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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Second, a lot of people can sustain a strong denial of reality about the ongoing pandemic during lulls. They suppress the existence of COVlD waves and excess deaths, disability, and retirements.
During waves, those defenses burst. Loss of control = anger...
Third, a lot of people (many reading this) understand COVlD correctly & experience righteous indignation during COVlD waves. We quite reasonably do not like all of the unjust and gratuitous suffering.
I find it helpful to channel that intensity into helping other people....
🚩🚩🚩
As a vigorous defender of #CDC data, their switch from using normalized to non-normalized COVlD wastewater surveillance data today harms data quality.
"Normalizing" means accounting for basic confounders like rain levels. It is a choice to use worse data.
1/5🧵
Historically, the CDC data have correlated near-perfectly with similar metrics, such as Biobot's wastewater estimates (still active) or the IHME true case estimates (through mid-2023).
The changes reduce those correlations. It's like going from an A+ to a B.
2/5🧵
You can readily see the loss of data quality in the PMC "whole pandemic" graph (preview shown, subject to change) with choppier waves, caused by the CDC adding extra noise to the data and applying retroactively from BA.1 Omicron to present.
U.S. CDC numbers just released. Good news (for those not in Louisiana). "Only" a 5% national increase.
2025 has closely tracked with summer 2023 transmission. A 12-13% increase would have been expected based on those numbers. That said...
real-time data have been prone to retroactive corrections. This is frustrating, of course, because it leaves people making decisions based on data that are only of good quality when 2 weeks old.
If we saw a 12% increase this week, I'd say look at 2023 for a glimpse...
at the future. Instead, I would consider these plausible scenarios:
🔹Wave still similar to 2023
🔹Later wave with schools more implicated
🔹Something temporarily much better