Evaluating Face Mask Efficiency on Children and Adults

Abstract

Small infectious aerosols have been a major vector for the spread of diseases such as COVID-19 and influenza. During the recent global pandemic, masking played a key role in reducing airborne transmission, although significant variability has been noted in the ability of different mask types to limit pathogen-laden aerosol dispersion and inhalation. Moreover, there remain significant gaps in the literature regarding mask performance for children. The aim of this thesis is to characterize mask inward protection efficiency for both children and adults, and source control efficiency for children in the 0.2 μm to 1 μm particle size range. An approach based on the conservation of mass guided the experimental methodology used to estimate mask filtration characteristics. For all tested masks, the material filtration efficiency was measured to be at or near 100%, whereas fitted filtration efficiencies for both source control and personal protection were significantly lower. This disparity underscores the highly degrading effects of leakage from gaps at the mask-face interface. Inward protection efficiency of N95, KN95, and surgical masks donned regularly and using the tie and tuck method were estimated on a medium NIOSH adult head form. The tested N95 barrier provided the greatest protection, followed by the KN95 respirator, while the surgical masks offered the least protection. Use of the tie and tuck for surgical masks method yielded only a small, statistically insignificant improvement in inward protection compared to regularly worn variants. Incorporating results from broader literature, mean inward protection efficiency ranges of [67.9%,100%] and [12.5%,79.6%] were determined for the N95 and regularly worn surgical masks, respectively. Both inward protection and apparent filtration efficiencies of adult, modified adult, and child variants of the KN95, CA-N95, and surgical mask as well as the N95 respirator, were estimated on a child manikin. Results further underscore the critical importance of proper fit to mask performance. Child-sized respirators provided higher source control and personal protection compared to other barriers tested. In contrast, the adult-sized surgical mask, which exhibited a loose fit on the child manikin, demonstrated poor performance in both metrics due to the highly degrading effects of leakage. Overall, whenever both variants are available, adult-sized masks demonstrate markedly reduced fitted efficiencies on the child manikin relative to child-sized variants, attributed to larger gaps at the mask-face interface. Flow visualization of air exhaled through the tested barriers qualitatively corroborated these findings, revealing substantially reduced leakage for child-sized variants compared to adult-sized equivalents. Given the increased sensitivity of children to mask breathing resistance, pressure differentials measured across masks donned on the child head form provided relative indicators of breathability. Results demonstrated that masks with similar filtration efficiency can exhibit significant differences in breathability. For example, the child-sized CA-N95 achieved equal or greater fitted filtration efficiency while consistently maintaining lower pressure drops compared to the child KN95. In fact, KN95 respirators showed differential pressures greater than or equal to those of all other tested masks. For a given mask type, better fit was associated with higher differential pressures. However, across different mask designs, higher filtration efficiency did not necessarily compromise breathability.