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Rapid Expert Consultation on the Effectiveness of Fabric Masks for the COVID-19 Pandemic (April 8, 2020)
Pages 55-62

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From page 55...
... Office of Science and Technology Policy Executive Office of the President Eisenhower Executive Office Building 1650 Pennsylvania Avenue, NW Washington, DC 20504 Dear Dr. Droegemeier: Attached please find a rapid expert consultation that was prepared by Rich Besser and Baruch Fischhoff, members of the National Academies of Sciences, Engineering, and Medicine's Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats, with input from Sundaresan Jayaraman and Michael Osterholm.
From page 56...
... Fineberg, M.D., Ph.D. Chair Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats This rapid expert consultation responds to your request concerning the effectiveness of homemade fabric masks worn by the general public to protect others, as distinct from protecting the wearer.
From page 57...
... and how much they impeded breathing (differential pressure, Delta-P, the measured pressure drop across the material, which determines the resistance of the material to air flow) .5 The study varied fabric type (woven, woven brushed, knitted, knitted brushed, knitted pile)
From page 58...
... recommendation to wear cloth face coverings in public settings in areas of significant community-based transmission, additional research should examine the ability of the general public to produce properly fitted fabric masks when following communications and instructions. ROLE OF THE WEARER The effectiveness of homemade fabric masks will also depend on the wearer's behavior.
From page 59...
... The study used disposable surgical masks (180 mm × 90 mm, 3 layers [inner surface mixed with polypropylene and polyethylene, polypropylene filter, and polypropylene outer surface] , pleated, bulk packaged in cardboard; KM Dental Mask, KM Healthcare Corp)
From page 60...
... For example, among adults, N95 masks provided 25 times the protection of surgical masks and 50 times the protection of cloth masks. The study's third experiment tested the effectiveness of the three masks at reducing emissions from a simulation dummy head that produced uniform "exhalations." It found that cloth masks reduced emitted particles (leakage)
From page 61...
... That research could provide policy makers with estimates of the net effect of encouraging the use of homemade fabric masks on public health, with realistic estimates of how such masks will be made and used, as well as how they will affect other precautionary behaviors of users and others who observe and interact with them. My colleagues and I hope this input is helpful to you as you continue to guide the nation's response in this ongoing public health crisis.
From page 62...
... Harvey Fineberg, chair of the Standing Committee, approved this document. The following individuals served as reviewers: Ned Calonge, The Colorado Trust; Robert Hornik, University of Pennsylvania; Thomas Inglesby, Johns Hopkins Bloomberg School of Public Health Center for Health Security; and Grace Lee, Stanford University.


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