COVID-19 and the Workplace: Research Questions for the Aerosol Science Community

Time course and epidemiological features of COVID-19 resurgence due to cold-chain food or packaging contamination

Contaminations in frozen food imported from countries with ongoing COVID-19 epidemics have been reported in China. However, the epidemiological features of the outbreaks initiated by material-to-human transmission were less reported. The risk of this route of transmission remains unclear, and strategies to prevent resurgence could be flawed.

We aimed to demonstrate the existence of cold-chain food or packaging contamination transmission and describe the time course and epidemiological features associated with the transmission in China. This review was based on the official reports or literature for resurging COVID-19 events that were related to cold-chain food or packaging contamination in China and other countries. Although SARS-CoV-2 on the material surface is not the main source of infection, the closed and humid environment for food packaging and transportation is a place favoring the material-to-human spread of SARS-CoV-2. In this transmission mode, patient zero is often hidden and difficult to detect, such that the outbreak usually can only be perceived after a period of a secret epidemic. Regular testing for high-risk populations and imported cold-chain products, proper disinfection of imported products, and protection of susceptible population while working remain an effective way to detect and prevent SARS-CoV-2 spread.

COVID-19 in the Workplace in Indonesia

Coronavirus Disease 2019 (COVID-19) has been declared a pandemic because of its worldwide spread. The COVID-19 pandemic does not only impact public health but also the operations of businesses and workers’ safety in their workplace. The objectives of this study were to provide a broad perspective of COVID-19 prevention and control implementation in industries, investigate barriers and challenges as well as drivers in implementing COVID-19 prevention and control, and provide key recommendations to the policy makers regarding COVID-19 prevention and control in industries. This study was conducted through online interviews with selected organizations in various industries which were selected by the granting body, including agriculture and animal husbandry; construction; manufacturing; and logistic and goods transportation. It also involved policy makers from government agencies including the Ministry of Manpower, Ministry of Health, Indonesian Safety and Health Council, International Labor Organization, and Indonesian COVID-19 Task Force. The participants of this study were chosen using convenience sampling. The findings of this study indicate that health protocols are implemented to varying degrees in companies, both within and across the sectors, and that drivers to comply with the Health Protocols include compliance, business continuity, and top management commitment. The significant barriers and challenges include a perceived lack of clear direction from the government, rapid changes in directives’, poor worker awareness, and limited organizational resources. The key recommendations to the policy maker include harmonization of the guidelines and legislation, additional schemes to provide funding in the COVID-19 prevention and control implementation, as well as facilitate the ongoing education of the general working public.

Evaluating the filtration efficiency of commercial facemasks' materials against respiratory aerosol droplets

Respiratory droplets serve as a viable transmission mechanism for many viruses and other pathogens. Facemasks are commonly used to minimize the risk of this transmission. However, information on the size-resolved filtration efficiency of commonly available commercial facemasks is not readily available in the literature. To fill this gap, the current study performs aerosolized chamber experiments to evaluate the filtration efficiencies of commonly available commercial facemasks' materials in a size range of 0.3-10 µm. Results rank the performance of filtration through commercial facemasks' materials as follows (values in brackets indicate the average filtration efficiencies across 0.3-10 µm): 6-Layer N95 mask (0.918) > N95 mask - without valve (0.88) > KN95 mask (0.84) > N95 mask -with valve (0.834) > Heavy knitted cotton mask (0.808) > Surgical mask (0.778) > Cotton mask-2 layers (0.744) > Nylon fabric mask-2 layers (0.740) > T-shirt fabric mask-2 layers (0.708) > T-shirt fabric mask-1 layer (0.648). The size-resolved filtration efficiencies through the material across the evaluated commercial facemasks ranged from 38-83% in the size range of 0.3-0.5 µm, 55-88% in the size range of 0.5-1 µm, 69-93% in the size range of 1-2.5 µm, 76-96% in the size range of 2.5-5 µm, and 86-99% in the size range of 5-10 µm. Subsequently, the filtration efficiencies of materials post washing (with detergent in warm water and allowing to dry completely) were also evaluated. The average reduction in filtration efficiencies post washing are as follows: 6-Layer N95 mask: 3%, N95 mask - without valve: 2%, KN95 mask: 4%, N95 mask -with valve: 3%, Heavy knitted cotton mask: 4%, Surgical mask: 18%, Cotton mask-2 layers: 11%, Nylon fabric mask-2 layers: 6%, T-shirt fabric mask-2 layers: 6%, T-shirt fabric mask-1 layer: 8%. This decrease in the filtration efficiency was more pronounced for the sub-micron particles than the super-micron ones.Implications: Facemasks are commonly used to minimize the risk of pathogens through ambient air transmission. However, information on the size-resolved filtration efficiency of commonly available commercial facemasks materials is not readily available in the literature. To fill this gap, the current study performs aerosolized chamber experiments to evaluate the filtration efficiencies of commonly available commercial facemasks materials in a size range of 0.3-10 µm. The performance of the commercial facemasks materials as follows in the order of (values in brackets indicate the average filtration efficiencies across 0.3-10 µm): 6-Layer N95 mask (0.918) > N95 mask - without valve (0.88) > KN95 mask (0.84) > N95 mask -with valve (0.834) > Heavy knitted cotton mask (0.808) > Surgical mask (0.778) > Cotton mask-2 layers (0.744) > Nylon fabric mask-2 layers (0.740) > T-shirt fabric mask-2 layers (0.708) > T-shirt fabric mask-1 layer (0.648). The choice of facemask is greatly driven by the size of viable respiratory droplets that need to be eliminated. If droplets with particle size less than 0.5 µm are required to be filtered, N95 masks without the valve or more layers are preferred. If the primary objective is to filter particles between 0.5-1 µm, then N95 (both with or without valves) or KN95 masks are recommended. Surgical masks and heavy knitted cotton masks may also be used for this purpose, but with caution.