REPRINT FROM THE NYTIMES: April 9, 2020
Scientists are testing everyday items to find the best protection from coronavirus. Pillow cases, flannel pajamas and origami vacuum bags are all candidates.
Federal health officials have now recommended that we cover our faces with fabric during the coronavirus pandemic. But what material offers the most protection?
The Centers for Disease Control and Prevention has posted a no-sew mask pattern using a bandanna and a coffee filter as well as a video on making masks using rubber bands and folded fabrics found at home.
While a simple face covering can reduce the spread of coronavirus by blocking outgoing germs from coughs or sneezes of an infected person, experts say there is more variation in how much homemade masks might protect the wearer from incoming germs, depending on the fit and quality of the material used.
Scientists around the country have taken it upon themselves to identify everyday materials that do a better job of filtering microscopic particles. In recent tests, HEPA furnace filters scored well, as did vacuum cleaner bags, layers of 600-count pillowcases and fabric similar to flannel pajamas. Stacked coffee filters had medium scores. Scarves and bandanna material had the lowest scores, but still captured a small percentage of particles.
If you don’t have any of the materials that were tested, a simple light test can help you decide whether a fabric is a good candidate for a mask.
“Hold it up to a bright light,” said Dr. Scott Segal, chairman of anesthesiology at Wake Forest Baptist Health who recently studied homemade masks. “If light passes really easily through the fibers and you can almost see the fibers, it’s not a good fabric. If it’s a denser weave of thicker material and light doesn’t pass through it as much, that’s the material you want to use.”
Researchers say it’s important to remember that lab studies are conducted under perfect conditions with no leaks or gaps in the mask, but the test methods give us a way to compare materials. And while the degree of filtration for some homemade masks seems low, most of us — who are staying home and practicing social distancing in public — don’t need the high level of protection required for medical workers. More important, any face covering is better than none, especially if worn by a person who has the virus but doesn’t know it.
The biggest challenge of choosing a homemade mask material is to find a fabric that is dense enough to capture viral particles, but breathable enough that we can actually wear it. Some items being touted online promise high filtration scores, but the material would be unwearable.
Yang Wang, an assistant professor of environmental engineering at Missouri University of Science and Technology, worked with his graduate students to study various combinations of layered materials — including both air filters and fabric. “You need something that is efficient for removing particles, but you also need to breathe,” said Dr. Wang, who last fall won an international award for aerosol research.
To test everyday materials, scientists are using methods similar to those used to test medical masks, which everybody agrees should be saved for medical workers who are exposed to high doses of virus from seeing infected patients. The best medical mask — called the N95 respirator — filters out at least 95 percent of particles as small as 0.3 microns. By comparison, a typical surgical mask — made using a rectangular piece of pleated fabric with elastic ear loops — has a filtration efficiency ranging from 60 to 80 percent.
Dr. Wang’s group tested two types of air filters. An allergy-reduction HVAC filter worked the best, capturing 89 percent of particles with one layer and 94 percent with two layers. A furnace filter captured 75 percent with two layers, but required six layers to achieve 95 percent. To find a filter similar to those tested, look for a minimum efficiency reporting value (MERV) rating of 12 or higher or a microparticle performance rating of 1900 or higher.
The problem with air filters is that they potentially could shed small fibers that would be risky to inhale. So if you want to use a filter, you need to sandwich the filter between two layers of cotton fabric. Dr. Wang said one of his grad students made his own mask by following the instructions in the C.D.C. video, but adding several layers of filter material inside a bandanna.
Dr. Wang’s group also found that when certain common fabrics were used, two layers offered far less protection than four layers. A 600 thread count pillow case captured just 22 percent of particles when doubled, but four layers captured nearly 60 percent. A thick woolen yarn scarf filtered 21 percent of particles in two layers, and 48.8 percent in four layers. A 100 percent cotton bandanna did the worst, capturing only 18.2 percent when doubled, and just 19.5 percent in four layers.
The group also tested Brew Rite and Natural Brew basket-style coffee filters, which, when stacked in three layers, showed 40 to 50 percent filtration efficiency — but they were less breathable than other options.
If you are lucky enough to know a quilter, ask them to make you a mask. Tests performed at the Wake Forest Institute for Regenerative Medicine in Winston-Salem, N.C., showed good results for homemade masks using quilting fabric. Dr. Segal, of Wake Forest Baptist Health, who led the study, noted that quilters tend to use high-quality, high-thread count cotton. The best homemade masks in his study were as good as surgical masks or slightly better, testing in the range of 70 to 79 percent filtration. Homemade masks that used flimsier fabric tested as low as 1 percent filtration, Dr. Segal said.
The best-performing designs were a mask constructed of two layers of high-quality, heavyweight “quilter’s cotton,” a two-layer mask made with thick batik fabric, and a double-layer mask with an inner layer of flannel and outer layer of cotton.