Literature DB >> 32438799

Effectiveness of Common Fabrics to Block Aqueous Aerosols of Virus-like Nanoparticles.

Steven R Lustig1, John J H Biswakarma1, Devyesh Rana1, Susan H Tilford1, Weike Hu1, Ming Su1, Michael S Rosenblatt2.   

Abstract

Layered systems of commonly available fabric materials can be used by the public and healthcare providers in face masks to reduce the risk of inhaling viruses with protection that is about equivalent to or better than the filtration and adsorption offered by 5-layer N95 respirators. Over 70 different common fabric combinations and masks were evaluated under steady-state, forced convection air flux with pulsed aerosols that simulate forceful respiration. The aerosols contain fluorescent virus-like nanoparticles to track transmission through materials that greatly assist the accuracy of detection, thus avoiding artifacts including pore flooding and the loss of aerosol due to evaporation and droplet breakup. Effective materials comprise both absorbent, hydrophilic layers and barrier, hydrophobic layers. Although the hydrophobic layers can adhere virus-like nanoparticles, they may also repel droplets from adjacent absorbent layers and prevent wicking transport across the fabric system. Effective designs are noted with absorbent layers comprising terry cloth towel, quilting cotton, and flannel. Effective designs are noted with barrier layers comprising nonwoven polypropylene, polyester, and polyaramid.

Entities:  

Keywords:  COVID-19; face mask; filtration efficiency; nanoparticles; personal protective equipment

Mesh:

Substances:

Year:  2020        PMID: 32438799      PMCID: PMC7263076          DOI: 10.1021/acsnano.0c03972

Source DB:  PubMed          Journal:  ACS Nano        ISSN: 1936-0851            Impact factor:   15.881


The personal protective equipment (PPE) shortage in the United States during the SARS-CoV-2 pandemic has put the issue of PPE availability directly into the public domain. Healthcare PPE shortages in the U.S. were triggered by massive shipments to China in early 2020[1,2] and subsequent production and transportation stoppages from outbreaks in China and Southeast Asia, the source of 80–90% of the U.S. PPE supply.[3] Masks reduce inhalation of aqueous viral aerosols emitted from infected individuals when talking, coughing, or sneezing.[4−7] Masks may also be beneficial by serving as a reminder for wearers to avoid touching their face and, thus, prevent transmission from the hands to the user’s nose, mouth, and eyes. Moreover, the Centers for Disease Control and Prevention (CDC) and state governments now either require or recommend the public wear face masks in public.[8] It is increasingly more urgent to identify effective fabrics and mask designs for the public so there is no competition for healthcare provider PPE.[9] Understanding effective mask construction may enable safe homemade masks and reduce PPE supply issues during the pandemic. Moreover, the critical shortage of certified respirators and masks faced by Massachusetts hospitals forced hospital personnel to consider time-sensitive solutions for alternative PPE. Ideally, alternative PPE would be facile to assemble from largely available fabric stocks of local vendors and provide approximately equivalent or superior virus particle filtration compared with the certified PPE. Commercially manufactured, certified respirators and surgical masks are generally considered more effective than homemade masks. N95 respirators that tightly seal around the mouth and nose are typically worn by healthcare providers caring for patients with infectious conditions that transmit via aerosolized pathogens. Surgical masks are designed to block direct fluid entry into the wearer’s nose and mouth from a splash, cough, or sneeze and are not designed to block aerosolized pathogens. Materials used for health care service face masks are subject to extensive performance criteria,[10] including bacterial filtration efficiency, particle filtration efficiency, fluid flow resistance, air flow resistance, flame propagation rate, and skin reactivity as mandated by the National Institute for Occupational Safety and Health (NIOSH).[11] The first two are directly related to the effectiveness of the material to serve as a barrier to aqueous viral aerosols. ASTM F2100-19E1 specifies assessing filtration using 100-nm-sized particles of salt aerosol.[12] The N95 certification indicates that 95% of the total particles in a salt aerosol with an average particle size of 300 nm are blocked by a material under standard conditions. N95 respirators are typically used by physicians and surgeons. ASTM F2299/F2299M-03(17) uses light-scattering particle counting of latex spheres between 100 nm and 5 μm in diameter.[13] Bacterial filtration efficiency standards are described in ASTM F2101, which requires aqueous bacterial aerosols having 3 μm diameter droplets.[14] Meanwhile, aqueous aerosols from speech, sneezing, and coughing have size distributions spanning several orders of magnitude[7,15,16] up to thousands of microns. The SARS-CoV-2 virus itself is found in various shapes with polydisperse diameters ranging between 60 and 140 nm.[17] Salt particulates, latex spheres, bacteria, and viruses are widely diverse in size, shape, surface chemistry, and interfacial properties. These properties can affect the transport and adhesion within the complex surfaces of materials used in PPE face masks. Comparative studies of common, household fabrics generally indicate these materials are more permeable than medical grade PPE and widely variable in their filtration efficiencies. For example, Rengasamy[18]et al. provide caution that fabrics can exhibit a range of filtration efficiencies. Examples of sweatshirts, t-shirts, towels, and scarfs from different manufacturers were tested with polydisperse (75 ± 20 nm) salt aerosols and 13 sizes of monodisperse salt aerosols (20 nm–1 μm) at face velocities of 5.5 and 16 cm/s. Particulate transmission through the materials was determined by measuring the particle count upstream and downstream of the filter media using a scanning mobility particle sizer. Fractional transmissions ranged from 40% to 90% for the polydisperse aerosol and 40% to 97% for the monodisperse aerosols at 5.5 cm/s. Davies etal. investigated the filtration performance of common household fabrics to remove airborne viruses and bacteria.[19] Fabrics were exposed to aerosols containing either Bacillus atrophaeus (0.95–1.25 μm) or Bacteriophage MS2 (23 nm). Aerosols were delivered in a closed chamber at 30 L/min, and particle counts were measured upstream and downstream of the filter media. Based on a combination of filtration efficiency and pressure drop, the highest performing fabrics were a 100% cotton t-shirt and a pillowcase. The surgical mask had a 96% mean filtration efficiency for the 1 μm particles and 90% for the 23 nm particles. In comparison, the 100% cotton t-shirt had a 69% mean filtration efficiency for the 1 μm particles and 51% for the 23 nm particles. The pillowcase had a 61% mean filtration efficiency for the 1 μm particles and 57% for the 23 nm particles. Hence these fabrics are far more permeable than N95 respirators. These investigations did not attempt to combine multiple types of fabric layers to achieve comparable performance to the NIOSH-certified medical respirators and masks, such as the N95 respirators. Recently, Konda etal. studied several common fabrics such as cotton, silk, chiffon, flannel, and polyester blends with up to two layers.[20] Cotton quilt and cotton/chiffon performed about as well as an N95 respirator at filtering saline aerosols. Although the methodology is in compliance with NIOSH 42 CFR Part 84 test protocol, the instruments are noted to have poorer counting efficiencies for particles smaller than about 300 nm. Furthermore, unknown fractions of the aqueous aerosol particles are lost by evaporation as well as breakup into undetectable, smaller droplets. These aerosols did not contain virus nanoparticles that could be independently identified when transported through the materials. Blocking the transport of virus particles is a prime function of mask fabric. In response to the time-sensitive need for alternative PPE, we identify commonly available fabric materials that the public and healthcare providers can use in face masks to reduce the risk of viral aerosol inhalation. Over 70 different common fabric multilayer designs are compared to NIOSH-certified medical respirators and ASTM-certified masks for filtration efficiency using protocol conditions similar to those of ASTM standards. A common design theme emerges for many layered fabric designs that may reduce the risk of viral inhalation from aerosolized contamination directly striking the mask in both healthcare–patient interactions and public interactions with limited physical distancing.

Results and Discussion

Fluorescent, virus-like nanoparticles emulate the size and surface character of SARS-CoV-2 virus particles and are readily detected and counted. Rhodamine 6G is incorporated into nanoparticles as it is highly photostable and fluoresces with high quantum yield efficiency. It remains well partitioned within the nanoparticle matrix of poly(lactic-co-glycolic acid). Figure is a scanning electron microscope image of a small cluster of primary nanoparticles. Most of the encapsulated nanoparticles have spheroidal shape with some shallow wrinkles. Wrinkles may be due to the sheer stress present during the formation of the core–shell structure. The measured primary particle sizes of the nanoparticles range between 10 and 200 nm, which is the same range as SARS-CoV-2 virus particles;[17] see Figure S1. Zeta potential measurements indicate neutral surface charge over six decades of concentration; see Figure S2. Detailed synthesis methodology and characterization results are provided in the Methods Section.
Figure 1

Scanning electron micrograph (SEM, Ultra 55, 10 keV) of a small cluster of primary nanoparticles. The core–shell structure is not thermally stable under the exposure to high energy density, such as a focused electron beam in higher magnification, and the nanoparticle will partially melt to present an irregular shape.

Scanning electron micrograph (SEM, Ultra 55, 10 keV) of a small cluster of primary nanoparticles. The core–shell structure is not thermally stable under the exposure to high energy density, such as a focused electron beam in higher magnification, and the nanoparticle will partially melt to present an irregular shape. Schematic drawing of pulsed aqueous aerosol containing fluorescent, virus-like nanoparticles being drawn through layered materials by steady-state, forced convection air flux until transmitted nanoparticles are collected on a glass slide (left). Representative fluorescent micrograph of fluorescent, virus-like nanoparticles trapped on nonwoven polypropylene material (right). This illustration was created by Shoshanna Lustig for this article. Transport of nanoparticles in aqueous aerosol is predicated on forced convection air flux. For example, placing the aerosolizer jet in direct contact with the surface of an N95 respirator at 20 kPa gauge pressure results in instantaneous surface accumulation of water. No nanoparticles were detected on the opposite side of the respirator. This condition occurred for all materials and masks, except for the most open, highly porous weaves. Direct aerosol jetting onto the densely woven fabrics exhibits the same surface flooding result. Pore flooding traps nanoparticles, preventing transmission through the material. This result is independent of the aerosol pressure that could be applied. Similar pore flooding can occur in salt solution aerosol testing. Nanoparticle transmission through porous materials begins to occur without pore flooding as the steady-state volumetric flow rate of air exceeds the incident volumetric flow rate of aqueous aerosol. Partial flooding decreases the effective material porosity and leads to exaggerated filtration efficiency. In practical terms, dense fabric masks do not transmit nanoparticles into a mask, such as virus particles, without active respiration or permeating air convection. The transmission measurement of nanoparticles through mask materials is based on test conditions that emulate ASTM methods, enable high precision and repeatability, and reproduce sensibly physiological conditions. The rate of human ventilation at rest is nominally 6 L/min[21] and can increase several-fold upon active exertion. Our testing establishes a baseline steady-state air flow of 14 L/min through each test material. Each test is subjected to a total threat of 2 mL aqueous solution containing the fluorescent virus-like nanoparticles at 0.5 mg/mL. This total threat volume is delivered by 26 pulses of aerosol, each lasting 1 s. The duration and overpressure of the pulses emulates forceful expiration, i.e., a spray resulting from a sneeze, cough, or speech from an infected individual. The steady-state air flow being in excess of restful ventilation replicates a slightly elevated ventilation rate as a safety margin, prevents pore flooding, and enables improved statistical repeatability in the nanoparticle count measurements. The pulsed aerosol droplets are polydisperse in size and closely match the size range from forceful expiration. Nanoparticles transmitted through the test material are collected at a distance of 1 mm on a glass slide. The gas flow and slide placement configure the system to be well within the estimated collection regime, i.e., particle capture limit.[22] After a nanoparticle collides with the glass, the rebounded kinetic energy is insufficient to escape the attractive potential energy. Specific details about the aerosol transmission testing are described in the Methods Section; also see Figure .
Figure 2

Schematic drawing of pulsed aqueous aerosol containing fluorescent, virus-like nanoparticles being drawn through layered materials by steady-state, forced convection air flux until transmitted nanoparticles are collected on a glass slide (left). Representative fluorescent micrograph of fluorescent, virus-like nanoparticles trapped on nonwoven polypropylene material (right). This illustration was created by Shoshanna Lustig for this article.

Over 70 different common material arrays were evaluated under steady-state air permeation against pulsed aerosols that simulate forceful expiration. A list of materials is provided in the Supporting Information; see Table S1. Table summarizes our most notable transmission results and comparative statistics. Data for the 5-layer N95 respirator by 3M are provided in the first row. This is the standard PPE recommended by the CDC when caring for SARS-CoV-2 patients undergoing an aerosolizing procedure. Several 30 mm diameter samples were cut from around the respirator. The fractional transmission is the nanoparticle count transmitted through the material, normalized by the incident nanoparticle count. The fractional transmission standard deviation across all sampled locations exceeds the typical standard deviation for the nanoparticle counting measurement. This suggests that the filtration efficiency is dependent on the location of the mask. This is reasonable for a stack of nonwoven layers that are pressed heterogeneously into a shape comprising highly varying curvature and thickness. Nonetheless the overall average and standard deviation of nanoparticle counts over 69 independent measurements are provided across the entire respirator. Specifically, the 5-layer N95 respirator by 3M displayed a fractional transmission of 0.56 ± 0.30 ppt. Remaining materials shown in Table exhibited uniform fractional transmission among multiple replicate samples. Standard surgical masks, also evaluated in this study, are currently recommended by the CDC while caring for SARS-CoV-2 patients not undergoing an aerosolizing procedure. There are three performance classifications for the remaining materials based on the normalized permeability index, i.e., the fractional transmission of the material divided by the fractional transmission of the 5-layer N95 respirator. Thus, the permeability index for the 5-layer N95 respirator is unity. This index is included with the p-value indicating that the fractional transmission of the material is indistinguishable from the fractional transmission of the 5-layer N95 respirator. Here p < 0.05 represents 95% confidence that the two materials are distinguishable. This is a double-tailed test because materials may be distinguishable by having significantly higher fractional transmission or lower fractional transmission than the 5-layer N95 respirator. The p-value is computed using Welch’s t test, as the variances of the material and 5-layer N95 respirator are unequal and must be estimated separately.
Table 1

Permeability of Barriers Tested Featuring Commonly Available Fabrics and Materialsa

materialfractional transmission, parts per 1000 (N)N95 normalized permeability index (p-value)
N95 mask (3M: #1860S Lot #15886, 5 layer)0.56 ± 0.30 (69)(a)1.0 (−)
 
Transmission Statistically Lower Than N95 Mask (p < 0.05)
Sheldon G mask with cellulose filter(b)0.16 ± 0.06 (27)0.3 (0.001)
white denim/OLY-FUN (×2)/white denim0.31 ± 0.07 (9)0.5 (0.001)
Kona cotton(c)/OLY-FUN(d) (×4)/Kona cotton0.40 ± 0.18 (18)0.7 (0.004)
 
Transmission Equivalent to N95 Mask (p > 0.05)
N95 mask (3M: #8200 Lot #B18198, 3 layer)0.47 ± 0.11 (36)0.8 (0.148)
Kona cotton (×2)/terry cloth (×2)0.50 ± 0.18 (18)0.9 (0.232)
terry cloth towel (×2)0.50 ± 0.12 (18)0.9 (0.145)
Kona cotton (×4)0.51 ± 0.24 (9)0.9 (0.514)
lab coat(e)/flannel/OLY-FUN (×2)/Kona cotton0.57 ± 0.26 (9)1.0 (0.942)
Kona cotton/flannel/OLY-FUN (×2)/Kona cotton0.62 ± 0.06 (18)1.1 (0.116)
white flannel (x2)0.62 ± 0.17 (18)1.1 (0.318)
heavy tee shirt 100% cotton (×2)0.64 ± 0.06 (18)1.1 (0.060)
lab coat (×2)/flannel (×2)0.69 ± 0.20 (9)1.2 (0.093)
white 12 oz denim/Kona cotton (×2)/white 12 oz denim0.70 ± 0.23 (9)1.2 (0.122)
Kona cotton/white 12 oz denim (×2)/Kona cotton0.79 ± 0.62 (9)1.4 (0.293)
Kona cotton/OLY-FUN (×2)/Kona cotton1.10 ± 0.89 (9)2.0 (0.072)
 
Transmission Statistically Higher than N95 Mask (p < 0.05)
procedure cone mask (Cardinal Health, #AT7509)0.68 ± 0.08 (18)1.2 (0.003)
terry cloth towel (×1)0.73 ± 0.14 (9)1.3 (0.005)
Kona cotton/white flannel/Kona cotton0.73 ± 0.05 (18)1.3 (0.001)
Kona cotton (×3)0.85 ± 0.15 (9)1.5 (0.001)
Kona cotton/Pellon midweight(f)0.86 ± 0.23 (72)1.5 (0.001)
KN95 mask (GB2626-2006KN95)0.91 ± 0.24 (18)1.6 (0.001)
Kona cotton (×2)0.92 ± 0.05 (18)1.6 (0.001)
Kona cotton/Pellon(g)/Kona cotton0.95 ± 0.33 (45)1.7 (0.001)
duck bill surgical mask (Halyard #37525)0.98 ± 0.37 (18)1.7 (0.001)
Kona cotton/Kona 2.2 wt % Scotchgard(h)/Kona cotton1.01 ± 0.20 (18)1.8 (0.001)
Kona cotton/Polartec/Kona cotton1.04 ± 0.38 (18)1.8 (0.001)
white flannel (×1)1.04 ± 0.08 (18)1.8 (0.001)
heavy tee shirt 100% cotton (×1)1.07 ± 0.10 (18)1.9 (0.001)
Kona cotton/Pellon(i)/Kona cotton1.14 ± 0.60 (9)2.0 (0.004)
white 12 oz denim/Pelon(f)/white 12 oz denim(j)1.22 ± 0.77 (27)2.2 (0.001)
Kona cotton/white 12 oz denim/Kona cotton1.42 ± 0.51 (9)2.5 (0.001)
HTC(k) pillowcase/flannel/OLY-FUN (×2)/HTC pillowcase1.47 ± 0.66 (9)2.6 (0.001)
OLY-FUN polypropylene nonwoven 65GSM (×2)2.56 ± 0.74 (9)4.5 (0.001)
4 oz light weight blue denim (×2)3.91 ± 1.82 (9)6.9 (0.001)
7 oz midweight blue denim (×2)7.61 ± 0.63 (5)13.5 (0.001)
11 oz heavy weight stretch black denim (×2)9.43 ± 0.99 (18)16.7 (0.001)

Fractional transmission is the nanoparticle count transmitted normalized by the incident nanoparticle count, reported with number of independent particle count measurements, N. N95 normalized permeability index is the fractional transmission of the material divided by the fractional transmission of the N95 mask (first table entry), reported with the unequal variances t-test probability that the transmission is no different from the N95 mask. Notes: (a) Average of data collected from multiple positions around the mask. The data show indications that the transmission is dependent on location on the pressed mask. (b) Design of Sheldon Gentling: outermost layer comprises ProCool Stretch-FIT Dri-QWick sports jersey fabric by AKAS Textiles & Laminations, innermost layer comprises Zorb 3D Stay Dry Dimple heavy duty fabric by AKAS Textiles & Laminations. All materials supplied by Wazoodle Fabrics. (c) KonaⓇ quilting cotton fabric, supplied by JOANN Fabrics and Crafts, Hudson, OH. (d) 65 GSM (grams per square meter) polypropylene nonwoven fabric. (e) Lab coat is a blend of polyester and polyaramid. (f) Pellon midweight #931TD fusible polyester. (g) Pellon #SF101 fusible polyester. (h) Kona quilting cotton fabric treated with 2.2 wt % Scotchgard. (i) Pellon #P44F fusible polyester. (j) https://www.joann.com/how-to-make-a-denim-face-mask/042188731P326.html (accessed Apr 21, 2020). (k) High thread count (HTC), 525 horizontal and vertical thread counts/inch.

Fractional transmission is the nanoparticle count transmitted normalized by the incident nanoparticle count, reported with number of independent particle count measurements, N. N95 normalized permeability index is the fractional transmission of the material divided by the fractional transmission of the N95 mask (first table entry), reported with the unequal variances t-test probability that the transmission is no different from the N95 mask. Notes: (a) Average of data collected from multiple positions around the mask. The data show indications that the transmission is dependent on location on the pressed mask. (b) Design of Sheldon Gentling: outermost layer comprises ProCool Stretch-FIT Dri-QWick sports jersey fabric by AKAS Textiles & Laminations, innermost layer comprises Zorb 3D Stay Dry Dimple heavy duty fabric by AKAS Textiles & Laminations. All materials supplied by Wazoodle Fabrics. (c) KonaⓇ quilting cotton fabric, supplied by JOANN Fabrics and Crafts, Hudson, OH. (d) 65 GSM (grams per square meter) polypropylene nonwoven fabric. (e) Lab coat is a blend of polyester and polyaramid. (f) Pellon midweight #931TD fusible polyester. (g) Pellon #SF101 fusible polyester. (h) Kona quilting cotton fabric treated with 2.2 wt % Scotchgard. (i) Pellon #P44F fusible polyester. (j) https://www.joann.com/how-to-make-a-denim-face-mask/042188731P326.html (accessed Apr 21, 2020). (k) High thread count (HTC), 525 horizontal and vertical thread counts/inch. Several layered systems exhibit fractional transmission statistically lower than or equivalent to the 5-layer N95 respirator. Specifically, a Sheldon G mask with cellulose filter; combination masks, combining two outer layers of white denim with two inner layers of OLY-FUN nonwoven polypropylene; and two layers of Kona quilting cotton with four layers of OLY-FUN exhibit fractional transmissions of 0.16 ± 0.06, 0.31 ± 0.07, and 0.40 ± 0.18 ppt, respectively. These mask designs achieve 72%, 55%, and 28% lower fractional transmission than the 5-layer N95 respirator, respectively. Effective materials comprise both absorbent, hydrophilic layers and barrier, hydrophobic layers. Although the hydrophobic layers can adhere virus-like nanoparticles, they may also repel droplets from adjacent absorbent layers and prevent wicking transport. High fiber density and tortuosity increase the probability of collision with aerosol droplets. Effective designs are noted with absorbent layers comprising terry cloth towel, quilting cotton, and flannel. For example, two layers of terry cloth, two layers of white flannel, and four layers of Kona quilting cotton exhibit fractional transmissions of 0.50 ± 0.12, 0.51 ± 0.24, and 0.62 ± 0.17, respectively. These commonly available mask materials exhibit fractional transmissions within 10% of the five-layer N95 respirator. Effective designs are noted with barrier layers comprising OLY-FUN (nonwoven polypropylene), lab coat (polyester/polyaramid), cotton coated with spray-on fabric protector, and traditional synthetic aliphatic and aromatic polymer fibers. Although some terry cloth and cotton multilayers are effective alone, inclusion of an additional hydrophobic repelling layer is recommended to prevent wicking transport for higher volume threats. Sole use of denim is not effective: in general, the yarn bundles are very dense but spaced with wide interweave gaps to promote breathability in jeans. This is demonstrated by high fractional transmission by two layers each of 4 oz lightweight blue denim, 7 oz midweight blue denim, and 11 oz heavy weight stretch black denim of 3.91 ± 1.82, 7.61 ± 0.63, and 9.43 ± 0.99 ppt, respectively. The two-layer denims exhibit 698%, 1359%, and 1684% higher fractional transmission than the 5-layer N95 respirator, respectively. The fusible polyesters considered are also highly porous. Several additional layered systems exhibit fractional transmission statistically equivalent to the duckbill surgical mask. These may be effective in conjunction with additional safeguards, such as social distancing and smaller threat volumes.

Conclusions

Commonly available fabric materials can be used by the public and healthcare providers in face masks to reduce the risk of inhaling viruses from aerosols generated by coughs, sneezes, and speech from infected individuals. The protection by some layered designs offers protection about equivalent to or better than the filtration and adsorption offered by 5-layer N95 masks. Effective materials comprise both absorbent, hydrophilic layers and barrier, hydrophobic layers. Although the hydrophobic layers can adhere virus-like nanoparticles, they may also repel droplets from adjacent absorbent layers and prevent wicking transport. Effective designs are noted with absorbent layers comprising terry cloth towel, quilting cotton, and flannel. Effective designs are noted with barrier layers comprising nonwoven polypropylene, polyester, and polyaramid. This work responds to the time-sensitive need for alternative PPE for healthcare workers as well as face masks for the public. Considering the results of this work and prior work, recommended mask designs include those multilayered combinations in Table that exhibit transmission either equivalent to or lower than the transmission offered by 5-layer N95 masks. It is critical that the materials’ edges conform snugly to the face to prevent aerosol from entering gaps between the face and mask. The mask must not enable viral imbibition by the lips, tongue, and saliva. Ideally, the mask does not contact the lips, or there is at least one hydrophobic layer fabric in contact with the face, so aerosol trapped from the exterior does not wick through the mask and become transported by the mouth. Because aerosol transport through a mask is predicated on forced convection air flux, it is recommended that individuals wearing masks reduce inhalation intensity when placed in contact with an unsafe aerosol.

Methods

Virus-Simulant Nanoparticles

Materials

Ethyl acetate, poly(lactic-co-glycolic acid) (PLGA), eicosane, rhodamine 6G, and poly(vinyl alcohol) (PVA) were purchased from Sigma-Aldrich (Billerica, MA, USA) and were used as-is without any further processing or purification.

PLGA Nanoparticle Preparation

Nanoparticles (NPs) were prepared by mixing 100 mg of PLGA pellets with 1 mL of ethyl acetate, 20 μg of rhodamine 6G, and 12 mg of eicosane. The resulting mixture was vortexed for 5–10 min until homogenized. Two mL of 5 wt % PVA was added and sonicated for 2 min using an ice water bath to prevent evaporation of ethyl acetate. This solution was mixed with 50 mL of 3 wt % PVA solution immediately after sonication and stirred at 800 rpm for 2 h until the ethyl acetate evaporated. The resulting solution was split into two centrifuge tubes and centrifuged at 6000 rpm for 5 min followed by the removal of the supernatant. The remaining precipitate was diluted with deionized water and vortexed for another 5 min. The centrifugation and rinse were repeated three times. The final precipitate was diluted with 30 mL of water to obtain a final experimental concentration of ca. 7 mg/mL. A small aliquot of dispersion was weighed both wet and dry to determine accurately the actual NP concentration. This stock solution was further diluted to 0.5 mg/mL for experimentation. This concentration was chosen after a series of experiments to determine optimal NP concentration such that NPs do not aggregate, did not clog the fabrics, and did not clog the aerosol generator.

PLGA NP Size Distribution and Zeta Potential Tests

NP size distribution, shown in Figure S1, and zeta potential tests, shown in Figure S2, were conducted using a Malvern Zetasizer Nano ZS90 and the accompanying Malvern Zetasizer v7.12 software. Polystyrol/polystyrene (D-51588) cuvettes from Sarstedt were used for sample loading and measurements. The stock solution concentration of NPs of 7.0 mg/mL (or 1×) was serially diluted to achieve 10×, 50×, 100×, 200×, 400×, 800×, 1600×, 3200×, 6400×, 12 800×, 25 600×, and 51 200× dilution factors. Exactly 1 mL of the diluted solutions was loaded into a cuvette and placed within the Zetasizer instrument. For each dilution, three samples were prepared, and three measurements were taken per sample (n = 9) using a 173° backscatter measurement angle. The Zetasizer was configured for size measurements using PLGA@eicosane with a refractive index of 1.570 and absorption value of 0.001 with a dispersant of water at 25 °C. For NP size measurements, no other settings were required, whereas for zeta potential measurements, a Smoluchowski model is applied with an F(κα) = 1.50, where κ is the Debye length and α is the radius of the particle. The NP size distribution and zeta potential were then plotted using Graphpad Prism v8.0.0.

Aerosol Transmission Testing

Test Apparatus

A test apparatus was designed to analyze the degree of transmission of aerosols through various materials. Figure illustrates a schematic of the test apparatus and identifies the components. A labeled photograph shows the actual components in Figure S3. Design parameters for this system were informed by ASTM procedures that involve testing the performance of surgical masks in filtering aerosols.[23−25] The Master Airbrush Pro Gravity Feed Airbrushing System ECO KIT-17 is used to generate an aerosol containing the fluorescent nanoparticle solution as shown in Figure S3. A Master TC-20 air compressor pressurizes the solution to 20 kPa. The pressurized solution is emitted from the Master airbrush G22 as an aerosol due to shearing interactions at the airbrush tip with an opening diameter of 345 μm. For each trial, 2 mL of nanoparticle solution is emitted from the airbrush in bursts with a duration of one second every five seconds until the airbrush fluid tank is depleted. The aerosol is released into a 1 L vacuum filter reservoir sealed over a glass bottle during a steady-state 14 L/min volumetric flow of air set using a Sho-Rate rotameter #012. The vacuum filter is sealed so that the volumetric flow rate is approximately uniform within the test apparatus, and it is controlled so that the contained fluids exhibit laminar flow (Re = 1900 < 2000). The velocity of the aerosol at the nozzle facing the material samples is estimated to be 297 cm/s. For each material a 30 mm diameter sample is cut and held tightly with an O-ring over a nozzle with an inner diameter of 10 mm. The material samples are held taut, and all samples consisting of layered materials are necessarily held without spacing between adjacent layers. As shown in Figure S3, a 0.5 in. × 0.5 in. glass slide is positioned 1 mm from the material sample to collect aerosol and droplets that are transmitted. A circle drawn on the opposite face of the glass slide indicates the position of the slide that aligns with the center of the material sample, and the aerosol that accumulates on the side facing the sample is analyzed using fluorescence microscopy.
Figure 3

Schematic drawing of test apparatus. An air brush comprises the compressor and aerosol generator in which virus-like nanoparticles are dispersed in solution (blue) and gravity fed into the forced convection air flux that is mediated by a trigger (not shown) to create pulsed aerosol sprays. Aerosol is immediately sprayed into a 1 L chamber leading to a nozzle capped by the test material (gray layers). A glass slide (thick black) captures nanoparticles transmitted from the right edge of the test material, while air flow proceeds through a needle valve, rotameter, and steady vacuum pump.

Schematic drawing of test apparatus. An air brush comprises the compressor and aerosol generator in which virus-like nanoparticles are dispersed in solution (blue) and gravity fed into the forced convection air flux that is mediated by a trigger (not shown) to create pulsed aerosol sprays. Aerosol is immediately sprayed into a 1 L chamber leading to a nozzle capped by the test material (gray layers). A glass slide (thick black) captures nanoparticles transmitted from the right edge of the test material, while air flow proceeds through a needle valve, rotameter, and steady vacuum pump.

Aerosol Droplet Size Distribution

Droplet size distribution was determined by using the spray apparatus and spraying directly onto a 0.5 in. × 0.5 in. glass slide. The spray collected from one aerosol burst was then evaluated under a Keyence VHX-970F optical microscope from Keyence Corporation (Itasca, IL, USA). Images were captured at 20× magnification for large droplets and aerosols and 100× magnification for all droplets to understand the full droplet size distributions. A total of 64 images were taken. The raw images were further processed using ImageJ[26] to subtract the background with a 50 pixel rolling ball radius and a dark background. A scale of 26 pixels was identified as the equivalent of 10 μm. The images were also cropped from the bottom by 50 pixels to remove the magnification and scale bar texts to remove any erroneous particles being counted due to the text. The image was then converted to an 8-bit image format to which a minimum and maximum contrast threshold was set to 0 and 225, respectively. This resulted in black (droplets) and white (background) images. These black and white images were then counted and measured using the counting function of ImageJ, within the Analyze feature, using an ellipse outline method. An example of the subsequent image alterations is located in Figure S4. Figure S5 plots the counted ellipses and measured diameters in a total distribution of droplets by size and frequency. The aforementioned procedure was automated by creating a custom Plugin using ImageJ’s batch scripting language, to remove human bias during image analysis and to speed up analysis. The veracity of the script was confirmed by manual analysis of each step, per the image output examples. The size distribution and frequency were then plotted using Graphpad Prism v8.0.0.

Nanoparticle Distribution after Transmission through Fabrics

Nanoparticle distribution was measured by placing 1 cm × 1 cm glass slides onto the glass holder within the test apparatus and sprayed with fluorescent rhodamine tagged PLGA NPs. The NP-containing glass slides were then observed under an Olympus BX43 fluorescent microscope, containing an Olympus U-TV1XC center and Olympus XM10 camera. An X-CITE 120LED Boost laser controller from Excelitas Technology was used for a fluorescent laser source run at 45% power for fluorophore excitation. At least nine images were taken at 20× optical zoom per fabric to determine particle concentration per area, and multiple experiments were conducted per fabric using the accompanying Olympus cellSense Standard 1.16 software. A constant gain and exposure were chosen of 18 dB and 1.109 s, respectively, and a fixed scale contrast was applied between 0 and 5000. Individual images were postprocessed in ImageJ, similar to the droplet size distribution protocol. The raw images were further processed using ImageJ to subtract the background with a 500-pixel rolling ball radius and a dark background. A scale of 160 pixels was identified as the equivalent of 50 μm. The images were cropped from the bottom by 50 pixels to remove the magnification and scale bar texts to remove any erroneous particles being counted due to the text. The image was then converted to an 8-bit image format to which a minimum and maximum contrast threshold was set to 15 and 250, respectively. This resulted in black (droplets) and white (background) images. These black and white images were then counted and measured via the ImageJ counting feature, within the Analyze feature, using an ellipse outline method. An example of the subsequent image alterations is located in Figure S4. The ellipses are counted, and the diameter is measured to obtain the total distribution of droplets by size and frequency. The aforementioned procedure was automated by creating a custom Plugin using ImageJ batch scripting language, to remove human bias during image analysis and to exponentially speed up analysis. The veracity of the script was confirmed by manual analysis of each step. The nanoparticle count and size distribution are included in Table .
  10 in total

1.  The size and concentration of droplets generated by coughing in human subjects.

Authors:  Shinhao Yang; Grace W M Lee; Cheng-Min Chen; Chih-Cheng Wu; Kuo-Pin Yu
Journal:  J Aerosol Med       Date:  2007

2.  Characterizations of particle size distribution of the droplets exhaled by sneeze.

Authors:  Z Y Han; W G Weng; Q Y Huang
Journal:  J R Soc Interface       Date:  2013-09-11       Impact factor: 4.118

3.  NIH Image to ImageJ: 25 years of image analysis.

Authors:  Caroline A Schneider; Wayne S Rasband; Kevin W Eliceiri
Journal:  Nat Methods       Date:  2012-07       Impact factor: 28.547

4.  Effectiveness of surgical masks against influenza bioaerosols.

Authors:  C Makison Booth; M Clayton; B Crook; J M Gawn
Journal:  J Hosp Infect       Date:  2013-03-14       Impact factor: 3.926

5.  Respiratory virus shedding in exhaled breath and efficacy of face masks.

Authors:  Nancy H L Leung; Daniel K W Chu; Eunice Y C Shiu; Kwok-Hung Chan; James J McDevitt; Benien J P Hau; Hui-Ling Yen; Yuguo Li; Dennis K M Ip; J S Malik Peiris; Wing-Hong Seto; Gabriel M Leung; Donald K Milton; Benjamin J Cowling
Journal:  Nat Med       Date:  2020-04-03       Impact factor: 53.440

6.  Simple respiratory protection--evaluation of the filtration performance of cloth masks and common fabric materials against 20-1000 nm size particles.

Authors:  Samy Rengasamy; Benjamin Eimer; Ronald E Shaffer
Journal:  Ann Occup Hyg       Date:  2010-06-28

7.  Visualizing Speech-Generated Oral Fluid Droplets with Laser Light Scattering.

Authors:  Philip Anfinrud; Valentyn Stadnytskyi; Christina E Bax; Adriaan Bax
Journal:  N Engl J Med       Date:  2020-04-15       Impact factor: 91.245

8.  Aerosol Filtration Efficiency of Common Fabrics Used in Respiratory Cloth Masks.

Authors:  Abhiteja Konda; Abhinav Prakash; Gregory A Moss; Michael Schmoldt; Gregory D Grant; Supratik Guha
Journal:  ACS Nano       Date:  2020-04-24       Impact factor: 15.881

9.  Testing the efficacy of homemade masks: would they protect in an influenza pandemic?

Authors:  Anna Davies; Katy-Anne Thompson; Karthika Giri; George Kafatos; Jimmy Walker; Allan Bennett
Journal:  Disaster Med Public Health Prep       Date:  2013-08       Impact factor: 1.385

10.  Face mask use and control of respiratory virus transmission in households.

Authors:  C Raina MacIntyre; Simon Cauchemez; Dominic E Dwyer; Holly Seale; Pamela Cheung; Gary Browne; Michael Fasher; James Wood; Zhanhai Gao; Robert Booy; Neil Ferguson
Journal:  Emerg Infect Dis       Date:  2009-02       Impact factor: 6.883

  10 in total
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Review 1.  Review of the Breathability and Filtration Efficiency of Common Household Materials for Face Masks.

Authors:  Laura H Kwong; Rob Wilson; Shailabh Kumar; Yoshika Susan Crider; Yasmin Reyes Sanchez; David Rempel; Ajay Pillarisetti
Journal:  ACS Nano       Date:  2021-04-06       Impact factor: 15.881

2.  The effectiveness of social bubbles as part of a Covid-19 lockdown exit strategy, a modelling study.

Authors:  Trystan Leng; Connor White; Joe Hilton; Adam Kucharski; Lorenzo Pellis; Helena Stage; Nicholas G Davies; Matt J Keeling; Stefan Flasche
Journal:  Wellcome Open Res       Date:  2021-03-29

3.  Copper-Coated Polypropylene Filter Face Mask with SARS-CoV-2 Antiviral Ability.

Authors:  Sunghoon Jung; Jun-Yeoung Yang; Eun-Yeon Byeon; Do-Geun Kim; Da-Gyum Lee; Sungweon Ryoo; Sanggu Lee; Cheol-Woong Shin; Ho Won Jang; Hyo Jung Kim; Seunghun Lee
Journal:  Polymers (Basel)       Date:  2021-04-22       Impact factor: 4.329

Review 4.  Porous surfaces: stability and recovery of coronaviruses.

Authors:  Lucy Owen; Maitreyi Shivkumar; Richard B M Cross; Katie Laird
Journal:  Interface Focus       Date:  2021-12-10       Impact factor: 3.906

5.  KN95 and N95 Respirators Retain Filtration Efficiency despite a Loss of Dipole Charge during Decontamination.

Authors:  Wonjun Yim; Diyi Cheng; Shiv H Patel; Rui Kou; Ying Shirley Meng; Jesse V Jokerst
Journal:  ACS Appl Mater Interfaces       Date:  2020-11-30       Impact factor: 9.229

Review 6.  SARS-CoV-2 and its new variants: a comprehensive review on nanotechnological application insights into potential approaches.

Authors:  Ramalingam Karthik Raja; Phuong Nguyen-Tri; Govindasamy Balasubramani; Arun Alagarsamy; Selcuk Hazir; Safa Ladhari; Alireza Saidi; Arivalagan Pugazhendhi; Arulandhu Anthoni Samy
Journal:  Appl Nanosci       Date:  2021-06-10       Impact factor: 3.869

7.  COVID-19: What we talk about when we talk about masks.

Authors:  Cristiane Ravagnani Fortaleza; Lenice do Rosário de Souza; Juliana Machado Rúgolo; Carlos Magno Castelo Branco Fortaleza
Journal:  Rev Soc Bras Med Trop       Date:  2020-11-06       Impact factor: 1.581

8.  Visualizing droplet dispersal for face shields and masks with exhalation valves.

Authors:  Siddhartha Verma; Manhar Dhanak; John Frankenfield
Journal:  Phys Fluids (1994)       Date:  2020-09-01       Impact factor: 3.521

9.  Sterilization of polypropylene membranes of facepiece respirators by ionizing radiation.

Authors:  Luka Pirker; Anja Pogačnik Krajnc; Jan Malec; Vladimir Radulović; Anton Gradišek; Andreja Jelen; Maja Remškar; Igor B Mekjavić; Janez Kovač; Miran Mozetič; Luka Snoj
Journal:  J Memb Sci       Date:  2020-10-01       Impact factor: 8.742

10.  Design of a self-powered triboelectric face mask.

Authors:  Barnali Ghatak; Sanjoy Banerjee; Sk Babar Ali; Rajib Bandyopadhyay; Nityananda Das; Dipankar Mandal; Bipan Tudu
Journal:  Nano Energy       Date:  2020-09-20       Impact factor: 17.881

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