Study Ranks the Best and Worst Materials for Face Masks

Some coverings work better than others when it comes to blocking virus spray

You don’t need a fancy medical-grade mask to deter the spread of the coronavirus, but some face coverings do work better than others, according to a new study published in the journal Science Advances.

Researchers at Duke University tested the effectiveness of 14 commonly available masks and found that surgical masks and N95 respirators without valves worked the best at blocking respiratory droplets from projecting into the air when a person talks. A variety of double-layer polypropylene and cotton masks also reduced a significant amount of spray from normal speech.

Least effective, however, were bandanas, knitted masks and neck fleeces (also called gaiter masks), the latter of which may be worse than wearing no mask at all. The researchers found that neck fleeces actually dispersed more spray into the air, not less, because the material broke down larger respiratory droplets into smaller particles.

“Considering that smaller particles are airborne longer than large droplets (larger droplets sink faster), the use of such a mask might be counterproductive,” the study’s researchers wrote.

Face masks are most effective when worn by all

In recent months, public health experts have stressed the importance of wearing face masks as a way to deter the spread of the coronavirus — especially by asymptomatic carriers, or people who don’t know they have the virus because they never develop symptoms. Face coverings act as a barrier by helping to keep respiratory particles from escaping an infected individual and landing on another person.

“Just speaking lets these particles get out, and these particles can carry viruses,” including the virus that causes COVID-19, explains Eric Westman, M.D., an associate professor of medicine at Duke University School of Medicine and a coauthor on the study. And knowing which masks are best at blocking these particles can help guide consumer decisions that impact the spread of the virus, he adds. The researchers designed a setup consisting of a box, a laser, a lens and a cellphone camera to test the masks.

Want to know how your mask fares? You don’t need a team of Duke scientists and a high-powered laser to find out. A quick and easy way to tell if a mask is good at blocking particles is to pull it tight and hold it up to the sky. “If you can see daylight through the mask, it’s not so good. Or if you can take it and blow really hard, and [your air] just goes right through, that’s not blocking much,” Westman says.

His advice to the general public, and especially to those concerned about their risk for severe illness from a coronavirus infection, is to “wear the best one that you can.” If a standard three-layer surgical mask is available to you — and some are now showing up on store shelves — go for it. But know that your double-layer DIY cotton mask is also fine in the community setting. Just be sure not to wear an N95 mask with a valve, Westman says. These masks release exhaled air, which defeats the purpose of wearing the mask to protect others.

Westman says more research is needed to test mask effectiveness, but in the meantime, the study shows that accessible, low-cost options do work.

“If everyone wore a mask, we could stop up to 99 percent of these droplets before they reach someone else,” Westman said in a Duke University news release. “In the absence of a vaccine or antiviral medicine, it’s the one proven way to protect others as well as yourself.”

14 Masks Ranked From Most Effective to Least Effective

See photo below for mask details, courtesy Emma Fischer, Duke University

1. Fitted N95, no valve (mask no. 14 in photo)
2. 3-layer surgical mask (mask no. 1 in photo)
3. Cotton-polypropylene-cotton mask (mask no. 5 in photo)
4. 2-layer polypropylene apron mask (mask no. 4 in photo)
5. 2-layer cotton, pleated style mask (mask no. 13 in photo)
6. 2-layer cotton, pleated style mask (mask no. 7 in photo)
7. Valved N95 mask (mask no. 2 in photo)
8. 2-layer cotton, Olson style mask (mask no. 8 in photo)
9. 1-layer Maxima AT mask (mask no. 6 in photo)
10. 1-layer cotton, pleated style mask (mask no. 10 in photo)
11. 2-layer cotton, pleated style mask (mask no. 9 in photo)
12. Knitted mask (mask no. 3 in photo)
13. Double-layer bandana (mask no. 12 in photo)
14. Gaiter type neck fleece (mask no. 11 in photo)

Source: Duke University, Science Advances

PHOTO BY EMMA FISCHER, DUKE UNIVERSITY
Article written by Rachel Nania, AARP, August 10, 2020