVHHN) produced for the public, to protect people from volcanic ash. Different exposure scenario, but no difference in need for excellent masks or how to fit them!
12/ Here's the accompanying @WHO-endorsed leaflet: ivhhn.org/information/pu… ImageImage
13/ Disclaimer: Neither I nor #IVHHN endorse any brands that may be shown in the images in this thread.
All mask photos not credited in the thread are free to use from unsplash.com or were taken by me.
14/ If you've found this🧵useful, you might also like this one, on how you can re-use your #N95/#FFP2 #masks:
15/ And this🧵on how the public do not need to be fit-tested in order to wear industry-certified masks:

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More from @claire_horwell

14 Dec 21
Short🧵on healthcare facilities insisting on the public swapping #N95/#FFP2 #masks with surgical masks on entry. I have heard of this happening in @NHSuk too. Is it a ridiculous request? 1/
2/ I assume that the reason healthcare facilities insist on this is to ensure that people do not enter the facility with contaminated masks and that, for the majority of the public, who are wearing cloth masks, or don't have a mask, a surgical mask will provide better protection.
3/ Let's look at filtration efficiency: #N95/#FFP2 masks are certified to be 95% efficient at capturing particles of 0.3 micron diameter. Surgical masks do not have that certification.
Read 14 tweets
2 Dec 21
With UK regs changing to mandatory #masks, here's a short 🧵to answer the question: can you wear a disposable #facemask more than once? The answer is YES. Many manufacturers state that masks should be disposed of after 8 hours but this is not true. Read on to find out why ... 1/ Image
2/ Certified #masks (e.g. N95/N99, FFP2/FFP3) are manufactured for workers exposed to harmful airborne particles in industry or healthcare settings. The masks are designed to be worn for one shift (usually 8 hours) and then disposed of. Photo: @3MUK Image
3/ Unless a mask has become clogged full of particles in a very high exposure scenario (e.g. mining, construction) or the worker is in a contaminated front-line healthcare setting, it is still perfectly useable after 8 hours, unless it is broken. Photo: John Hamlett Image
Read 16 tweets
12 Jul 21
Short 🧵to address this comment. The public do not need to be fit tested in order to wear an FFP3/N99 or FFP2/N95 mask. Here's why: 1/
2/ Fit testing is a procedure which employers are legally obliged to undertake to ensure the safety of workers in dusty industries. It ensures that respirators fit so that workers are protected from the constant exposure to potentially toxic dusts, that they receive over a shift. Image
3/ Whilst it would be great to fit test the public, it is not practical or possible. Nevertheless, FFP2/3 N95/99 masks are widely used, especially in humanitarian crises, by the public and are even donated by major mask manufacturers, for public use, during these crises.
Read 6 tweets
1 Apr 19
The Health Interventions in Volcanic Eruptions project has finished. It has been amazing and challenging in equal amounts!! I will be adding highlights to this thread over the coming days. Enjoy! #IVHHN Image
The consortium was made up of academic (@durham_uni, @GeofisicaUNAM, @univ_indonesia, Kagoshima Uni, @IOMworld) and stakeholder institutions (@PAHOemergencies, @pmi_diy @SaveChildren_ID) and funded by @Elrha/@wellcometrust/@DFID_UK. Image
The aim of the project was to determine the effectiveness of different kinds of respiratory protection worn by communities affected by eruptions, and to understand what cultural contexts influence people’s motivations to wear them. We worked in Indonesia, Mexico & Japan. Image
Read 49 tweets

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