Efficacy of Cloth Mask in Reducing COVID-19 Transmission: A Literature Review

Saraswati Anindita Rizki, Andree Kurniawan

Abstract


Coronavirus Disease 2019 (COVID-19) has become a public health concern. Preventive measures, such as wearing personal protective equipment, must be done. In April 2020, the Center for Disease Control stated cloth face mask was recommended to be used by the public. This systematic review aims to evaluate the efficacy of cloth face masks in reducing COVID-19 transmission and to compare the fabric material that suits best for a cloth face mask. Journals included were from databases such as Google Scholar, PubMed, search engines, and references from other studies. MeSH keywords, such as "cloth mask efficiency", "surgical mask", "COVID-19" and "filtration performance of common fabrics cloth mask" were used. Studies that used particle microorganisms sized ≤ 0.072 m were included in this study. Studies show that cloth face mask still can filter to a certain extent, however, it is inferior compared to surgical mask. Results show that the efficacy of cloth face mask depends on its fabric, and that polyester provides the best filtration efficiency. However, the pressure drop of polyester is unknown and more studies should be done.

Keywords


cloth mask, COVID-19, efficacy, face mask, surgical mask

Full Text:

PDF

References


 1. World Health Organization [homepage on the Internet]. WHO coronavirus disease (COVID-19) dashboard; 2020 [updated 2020 May 26; cited 2020 May 27]. Available from: https://covid19.who.int/

 2. World Health Organization [homepage on the Internet]. Modes of transmission of virus causing COVID-19 : implications for IPC precaution recommendations; 2020 [updated 2020 Mar 29; cited 2020 Apr 4]. Available from: https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations

 3. Cowling BJ, Ali ST, Ng TWY, Tsang TK, Li JCM, Fong MW, et al. Impact assessment of non-pharmaceutical interventions against coronavirus disease 2019 and influenza in hong kong: an observational study. Lancet Public Heal [Internet]. 2020 [cited 2020 Apr 20];5(5):e279–88. Available from: https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(20)30090-6/fulltext

 4. Centers for Disease Control and Prevention [homepage on the Internet] Recommendation regarding the use of cloth face coverings, especially in areas of Significant community-based transmission;. 2020 [updated 2020 Apr 3; cited 2020 Apr 10]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover.html

 5. Okubo T, Kobayashi H. Performance evaluation of masks for medical use ― including the comparison with commercially available masks for general use. 医療関連感染 [Internet]. 2008 [cited 2020 Apr 15];1(2):9–13. Available from: https://www.thcu.ac.jp/uploads/imgs/20150525121301.pdf

 6. Neupane BB, Mainali S, Sharma A, Giri B. Optical microscopic study of surface morphology and filtering efficiency of face masks. PeerJ [Internet]. 2019 [cited 2020 Apr 18];1–14. Available from: https://peerj.com/articles/7142/

 7. Shakya KM, Noyes A, Kallin R, Peltier RE. Evaluating the efficacy of cloth facemasks in reducing particulate matter exposure. J Expo Sci Environ Epidemiol [Internet]. 2017 [cited 2020 Apr 28];27(3):352–7. Available from: https://www.nature.com/articles/jes201642

 8. Davies A, Thompson KA, Giri K, Kafatos G, Walker J, Bennett A. Testing the efficacy of homemade masks: would they protect in an influenza pandemic? Disaster Med Public Health Prep [Internet]. 2013 [cited 2020 Apr 27];7(4):413–8. Available from: https://www.cambridge.org/core/journals/disaster-medicine-and-public-health-preparedness/article/testing-the-efficacy-of-homemade-masks-would-they-protect-in-an-influenza-pandemic/0921A05A69A9419C862FA2F35F819D55

 9. Bae S, Kim M-C, Kim JY, Cha H-H, Lim JS, Jung J, et al. Effectiveness of surgical and cotton masks in blocking SARS-CoV-2: a controlled comparison in 4 patients. Ann Intern Med [Internet]. 2020 [cited 2020 Apr 15];(April):4–5. Available from: https://www.acpjournals.org/doi/10.7326/M20-1342

 10. Ma Q-X, Shan H, Zhang H-L, Li G-M, Yang R-M, Chen J-M. Potential utilities of mask-wearing and instant hand hygiene for fighting SARS-COV-2. J Med Virol [Internet]. 2020 [cited 2020 Apr 20];1–5. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/jmv.25805

 11. Rengasamy S, Eimer B, Shaffer RE. Simple respiratory protection - evaluation of the filtration performance of cloth masks and common fabric materials against 20-1000 nm size particles. Ann Occup Hyg [Internet]. 2010 [cited 2020 Apr 17];54(7):789–98. Available from: https://academic.oup.com/annweh/article/54/7/789/202744

 12. MacIntyre CR, Seale H, Dung TC, Hien NT, Nga PT, Chughtai AA, et al. A cluster-randomized trial of cloth masks compared with medical masks in healthcare workers. BMJ Open [Internet]. 2015 [cited 2020 May 31];5(4):1–10. Available from: https://bmjopen.bmj.com/content/bmjopen/5/4/e006577.full.pdf

 13. Clase CM, Fu EL, Joseph M, Beale RCL. Cloth masks may prevent transmission of COVID-19: an evidence-based, risk-based approach. Ann Intern Med [Internet]. 2020 [cited 2020 May 31];1. Available from: https://www.acpjournals.org/doi/10.7326/M20-2567

 14. Konda A, Prakash A, Moss GA, Schmoldt M, Grant GD, Guha S. Aerosol filtration efficiency of common fabrics used in respiratory cloth masks. ACS Nano [Internet]. 2020 [cited 2020 May 31];14:6339–47. Available from: https://pubs.acs.org/doi/pdf/10.1021/acsnano.0c03252

 15. World Health Organization [homepage on the Internet]. Advice on the use of masks in the community, during home care, and in health care settings in the context of COVID-19; 2020 [updated 2020 Apr 6; cited 2020 Apr 8]. Available from: https://www.who.int/publications-detail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-nCov)-outbreak




DOI: http://dx.doi.org/10.21109/kesmas.v15i2.3893

Refbacks

  • There are currently no refbacks.