Sharing Fit test results of FFP2 masks

Health care workers share knowledge

Fit testing on a small sample of HCWs can predict the pass ratio on a larger cohort. As HCWs struggle worldwide to have enough of the right PPE, this page is for sharing results of fit tests in order to help each other make an informed decision about which FFP2 mask to choose. Starting with the results of my own study and urging others to do the same. So we may learn from each others how to keep not just ourselves but also our colleagues, families and patients safer.

Certification has no predictive value for the safety of FFP2 masks

During preliminary research to choose a new supplier of FFP2 mask we found that 5 out of 7 (71%) of the FFP2 masks did not perform as expected and required by the EN-149 with a fail ratio in these mask between 23% and 82%. A surprising amount of these masks failed to even pass the FFP1 threshold of 22% leakage, which means that in 14-50% of HCWs these FFP2 masks actually performed just like a surgical mask that had an average leakage of 25% in our study. Futhermore, HCWs wearing a failing brand had a 22% risk of having a fitscore of 1 during at least one excercise. This means a 100% leakage, with no measurable concentration difference whatsoever between the inside and the outside of the FFP2 mask. If the mask passed the EN-149 norm, this risk was deminished to 1,7%. Although both men and women are affected with poor fitting masks, woman are up to 90% more likely to fail the fittest depending on the brand of mask. Futhermore we found from the questionnaires that if we were to rely solely on fit-checking alone, a self-test advised among others by NHS self-assessment guidelines, we would miss a little over half the failing masks.


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