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      Effects of UV-C Disinfection on N95 and KN95 Filtering Facepiece Respirator Reuse

      research-article
      a , , a , a , a , b , b
      Applied and Environmental Microbiology
      American Society for Microbiology
      COVID-19, FFRs, UV254, dose-response curve

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          ABSTRACT

          The objective of this study was to evaluate the effectiveness of UV technology for virus disinfection to allow FFR reuse. UV is a proven decontamination tool for microbial pathogens, including the SARS-CoV-2 virus. Research findings suggest that the impacts of UV-C treatment on FFR material degradation should be confirmed using microbial surrogates in addition to the commonly performed abiotic particle testing. This study used the surrogates, E. coli and MS-2 bacteriophage, as they bracket the UV response of SARS-CoV-2. Lower log inactivation was observed on FFRs than predicted by aqueous-based UV dose-response data for MS-2 bacteriophage and E. coli. In addition, the dose-response curves did not follow the trends commonly observed with aqueous data for E. coli and MS-2. The dose-response curves for the respirators in this study had a semicircle shape, where the inactivation reached a peak and then decreased. This decrease in UV inactivation is thought to be due to the degradation of the fibers of the FFR and allows for more viral and bacterial cells to wash through the layers of the respirator. This degradation phenomenon was observed at UV doses at and above 2,000 mJ/cm 2. Results have demonstrated that FFR materials yield various results in terms of effective disinfection in experiments conducted on KN95 and N95 face respirators. The highest inactivation for both surrogates was observed with the KN95 respirator made by Purism, yielding 3 and 2.75 log inactivation for E. coli and MS-2 at UV doses of 1,500 mJ/cm 2. The KN95 made by Anboruo yielded the lowest inactivation for MS-2 at 0.75 log when exposed to 1,000 mJ/cm 2. To further test the degradation theory, experiments used a collimated beam device to test the hypothesis further that degradation is occurring at and above UV doses of 1,500 mJ/cm 2. The experiment aimed to determine the effect of “predosing” a respirator with UV before inoculating the respirator with MS-2. In this test, quantification of the penetrated irradiance value and the ability of each layer to retain MS-2 were quantified. The results of the experiments varied from the intact FFR degradation experiments but displayed some data to support the degradation theory.

          IMPORTANCE Research suggests degradation of FFR materials at high UV doses is important. There appears to be a peak inactivation dose at approximately 1,500 mJ/cm 2. The subsequent dose increases appear to have the reverse effect on inactivation values; these trends have shown true with both the N95 and KN95-Purism respirators.

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          Effects of Ultraviolet Germicidal Irradiation (UVGI) on N95 Respirator Filtration Performance and Structural Integrity

          The ability to disinfect and reuse disposable N95 filtering facepiece respirators (FFRs) may be needed during a pandemic of an infectious respiratory disease such as influenza. Ultraviolet germicidal irradiation (UVGI) is one possible method for respirator disinfection. However, UV radiation degrades polymers, which presents the possibility that UVGI exposure could degrade the ability of a disposable respirator to protect the worker. To study this, we exposed both sides of material coupons and respirator straps from four models of N95 FFRs to UVGI doses from 120–950 J/cm2. We then tested the particle penetration, flow resistance, and bursting strengths of the individual respirator coupon layers, and the breaking strength of the respirator straps. We found that UVGI exposure led to a small increase in particle penetration (up to 1.25%) and had little effect on the flow resistance. UVGI exposure had a more pronounced effect on the strengths of the respirator materials. At the higher UVGI doses, the strength of the layers of respirator material was substantially reduced (in some cases, by >90%). The changes in the strengths of the respirator materials varied considerably among the different models of respirators. UVGI had less of an effect on the respirator straps; a dose of 2360 J/cm2 reduced the breaking strength of the straps by 20–51%. Our results suggest that UVGI could be used to effectively disinfect disposable respirators for reuse, but the maximum number of disinfection cycles will be limited by the respirator model and the UVGI dose required to inactivate the pathogen.
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            A method to determine the available UV‐C dose for the decontamination of filtering facepiece respirators

            Aims: To develop a method to assess model‐specific parameters for ultraviolet‐C (UV‐C, 254 nm) decontamination of filtering facepiece respirators (FFRs). Methods and Results: UV‐C transmittance was quantified for the distinct composite layers of six N95 FFR models and used to calculate model‐specific α‐values, the percentage of the surface UV‐C irradiance available for the internal filtering medium (IFM). Circular coupons, excised from the FFRs, were exposed to aerosolized particles containing MS2 coliphage and treated with IFM‐specific UV‐C doses ranging from 38 to 4707 J m −2 . Models exposed to a minimum IFM dose of 1000 J m −2 demonstrated at least a 3 log reduction (LR) in viable MS2. Model‐specific exposure times to achieve this IFM dose ranged from 2 to 266 min. Conclusions: UV‐C transmits into and through FFR materials. LR of MS2 was a function of model‐specific IFM UV‐C doses. Significance and Impact of the Study: Filtering facepiece respirators are in high demand during infectious disease outbreaks, potentially leading to supply shortages. Reuse of disposable FFRs after decontamination has been discussed as a possible remediation strategy, but to date lacks supporting scientific evidence. The methods described here can be used to assess the likelihood that UV‐C decontamination will be successful for specific FFR models.
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              Filtration Efficiency, Effectiveness, and Availability of N95 Face Masks for COVID-19 Prevention

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                Author and article information

                Contributors
                Role: Editor
                Journal
                Appl Environ Microbiol
                Appl Environ Microbiol
                AEM
                Applied and Environmental Microbiology
                American Society for Microbiology (1752 N St., N.W., Washington, DC )
                0099-2240
                1098-5336
                21 September 2022
                October 2022
                21 September 2022
                : 88
                : 19
                : e01221-22
                Affiliations
                [a ] Department of Civil and Environmental Engineering, University of New Hampshire, Durham, New Hampshire, USA
                [b ] Department of Civil, Construction, and Environmental Engineering, North Carolina State Universitygrid.40803.3f, , Raleigh, North Carolina, USA
                Centers for Disease Control and Prevention
                Author notes

                The authors declare no conflict of interest.

                Author information
                https://orcid.org/0000-0003-3137-282X
                Article
                01221-22 aem.01221-22
                10.1128/aem.01221-22
                9552602
                36129288
                7e3cdcf4-d784-445f-ac69-bfc668081322
                Copyright © 2022 Bernardy et al.

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International license.

                History
                : 1 August 2022
                : 19 August 2022
                Page count
                Figures: 8, Tables: 1, Equations: 0, References: 15, Pages: 10, Words: 6247
                Funding
                Funded by: UNH Collaborative Research Excellence;
                Award ID: 1dd092
                Award Recipient :
                Categories
                Public and Environmental Health Microbiology
                bacteriophages, Bacteriophages
                Custom metadata
                October 2022

                Microbiology & Virology
                covid-19,ffrs,uv254,dose-response curve
                Microbiology & Virology
                covid-19, ffrs, uv254, dose-response curve

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