Best and worst masks Covid-19

Posted by cindiwass @cindiwass, Aug 10, 2020

I just bought a pullover face & neck mask thinking it would be protective, but now I read that a "gaiter" or fleece mask (not sure if they're the same thing) are the worst, along with bandanas. Comments, anyone?

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@merpreb

@sueinmn- So KN95 are less effective than N95?

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@merpreb Merry - N-95 are certified in the US. KN-95 masks are certified in China, supposed to be to the same standards as in the US, so they should be equivalent. They wear the double masks as an extra precaution to protect the KN-95 from contamination by patient droplets while their masks are off for cleaning & dental procedures. So far, so good for them - it has been 10 weeks since reopening, and no one on the staff has been infected.
However, the N-95 industrial masks with the exhaust port, like I wear when working with soil, are not meant to be used for Covid-19 protection of other people, because the port allows droplets to escape while preventing inhalation of particles (it's why they are more comfortable than medical N-95 masks - moisture doesn't build up in them.)
Sue

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@merpreb

@cindiwass- Good morning- I saw the article yesterday in the NY Post. Some people seem to be getting very lax with wearing masks. And no matter how pretty they are if you aren't wearing the correct kind you could get COVID-19. And no matter how pretty they are if you aren't wearing the correct kind you could get COVID-19.
https://nypost.com/2020/08/09/scientists-tested-14-types-of-masks-in-preventing-spread-of-covid-19/
And just a reminder from Mayo:

How to wear a cloth face mask

The CDC recommends that you wear a cloth face mask when you're around people who don't live with you and in public settings. They do not take the place of social distancing. If you aren't wearing the correct mask you could get COVID-19.
Here are a few pointers for putting on and taking off a cloth mask:

Wash or sanitize your hands before and after putting on and taking off your mask.
Place your mask over your mouth and nose.
Tie it behind your head or use ear loops and make sure it's snug.
Don't touch your mask while wearing it.
If you accidentally touch your mask, wash or sanitize your hands.
If your mask becomes wet or dirty, switch to a clean one. Put the used mask in a sealable bag until you can wash it.
Remove the mask by untying it or lifting off the ear loops without touching the front of the mask or your face.
Wash your hands immediately after removing your mask.
Regularly wash your mask with soap and water by hand or in the washing machine. It's fine to launder it with other clothes.

And, here are a few face mask precautions:

Don't put masks on anyone who has trouble breathing, or is unconscious or otherwise unable to remove the mask without help.
Don't put masks on children under 2 years of age.
Don't use face masks as a substitute for social distancing.

I don't even own a bandana.

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Isn't it safer to wear a N-95? I have an N-99, but Mayo Clinic won't let you wear it inside because they say it protects you but not other people from your air. So I don't think the cloth masks they hand out give much protection....Be nice is someone who knows chimed it.
This situation has been a mess, with the CDC first saying they weren't necessary..
Also, why doesn't insurance cover them? Since they are now "medically necessary?"

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@merpreb

@sueinmn- So KN95 are less effective than N95?

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The N95 and KN95s are supposed to be the same. But China doesn't have the same quality control as the United States. That's just reality. The same is true with baby formula and stuff like that. It's so important to find a reliable source for KN95s so that they are real and not fakes. I think the best sources are people that have been importing them and stocking them in the United States for awhile. They are the people that do the testing to make sure the masks are real and not fakes.

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@rarelybees2889

Isn't it safer to wear a N-95? I have an N-99, but Mayo Clinic won't let you wear it inside because they say it protects you but not other people from your air. So I don't think the cloth masks they hand out give much protection....Be nice is someone who knows chimed it.
This situation has been a mess, with the CDC first saying they weren't necessary..
Also, why doesn't insurance cover them? Since they are now "medically necessary?"

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Are you talking about the masks with the valves?

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@rarelybees2889

Isn't it safer to wear a N-95? I have an N-99, but Mayo Clinic won't let you wear it inside because they say it protects you but not other people from your air. So I don't think the cloth masks they hand out give much protection....Be nice is someone who knows chimed it.
This situation has been a mess, with the CDC first saying they weren't necessary..
Also, why doesn't insurance cover them? Since they are now "medically necessary?"

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@rarelybees2889- As you know, insurance companies are covering less and less and charging more and more. Natural disasters aren't usually covered by insurance. The standard masks that are considered "safe" for everyone are N-95. Read @sueinmn posts on this discussion. You will find that she knows a lot because her daughter keeps her informed.

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@sueinmn

@merpreb Merry - N-95 are certified in the US. KN-95 masks are certified in China, supposed to be to the same standards as in the US, so they should be equivalent. They wear the double masks as an extra precaution to protect the KN-95 from contamination by patient droplets while their masks are off for cleaning & dental procedures. So far, so good for them - it has been 10 weeks since reopening, and no one on the staff has been infected.
However, the N-95 industrial masks with the exhaust port, like I wear when working with soil, are not meant to be used for Covid-19 protection of other people, because the port allows droplets to escape while preventing inhalation of particles (it's why they are more comfortable than medical N-95 masks - moisture doesn't build up in them.)
Sue

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@sueinmn- Good morning Sue. You are correct. Masks that are worn that have ports do not protect others.

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@rarelybees2889

Isn't it safer to wear a N-95? I have an N-99, but Mayo Clinic won't let you wear it inside because they say it protects you but not other people from your air. So I don't think the cloth masks they hand out give much protection....Be nice is someone who knows chimed it.
This situation has been a mess, with the CDC first saying they weren't necessary..
Also, why doesn't insurance cover them? Since they are now "medically necessary?"

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As they say, something is "probably" better than nothing. But that, too, is questionable. I'm not sure, I'll go back to the NY Post article because I remember (I think) reading something about wearing a particular type of mask is worse than no mask. Maybe I'm wrong about remembering that, however when I have time I will check. The cloth masks I ordered from Etsy also have additional filters which I am purty sure help.

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OK, here's a bit more from the article I read. It said that N95 masks, often used by health care professionals, worked best to stop the transmission of respiratory droplets during regular speech. Followed by three-layer surgical masks and cotton masks, which can be made at home, the researchers with Duke’s physics department found. BUT -- and here is where I'm a little confused -- they discovered that neck fleeces, or neck gaiters, often worn by runners, were the least effective and actually allowed more respiratory droplets to escape than not wearing a mask at all. (Hmmm, I wonder. Article can be found at: https://nypost.com/2020/08/09/scientists-tested-14-types-of-masks-in-preventing-spread-of-covid-19/

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A number of vapor tests have been done recently, and yes, the N-95 masks (without exhaust port) are the best protection, but are still in too short supply for all of us to have and use. The hospitals, clinics and dentist offices are still insisting that patient-facing staff who wear them make them last at least all day, if not for multiple days at a time. When they were used per-Covid, masks were discarded and replaced between patients in infectious situations (like with MRSA patients or immuno-compromised patients.)

Other masks that tested well (not quite as good as N-95) were surgical masks (the multi-layer disposable type) and cloth masks made of multiple layers of tightly woven cotton or cotton blend fabrics. Masks that did a poor job of keeping droplets from spreading were bandanas and the "gaiter" type or other masks made of fleece or knit fabric.

We wear 3-layer clothe masks for everyday use, we have several different styles, with different type of ties/elastic depending on how they will be used on a particular day. We also have a small supply of N-95 masks which we use when exposed to soil due to lung issues. We are safeguarding those to use in case one of us becomes ill.

It must also be noted that masks are ONLY effective if they cover your face snugly from above the nostrils to the chin so as little vapor escapes as possible. Also, a mask that becomes wet from your breath should be replaced with a clean, dry one as wet masks are not as effective. Discard the soiled mask or bag it for washing & wash or sanitize your hands after handling it. Reusable masks should washed very frequently by hand or machine. Air drying is fine - the soap & water kill the virus. After a day of errands or visiting with my kids/grands, we may have as many as 6 masks to wash.
Sue

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@cindiwass

As they say, something is "probably" better than nothing. But that, too, is questionable. I'm not sure, I'll go back to the NY Post article because I remember (I think) reading something about wearing a particular type of mask is worse than no mask. Maybe I'm wrong about remembering that, however when I have time I will check. The cloth masks I ordered from Etsy also have additional filters which I am purty sure help.

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@cindiwass- Wearing a mask with a valve that lets your breath out is worse because it defeats the purpose of protecting others. Protecting others from the droplets of your breath, whether you are talking, sneezing or coughing is the purpose for wearing masks.

Here is a link to "How and when" to use masks safely
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/when-and-how-to-use-masks
https://www.npr.org/sections/goatsandsoda/2020/07/01/880621610/a-users-guide-to-masks-what-s-best-at-protecting-others-and-yourself
What is also important are the filters that you use, if any. What are you using?

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