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Infectious Diseases Infectious Disease Basics

Unmasking The Truth About Facemasks For SARS


Medically Reviewed On: April 25, 2003

By Christine Haran

As severe acute respiratory syndrome (SARS) continues to dominate the headlines, images of people riding mass transit or shopping, while posing as masked avengers, are becoming commonplace. But people everywhere are increasingly worried about what they should be doing to protect themselves. SARS is a newly identified respiratory illness that appears be spread through the droplets that are emitted during a cough or sneeze, which may travel through the air. The disease may also be transmitted through contact with a contaminated object or surface.

Thus far, the Centers for Disease Control and Prevention and World Health Organization have recommended respiratory protective devices to healthcare workers only. The problem with non-healthcare workers donning facemasks is that little is known about the different kinds of masks, and the different degrees of protection they offer. And few realize that some protective devices cannot necessarily be used safely by children or people with certain health conditions.

Below, Lisa Brosseau, ScD, an industrial hygienist and associate professor in the Division of Environmental and Occupational Health at the University of Minnesota in Minneapolis, explains who these devices were designed for; what protection they can offer; and when their use is appropriate.

What are some types of protective facemasks?
Surgical masks are designed for healthcare professionals to wear to protect patients. They are worn to catch very large droplets that health providers might emit when they cough or talk, and are really not designed to protect the wearer. As a result, surgical masks have filters that are much less efficient than facemasks with respirator filters.

Another big problem with most surgical masks is that they have extremely poor fit. If all you are doing is trying to capture the big stuff that gets emitted by the mouth or the nose, your mask doesn't really have to fit very well. You don't have to worry so much about what's emitted around the sides of the mask.

Respirators, which are devices that protect the respiratory system, are designed and certified to wear in occupational settings, so that governs most of their certification and use. They are not necessarily meant for the everyday person.

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