Abstract

Airborne transmission of infectious respiratory pathogens is a significant health hazard for the general public as well as healthcare professionals. Face masks have been frequently utilized as safety measures to limit the transmission of these infectious aerosolized particles. However, the efficacy of face masks in reducing respiratory virus infectivity and pathogenicity is unknown. Improving the effectiveness of masks in blocking viruses is urgently needed. In this study, surgical mask filters were modified by coating the filters with 1, 3, or 5 M of sodium dihydrogen phosphate, and subsequently exposed to the aerosolized respiratory influenza viruses (A/H3N2, A/H5N1) generated by a nebulizer set. Mask filter modification significantly reduced the size and counts of filter pores, which enabled entrapment of 40–60% of aerosolized viruses (captured viruses) with more than 90% of the captured viruses losing their infectivity. Upon contact with the coated mask filters, both the captured viruses and the viruses that managed to bypass the filter pore (passed viruses) were found to be inactivated. Passed viruses demonstrated significantly reduced pathogenicity in mice as indicated by significantly reduced lung virus titers, bodyweight loss, and prolonged survival compared to bare control. These findings highlight the potential of modified mask filters for reducing viral activity and pathogenicity, which contributes to improving facial mask efficacy as well as limiting airborne pathogen transmission.

Highlights

  • Aerosols are airborne particles composed of both liquid and solid components which can be generated through physicochemical reactions of various substances, including infectious pathogens such as bacteria, fungi, and viruses [1]

  • While individuals exposed to these infectious aerosols are at imminent risk of infection, equipping surgical masks or N95 respirators can thwart the airborne transmission of infectious microbial pathogens such as Bordatella pertussis and Ebola virus [3,6]

  • All animal studies and husbandry involved in these experiments were conducted by following the guidelines established by Kyung Hee University IACUC, which operates under the National Veterinary Research and Quarantine Service (NVRQS) and regulations of the World Organization for Animal Health (WOAH)

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Summary

Introduction

Aerosols are airborne particles composed of both liquid and solid components which can be generated through physicochemical reactions of various substances, including infectious pathogens such as bacteria, fungi, and viruses [1]. Airborne transmission via aerosol is one of the major modes of transmitting respiratory diseases between humans, with the others being physical contact through fomites and transmission of pathogen-laden droplets to the mucosal surfaces of individuals through forceful expulsions [1]. While individuals exposed to these infectious aerosols are at imminent risk of infection, equipping surgical masks or N95 respirators can thwart the airborne transmission of infectious microbial pathogens such as Bordatella pertussis and Ebola virus [3,6]

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