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Tracking the next pandemic: Avian Flu Talk

Improving N95 Safety - use of ionizers

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    Posted: March 11 2006 at 4:57am

Experts debate using face masks during flu pandemic

ASSOCIATED PRESS

1:33 p.m. March 6, 2006

WASHINGTON – How much protection would a face mask offer during a
worldwide flu epidemic? And would people need a fresh one every day or
even every few hours?

There aren't clear answers, public health experts said Monday as the
Institute of Medicine grappled with what advice to offer the federal
government.

Health workers use masks – simple surgical masks or better-filtering
ones called N95 respirators – to prevent infection while caring for sick
patients. But the public undoubtedly will turn to masks as well if a flu
pandemic strikes, and experts say supplies will quickly run short.
Both types of masks are supposed to be used once and discarded. So
federal health officials asked the IOM, a prestigious group of independent
scientists, to determine if there are ways that health workers could reuse
their N95 masks – and if average citizens need reusable masks, too.
The IOM will issue its report this spring.

At a public meeting Monday, health experts cited a host of questions.
Among them: how long the masks work once donned; whether reused
masks could be contaminated and spread infection; how to ensure they're
worn correctly – N95 masks have to be fitted to the user's face and are
hard to breathe in for long stretches.

And would wearing a mask on, say, the subway protect people enough, or
should they have driven or stayed home? Linda Chiarello of the Centers
for Disease Control and Prevention said if masks eventually are
recommended for the public, the advice must not create a false sense of
security.

“The lack of clear data ... is a dilemma for those of us on the front lines,”
said Dr. Jeff Durchin of the Seattle-King County Health Department,
adding that people already call health departments to ask what masks
they should personally stockpile.

“We should not be talking about the reusability of
masks or other devices until we know whether they actually work to begin
with,” said Jeffrey Levi of Trust for America's Health, a nonprofit health
advocacy group.


http://www.signonsandiego.com/news/health/20060306-1333-bird flu-
masks.html
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Enumclaw,WA Quote  Post ReplyReply Direct Link To This Post Posted: March 11 2006 at 5:07am
Wouldn't it be nice if they made up there mind before this thing goes totally H2H. That way we would know if we are comming or going. LOL Even the medical people don't know if they will be protected. If not, none of them will show up for work either. This just keeps getting better and better.
RB
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: March 11 2006 at 5:47am
The same question was raised several years ago with SARS
and remains unanswered.

Personally, I won't wait for someone to tell me to put my seat belt on. The
experts are reluctant to advise the public to wear a mask in the event of a
Pandemic. They were not reluctant in 1918. Do you think the experts, have
any masks at home? The advantage of the public not buying any, it leaves
more to go around. My 2-cents.




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http://www.cdc.gov/niosh/npptl/resources/pressrel/announceme nts/
113004wkshp/pdfs/Summary_Plenary.pdf



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http://www.cdc.gov/niosh/npptl/resources/pressrel/announceme nts/
113004wkshp/pdfs/Presentation%2012_Roy%20McKay.pdf

Fit testing exercise for N95, refer to URL to see entire article.
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http://www.cdc.gov/niosh/npptl/resources/pressrel/announceme nts/
113004wkshp/pdfs/Presentation%2009_Sergey%20Grinshpun.pdf

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http://www.cdc.gov/niosh/npptl/resources/pressrel/announceme nts/
113004wkshp/pdfs/Presentation%2009_Sergey%20Grinshpun.pdf
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by Sergey Grinshpun, PhD
Center for Health-Related Aerosol Studies, University of Cincinnati

Workshop on Respiratory Protection for Airborne Infectious Agents
November 30 - December 1, 2004 Atlanta, GA

http://www.cdc.gov/niosh/npptl/resources/pressrel/announceme nts/
113004wkshp/pdfs/Presentation%2009_Sergey%20Grinshpun.pdf

http://www.cdc.gov/niosh/npptl/resources/pressrel/announceme nts/
113004wkshp/presentations.html


Department of Environmental Health, Center for Health-Related Aerosol
Studies, University of Cincinnati,
P.O. Box 670056, 3223 Eden Avenue, Cincinnati, OH 45267-0056, USA


Abstract: We developed a novel concept that allows to considerably
improve the performance of conventionally used filtering-facepiece
respirators against fine and ultra fine aerosols including airborne viral
and
bacterial agents.

The concept is based on the continuous emission of unipolar ions. The e
ect was evaluated through the real-time monitoring of the concentration
and size distribution of ne and ultra ne aerosol particles. The
measurements were conducted inside and outside of a respiratory mask
that was face sealed on a breathing manikin.

A commonly used Type N95 respirator and surgical mask were utilized
for the tests. The manikin was placed in a 24.3-m3 indoor test chamber
and exposed to polydisperse surrogate aerosols simulating viral
and bacterial particles with respect to the aerodynamic size. The particle
penetration through the mask was found to decrease by one-to-two
orders of magnitude as a result of continuous unipolar ion emission in
the chamber. The ux of air ions migrated to the breathing zone and
imparted electrical charges of the same polarity to the aerosol particles
and the respirator lter surface. This created an electrostatic shield along
the external surface of the filter, thus enhancing the protection
characteristics provided by the respirator.

The above performance enhancement e ect is crucial for minimizing the
infectious risk in the cases when the conventional ltering-facepiece
respirators are not able to provide an adequate protection against
airborne viruses and bacteria.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote elbows Quote  Post ReplyReply Direct Link To This Post Posted: March 12 2006 at 10:45am
Anybody know if this is the normal sorts of cheap air ionisers that have been available to the masses for many years?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: March 12 2006 at 1:44pm
I'm just flying this up the flagpole to see if anyone
salutes.

I'm no expert, but if the off-the-self ionizer functions as it should, I don't
see any reason why it would not help. Possibly someone here could
comment on it, cause the CDC won't even comment use of a mask
for non-medical folks.

In hypothetical terms, this would only be practical if you were nursing
someone at home and you wanted to improve your margin of safety.
Or if someone had been possibly exposed and were returning home.
Of course other safety precautions continue to apply. I look at the risk
verses rewards.

Given a choice between putting a few bucks down on a lottery ticket or an
ionizer, I'd put my money on the ionizer. My 2-cents. This information
leaked out of CDC website-they should have used an ionizer.
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