Mike Hoerger, PhD MSCR MBA Profile picture
Dec 17, 2022 21 tweets 9 min read Read on X
THREAD: 19 Tips for a DIY mask fit test to reduce your risk of #COVID19.

H/t @amandalhu & @__philipn__

What did I miss? Assorted fit-testing pictures
Fit-testing Tip #1: Keep it Simple.

Get a nebulizer (usually $30-40) & some 3M FT-32 Bitrex solution ($24). The FT-32 fit-test solution (right) goes in the nebulizer. J
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. Spray all around the edge of the mask. Make a big loop. Focu
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. Me wearing a fit-testing hood. In my view, not needed for DI
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. Don't test around other people or animals. If too much bitre
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.

Wise investment. Protect those in your "pods" or "bubbles"
Fit-testing Tip #8: Wear and N95 or #BetterMask.

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. Aegle, 3M Aura, 3M VFlex
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. The 3M VFlex passed a fit test most easily and robustly, whe
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. Dr. James showing off how to wear the under-chin region of t
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. I'm wearing the Flo Mask, my go-to elastomeric. It's the mos
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. Flo Mask filter. I added a cancer ribbon (safe). Put the fil
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.
Fit-testing Tip #14: Cloth Masks are ALSO a Joke.

Also tested a cloth mask. Fails in <0.5 sec. Viral-laden aerosols are too small. Not good enough for 2022.

Everybody should be using #BetterMasks, paid w/public funds.
Fit-testing Tip #15: Fit-test Ear-Loop Masks.

I don't wear ear-loop masks (many KN95/KF94). My experience fit-testing makes me skeptical of cheek gaps.

Worrisome if spending much time in a poorly-ventilated space (car, plane, school, office).
Fit-testing Tip #16: Check for Counterfeits.

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. Facial hair can create mask leaks, increasing COVID risk. Kn
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…. https://www.osha.gov/laws-regs/standardinterpretations/2018-
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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More from @michael_hoerger

Apr 9
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.

🧵1/5 Masks are optional beginning April 11. Staff will mask on request.
These are the current wastewater-derived estimates of transmission.

2.79 million Covid infections/week in the U.S. in the current high "lull."
🧵2/5
This thread with video explains in exquisite detail how every 3 minutes in 2025 an American dies of Covid.

🧵3/5
Read 5 tweets
Apr 7
1) PMC COVlD Dashboard, April 7, 2025 (U.S.)

🔹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 Current Levels for Apr 7, 2025	 % of the Population Infectious	 0.8% (1 in 120)	 New Daily Infections	 399000	 New Weekly Infections	 2793000	 Resulting Weekly Long COVID Cases	 140,000 to 559,000	 Resulting Weekly Excess Deaths	 1,000 to 1,700	 	 Monthly Forecast	 Average % of the Population Infectious	 1.0% (1 in 105)	 Average New Daily Infections	 455766.6667	 New Infections During the Next Month	 13673000	 Resulting Monthly Long COVID Cases	 684,000 to 2,735,000	 Resulting Monthly Excess Deaths	 4,900 to 8,100	 	 Running Totals	 Infections Nationwide in 2025	 55591000	 Average Number of...
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.
3) Transmission is steady or declining across much of the nation, but remains high in 11 states and DC, per the CDC.

Other sources, such as WastewaterSCAN, show a near doubling of transmission in the Northeast the past few weeks, so remain cautious.
Read 4 tweets
Mar 31
🧵1 of 5
PMC Dashboard, March 31, 2025 (U.S.)

🔹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 todayCurrent Levels for Mar 31, 2025	 % of the Population Infectious	 0.7% (1 in 142)	 New Daily Infections	 337000	 New Weekly Infections	 2359000	 Resulting Weekly Long COVID Cases	 118,000 to 472,000	 Resulting Weekly Excess Deaths	 800 to 1,400	 	 Monthly Forecast	 Average % of the Population Infectious	 0.8% (1 in 120)	 Average New Daily Infections	 397233.3333	 New Infections During the Next Month	 11917000	 Resulting Monthly Long COVID Cases	 596,000 to 2,383,000	 Resulting Monthly Excess Deaths	 4,300 to 7,100	 	 Running Totals	 Infections Nationwide in 2025	 52303000	 Average Number of ...
🧵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.

🧵3 of 5
PMC Dashboard, March 31, 2025 (U.S.)

The transmission forecast suggests 300-500k daily infections the next month. If the data get retroactively corrected downward, we could dip to 200k.

Check local dashboards, and time events accordingly.Forecast graph, described in post
Read 5 tweets
Mar 31
PMC Update on #ExcessDeaths

🔥109,000-175,000 people in the U.S. are expected to die as a result of COVID in 2025, based on estimates derived from Swiss Re
🔥COVID deaths expected to be on par with lung cancer in the U.S. in 2025
🔥Death data added to the dashboard
2) Full video links to learn more about COVID #ExcessDeaths in the U.S.

Dashboard page (presently featured): pmc19.com/data
Downloadable file: pmc19.com/data/deaths033…
Veed platform: veed.io/view/558039f4-…
3) The new #ExcessDeath statistics build on what we described in the 5-year pandemic anniversary video.

Watch from 12:14-20:00 to see how simplistic models underestimate COVID deaths. The Swiss Re model solves that problem. PMC extends that work.
Read 6 tweets
Mar 24
PMC Dashboard, Mar 24, 2025 (U.S.)
🧵1/5

🔹3 million new weekly infections in a persistent "lull" of substantial transmission
🔹1 in 107 (0.9%) of the population actively infectious
🔹1 in 3 regions in high/very high transmission (16 states and DC)Heat map of transmission, described in Tweet
PMC Dashboard, Mar 24, 2025 (U.S.)
🧵2/5

We have had a steady state of about a half million infections the past several weeks. That's over 50 million estimated infections so far in 2025.

In a room of 40-50 people, there's a 1-in-3 chance of exposure if no testing/isolation.Current Levels for Mar 24, 2025	 % of the Population Infectious	 0.9% (1 in 107)	 New Daily Infections	 446000	 New Weekly Infections	 3122000	 Resulting Weekly Long COVID Cases	 156,000 to 624,000	 	 Monthly Forecast	 Average % of the Population Infectious	 1.0% (1 in 96)	 Average New Daily Infections	 496566.6667	 New Infections During the Next Month	 14897000	 Resulting Monthly Long COVID Cases	 745,000 to 2,979,000	 	 Running Totals	 Infections Nationwide in 2025	 50757000	 Average Number of Infections	 Per Person All-Time, U.S.	 3.708526284	 	 How Does Risk Increase with More Social Co...
PMC Dashboard, Mar 24, 2025 (U.S.)
🧵3/5

There's a good chance of steady transmission the next month. Often, we'd head into a low lull about now. BUT there are no universal precautions, immunity is waning from the fall & winter 2023-24, & viral evolution looks less 'lucky.'Middle forecast shows 400-600k daily infections.
Read 5 tweets
Mar 11
1) 5-yr Anniversary of the WHO Pandemic Declaration

🔥10 waves
🔥Covid mortality rivals lung cancer
🔥8 infections/person by 2030
🔥Long Covid as catastrophic
🔥Death trajectories becoming complex
🔥"During Covid" as anti-science rhetoric
🔥Serious ppl take Covid seriously
🧵
2) Wastewater-derived estimates of case rates show international consensus 20-26% of populations got Covid during the peak 2 months of the 2023-24 winter wave in the U.S., Canada, and the U.K.
3) The ratio of reported cases versus true cases has remained consistent, demonstrating the validity of wastewater-derived estimates. True cases are 15-30x reported cases, a consistent ratio. There are no examples demonstrating low case rates.
Read 25 tweets

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