jueves, 3 de abril de 2014

CDC - NIOSH Science Blog – Do We Need to Challenge Respirator Filters With Biological Aerosols?

CDC - NIOSH Science Blog – Do We Need to Challenge Respirator Filters With Biological Aerosols?

Do We Need to Challenge Respirator Filters With Biological Aerosols?

Figure 1. Typical particle sizes found in various workplace and environmental aerosols. The dashed green line represents the 0.3 um mass median aerodynamic diameter (MMAD) sodium chloride aerosol used by NIOSH for respirator filter testing of N95-class air purifying respirators. Note: adapted from various sources.(16-18)
The purpose of this NIOSH Science Blog is to explain what is currently known about an important aspect of respirator filtration.  For decades, respirator researchers have been asked whether filters need to be tested with aerosols similar to those encountered in the environment (Figure 1).  Common sense suggests that viruses or bacteria are collected differently from engineered nanoparticles, silica dusts, oil mists or other types of workplace aerosols. 

But this may not be the case.  Why is that?

Particle capture or collection by a respirator filter depends on the physical characteristics of the particle – shape, size and density.(12)  Whether the particle is “living” or “infectious” plays no role in how well it will be collected by a filter.(3)Once a particle is collected it will remain attached by electrostatic and van der Waals’ forces and will not easily migrate.(4)  Biological organisms have no capacity for moving on their own through a filter.(5)  Particles are very hard to remove from a filter once they are collected – the forces keeping a particle attached to the filter are surprisingly strong.(24-6) 
Researchers have developed an understanding of how different test conditions affect respirator filtration efficiency.(247-9)  This information can be exploited to create most rigorous or “worst case” type conditions for testing.  Important features of a “worst case” filter performance test include: 
  1. The test aerosol should include particles at or near the most penetrating particle size range.(28)
  2. The test air flow should be near the highest level encountered during heavy work, because higher air flow leads to more particles getting through the filter.(2810) Tests that do not specify a high air flow or allow selection from a range of air flows can be easily manipulated to produce results that suggest a filter will be more effective than they will actually perform.(1112).
  3. The test aerosol should be charge neutralized (have an equal distribution of positively and negatively charged particles), because charge neutralization has been shown to lower the filter collection of particles.(9) Test protocols that do not require charge neutralization of the challenge aerosol may suggest that filters will perform with higher efficiency than may be the case in the “real world.”
  4. The detection method should be able to measure particles in the most penetrating particle size range with high sensitivity and precision.  Direct reading instruments that measure how particles scatter light have greater sensitivity and precision than bioassays that require viable viruses or bacteria, multiple dilutions, specific growth media, temperature-controlled growth conditions and well-trained technicians to count colonies.(13)
The test conditions used by NIOSH in 42 Code of Federal Regulations Part 84 for respirator certification testing of air purifying respirators are believed to represent near “worst case” conditions for all types of workplaces.(714)  (See: NIOSH Science Blog, N95 Respirators and Surgical Masks, Section on “How do filters collect particles”  and Respiratory Protection for Workers Handling Engineered Nanoparticles.  This ensures that filters in NIOSH certified respirators will collect all types of workplace aerosols – including emerging hazards such as airborne infectious organisms (15) and engineered nanoparticles (7) – with very high efficiency.   

What do these data mean for respirator filter testing?

The literature cited in this Science Blog suggest that it is not necessary to test a respirator filter with a biological aerosol, but rather to focus on “worse-case” type test conditions.  When properly selected and used, respirators tested using these types of filter tests should provide expected levels of protection against all types of workplace aerosols. 
A federal register notice was published on March 14, 2014 to solicit additional input on several topics, including this issue.  Specifically, NIOSH is seeking information and comments to assess whether NIOSH should consider additional filter test methods to enhance existing requirements.  Are there any important developments in aerosol science or key scientific data that would better inform NIOSH on the filtration of biological aerosols?  Comments may be submitted to NIOSH Docket #272 External Web Site Iconby April 14, 2014 through this site:http://www.regulations.gov/#!docketDetail;D=CDC-2014-0005External Web Site Icon.  Comments to this NIOSH Science blog made by April 14, 2014 will be added to NIOSH Docket #272. 
Lisa M. Brosseau, ScD, CIH and Ronald Shaffer, PhD 
Dr. Brosseau is a Professor in the Division of Environmental and Occupational Health Sciences at the University of Illinois at Chicago School of Public Health.
Dr. Shaffer is Chief of Technology Research Branch at NIOSH’s National Personal Protective Technology Laboratory. 


1   McCullough, N., L. Brosseau, and D. Vesley: Collection of three bacterial aerosols by respirator and surgical mask filters under varying conditions of flow and relative humidity.Annals of occupational hygiene 41(6): 677-690 (1997). 
2   Hofacre, K.C., A.W. Richardson, J.P. Eshbaugh, and P.D. Gardner: “Respirator filter efficiency testing against particulate and biological aerosols under moderate to high flow rates.” Edgewood Chemical Biological Center ECBC-CR-085, 2006. [Available at NIOSH Docket #272] 
3   Harnish, D., B. Heimbuch, M. Husband, A. Lumley, K. Kinney, R. Shaffer et al.:Challenge of N95 Filtering Facepiece Respirators with Viable H1N1 Influenza Aerosols.Infection control and hospital epidemiology: the official journal of the Society of Hospital Epidemiologists of America 34(5): 494 (2013). 
4   Hinds, W.C.: Aerosol technology: properties, behavior, and measurement of airborne particles: John Wiley & Sons, 2012. 
5   Fisher, E.M., A.W. Richardson, S.D. Harpest, K.C. Hofacre, and R.E. Shaffer:Reaerosolization of MS2 bacteriophage from an N95 filtering facepiece respirator by simulated coughing. Annals of occupational hygiene 56(3): 315-325 (2012). 
6   Kennedy, N.J., and W.C. Hinds: Release of simulated anthrax particles from disposable respirators. J Occup Environ Hyg 1(1): 7-10 (2004). 
7   Shaffer, R.E., and S. Rengasamy: Respiratory protection against airborne nanoparticles: a review. Journal of nanoparticle research 11(7): 1661-1672 (2009). 
8   Stevens, G.A., and E.S. Moyer: “Worst case” aerosol testing parameters: I. Sodium chloride and dioctyl phthalate aerosol filter efficiency as a function of particle size and flow rate. The American Industrial Hygiene Association Journal 50(5): 257-264 (1989). 
9   Moyer, E.S., and G.A. Stevens: “Worst-Case” Aerosol Testing Parameters: III. Initial Penetration of Charged and Neutralized Lead Fume and Silica Dust Aerosols through Clean, Unloaded Respirator Filters. The American Industrial Hygiene Association Journal 50(5): 271-274 (1989). 
10  Eshbaugh, J.P., P.D. Gardner, A.W. Richardson, and K.C. Hofacre: N95 and P100 respirator filter efficiency under high constant and cyclic flow. Journal of Occupational and Environmental Hygiene 6(1): 52-61 (2008). 
11  Oberg, T., and L.M. Brosseau: Surgical mask filter and fit performance. American journal of infection control 36(4): 276-282 (2008). 
12   Rengasamy, S., A. Miller, B.C. Eimer, and R.E. Shaffer: Filtration performance of FDA-cleared surgical masks. Journal of the International Society for Respiratory Protection 26(1): 54 (2009). 
13  Brosseau, L.M., N.V. McCullough, and D. Vesley: Mycobacterial aerosol collection efficiency of respirator and surgical mask filters under varying conditions of flow and humidity. Applied occupational and environmental hygiene 12(6): 435-445 (1997). 
14  NIOSH: “NIOSH Guide to the Selection and Use of Particulate Respirators Certified Under 42 CFR 84.” [Online] Available at http://www.cdc.gov/niosh/docs/96-101/, (1996). 
15  Janssen, L., H. Ettinger, S. Graham, R. Shaffer, and Z. Zhuang: Commentary: The Use of Respirators to Reduce Inhalation of Airborne Biological Agents. Journal of Occupational and Environmental Hygiene 10(8): D97-D103 (2013). 
16  Zayas, G., M.C. Chiang, E. Wong, F. MacDonald, C.F. Lange, A. Senthilselvan et al.:Cough aerosol in healthy participants: fundamental knowledge to optimize droplet-spread infectious respiratory disease management. BMC pulmonary medicine 12(1): 11 (2012). 
17  Baron, P.: “Generation and Behavior of Airborne Particles (Aerosols).” [Online] Available at http://www.cdc.gov/niosh/topics/aerosols/pdfs/Aerosol_101.pdf Adobe PDF file, (2010). 
18  NIEH: “Particles: Size Makes All the Difference.” [Online] Available athttp://www.niehs.nih.gov/health/assets/docs_a_e/ehp_student_edition_lesson_particles_size_makes_all_the_difference.pdf Adobe PDF fileExternal Web Site Icon, (2006).

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