Milwaukee Journal Sentinel

To combat COVID, masking remains essential: Froedtert expert answers common mask questions

- Mary Beth Graham Guest columnist

We're going to be wearing masks for a while. Health experts warn that the coronaviru­s pandemic is far from over, especially with variants of the disease circulatin­g in Wisconsin.

That means good mask etiquette will remain important to prevent the spread of disease.

Here are answers to common mask questions from Dr. Mary Beth Graham, a health care expert at Froedtert Hospital & the Medical College of Wisconsin.

What are the best kind of masks for the average person to wear?

The best masks are the ones you will wear! The Centers for Disease Control and Prevention just came out with new recommenda­tions regarding masking. Those recommenda­tions

focus on improving the fit and coverage over the nose and mouth and decreasing the “vents” along the sides of the mask.

The CDC suggests you do this either by double masking (wearing a cloth mask atop a disposable surgical mask) or by knotting and tucking the ear loops on a single surgical mask. The better the fit of the mask and the more tightly that the mask conforms to your face, the less likely one is to be exposed to potentiall­y infectious aerosols.

Is it better to wear two masks? What two?

New data suggests that wearing two masks may provide additional protection over wearing one. The most important issue is the fit of the mask so that it fully covers the nose and mouth. If you use a single cloth mask, make sure it is made of multiple layers of fabric and has a nose wire that can be positioned to prevent air from leaking out the top of the mask.

Alternativ­ely, CDC has recommende­d the use of a mask fitter or brace that can be worn over a mask (either cloth or disposable) to prevent air from leaking around the edges of the mask.

If you use two masks, wear a disposable mask under a cloth mask that has multiple layers of fabric.

If wearing two masks is uncomforta­ble, knotting the ear loops of a threeply mask where they join the edge of the mask can improve the fit and provide additional protection.

Otherwise, good single masks are marked either KN95 or KF94.

The CDC does not recommend combining an N95, KN95, or KF94 with another mask.

How do you find a high-quality mask? How do you know if they are high quality?

A high-quality cloth mask should have at least three layers or a tightly woven fabric and fully cover the nose and mouth. A high-quality disposable mask should have at least three layers.

Should people buy an N95 mask if they can find one? Is a KN95 mask just as good? What about KF94 masks?

N95 masks worn in U.S. health care facilities are National Institute for Occupation­al Safety approved, and workers who wear them must be “fit-tested” to assure a tight seal in compliance with federal regulation­s. The CDC has recommende­d these masks be restricted for use by health care workers.

KN95 masks are the Chinese equivalent of the N95 mask and can be purchased online by the public. The KN95 mask is more effective at filtering out aerosolize­d droplets than a routine surgical mask but is not considered equivalent to an N95 for use by medical profession­als.

The KF94 mask is from South Korea and has a similar ability to filter aerosol particulat­es as the KN95; it also is available for purchase online. As with the KN95, the KF94 mask is not considered equivalent to an N95 and is not approved for use by medical profession­als.

People who choose to wear the KN95 or KF94 mask in public do not need to wear another cloth mask over it as is the case with a surgical mask. The CDC has a running list of non-NIOSH-approved KN95s, KF94s and other protective masks that have gone through filtration testing. The list also includes known counterfei­ts. Go to: www.cdc.gov/niosh/npptl/usernotice­s/counterfei­tResp.html

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GETTY High-profile officials have been double masking, but does the extra layer actually help slow the spread of COVID-19?

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