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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Levels are flat during a relative "lull" in transmission.
▪️1 in 187 estimated actively infectious
▪️260,000 estimated new daily infections
▪️High: OK, MS, WV
▪️Moderate: VT
▪️All other states low/very low in relative transmission
🧵THREAD 1/6
COVID-19 persists in 2026.
We are in a relative "lull" following a 12th wave, but at a baseline of 200-300K estimated new daily infections.
Transmission was lower in the era many refer to as #DuringCOVID, when multi-layered mitigation was used instead of denial.
🧵THREAD 2/6
Transmission during a "lull" is high in an absolute sense. Many people are getting infected.
Simultaneously, its low in a relative sense, or compared to so-called "typical" transmission. In most places, it's a safer time for medical/dental care.
Transmission is stable in a relative "lull" nationally between waves.
We estimate that approximately 313,000 people are still getting infected per day, with outbreaks radiating from TN and MS.
🧵1 of 10 (don't miss #10)!
With limited data reported, Mississippi has an estimated 1 in 27 residents actively infectious.
In a room of 25 people, that's a 61% chance of exposure, if no testing/isolation protocols.
🧵2 of 10
1 in 24 people in Tennessee are estimated to be actively infectious with SARS-CoV-2. That's a 65% chance of exposure in a room of 25 people where nobody is testing/isolating.
This is an unethically misleading study with findings easily explained by residual confounding. Some health systems and patients have thorough record keeping. Others don't. All sorts of variables will correlate (infections, cancers, anything else tracked in medical records).
This is a really obvious issue for an international epi study. It should not have been published.
The above study is using the same processes the anti-vaxxers use -- junk epi that does not account for confounding -- to support whatever pre-conceived notions the authors have, with absurdly large effects.
Denial is but one of several obvious defense mechanisms people use to try to block their awareness of the ongoing toll of COVID-19. There are many others.
Short-term capital also plays a role, but even that requires a large dose of defense mechanisms.
During this 12th COVlD wave, the CDC reports 1-in-3 states have "High" or "Very High" levels.
PMC estimates the proportion of residents actively infectious (prevalence):
◾️USA: 1 in 67
◾️IA: 1 in 27
◾️MI: 1 in 25
◾️IN & CT: 1 in 23
◾️ME: 1 in 21
◾️OK & SD: 1 in 17
🧵1/
On average, Americans have have 5.0 cumulative SARS-CoV-2 infections.
This week's infections are expected to result in 1/4 to 1 million new #LongCOVID conditions and ≈2,000 excess deaths.
🧵2/
The wave peak is now estimated >10% higher than last week at 1.2 million new daily infections, nearly double the Delta wave.
We expect sustained high transmission (≈600,000 to 750,000 new daily infections) the next few weeks as COVlD circulates through schools/families.
🧵3/