Performance of fabrics for home-made masks against the spread of COVID-19 through droplets: A quantitative mechanistic study

Dispersion of virus-laden droplets in ventilated rooms: Effect of homemade facemasks

In December 2019, the SARS-CoV-2 virus emerged and rapidly spread throughout the world. It causes the respiratory disease COVID-19 via the transmission of microbial pathogens within bio-aerosols during speaking, sneezing, and coughing. Therefore, understanding bioaerosol dynamics is important for developing mitigation strategies against droplet-induced infections. Computer modelling, using Computational Fluid Dynamics, has become a useful tool in studying and visualising the spread of atomised bio-droplets but the effect of using cloth facemasks has not been fully quantified. In this study, simulations were carried out to quantify the extent of respiratory droplet transfer with and without facemasks between a pair of ventilated rooms by a mathematical model for the first time. A 600-μm pore facemask was used, representing the porosity of a typical cloth facemask. Using the discrete phase model, the transport of ejected droplets was tracked. The results show that in the facemask cases, more than 96% of all the ejected droplets in all scenarios were trapped in the recommended 2 m social distancing radius around the human source. Correspondingly, only a maximum of 80% of droplets were deposited within the social distancing radius in the no facemask scenarios, with >20% airborne and transported to the second room. One-dimensional empirical correlations were developed for droplet concentration as a function of distance from the bioaerosol source. The models show that droplet concentration decays exponentially from the source especially in the facemask cases. The study therefore reinforces the importance of face coverings in lessening the transmission of possibly infected respiratory droplets that transmit highly infectious diseases such as COVID-19.

COVID-19 pandemic and emerging plastic-based personal protective equipment waste pollution and management in Africa

The threat of plastic waste pollution in African countries is increasing exponentially since the World Health Organisation declared the coronavirus infection as a pandemic. Fundamental to this growing threat are multiple factors, including the increased public consumption for single-use plastics, limited or non-existence of adequate plastic waste management infrastructures, and urbanisation. Plastics-based personal protective equipment including millions of surgical masks, medical gowns, face shields, safety glasses, protective aprons, sanitiser containers, plastics shoes, and gloves have been widely used for the reduction of exposure risk to Severe Acute Respiratory Syndrome (SARS) Coronavirus 2 (SARS-CoV-2). This paper estimates and elucidates the growing plethora of plastic wastes in African countries in the context of the current SARS-CoV-2 pandemic. A Fourier transform infrared (FTIR) spectral fingerprint indicates that face masks were characterised by natural and artificial fibres including polyester fibres, polypropylene, natural latex resin. Our estimate suggests that over 12 billion medical and fabric face masks are discarded monthly, giving the likelihood that an equivalent of about 105,000 tonnes of face masks per month could be disposed into the environment by Africans. In general, 15 out of 57 African countries are significant plastic waste contributors with Nigeria (15%), Ethiopia (8.6%), Egypt (7.6%), DR Congo (6.7%), Tanzania (4.5%), and South Africa (4.4%) topping the list. Therefore, this expert insight is an attempt to draw the attention of governments, healthcare agencies, and the public to the potential risks of SARS-CoV-2-generated plastics (COVID plastic wastes), and the environmental impacts that could exacerbate the existing plastic pollution epidemic after the COVID-19 pandemic.

Last-resort strategies during mask shortages: optimal design features of cloth masks and decontamination of disposable masks during the COVID-19 pandemic

Face masks and respirators are the most widely used intervention measures for respiratory protection. In the wake of COVID-19, in response to shortages and lack of availability of surgical masks and respirators, the use of cloth masks has become a research focus. Various fabrics have been promoted with little evidence-based foundation and without guidelines on design principles for optimal performance. In these circumstances, it is essential to understand the properties, key performance factors, filter mechanisms and evidence on cloth masks materials. The general community might also need to decontaminate and reuse disposable, single-use devices as a last resort. We present an overview of the filter materials, filter mechanisms and effectiveness, key performance factors, and hydrophobicity of the common disposable masks, as well as cloth masks. We also reviewed decontamination methods for disposable respiratory devices. As an alternative to surgical masks and respirators, we recommend a cloth mask made of at least three layers (300-350 threads per inch) and adding a nylon stocking layer over the mask for a better fit. Water-resistant fabrics (polyesters/nylon), blends of fabrics and water-absorbing fabrics (cotton) should be in the outside layer, middle layer/layers and inside layer, respectively. The information outlined here will help people to navigate their choices if facing shortages of appropriate respiratory protection during the COVID-19 pandemic.

A modelling framework to assess the likely effectiveness of facemasks in combination with 'lock-down' in managing the COVID-19 pandemic

COVID-19 is characterized by an infectious pre-symptomatic period, when newly infected individuals can unwittingly infect others. We are interested in what benefits facemasks could offer as a non-pharmaceutical intervention, especially in the settings where high-technology interventions, such as contact tracing using mobile apps or rapid case detection via molecular tests, are not sustainable. Here, we report the results of two mathematical models and show that facemask use by the public could make a major contribution to reducing the impact of the COVID-19 pandemic. Our intention is to provide a simple modelling framework to examine the dynamics of COVID-19 epidemics when facemasks are worn by the public, with or without imposed 'lock-down' periods. Our results are illustrated for a number of plausible values for parameter ranges describing epidemiological processes and mechanistic properties of facemasks, in the absence of current measurements for these values. We show that, when facemasks are used by the public all the time (not just from when symptoms first appear), the effective reproduction number, Re , can be decreased below 1, leading to the mitigation of epidemic spread. Under certain conditions, when lock-down periods are implemented in combination with 100% facemask use, there is vastly less disease spread, secondary and tertiary waves are flattened and the epidemic is brought under control. The effect occurs even when it is assumed that facemasks are only 50% effective at capturing exhaled virus inoculum with an equal or lower efficiency on inhalation. Facemask use by the public has been suggested to be ineffective because wearers may touch their faces more often, thus increasing the probability of contracting COVID-19. For completeness, our models show that facemask adoption provides population-level benefits, even in circumstances where wearers are placed at increased risk. At the time of writing, facemask use by the public has not been recommended in many countries, but a recommendation for wearing face-coverings has just been announced for Scotland. Even if facemask use began after the start of the first lock-down period, our results show that benefits could still accrue by reducing the risk of the occurrence of further COVID-19 waves. We examine the effects of different rates of facemask adoption without lock-down periods and show that, even at lower levels of adoption, benefits accrue to the facemask wearers. These analyses may explain why some countries, where adoption of facemask use by the public is around 100%, have experienced significantly lower rates of COVID-19 spread and associated deaths. We conclude that facemask use by the public, when used in combination with physical distancing or periods of lock-down, may provide an acceptable way of managing the COVID-19 pandemic and re-opening economic activity. These results are relevant to the developed as well as the developing world, where large numbers of people are resource poor, but fabrication of home-made, effective facemasks is possible. A key message from our analyses to aid the widespread adoption of facemasks would be: 'my mask protects you, your mask protects me'.