Stephen B. Martin

Electrostatic Respirator Filter Media: Filter Efficiency and Most Penetrating Particle Size Effects

New electrostatic filter media has been developed for use in 42 CFR 84 negative pressure particulate respirator filters. This respirator filter media was not available for evaluation prior to the change from 30 CFR 11 to 42 CFR 84. Thus, characterization of this filter media is warranted. In this study, the new 42 CFR 84 electrostatic respirator filters were investigated with respect to filter penetration and most penetrating particle size. Three different models of N95 filters, along with one model each of the N99, R95, and P100 class filters were used in this study. First, three of each filter were loaded with a sodium chloride (NaCl) aerosol, and three of each filter were loaded with a dioctyl phthalate (DOP) aerosol to obtain normal background penetration results for each filter. Then, two new filters of each type were dipped in isopropanol for 15 seconds and allowed to dry. This isopropanol dip should reduce or eliminate any electrostatic charge on the fibers of each filter, as reported in the technical literature. These dipped filters, along with controls of each filter type, were tested on a TSI 8160 filter tester to determine the most penetrating particle size. These same filters were then tested against a NaCl aerosol to get final penetration values. Electret filters rely heavily on their electrostatic charge to provide adequate filter efficiencies, and correlations between penetration and a filters electrostatic characteristics are found in the technical literature. In all six of the filter models tested, filter penetration values increased considerably and the most penetrating particle size noticeably shifted toward larger particles. These results are important in better understanding how these new filter materials perform under various conditions, and they indicate the need for additional research to define environmental conditions that may affect electrostatic filter efficiency.

Evaluation of Flavorings-Related Lung Disease Risk at Six Microwave Popcorn Plants

Objective: After investigating fixed airways obstruction in butter flavoring-exposed workers at a microwave popcorn plant, we sought to further characterize lung disease risk from airborne butter-flavoring chemicals. Methods: We analyzed data from medical and environmental surveys at six microwave popcorn plants (including the index plant). Results: Respiratory symptom and airways obstruction prevalences were higher in oil and flavorings mixers with longer work histories and in packaging-area workers near nonisolated tanks of oil and flavorings. Workers were affected at five plants, one with mixing-area exposure to diacetyl (a butter-flavoring chemical with known respiratory toxicity potential) as low as 0.02 ppm. Conclusions: Microwave popcorn workers at many plants are at risk for flavoring-related lung disease. Peak exposures may be hazardous even when ventilation maintains low average exposures. Respiratory protection and engineering controls are necessary to protect workers.

Viable Influenza A Virus in Airborne Particles from Human Coughs

Patients with influenza release aerosol particles containing the virus into their environment. However, the importance of airborne transmission in the spread of influenza is unclear, in part because of a lack of information about the infectivity of the airborne virus. The purpose of this study was to determine the amount of viable influenza A virus that was expelled by patients in aerosol particles while coughing. Sixty-four symptomatic adult volunteer outpatients were asked to cough 6 times into a cough aerosol collection system. Seventeen of these participants tested positive for influenza A virus by viral plaque assay (VPA) with confirmation by viral replication assay (VRA). Viable influenza A virus was detected in the cough aerosol particles from 7 of these 17 test subjects (41%). Viable influenza A virus was found in the smallest particle size fraction (0.3 μm to 8 μm), with a mean of 142 plaque-forming units (SD 215) expelled during the 6 coughs in particles of this size. These results suggest that a significant proportion of patients with influenza A release small airborne particles containing viable virus into the environment. Although the amounts of influenza A detected in cough aerosol particles during our experiments were relatively low, larger quantities could be expelled by influenza patients during a pandemic when illnesses would be more severe. Our findings support the idea that airborne infectious particles could play an important role in the spread of influenza.

Environmental Agricultural Tractor Cab Filter Efficiency and Field Evaluation

To evaluate filter efficiency and performance of environmental enclosures for tractors, 3- to 4-year-old tractor enclosure combinations (cabs retrofitted to tractors after manufacturing) were studied at a custom pesticide applicators facility. Optical particle counters were used to measure the aerosol number concentration inside and outside the cab. The ratio of these concentrations multiplied by 100 is termed percentage penetration, the amount of the aerosol that penetrates into the enclosure. For particles in the 0.3 to 0.4 microm range, penetration into the cab was reduced from 11 to 0.4% in the following sequential steps. First, manufacturing mistakes were corrected by fixing a bowed flange and inappropriate sealing of the sheet metal used to separate incoming air from air that had passed through the filter. This reduced aerosol penetration from 11 to 4.8%. Replacing gasket material on the used filter reduced penetration from 4.8 to 0.65%. This suggests that the filter gaskets are deforming and allowing leakage. Also, the filter media were evaluated for aerosol penetration as a function of particle size and were tested per the criteria stipulated in 42 CFR 84 for negative pressure air-purifying particulate respirators. These results showed penetration through the filter media of less than 0.03%, indicating that filter media were not a major source of aerosol leakage into the cab. The results suggest that the manufacturer should implement a quality control program to ensure that minimal aerosol penetration criteria into the cabs are met and an acceptable maintenance program exists to ensure compliance. Furthermore, the degradation of filter gasket material over time needs to be minimized to ensure that the environmental cabs continue to provide acceptable performance.

Respiratory Morbidity in a Coffee Processing Workplace With Sentinel Obliterative Bronchiolitis Cases

RATIONALE Obliterative bronchiolitis in former coffee workers prompted a cross-sectional study of current workers. Diacetyl and 2,3-pentanedione levels were highest in areas for flavoring and grinding/packaging unflavored coffee. METHODS We interviewed 75 (88%) workers, measured lung function, and created exposure groups based on work history. We calculated standardized morbidity ratios (SMRs) for symptoms and spirometric abnormalities. We examined health outcomes by exposure groups. RESULTS SMRs were elevated 1.6-fold for dyspnea and 2.7-fold for obstruction. The exposure group working in both coffee flavoring and grinding/packaging of unflavored coffee areas had significantly lower mean ratio of forced expiratory volume in 1 s to forced vital capacity and percent predicted mid-expiratory flow than workers without such exposure. CONCLUSION Current workers have occupational lung morbidity associated with high diacetyl and 2,3-pentanedione exposures, which were not limited to flavoring areas.

Exposure to Influenza Virus Aerosols in the Hospital Setting: Is Routine Patient Care an Aerosol Generating Procedure?

We read with interest the article by Bischoff et al, in which they describe detection of influenza virus in aerosols around hospitalized patients with influenza virus infection who were receiving routine care [1]. As the authors note, current World Health Organization and Centers for Disease Control and Prevention guidelines for protection of healthcare professionals from influenza virus infection rely on the supposition that, under routine conditions, most transmission occurs via large droplets, rather than via small-particle aerosols [2, 3]. Under these guidelines, aerosol transmission is presumed to be limited to certain aerosol-generating procedures (AGPs), for which higher-level respiratory protection is recommended. The designation of AGPs has been made in large part by extrapolation from epidemiologic studies of outbreaks of other respiratory infections, such as tuberculosis and SARS coronavirus infection [4]. Whether such procedures are uniquely associated with generation of potentially infectious aerosols has not been established.

Improving the environmental controls at a homeless shelter to assist in reducing the probability of airborne transmission of Mycobacterium tuberculosis: a case study.

This study describes a survey of environmental controls conducted by the National Institute for Occupational Safety and Health (NIOSH) at the Salvation Army Harbor Light Center homeless shelter in the City of St. Louis, Missouri. The Missouri Department of Health and Senior Services (MO DHHS) had epidemiologically linked 19 cases of active tuberculosis (TB) to the shelter. MO DHSS requested NIOSH to determine whether improvements could be made to the environmental controls to help reduce the probability of airborne transmission of TB at the shelter. NIOSH investigators conducted thorough inspections of the shelters air-handling units (AHUs) and evaluated airflow rates. NIOSH recommended higher efficiency filters be used in the AHUs and installation of ultraviolet lights.

An Indoor Environmental Quality Investigation of the Fayette County (Pennsylvania) Courthouse

The National Institute for Occupational Safety and Health (NIOSH) conducted a health hazard evaluation (HHE) investigation in the basement of the Fayette County Courthouse in Uniontown, Pennsylvania. Employees had reported a variety of health complaints including headaches, throat irritation, eye irritation, nausea, fatigue and nasal/sinus symptoms. Potential causes of the complaints included excessive mould/ mildew, lack of air flow, odours and high dust levels. A number of locations showing signs of water incursion or leakage were found to have mould growth. The air flow provided by the ventilation systems in most areas was inadequate, although temperature, relative humidity and carbon dioxide levels largely met published recommendations. Levels of common volatile organic compounds were all below established exposure limits, and only toluene was found in concentrations above established odour thresholds.