The CDC’s 5 tips to make your face mask more protective

The CDC’s 5 tips to make your face mask more protective

Make masks safer with these easy hacks

double mask
Brendan Williams, the president of the New Hampshire Health Care Association, putting on a surgical mask while carrying another mask. 

Vaccines may be critical to ending the pandemic, but masking up remain one of our best individual weapons against the coronavirus, and so making masks safer (and more accessible!) should be a priority.

Heroes_wear_masks_African_Potential_Foundation
The www.heroeswearmasks.co.za initiative aims to mask up vulnerable communities across South Africa

As new, more infectious variants spread across the US, public-health experts have underscored the importance of making sure masks are layered and sealed tightly.

The bottom line: “You really want to protect your eyes, nose, and mouth from other people’s air space,” Dr. Alice Sato, an epidemiologist at Children’s Hospital & Medical Center in Omaha, Nebraska, told Insider.

But not all masks are designed with the same level of protection in mind.

On Wednesday, the US Centers for Disease Control and Prevention outlined five helpful tips to make masks more protective.

Most of the tips involve basic surgical masks, which studies have found are highly effective — when worn properly — at blocking respiratory droplets and smaller airborne particles called aerosols.

1. Nose-bridge wires ensure a tight seal.

Tom Bihn flannel masks
A mask with a metal strip along the top on the nose bridge. 

Covering your nose is perhaps the most critical element of wearing a mask. A study published in May found that nasal cells were more likely to become infected with and shed coronavirus than cells in the throat or lungs.

But noses can be tricky to shield. Masks often ride down or form a gap along the nose bridge.

For this reason, the CDC recommends making masks safer by choosing masks with a nose wire, or a metal strip along the top. Adjusting the wire over the nose helps to ensure that masks are sealed tightly so no droplets or aerosols can leak out.

An added bonus: Nose wires can keep your glasses from fogging up, a good sign that they’re improving the seal.

2. Mask braces can improve filtration by up to 90%.

fix the mask brace
The mask brace fits over a surgical mask with “teeth” that hold it down over the nose and cheeks. 

Surgical masks are made of nonwoven fabric, so they’re usually the safest option for people who don’t have access to an N95 mask, the gold standard for face coverings.

But surgical masks don’t offer a perfect seal. A recent study from the National Institute for Occupational Safety and Health found that a medical-grade procedure mask blocked just 59% of respiratory aerosols from a cough.

However, research suggests that layering a mask brace or fitter on top of a surgical mask can make it nearly as good as an N95.

“Fitters have been scientifically demonstrated to improve filtration performance by as much as 90% or more, which, again, is getting into that range of filtration efficiency afforded by N95 respirators,” Dr. John Brooks, the chief medical officer for the CDC’s COVID-19 response, said during a virtual briefing in January.

3. The CDC’s “knot and tuck” technique also reduces air leaks.

surgical mask
Surgical masks. 

Most surgical masks are one size fits all, but the CDC recently outlined a DIY way to achieve a tighter seal.

Start by folding the mask in half, edge to edge. Then tie both ear loops so the knots are as close to the mask as possible. Finally, unfold the mask and tuck any extra fabric beneath the knots.

“You can tell that the mask is tighter-fitting on your face because the mask moves in and out as you breathe,” Emily Sickbert-Bennett, the director of infection prevention at UNC Hospitals, said in a video outlining the process.

The “knot and tuck” method, she added, can improve the mask’s filtration by up to 20%.

4. Wearing a cloth mask over a surgical one can block more than 92% of coughed particles.

fauci double mask
Dr. Anthony Fauci wears two masks at a briefing on November 19. 

The researchers Linsey Marr and Monica Gandhi made the case for double-masking in a November study that’s still awaiting peer review.

The combination of a cloth mask over a surgical one, they found, was more than 70% effective at filtering tiny particles (less than 0.3 micrometers) and more than 90% efficient at filtering particles 1 micrometer and larger.

The surgical mask acts as a filter while the cloth mask helps to ensure a tight seal, making masks safer.

The CDC now recommends the two-mask combo as well. It says that “the second mask should push the edges of the inner mask against your face.”

In lab tests with dummies, CDC researchers found that double-masking blocked more than 92% of coughed particles, compared with 42% for the surgical mask alone.

“The fact that they got 92% means that there’s this effect of greatly improved fit preventing leakage out of the sides,” Marr recently told Insider. “It’s the combination of the filtration and the fit.”

5. When in doubt, check for gaps by cupping your hands around the edges while you breathe in and out.

woman face mask
Make sure your mask fits snugly. 

Ill-fitted masks will have gaps at the top or bottom, or along the sides. That’s why public-health experts advise against using bandanas or scarves as face coverings.

“If the mask has a good fit, you will feel warm air come through the front of the mask and may be able to see the mask material move in and out with each breath,” the CDC says.

Ultimately, though, any mask is better than none, and the goal should be sustainable behavioural change for this pandemic and the next.

The best mask is the one that fits, and that you’re actually wearing.

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Written by Aria Bendix for Business Insider

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