HEALTH CDC-Facemask and Respirator Use in Community where SWINE FLU DETECTED

ainitfunny

Saved, to glorify God.
CDC is calling N95 close fitting masks "RESPIRATORS" and those loose fitting, flat, usually folded pleat, surgical, or other material "MASKS".

They seem to be advising DON'T rely on any mask or respirator and KEEP at least 6 foot away if you MUST risk exposure, and LIMIT YOUR TIME, EVEN WITH MASK OR RESPIRATOR that you are in infected area. Basically, I translate this official advice to; avoid groups and Stay out of stranger contact even if you wear a respirator or mask.

If there is ANY CHANCE you WILL come near an infected person WEAR A RESPIRATOR, NOT A FACEMASK!!
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Interim Recommendations for Facemask and Respirator Use in Certain Community Settings Where Swine Influenza A (H1N1) Virus Transmission Has Been Detected

April 26, 2009 01:00 ET

This document provides interim guidance and will be updated as needed.

Detailed background information and recommendations regarding the use of masks and respirators in non-occupational community settings can be found on PandemicFlu.gov in the document Interim Public Health Guidance for the Use of Facemasks and Respirators in Non-Occupational Community Settings during an Influenza PandemicExternal Web Site Policy..



Information on the effectiveness of facemasks1 and respirators2 for the control of influenza in community settings is extremely limited. Thus, it is difficult to assess their potential effectiveness in controlling swine influenza A (H1N1) virus transmission in these settings. In the absence of clear scientific data, the interim recommendations below have been developed on the basis of public health judgment and the historical use of facemasks and respirators in other settings.

In areas with confirmed human cases of swine influenza A (H1N1) virus infection, the risk for infection can be reduced through a combination of simple actions. No single action will provide complete protection, but an approach combining the following steps can help decrease the likelihood of transmission. These actions include frequent handwashing, covering coughs, and having ill persons stay home, except to seek medical care, and minimize contact with others in the household. Additional measures that can limit transmission of a new influenza strain include voluntary home quarantine of members of households with confirmed or probable swine influenza cases, reduction of unnecessary social contacts, and avoidance whenever possible of crowded settings.

When it is absolutely necessary to enter a crowded setting or to have close contact3 with persons who might be ill, the time spent in that setting should be as short as possible. If used correctly, facemasks and respirators can help prevent some exposures, but they should be used along with other preventive measures, such as avoiding close contact and maintaining good hand hygiene. When crowded settings or close contact with others cannot be avoided, the use of facemasks1 or respirators2 in areas where transmission of swine influenza A (H1N1) virus has been confirmed should be considered as follows:

1. Whenever possible, rather than relying on the use of facemasks or respirators, close contact with people who might be ill and being in crowded settings should be avoided.
2. Facemasks1 should be considered for use by individuals who enter crowded settings, both to protect their nose and mouth from other people's coughs and to reduce the wearers' likelihood of coughing on others; the time spent in crowded settings should be as short as possible.
3. Respirators2 should be considered for use by individuals for whom close contact with an infectious person is unavoidable. This can include selected individuals who must care for a sick person (e.g., family member with a respiratory infection) at home.

These interim recommendations will be revised as new information about the use of facemasks and respirators in the current setting becomes available.

For more information about human infection with swine influenza virus, visit the CDC Swine Flu website.

1 Unless otherwise specified, the term "facemasks" refers to disposable masks cleared by the U.S. Food and Drug Administration (FDA) for use as medical devices. This includes facemasks labeled as surgical, dental, medical procedure, isolation, or laser masks. Such facemasks have several designs. One type is affixed to the head with two ties, conforms to the face with the aid of a flexible adjustment for the nose bridge, and may be flat/pleated or duck-billed in shape. Another type of facemask is pre-molded, adheres to the head with a single elastic band, and has a flexible adjustment for the nose bridge. A third type is flat/pleated and affixes to the head with ear loops. Facemasks cleared by the FDA for use as medical devices have been determined to have specific levels of protection from penetration of blood and body fluids.

2 Unless otherwise specified, "respirator" refers to an N95 or higher filtering facepiece respirator certified by the U.S. National Institute for Occupational Safety and Health (NIOSH).

3 Three feet has often been used by infection control professionals to define close contact and is based on studies of respiratory infections; however, for practical purposes, this distance may range up to 6 feet. The World Health Organization uses "approximately 1 meter"; the U.S. Occupational Safety and Health Administration uses "within 6 feet." For consistency with these estimates, this document defines close contact as a distance of up to 6 feet.

http://www.cdc.gov/swineflu/masks.htm
 

Housecarl

On TB every waking moment
+1000 regarding N95 respirator usage! I'd also suggest wearing something to serve as eye shields as well.
 

zoose

Inactive
We have dusk masks as well as N95 masks.

I have a MSA Resperator that I use once in a while for work.

Dusty attics and crawl spaces with mouse and rat feces.

Photos below:
 

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bev

Has No Life - Lives on TB
Re N95 masks/respirators:

It is extremely important that these masks are fit-tested, to ensure that you are actually going to be protected. For healthcare workers, fit-testing is done periodically, and any significant (20+ pound) weight gain or loss requires new fit-testing. There should be NO facial hair!

There are different sizes of these - be sure you get the right size for you.

A little more information:

http://www.preparedness.com/fiten95maand.html
 

Barry Natchitoches

Has No Life - Lives on TB
BTW, the local Lowes has a full supply of both respirators and safety glasses. NOBODY is stocking up on these supplies yet, at least not near my home.
 

SassyinAZ

Inactive
The 6' recommendation is sound, because the masks aren't small enough to keep the virus out (it is small enough to travel through gauze as I understand it). They will keep airborne particles out though so it offers more protection than nothing, as well as keeping your germs to yourself.
 

MorningSunn

Rhea the Rogue
Basically, I translate this official advice to; avoid groups and Stay out of stranger contact even if you wear a respirator or mask.

If there is ANY CHANCE you WILL come near an infected person WEAR A RESPIRATOR, NOT A FACEMASK!!

Great Advice!

Have a feeling my Nano Mask may not be good anymore ... need to pick up some more N95 ones

:spns:
 

Robin Hood

Veteran Member
my son is an emt so i'm sure wtshtf he will be prime for all the crap. I asked him about masks but he is ambivalent about all this as of now.


rh
 

Double_A

TB Fanatic
Re N95 masks/respirators:

It is extremely important that these masks are fit-tested, to ensure that you are actually going to be protected. For healthcare workers, fit-testing is done periodically, and any significant (20+ pound) weight gain or loss requires new fit-testing. There should be NO facial hair!

There are different sizes of these - be sure you get the right size for you.

A little more information:

http://www.preparedness.com/fiten95maand.html

+10,000,000

Also the most significant thing you can do for comfort is buy disposables that have exhaust valves. Heat and Moisture buildup inside the mask reduces the respirators effectiveness and inhibits a persons ability to constantly wear it.
 

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Double_A

TB Fanatic
my son is an emt so i'm sure wtshtf he will be prime for all the crap. I asked him about masks but he is ambivalent about all this as of now.


rh

The people who wear respiratory protection know how difficult it is to wear them effectively and how easy it is to screw it up for any number of reasons.

Just reach up their under your mask and wipe away some moisture from your breath and at the same time contaminate your nose with germs. Oh heck you were wearing that mask for 10 hours and only did it a couple times and just for a second, it won't hurt anything......
 

Double_A

TB Fanatic
The 6' recommendation is sound, because the masks aren't small enough to keep the virus out (it is small enough to travel through gauze as I understand it). They will keep airborne particles out though so it offers more protection than nothing, as well as keeping your germs to yourself.

IIRC, All virus are LARGER than the 3 microns the N95 or N100 will filter. But the good news is these sub-micron viruses are carried in super gigantic droplets of moisture in a sneeze and are filtered out.
 
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Hansa44

Justine Case
Well.....this does not look good at all about the masks and respirators. I read somewhere else that they will not help much for this flu.

SO! What happens with the doctors, nurses, aides, caregivers, 911, who will try to assist with those that are sick?
 

Zulu Cowboy

Keep It Real...
Well.....this does not look good at all about the masks and respirators. I read somewhere else that they will not help much for this flu.

SO! What happens with the doctors, nurses, aides, caregivers, 911, who will try to assist with those that are sick?

N-95 masks are just fine for respiratory protection against the flu. This particular flu strain does not hold some special power. This is the personal protective equipment that we use every day...at the hospital where I work. They are also used quite effectively, to protect against Tuberculosis and a host of other airborne respiratory hazards.

Used in conjunction with frequent hand washing...& you should be fine.

Don't rub your eyes, pick your nose or eat or smoke without washing your hands first.

Disinfect commonly touched surfaces like doorknobs, cellphones, TV remote controls & computer keyboards.

I'm around sick folks every day...and these actions, (along with copious amounts of sanitizing alcohol foam) have kept me healthy for years.

I see no reason why this 'dreaded' Swine Flu, should change that...

Zulu Cowboy
 

bev

Has No Life - Lives on TB
Hansa, I'm a nurse, and if/when I am assigned to a patient with this new influenza, I'll provide the best care I can, as I do now. I'll wear my fit-tested N95 respirator and gloves and gown.

I'd imagine that staffing will be changed around a bit to accommodate pregnant nurses, as well as those who cannot wear the N95 mask (unable to be fitted properly, claustrophobic), and we may be assigned fewer patients than usual. We will do multiple tasks while in the room, so as to limit the amount of times we go in or out.

I'm sure visitors will be prohibited, at least for a while, from the patient certainly, but maybe from the entire hospital. Heck, maybe staff will have to bunk in for the duration??? Can you say OVERTIME????

Seriously though, I think any medical professional will respond in the same way that I did - that we will provide the same care as we would to any other patient.
 

Hansa44

Justine Case
Hansa, I'm a nurse, and if/when I am assigned to a patient with this new influenza, I'll provide the best care I can, as I do now. I'll wear my fit-tested N95 respirator and gloves and gown.

I'd imagine that staffing will be changed around a bit to accommodate pregnant nurses, as well as those who cannot wear the N95 mask (unable to be fitted properly, claustrophobic), and we may be assigned fewer patients than usual. We will do multiple tasks while in the room, so as to limit the amount of times we go in or out.

I'm sure visitors will be prohibited, at least for a while, from the patient certainly, but maybe from the entire hospital. Heck, maybe staff will have to bunk in for the duration??? Can you say OVERTIME????

Seriously though, I think any medical professional will respond in the same way that I did - that we will provide the same care as we would to any other patient.


Thank you for your explanation. Please keep us up to date in what's happening where you work.
Be interesting to have a thread here just for the nurses and doctors to post their info. (of course you'd get responses but would be a good place to ask questions)
 

momof23goats

Deceased
+10,000,000

Also the most significant thing you can do for comfort is buy disposables that have exhaust valves. Heat and Moisture buildup inside the mask reduces the respirators effectiveness and inhibits a persons ability to constantly wear it.

the mask in this picture is what I have. andI also have some n 95 just plain masks. and a gas mask if it gets really bad.
 

Double_A

TB Fanatic
the mask in this picture is what I have. andI also have some n 95 just plain masks. and a gas mask if it gets really bad.

Whoa, you sound like you are well covered. I have some of those in the picture on order also. I also have some of the NanoMasks from a couple years back.

I also have a filter cartridge adapter for the mask that goes with my Scott Airpack. It's kinda handy, I can disconnect the Airpack regulator from the mask and twist in the filter cartridge adapter. An SCBA or an APR with the same mask. I like Scott brand because they have a very comfortable kevlar mesh to you pull back across the head instead of the rubber straps most others (MSA, Carins, North, Survivair use).
 

OddOne

< Yes, I do look like that.
And remember, unless it specifically states it's OSHA/NIOSH approved at N95 or better, assume it's not.
 
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