THREAD: 19 Tips for a DIY mask fit test to reduce your risk of #COVID19.
H/t @amandalhu & @__philipn__
What did I miss?
Fit-testing Tip #1: Keep it Simple.
Get a nebulizer (usually $30-40) & some 3M FT-32 Bitrex solution ($24).
Fit-testing Tip #2: Taste the Failure.
Use the nebulizer to spray the bitrex solution (barely visible). Breathe through your mouth. If you taste it, there’s a mask leak.
"It’s not rocket science," as @CorsIAQ likes to say.
Fit-testing Tip #3: Spray at Problem Areas.
I use the nebulizer to spray bitrex fit-testing solution all around the nose bridge, by both cheeks, and under the chin.
You’ll quickly taste a leak.
Fit-testing Tip #4: Go Hoodless.
Do what ya wanna, but for DIY fit testing, the method above works fine w/o the hood.
I bought a hood – overpriced! Plus, the goal is to get as many people as possible fit testing. Many would find them off-putting or feel claustrophobic.
Fit-testing Tip #5: Don’t Test around Maskless People/Animals.
After reinstalling a new filter on my Flo Mask, I did a fit test while my son was having a bath. He started coughing. For a moment, I worried he had COVID.
Put 2&2 together, cranked up the HEPA & gave him juice.
Fit-testing Tip #6: Have a Beverage Handy.
You’re testing for leaks. You will find some. The bitrex tastes horrible, like licking a rubber band. Have some OJ or a soda ready for after you’re done.
Fit-testing Tip #7: Share the Wealth.
Supplies cost $60 total. It takes hardly any fit-testing solution to test, so offer the opportunity to friends, family, or co-workers. You’ll help protect their health & better cocoon yourself from illness too.
I tested all 3 of my favorite N95s: the Aegle flat-fold, 3M Aura, and 3M VFlex. I could pass a fit test with each, some caveats noted later.
Fit-testing Tip #9: Select the Best N95 for YOUR Face.
If you have several masks, test and compare. Go with the winner.
For me, the 3M VFlex held up most robustly. The 3M Aura needs to be readjusted if I talk to much. The Aegle is harder to seal at the nose.
Fit-testing Tip #10: Get your best N95 to fit better.
Although the 3M VFlex most easily & robustly passed fit-testing, I realized I hadn’t been pulling it back far enough under the chin (@jasmith_yorku). I also learned how best to adjust the nose piece to get the best fit.
Fit-testing Tip #11: Elastomeric Masks beat N95s.
I tested 6 elastomeric masks. I hate the word “elastomeric.” It’s alienating.
They’re just non-disposable, reusable masks. Great seal. All outperformed my disposable N95s when testing the limits.
Fit-testing Tip #12: Get your Elastomeric to Fit Better.
Straps can wear out or loosen over time! Filters also need to be reinstalled properly. Use fit testing periodically and when installing new filters to confirm no leaks.
Fit-testing Tip #13: Procedure Masks are a Joke.
Fit tested, fails in <0.5 sec. Air flows to the path of least resistance. Gaps poorly guard against inhaling/exhaling viral-laden aerosols.
Everybody should be using #BetterMasks, paid w/public funds.
Many KN95/KF94 masks are counterfeits, especially on Amazon. Even the city of New Orleans distributed fakes “N95s” last winter. Use fit-testing to check whether a mask is legitimate. thelensnola.org/2022/01/14/cit…
Fit-testing Tip #17: Facial Hair is a COVID Risk.
My disposable N95s start to fail fit-testing after about 2.5 days w/o shaving. My elastos make it about 3.5 days. If you’re clean-shavin, keep it clean.
If you prefer facial hair, use a mask-safe cut, or know the risk.
Fit-testing Tip #18: DBAA.
No, fit-testing is not REQUIRED for masks to “work.”
It’s about improving safety on the margins (5-10%) and especially for the most dangerous prolonged contexts. osha.gov/laws-regs/stan….
FYI, I have no conflicts of interest, such as investing in one of the companies mentioned.
I’m a psychologist just trying to help people understand COVID mitigation tips I didn’t know a year ago so maybe you can reduce your lifetime number of cumulative SARS-CoV-2 infections.
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Mortality displacement or "harvesting" is the idea that so many people died of COVID in the early pandemic that we should actually expect to see *fewer* deaths today if COVID were "over."
In fact, we see similar or slightly higher mortality relative to pre-pandemic levels. Despite the millions of people that have died, the mortality faucet keeps running strong. It should have slowed.
🌤️Only 1 in 5 days of the pandemic have seen transmission as low as today
🌤️1 in 196 actively infectious
⚡️BUT still 1.7 million weekly infections, resulting in >85,000 LC cases and up to 1,000 deaths
I'll walk you through it...
🧵2 of 8 | PMC Dashboard, April 21, 2025 (U.S.)
We're in the 6th year. See the small red line, bottom left. Notice how closely it tracks the median (gray), year 4 (yellow), & year 5 (orange).
Acknowledging caveats, those are plausible gist-level scenarios for months ahead.
🧵3 of 8 | PMC Dashboard, April 21, 2025 (U.S.)
Expect steady transmission bouncing up and down around the current national lull-level estimate the next several weeks. 200-350k daily infections nationally.
🔹2.2 million weekly infections
🔹1 in 149 actively infectious
🔹>100,000 LC cases resulting from the week's infections
🔹>800 deaths resulting from the week's infections
🔹"Lull" transmission steady/slightly declining
🧵2/5 | PMC Dashboard, Apr1il 14, 2025 (U.S.)
Year-over-year transmission (red line, lower left) is tracking the median (grey), year 4 (yellow), and year 5 (orange) closely.
If that trend continues, expect steady yet bumpy transmission the next couple months, until June/July.
🧵3/5 | PMC Dashboard, Apr1il 14, 2025 (U.S.)
The heat map shows only 4 states in the CDC 'high' level and none in the 'very' high level.
Check local data. Those timing activities to lulls may see a clear opportunity.
The NIH Clinical Center drops universal masking after 5 months of protecting patients, family, & staff.
Wastewater-derived estimates indicate 2.79 million Americans are getting Covid per week AND top actuaries suggest an American dies of Covid every 3 minutes.
🔹1 in 120 actively infectious
🔹1 in 3 chance of exposure in a room of 50
🔹2.8 million weekly infections
🔹>140,000 resulting LC cases from the week's infections
🔹>1,000 deaths resulting from the week's infections
2) Watch this video to understand how we use excess death data from one of the world's largest reinsurers to estimate how this week's infections will result in >1,000 deaths.
🔹800-1,400 deaths expected to result from this week's infections (new stat, see video next Tweet)
🔹100,000+ Long Covid conditions to result from this week's infections
🔹1 in 142 actively infectious today
🧵2 of 5
PMC Dashboard, March 31, 2025 (U.S.)
This video explains U.S. COVID excess death statistics, which we have incorporated into the dashboard.