Universal visors as a key measure to stop nosocomial transmission of SARS-CoV-2

Evaluation of Mask Performances in Filtration and Comfort in Fabric Combinations

A systemic study on improving particulate pollutant filtration efficiency through the combination of conventional fabrics is presented with the objective of finding comfortable, yet effective airway mask materials and products. Fabrics, nonwovens, and their combinations made of cotton, silk, wool, and synthetic fibers are examined on their filtration efficiency for aerosol particles with diameters ranging from 0.225 μm to 3.750 μm under industry-standard testing conditions. It is found that composite fabrics can improve filtration efficiency more than just layers of the same fabric, and the filtration quality factor of some of the fabric combinations can exceed that of the standard melt-blown materials. In addition, fabric friction and charging between the combined layers also improve filtration efficiency substantially. With a broader understanding of the fabric characteristics, we may design mask products with reduced facial skin discomfort, better aesthetics, as well as the ability to alleviate the environmental impact of discarded protective masks in the extended period of controlling the transmission of pollutants and viruses, such as during the COVID-19 pandemic.

The effect of eye protection on SARS-CoV-2 transmission: a systematic review

BACKGROUND

The effect of eye protection to prevent SARS-CoV-2 infection in the real-world remains uncertain. We aimed to synthesize all available research on the potential impact of eye protection on transmission of SARS-CoV-2.

METHODS

We searched PROSPERO, PubMed, Embase, The Cochrane Library for clinical trials and comparative observational studies in CENTRAL, and Europe PMC for pre-prints. We included studies that reported sufficient data to estimate the effect of any form of eye protection including face shields and variants, goggles, and glasses, on subsequent confirmed infection with SARS-CoV-2.

RESULTS

We screened 898 articles and included 6 reports of 5 observational studies from 4 countries (USA, India, Columbia, and United Kingdom) that tested face shields, goggles, and wraparound eyewear on 7567 healthcare workers. The three before-and-after and one retrospective cohort studies showed statistically significant and substantial reductions in SARS-CoV-2 infections favouring eye protection with odds ratios ranging from 0.04 to 0.6, corresponding to relative risk reductions of 96% to 40%. These reductions were not explained by changes in the community rates. However, the one case-control study reported odds ratio favouring no eye protection (OR 1.7, 95% CI 0.99, 3.0). The high heterogeneity between studies precluded any meaningful meta-analysis. None of the studies adjusted for potential confounders such as other protective behaviours, thus increasing the risk of bias, and decreasing the certainty of evidence to very low.

CONCLUSIONS

Current studies suggest that eye protection may play a role in prevention of SARS-CoV-2 infection in healthcare workers. However, robust comparative trials are needed to clearly determine effectiveness of eye protections and wearability issues in both healthcare and general populations.