Effect of Double Masking with Silk or Cotton Over-masks on the Source Control Capabilities of a Surgical Mask

Abstract In spite of the remarkable progress made in the development of safe and effective vaccines against COVID-19, deployment of respiratory protective devices remains vital for mitigating the transmission of SARS-CoV-2 during the ongoing pandemic. In this study, we evaluated double masking, whic...

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Main Authors: Adam F. Parlin, Mikhail Yermakov, Samuel M. Stratton, Susan R. Reutman, Theresa M. Culley, Patrick A. Guerra, Sergey A. Grinshpun
Format: Article
Language:English
Published: Springer 2022-04-01
Series:Aerosol and Air Quality Research
Subjects:
Online Access:https://doi.org/10.4209/aaqr.220036
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author Adam F. Parlin
Mikhail Yermakov
Samuel M. Stratton
Susan R. Reutman
Theresa M. Culley
Patrick A. Guerra
Sergey A. Grinshpun
author_facet Adam F. Parlin
Mikhail Yermakov
Samuel M. Stratton
Susan R. Reutman
Theresa M. Culley
Patrick A. Guerra
Sergey A. Grinshpun
author_sort Adam F. Parlin
collection DOAJ
description Abstract In spite of the remarkable progress made in the development of safe and effective vaccines against COVID-19, deployment of respiratory protective devices remains vital for mitigating the transmission of SARS-CoV-2 during the ongoing pandemic. In this study, we evaluated double masking, which entails layering a fitted over-mask on top of a surgical mask. A previously validated manikin-based protocol was used to evaluate the performance of a surgical mask with an over-mask made of silk or cotton. We showed that double masking can significantly enhance the mask’s source control capabilities by reducing an aerosol emission from a coughing or sneezing wearer while maintaining a reasonable breathability and comfort level. The data obtained in this study, as well as the results recently reported by other investigators, suggest that an over-mask made of silk fabric has several advantages over one made of cotton. Moreover, silk over-masks have the added benefit of providing a reusable protective outer layer for surgical masks as silk is hydrophobic and increases aerosol particle collection. Not only can double masking reduce viral or bacterial transmission, but it can also promote surgical mask longevity, thereby reducing global waste and pollution associated with the use of disposable surgical masks. Finally, an additional study with five human subjects revealed no significant differences in perceived comfort (measured by proxies such as relative humidity, temperature, and CO2 level inside the mask) between single masking and double masking, as well as between double masking with either a silk or cotton over-mask.
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spelling doaj-art-64f2e12beef643928d894e79c6d9a1df2025-02-09T12:17:17ZengSpringerAerosol and Air Quality Research1680-85842071-14092022-04-0122611210.4209/aaqr.220036Effect of Double Masking with Silk or Cotton Over-masks on the Source Control Capabilities of a Surgical MaskAdam F. Parlin0Mikhail Yermakov1Samuel M. Stratton2Susan R. Reutman3Theresa M. Culley4Patrick A. Guerra5Sergey A. Grinshpun6Department of Biological Sciences, University of CincinnatiDepartment of Environmental and Public Health Sciences, Center for Health-Related Aerosol Studies, University of Cincinnati College of MedicineDepartment of Biological Sciences, University of CincinnatiDepartment of Environmental and Public Health Sciences, Center for Health-Related Aerosol Studies, University of Cincinnati College of MedicineDepartment of Biological Sciences, University of CincinnatiDepartment of Biological Sciences, University of CincinnatiDepartment of Environmental and Public Health Sciences, Center for Health-Related Aerosol Studies, University of Cincinnati College of MedicineAbstract In spite of the remarkable progress made in the development of safe and effective vaccines against COVID-19, deployment of respiratory protective devices remains vital for mitigating the transmission of SARS-CoV-2 during the ongoing pandemic. In this study, we evaluated double masking, which entails layering a fitted over-mask on top of a surgical mask. A previously validated manikin-based protocol was used to evaluate the performance of a surgical mask with an over-mask made of silk or cotton. We showed that double masking can significantly enhance the mask’s source control capabilities by reducing an aerosol emission from a coughing or sneezing wearer while maintaining a reasonable breathability and comfort level. The data obtained in this study, as well as the results recently reported by other investigators, suggest that an over-mask made of silk fabric has several advantages over one made of cotton. Moreover, silk over-masks have the added benefit of providing a reusable protective outer layer for surgical masks as silk is hydrophobic and increases aerosol particle collection. Not only can double masking reduce viral or bacterial transmission, but it can also promote surgical mask longevity, thereby reducing global waste and pollution associated with the use of disposable surgical masks. Finally, an additional study with five human subjects revealed no significant differences in perceived comfort (measured by proxies such as relative humidity, temperature, and CO2 level inside the mask) between single masking and double masking, as well as between double masking with either a silk or cotton over-mask.https://doi.org/10.4209/aaqr.220036FacemaskSource controlDouble maskingSilkCOVID-19
spellingShingle Adam F. Parlin
Mikhail Yermakov
Samuel M. Stratton
Susan R. Reutman
Theresa M. Culley
Patrick A. Guerra
Sergey A. Grinshpun
Effect of Double Masking with Silk or Cotton Over-masks on the Source Control Capabilities of a Surgical Mask
Aerosol and Air Quality Research
Facemask
Source control
Double masking
Silk
COVID-19
title Effect of Double Masking with Silk or Cotton Over-masks on the Source Control Capabilities of a Surgical Mask
title_full Effect of Double Masking with Silk or Cotton Over-masks on the Source Control Capabilities of a Surgical Mask
title_fullStr Effect of Double Masking with Silk or Cotton Over-masks on the Source Control Capabilities of a Surgical Mask
title_full_unstemmed Effect of Double Masking with Silk or Cotton Over-masks on the Source Control Capabilities of a Surgical Mask
title_short Effect of Double Masking with Silk or Cotton Over-masks on the Source Control Capabilities of a Surgical Mask
title_sort effect of double masking with silk or cotton over masks on the source control capabilities of a surgical mask
topic Facemask
Source control
Double masking
Silk
COVID-19
url https://doi.org/10.4209/aaqr.220036
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