#BetterMasks for kids < 5 yo

☑️ Filtration
☑️ Fit
☑️ Function

A short thread 🧵

1/
Optimize filtration material:

☑️Surgical masks are good
Look for ASTM-rated

✅Respirators are best
Look for standardized filters:
Canadian - 95PFE
South Korean- KF94
Chinese - KN95

2/
You won’t find a NIOSH certified “N95” for children.

NIOSH only regulates products for adults.

3/
Beware of counterfeit masks. Buy from a reputable source.

docs.google.com/document/d/1ma…

4/
Optimize respirator Fit

Find the right size

@CanadamasQ @masks4allCanada and @vitacoreinc have excellent Canadian options for kids

For even smaller faces, there are many KF94 options available

6/
Optimize your respirator Fit:

✔️Knot the ear loops
✔️Add silicone cord locks to the ear loops
✔️Add an ear saver

7/
Optimize function:

Ensure your child will wear the mask

Comfort and breathability are key

Many cloth masks, in addition to being poor filters, are hard to breath through

The structured respirators also tend to keep the material away from wet mouthes/tongues

8/
Optimize Function:

Young kids often do well with ear savers - the ear loops can fall off or pull on their ears

9/
Quick ear saver hack for kids:

▪️Cut the headbands off your used adult respirators
▪️Knot the ends to create a loop
▪️Tie the mask ear loops onto either end

10/
The “high quality cloth mask” my 3.5 yo brought home from school last week, provided by @ONeducation, do NOT meet the mark.

❌ No nose piece
❌ Awful shape
❌ Way too big
❌ Poor filter material
❌ Poor breathability

@VeraEtches, were these masks @OttawaHealth approved?

11/
We’re two years in, can we please end the #HygieneTheatre?

Demand #BetterMasks with optimal #FitFiltrationFunction

12/12

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More from @JenniferKShea

Jan 10
#BetterMasks #FitFiltrationFunction

@masknerd’s google docs excel sheet tabulating all his mask testing results is a goldmine of information!

I highlighted some of his data in the pictured table to further explore the validity of the “well-fitting medical mask” narrative

1/
A few ASTM level 3 surgical masks were tested. Worn without modification, they had a filtration efficiency of 35-78% (via particle counter).

(Side note- don’t twist the ear loops- it makes the fit worse)

Is > 20% leak well-fitting? Not in my books.

2/
With a mask brace to improve seal, the surgical masks performed better: > 92% filtration efficiency, not quite well-sealed N95 quality

To pass a formal quantitative fit test for respirators (ie N95s), one must achieve at least 99% filtration efficiency (fit factor of 100).

3/
Read 12 tweets
Jan 8
Looking for a #BetterMask but:
✖️N95s are harder to find than TP in 2020
✖️you can’t afford N95s and your government isn’t making them accessible
✖️your workplace mandates medical masks and doesn’t allow N95s
✖️your school gives students medical masks

This 🧵‘s for you

1/
Ensure your medical mask is ASTM graded and is at least a grade 2 mask, preferably grade 3 (will ensure better filtration performance of the mask material)

Important to note, ASTM 3 does not imply or guarantee respirator-quality filtration performance.

2/
For kids and those with smaller faces, try the #KnotTuckTape

Turn that rectangle into something more face-shaped. I think taping the corners is important otherwise the tucked in edges often unfold fairly quickly.

3/
Read 8 tweets
Dec 19, 2021
To the experts insisting “N95s are useless if not fit-tested”

Have you ever tried to fit test a “well-fit surgical mask” or “3 layered well-fit cloth mask”?

TLDR they are inferior.

A brief case series and 🧵

1/15
There are two type of fit tests, 1) quantitative fit testing - a portacount machine measures the concentration of aerosol outside the mask versus inside the mask and 2) qualitative fit testing - a potent bitter or sweet aerosolized solution is inhaled under a hood

2/15
I underwent quantitative fit testing on a surgical mask, suboptimally fit KN95 and well fit CN99 (FFP3). The results were intuitive. The surgical mask, while still offering some protection, performed the worst.

3/15
Read 15 tweets
Oct 17, 2021
We've summarized the literature supporting airborne transmission of COVID-19 & several other respiratory pathogens. Guess what? #COVIDisAirborne #FluisAirborne #SARSisAirborne #MERSisAirborne

Live version of table & refs: tinyurl.com/2dhb2xny

@jmcrookston @jljcolorado
1/
If anyone has feedback or peer-reviewed publications to add, please share

3/
Read 10 tweets
Jul 28, 2021
TL;DR The Tome of Nuance

IMHO this review muddies the messages and flip flops on key mitigation strategies
When the science and our understanding evolves, it’s important to communicate this clearly and concisely to the public rather than fall back on nuance and shades of gray. Even when this means admitting that previous messaging was incorrect.
Side tweet - Probably could have saved some pages by omitting the giant shades of gray diagram - not a difficult concept
Read 7 tweets
May 1, 2021
I wear an N95 respirator to protect myself, my patients, my colleagues and my family. Blocking inhalation and exhalation of potentially infectious particles just makes sense during a respiratory pandemic. #PerfectFit on the PortaCount #SayNoToSafetyStewardship #FreshAirWeCare Image
Because a fit factor of 5 (20% leak) - when quietly breathing through a surgical mask - isn’t respiratory protection.
#BewareOfMaskNostrils
#BYOPPE Image
My mask solution earlier in pandemic was a mask brace to optimize my fit. Have since switched to N95s to optimize filtration (respirator material meets higher testing standards) and function (N95 easier to put on, more comfortable, more breathable).
#MacGyverYourMask Image
Read 4 tweets

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