Respirators protect the user in two basic ways. The first is by the removal
of contaminants from the air. Respirators of this type include particulate
respirators, which filter out airborne particles; and "gas masks” which filter
out chemicals and gases. Other respirators protect by supplying clean respirable
air from another source. Respirators that fall into this category include
airline respirators, which use compressed air from a remote source; and
self-contained breathing apparatus (SCBA), which include their own air supply.
Respirators should only be used as a "last line of defense" when engineering
control systems are not feasible. Engineering control systems, such as adequate
ventilation or scrubbing of contaminants should be used to negate the need for
respirators.
NIOSH issues recommendations for respirator use. Industrial type approvals are
in accordance to the NIOSH federal respiratory regulations. Development of
respirator standards are in concert with various partners from government and
industry.
A respirator is a device designed to protect the wearer from inhaling harmful
dusts, fumes, vapors, and/or gases. Respirators come in a wide range of types
and sizes used by the military, private industry, and the public. Respirators
range from cheaper, single-use, disposable masks to reusable models with
replaceable cartridges.
There are two main categories: the air-purifying respirator, which forces
contaminated air through a filtering element, and the air-supplied respirator,
in which an alternate supply of fresh air is delivered. Within each category,
different techniques are employed to reduce or eliminate noxious airborne
contents.Types of Respirators
Air-purifying respirators - Protective filter mask worn by NYPD officerAir-purifying respirators are used
against particulates (such as smoke or fumes), gases, and vapors that are at
atmospheric concentrations less than immediately dangerous to life and health.
The air-purifying respirator class includes:
negative-pressure respirators, using mechanical filters and chemical media
and
positive-pressure units such as powered air-purifying respirators (PAPRs)
Half- or full-facepiece designs of this type are marketed in many varieties
depending on the hazard of concern. They use a filter which acts passively on
air inhaled by the wearer. Some common examples of this type of respirator are
single-use escape hoods and filter masks. The latter are typically simple,
light, single-piece, half-face masks and employ the first three mechanical
mechanisms in the list below to remove particulates from the air stream. The
most common of these is the disposable white N95 variety. The entire unit is
discarded after some extended period or a single use, depending on the
contaminant. Filter masks also come in replaceable-cartridge, multiple-use
models. Typically one or two cartridges attach securely to a mask which has
built into it a corresponding number of valves for inhalation and one for
exhalation.
Mechanical filter respirators
Mechanical filter respirators retain particulate matter when contaminated air
is passed through the filter material. This was the method used by early
inventors such as Haslett and Tyndall. Wool is still used today as a filter,
along with other substances such as plastic, glass, cellulose, and combinations
of two or more of these materials. Since the filters cannot be cleaned and
reused and therefore have a limited lifespan, cost and disposability are key
factors. Single-use, disposable as well as replaceable cartridge models are
common.
Mechanical filters remove contaminants from air in the following ways:
- by particles which are following a line of flow in the airstream coming
within one radius of a fiber and adhering to it, called interception;
- by larger particles unable to follow the curving contours of the airstream
being forced to embed in one of the fibers directly, called impaction; this
increases with diminishing fiber separation and higher air flow velocity
- by an enhancing mechanism called diffusion, which is a result of the
collision with gas molecules by the smallest particles, especially those below
100 nm in diameter, which are thereby impeded and delayed in their path
through the filter; this effect is similar to Brownian motion and raises the
probability that particles will be stopped by either of the two mechanisms
above; it becomes dominant at lower air flow velocities
- by using certain resins, waxes, and plastics as coatings on the filter
material to attract particles with an electrostatic charge that holds them on
the surface of the filter material;
- by using gravity and allowing particles to settle into the filter material
(this effect is typically negligible); and
- by using the particles themselves, after the filter has been used, to act
as a filter medium for other particles.
Considering only particulates carried on an air stream and a fiber mesh
filter, diffusion predominates below the 0.1 μm diameter particle size.
Impaction and interception predominate above 0.4 μm. In between, near the 0.3 μm
most penetrating particle size (MPPS), diffusion and interception predominate.
For maximum efficiency of particle removal and to decrease resistance to airflow
through the filter, particulate filters are designed to keep the velocity of air
passing through the filter medium as low as possible. This is achieved by
manipulating the slope and shape of the filter to provide larger surface area.
A substantial advance in mechanical filter technology was the HEPA filter,
invented during the Manhattan Project for protection from radioactive particles
and later adapted to additional uses. A HEPA filter can remove as much as 99.97%
of all airborne particulates with aerodynamic diameter of 0.3 microns or
greater. In the United States, the categories below were established by NIOSH to
describe particulate filters.
Chemical cartridge respirators
Chemical cartridge respirators use a cartridge to remove gases, volatile
organic compounds (VOCs), and other vapors from breathing air by adsorption,
absorption, or chemisorption. A typical organic vapor respirator cartridge is a
metal or plastic case containing from 25 to 40 grams of sorption media such as
activated charcoal or certain resins. The service life of the cartridge varies
based, among other variables, on the carbon weight and molecular weight of the
vapor and the cartridge media, the concentration of vapor in the atmosphere, the
relative humidity of the atmosphere, and the breathing rate of the respirator
wearer. When filter cartridges become saturated or particulate accumulation
within them begins to restrict air flow, they must be changed.
Powered air-purifying respirators
The purpose of this type of respirator is to take air that is contaminated
with one or more types of pollutants, remove a sufficient quantity of those
pollutants and then supply the air to the user. There are different units for
different environments. The units consist of a powered fan which forces incoming
air through one or more filters for delivery to the user for breathing. The fan
and filters may be carried by the user or with some units the air is fed to the
user via tubing while the fan and filters are remotely mounted.
The type of filtering must be matched to the contaminants that need to be
removed. Some respirators are designed to remove fine particulate matter such as
the dust created during various woodworking processes. They are not suitable
when working with volatile organic compounds such as those used in many spray
paints. At the same time filters that are suitable for volatile substances must
typically have their filter elements replaced more often than a particulate
filter. In addition there is some confusion over terminology. Some literature
and users will refer to a particulate filtering unit as a dust mask or filter
and then use the term respirator to mean a unit that can handle organic
solvents.
Self contained breathing apparatus
An SCBA typically has three main components: a high-pressure tank (e.g., 2200
psi to 4500 psi), a pressure regulator, and an inhalation connection
(mouthpiece, mouth mask or face mask), connected together and mounted to a
carrying frame. There are two kinds of SCBA: open circuit and closed circuit.
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Open-circuit industrial breathing sets are filled with
filtered, compressed air, the same air we breathe normally. The compressed air
passes through a regulator, is inhaled by the user, then exhaled out of the
system, quickly depleting the supply of air. Most modern SCBAs are open-circuit.
An open-circuit SCBA has a full-face mask, regulator, air cylinder, cylinder
pressure gauge, and a harness with adjustable shoulder straps and belt which
lets it be worn on the back. Air cylinders are made of aluminum, steel, or of a
composite construction (usually fiberglass-wrapped aluminum.)
Commonly an SCBA will be of the "positive
pressure" type, which supplies a slight steady stream of air to stop toxic fumes
or smoke from leaking into the mask. Not all SCBAs are positive pressure; others
are of the "demand" type, which only supply air on demand (i.e., when the
regulator senses the user inhaling). All fire departments and those working in
toxic environments need to use the positive pressure SCBA for safety reasons.
The closed-circuit type filters, supplements, and recirculates exhaled gas: see
rebreather for more information. It is used when a longer-duration supply of
breathing gas is needed, such as in mine rescue and in long tunnels, and going
through passages too narrow for a big open-circuit air cylinder.
All respirators have some type of facepiece held to the wearer's head with
straps, a cloth harness, or some other method. The facepiece of the respirator
covers either the entire face or the bottom half of the face including the nose
and mouth. Half-face respirators can only be worn in environments where the
contaminants are not toxic to the eyes or facial area. For example, someone who
is painting an object with spray paint could wear a half-face respirator, but
someone who works with chlorine gas would have to wear a full-face respirator.
Facepieces come in many different styles and sizes, to accommodate all types of
face shapes, and there are many books and references available for determining
which kind of hazard requires what type of respirator.
OSHA respiratory protection information
Facemasks are used as a physical barrier to protect employees from hazards such
as splashes of large droplets of blood or body fluids. Facemasks also prevent
contamination by trapping large particles of body fluids that may contain
bacteria or viruses when they are expelled by the wearer (for example, through
coughing or sneezing). Facemasks are cleared by the FDA and are legally marketed
in the United States for use in disease prevention. FDA-cleared masks have been
tested for their ability to resist blood and body fluids. Facemasks are not
designed or certified to prevent the inhalation of small airborne contaminants.
The term “facemask” is used in this guidance to refer to Food and Drug
Administration (FDA) - cleared surgical, medical, procedure, dental, laser and
isolation masks.
Respirators are used to reduce an employee's exposure to airborne contaminants.
Most respirators are designed to fit the face and to provide a tight seal
between the respirator's edge and the face. A proper seal between the user's
face and the respirator forces inhaled air to be pulled through the respirator's
filter material and not through gaps in the seal between the face and
respirator. A “fit test” is necessary for most models of respirators because it
is the only way to know for certain whether a proper seal can be established
between the respirator and the user's face. The advantages and disadvantages of
respirators as compared to facemasks are described in Table 1. In some
workplaces, respirators will be an important component of protecting employees
and allowing them to perform essential work, particularly work that may put them
at greater risk for exposure to pandemic influenza. When the use of a respirator
is necessary to protect employees from an occupational hazard, the respirator
must be used in the context of a comprehensive respiratory protection program
established by the employer
Air purifying respirators are the type of respiratory protection recommended to
reduce exposure risk to pandemic influenza in certain occupational settings. Air
purifying respirators can be divided into several types. Each of these is
described below; Table 1 provides a comparison of these respirator types.
Disposable or filtering facepiece respirators are a type of respiratory
protection in which the entire respirator facepiece is comprised of filter
material. The most commonly used filtering facepiece respirator is made with
material certified to meet the N95 filtration requirements. It is important to
note that other National Institute for Occupational Safety and Health (NIOSH)-certified
N-, R-, or P- filtering facepiece respirators (e.g., N99, R95, and P100) provide
an equivalent or greater level of exposure reduction to airborne particulates as
an N95 and can be used if N95s are not available. Some filtering facepiece
respirators have an exhalation valve which can reduce breathing resistance,
reduce moisture buildup inside the respirator and increase work tolerance and
comfort for respirator users. However, respirators with exhalation valves should
not be used when there is a need to protect others from possible contamination
by the respirator wearer (e.g., a healthcare provider performing surgical or
other sterile medical procedures or a person with known or suspected pandemic
influenza who could transmit infection to others).
Reusable elastomeric respirators are a type of respiratory protection that has a
flexible, rubber-like facepiece with either permanent or removable filter
cartridges. The facepiece can often be cleaned, repaired and reused, and the
filter cartridges can be discarded and replaced when they become unsuitable for
further use. Other elastomeric respirators with permanent filter cartridges are
designed to be disposed of when the cartridges need to be replaced.
Powered air purifying respirators (PAPRs) are a type of respiratory protection
in which a battery-powered blower pulls air through filters that trap particles
(including those containing viruses and bacteria) that may be present, and then
moves the filtered air to the wearer's facepiece or hood. PAPRs are
significantly more expensive than other air purifying respirators but they
provide higher levels of protection against airborne particulates. It should
also be noted that there are hooded PAPRs that do not require employees to be
fit tested in order to use them. Additionally, a PAPR blower unit and battery
can be shared by employees (who need protection at different times) who can each
have their own reusable hood. A PAPR could be assigned to an individual person,
to a staff position (e.g. a floor nurse position staffed by several employees
over the course of a week), or to a location such as a treatment room or mobile
treatment cart used for aerosol-generating medical procedures. Consequently,
several approaches can be used to limit the number of PAPRs that an employer
would purchase for pandemic preparedness, as long as proper decontamination
procedures are followed between uses or users.
Replacing Disposable Respirators:
Disposable respirators are designed to be disposed after use. Once worn in the
presence of an infectious individual, the respirator should be considered
potentially contaminated with infectious material. Touching the outside of the
device should be avoided to prevent self-inoculation (touching the contaminated
respirator and then touching one's eyes, nose, or mouth). It should be noted
that a once-worn respirator will also be contaminated on its inner surface by
the microorganisms present in the exhaled air and oral secretions of the wearer.
In the above scenario, users should discard respirators when they become
unsuitable for further use due to excessive breathing resistance (e.g.,
particulate clogging the filter), unacceptable contamination/soiling, or
physical damage. In the context of pandemic influenza, some have proposed
reusing disposable respirators for prolonged periods of time (e.g., weeks or
months) in the event supplies are limited. However, data on decontamination
and/or safe reuse of respirators for infectious diseases are currently not
available. Although filtering facepiece respirators have been reused during
public health crises in resource-limited settings, the safety and efficacy of
this approach has yet to be confirmed. It is not possible to give definitive
guidance on the safety or efficacy of reuse or decontamination of disposable
respirators. In the interim, plans should be based on single use of equipment
according to manufacturers' instructions, FDA label claims, and NIOSH user
instructions. Respirator users should not attempt to decontaminate filtering
facepiece respirators as it may create a health hazard for the user and it may
render the respirator ineffective in providing respiratory protection. Reuse may
increase the potential for contamination through contact transmission. The risk
of contaminating the inside of the respirator through improper handling must be
weighed against the need to provide respiratory protection.
Family Survival Information
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