Double-masking, knotting-and-tucking for snug fit reduces COVID-19 spread, U.S. study shows

By Manas Mishra

(Reuters) – Making sure a mask fits snugly on the face and use of two masks is likely to significantly reduce a person’s exposure to the coronavirus, laboratory experiments described by U.S. health officials on Wednesday showed.

The U.S. Centers of Disease Control and Prevention (CDC) in January conducted experiments to see how well wearing a cloth mask over a three-ply medical procedure mask, and knotting the ear loops of a surgical mask and then tucking the excess material close to the face, protects against COVID-19.

They found that both these methods helped reduce the exposure to potentially infected aerosols by more than 90% in laboratory simulations.

Results from one experiment demonstrated that the un-knotted medical procedure mask alone blocked 42.0% of the particles from a simulated cough, and the cloth mask alone blocked 44.3%.

The double mask combination blocked 92.5% of the cough particles.

In another experiment, the CDC tried to simulate the spread of COVID-19 during breathing when one or both people are properly masked. In the first scenario with only the source of the aerosols wearing a mask, they found coronavirus exposure was reduced by 82.2% when double-masking, and 62.9% with a snug fitting, knotted and tucked surgical mask.

When the source and receiver of simulated breathing aerosols were both fitted with double masks, or knotted and tucked medical masks, the exposure of the receiver was reduced 96.4% and 95.9%, respectively, the experiments found.

The data underscore that a good, tight fit with no spaces around the sides or use of a second cloth mask to improve the fit of the first mask increases overall efficiency and reduces virus transmission risk, the CDC said.

(Reporting by Manas Mishra in Bengaluru; Editing by Bill Berkrot)

Scientists spray saliva-like droplets in stadium to study how fans spread aerosols

By Bart H. Meijer

AMSTERDAM (Reuters) – Scientists are using the Netherlands’ largest football stadium to model how a cheering football crowd might spread aerosols through the air by spraying fine droplets, made to resemble saliva, over the empty stands.

Their hope is that by finding out more about the behavior of aerosols or airborne particles, which could spread the coronavirus within a crowd, they will be able to remove them from the air and get fans back into stadiums and concert halls.

“There is almost no information in scientific literature about the behavior of aerosols in this kind of environment”, lead researcher Bert Blocken told Reuters.

The tests are taking place at the Johan Cruyff Arena in Amsterdam, home of Ajax Amsterdam.

“We want to get a fundamental insight in the behavior of aerosols in a stadium filled with football supporters. By air cleaning technologies you can drastically reduce concentrations and make stadiums safe in terms of aerosol transmission of the virus,” he added.

There is growing consensus among scientists that transmission via aerosols plays a part in the spread of the novel coronavirus, although it is unclear to what extent.

The research could provide insight in how to minimize the concentration of aerosols and limit their epidemic risk, said Blocken, a professor in aerodynamics at the Technical University of Eindhoven.

A computer model will extrapolate the data gathered during weeks of testing to show the effects for a full capacity crowd of around 55,000.

Researchers also hope to get permission soon to experiment with a real crowd of 730 football fans, seated close together.

The final goal is to get capacity crowds back into stadiums, Blocken said, possibly through the use of large scale COVID-19 testing, face masks and ventilation.

That would be exactly what the Johan Cruyff Arena needs to survive, its director told Reuters.

“This is a very costly building, and the income is less than half of what is normal, so we are making a loss every month”, said Henk Markerink.

“We try to keep the ship afloat, but this shouldn’t take too long because in the end this cannot be financed.”