Cited by 17Infection Control and VentilationAerosol Filtration and Electrostatic PrecipitationIndoor Air Quality and Microbial Exposure

Performance of Conventional and Antimicrobial-Treated Filtering Facepiece Respirators Challenged with Biological Aerosols

Open access
Lore, Michael B., Sebastian, John M., Brown, TeAnne L., Viner, Andrew S., McCullough, Nicole V., Hinrichs, Steven H.·2012·Journal of Occupational and Environmental Hygiene

Abstract

This study evaluated the filtration performance of four commercially available models of National Institute of Occupational Safety and Health (NIOSH)-certified filtering facepiece respirators (FFR) against both biological and inert aerosols at a flow rate of 85 L/min. Conventional N95 and P100 FFRs and two antimicrobial (AM)-treated FFRs (an N95 and a P95, both with iodine-based AM treatments) were tested for both physical penetration (PEN(P)) and viable penetration (PEN(V)) with three different bioaerosols, including MS2 bacteriophage virus, and the spores and vegetative cells of Bacillus atrophaeus bacteria, in addition to inert sodium chloride (NaCl) aerosol. For each FFR model, the PEN(P) measured with NaCl was predictive of its MS2 PEN(P), and it was observed that spores and bacteria aerosols were also filtered similarly to the inert aerosol. For both conventional FFRs, up to a 1-log reduction in PEN(V) in comparison with PEN(P) was observed and attributed to the experimental variability of the test system. For both models of AM-FFRs, no statistically significant differences between PEN(V) and PEN(P) for any of the three different bioaerosol challenges were observed. Thus, no bioaerosol filtration enhancement over the conventional FFRs was detected for either iodine-based AM-FFR. In the absence of any standardized test methods, we recommend that future studies evaluating the filtration performance of AM-treated FFRs incorporate the experimental best practices described h…

Integrity signals

Registry

Crossref · 10.1080/15459624.2011.640273

Cites

28 of 28 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

5 of 37 cited sources checked · 2 supported · 0 flagged · accuracy not yet measured

  • Findingown data

    No statistical differences in PEN V were observed for the AM-FFR tested with or without the iodine neutralizer.

    “Thus, in contrast to Lee et al., (26) no statistical differences in PEN V were observed for the AM-FFR tested with or without the iodine neutralizer in our study.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Lee et al. (26) source
  • Premisecitation

    Sublimated iodine can be inadvertently captured in the impinger medium and produce a biocidal effect during the sampling period, making it impossible to distinguish whether microorganism kill occurs in the airborne state or in the impinger medium.

    “a previous study of bioaerosol filtration by iodine-treated AM-FFRs by Lee et al. (26) reported that sublimated iodine could be inadvertently captured in the impinger medium and produce a biocidal effect during the sampling period, making it impossible to distinguish whether microorganism kill occurs in the airborne state or in the impinger medium.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Lee et al. (26) source

      Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
  • Premisecitation

    Previous studies have shown agreement between physical penetrations of inert and biological aerosols at particle sizes of 1 μm and above.

    “Moreover, previous studies have shown agreement between physical penetrations of inert and biological aerosols at particle sizes of 1 µm and above.(13,16,24,31,32)”
    Quote in the paperSubstantial claim1 of 5 sources checked
    • cites [13] source
    • cites [16] source
    • cites [24] source

      The Conclusions and Future Work section says inert aerosols may generally model penetration of similarly sized viruses. But the Results and Discussion compare inert and biological aerosols at approximately 0.02–0.1 µm, not at 1 µm and above. The cited paper therefore supports the general comparison, but not the claimed particle-size range. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites [31] source
    • cites [32] McCullough N. V., 1997, Ann. Occup. Hyg. source
  • Findingown data

    Spores and bacteria aerosols were filtered similarly to the inert aerosol.

    “it was observed that spores and bacteria aerosols were also filtered similarly to the inert aerosol.”
    Quote in the paperSubstantial claim
  • Findingown data

    For both conventional FFRs, up to a 1-log reduction in viable penetration compared with physical penetration was observed.

    “For both conventional FFRs, up to a 1-log reduction in PEN V in comparison with PEN P was observed”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 12
  • May combine two claims. 26
  • The quote only partly states this claim. 1
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    B. atrophaeus spores are approximately 0.7 μm in diameter and 1.8 μm in length in the dried state.

    “Spores are approximately 0.7 µm in diameter and 1.8 µm in length in the dried state, (15)”
    Quote in the paperNot a substantial claim1 of 1 sources checked
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    B. atrophaeus bacteria and spores are frequently used as simulants for B. anthracis in aerosol testing.

    “B. atrophaeus bacteria and spores are frequently used as simulants for B. anthracis in aerosol testing.(12,13)”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [12] source

      The Abstract says some B. atrophaeus strains are used extensively as nonpathogenic surrogates for B. anthracis in biodefense research and testing. A cited reference concerns aerosolized B. globigii spores, but the paper does not specifically say their frequent use is in aerosol testing. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
    • cites [13] source
  • May combine two claims.

    Findingown data

    For spore aerosol, the conventional N95's PEN P was a factor of 20 less than the AM-N95's, and its QF was 40% greater.

    “The N95's spore PEN P was a factor of 20 less than the AM-N95's, and its QF was 40% greater”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    For the conventional N95 and AM-N95 FFRs, average PEN V values were greater when the iodine neutralizer was present, but the differences were not statistically significant (p=0.28 and 0.39, respectively).

    “Although the average PEN V values shown in Table IV were greater when the iodine neutralizer was present, these differences were not significant (p-values for the conventional N95 and AM-N95 were 0.28 and 0.39, respectively).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    NaCl aerosol penetrations ranged from 4.55% for the AM-N95 to 0.003% for the P100, and pressure drops ranged from 6.9 mm H2O for the N95 and AM-N95 to 23.8 mm H2O for the AM-P95.

    “Penetrations range from 4.55% (for the AM-N95) to 0.003% (for the P100), and pressure drops range from 6.9 (N95 and AM-N95) to 23.8 mm H 2 O (AM-P95).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    For the AM-N95 FFR, PEN V was less than PEN P (LIV > 0), but this difference was not statistically significant.

    “The AM-N95's PEN V was less than its PEN P (LIV > 0), but this difference was not statistically significant”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Neither of the expected results (PEN V significantly lower than PEN P, LIVs significantly larger than conventional FFRs) was observed.

    “Neither of these results was observed.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    For the conventional N95 and AM-N95, filtration performance (PEN P and QF) was very comparable for NaCl and MS2, but quite different for spore testing.

    “Although the filtration performance (i.e., PEN P and QF) of the conventional N95 and AM-N95 were very comparable for NaCl and MS2 virus filter testing described above, they were quite different for spore testing.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    For the AM-N95, bacteria PEN V and PEN P were not statistically different, and although the LIV was > 0, it was significantly less than that of the conventional N95's LIV.

    “For the AM-N95, PEN V and PEN P were not statistically different, and although the LIV was > 0, it was significantly less than that of the conventional N95's LIV.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The conventional N95's filtration efficiency against spores was very high (PEN V = 0.03%), approaching HEPA performance, and although PEN V was < PEN P (LIV = 0.4), this difference was not statistically significant.

    “The conventional N95's filtration efficiency was very high against spores (PEN V = 0.03%), approaching HEPA performance, and although PEN V was < PEN P (LIV = 0.4), this difference was not statistically significant.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    For the conventional N95, bacteria PEN V was < PEN P (LIV > 0), but this difference was again not statistically significant.

    “As with spores, the N95's PEN V for bacteria was < PEN P (LIV > 0), but this difference was again not statistically significant.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingnone given

    The antimicrobial-treated P95 contained a greater amount of filter media than a typical P95 or N95 FFR and a correspondingly higher breathing resistance.

    “It was also noted that the antimicrobial-treated P95 contained a greater amount of filter media than a typical P95 or N95 FFR and a correspondingly higher breathing resistance.”
    Quote in the paperNot a substantial claim
  • The quote only partly states this claim.

    Findingown data

    Similar to spore testing, there was no detectable PEN P for the conventional P100 FFR against vegetative bacteria.

    “Similar to spore testing, there was no detectable PEN P for the conventional P100 FFR.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The PEN of the antimicrobial-treated P95 was almost as low as a conventional P100, but its relative filtration performance (quality factor) was significantly lower.

    “It was observed that the PEN of the antimicrobial-treated P95 was almost as low as a conventional P100, but its relative filtration performance (i.e., quality factor) was significantly lower.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    For both conventional and antimicrobial FFRs, PEN measured using NaCl was consistent with the PEN P of the MS2 virus over the equivalent particle size regime, and spores and bacteria aerosols were also filtered similarly to the inert aerosol.

    “For both conventional and antimicrobial FFRs, PEN measured using NaCl was consistent with the PEN P of the MS2 virus over the equivalent particle size regime, and it was observed that spores and bacteria aerosols were also filtered similarly to the inert aerosol.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The conventional P100's spore PEN V was quite low (1 × 10^-4 %), but because its PEN P was not detectable, it is not possible to draw direct comparisons or calculate LIV.

    “The conventional P100's PEN V was quite low (1 × 10 -4 %), but because its PEN P was not detectable, it is not possible to draw direct comparisons or calculate LIV.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    The highest quality factor value was for the P100 filter, meaning that relative to the other FFRs it achieves an average penetration of 0.003% at the lowest cost of pressure drop.

    “The highest QF value (i.e., best performance) was for the P100 filter, which means that relative to the other FFRs, it achieves an average penetration of 0.003% at the lowest cost of pressure drop.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    MS2 is a single-stranded RNA virus whose host organism is E. coli bacteria.

    “MS2 is a single-stranded RNA virus whose host organism is E. coli bacteria.(9)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [9] source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    The filter testing system and operating protocols used in this study were based closely on those established for testing of traditional inert polydisperse aerosols.

    “The filter testing system and operating protocols used in this study were based closely on those established for testing of traditional inert (non-biological) polydisperse aerosols.(19)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [19] source
  • May combine two claims.

    Interpretationreasoning

    The difference in quality factor values for the N95 and AM-N95 is entirely attributable to difference in penetration, since the breathing resistances are the same.

    “The difference in the QF values for the N95 and AM-N95 is entirely attributable to difference in penetration, since the breathing resistances are the same.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Viable MS2 virions are present in aerosol particles from 25 to 407 nm in diameter.

    “It has been observed that viable MS2 virions are present in aerosol particles from 25 to 407 nm in diameter.(20)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [20] source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    B. atrophaeus spores have an average aerodynamic diameter reported to range from approximately 0.8-1.1 μm.

    “with an average aerodynamic diameter reported to range from approximately 0.8-1.1 µm.(14,16,17)”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [14] source
    • cites [16] source
    • cites [17] source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    B. atrophaeus vegetative cells have an average aerodynamic diameter reported to be approximately 1.0-1.2 μm with a fairly broad size distribution of 0.5-1.5 μm that may evolve over time.

    “Its average aerodynamic diameter has been reported to be approximately 1.0-1.2µm with a fairly broad size distribution (0.5-1.5 µm) that may evolve over time, possibly due to experimental and biological variability.(14)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [14] source
  • May combine two claims.

    Study design and conductown data

    For the conventional N95 and the AM-N95 products, the pressure drops are the same, so their penetration values can be compared directly.

    “For the case of the conventional N95 and the AM-N95 products, the pressure drops are the same, so the penetration values in Table III can be compared directly.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    B. atrophaeus vegetative state usually occurs as a single rod-like cell 0.7-0.8 μm in diameter and 2-3 μm in length.

    “Its vegetative state usually occurs as a single rod-like cell 0.7-0.8µm in diameter and 2-3 µm in length.(10,13)”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [10] Madigan M. T., 2006

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [13] source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    An individual MS2 virion is nearly spherical with an average diameter of about 28 nm, making it one of the smallest viruses.

    “An individual MS2 virion is nearly spherical with an average diameter ∼28 nm, making it one of the smallest viruses.(10,11)”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [10] Madigan M. T., 2006

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [11] source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Physical penetration for both inert and biological aerosols depends primarily on face velocity.

    “although physical penetration (PEN P ) for both types of aerosols depends primarily on face velocity, (5)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [5] Hinds W. C., 1999

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Ideally, viable penetration of an empty chamber should be 100%, but depending on testing conditions and microorganism hardiness, this value may be significantly less than 100%.

    “Ideally, PEN V of an empty chamber should be 100% (i.e., CF V = 1), as no bioaerosol should be filtered without a respirator in place, but depending on the testing conditions (e.g., temperature, RH, residence time, and so on) and the hardiness of the microorganism, this value may be significantly less than 100%.(7)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [7] Cox C. S., 1995

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    ASTM F2101-07 is limited to bacterial aerosols approximately 3 μm in diameter and filtration efficiency measurements below 99.9%.

    “However, this test method is limited to bacterial aerosols approximately 3 µm in diameter and filtration efficiency measurements <99.9%.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [4] American Society for Testing and Materials (ASTM), 2007

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S1 (asserted), S4 (based). May combine two claims.

    Interpretationnone given

    If the iodine treatments of the AM-FFRs had an effect on reducing the viability of the penetrating MS2 virus, the respective PEN V values would be significantly lower than their PEN P values, and their LIVs would be significantly larger than those of the conventional FFRs.

    “If the iodine treatments of the AM-FFRs had an effect on reducing the viability of the penetrating MS2 virus, the respective PEN V values would be significantly lower than their PEN P values, and their LIVs would be significantly larger than those of the conventional FFRs.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    The APS 3321 has a minimum particle concentration limit of 10^-3 particles/cm3 and a maximum recommended particle concentration limit of 10^3 particles/cm3, so the lowest PEN measurable by the APS is 1 × 10^-4 %.

    “Per manufacturer's specifications, the APS 3321 has a minimum particle concentration limit of 10 -3 particles/cm 3 and a maximum recommended particle concentration limit of 10 3 particles/cm 3 .(29) Therefore, the lowest PEN measurable by the APS is 1 × 10 -4 %.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [29] TSI, Inc., 2004

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    The OSHA-assigned protection factor (APF) for all negative pressure air-purifying half-facepiece respirators, regardless of NIOSH filter certification rating, is 10, which equates to a 90% reduction in exposure for a properly fit FFR.

    “The U.S. Occupational Safety and Health Administration (OSHA)-assigned protection factor (APF) for all negative pressure air-purifying half-facepiece respirators (FFRs and reusable), regardless of NIOSH filter certification rating, is 10, which equates to a 90% reduction in exposure for a properly fit FFR.(34)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [34] 2005, Code of Federal Regulations Title 29, Part 1910.134

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    Assuming the conventional P100's spore PEN P was near the APS's detection limit (1 × 10^-4 %), PEN V and PEN P would be of consistent orders of magnitude, as one would predict for a conventional FFR.

    “Assuming its PEN P was near the APS's detection limit (1 × 10 -4 %), PEN V and PEN P would be of consistent orders of magnitude, as one would predict for a conventional FFR.”
    Quote in the paperNot a substantial claim
    • The authors state this as an assumption: The conventional P100's spore PEN P was near the APS's detection limit (1 × 10^-4 %).
  • May combine two claims.

    Interpretationreasoning

    Extrapolating the P100's PEN vs. particle size curve to approximately 1 μm predicts PEN P < 1 × 10^-4 %, which is consistent with the APS's failure to detect any spore aerosol downstream of the P100 FFR.

    “Extrapolating the P100's PEN vs. particle size curve (Figure 3) to approximately 1 µm predicts PEN P < 1 × 10 -4 %, which is consistent with the APS's failure to detect any spore aerosol downstream of the P100 FFR.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    N100 and P100 FFR products are offered primarily to meet OSHA's Substance Specific Standards, and despite higher filtration efficiencies they are also limited to an APF of 10.

    “While there do exist FFR products with high filtration efficiency (i.e., N100 and P100), they are offered primarily to meet the requirements of OSHA's Substance Specific Standards.(34) In spite of their higher filtration efficiencies they are also limited to an APF of 10.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [34] 2005, Code of Federal Regulations Title 29, Part 1910.134

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

35 of 35
  • The paper relies on this without support.

    There are currently no standard test methods set forth by regulatory institutions or standards organizations to quantify the effectiveness of an antimicrobial-treated FFR for inactivating microorganisms that penetrate through its filter and remain airborne.

    “there are currently no standard test methods set forth by regulatory institutions or standards organizations (e.g., NIOSH, Food & Drug Administration [FDA], Environmental Protection Agency [EPA], ASTM International) to quantify the effectiveness of an AM-FFR for inactivating microorganisms that penetrate through its filter and remain airborne.”
  • The paper relies on this without support.

    Bioaerosols consist of solid or water-based particles for which NaCl is an appropriate surrogate.

    “And, third, bioaerosols consist of solid or water-based particles for which NaCl is an appropriate surrogate.”
  • The authors state this as an assumption.

    For conventional FFRs, physical penetration and viable penetration are expected to be the same.

    “For the conventional FFRs, one would expect these values to be the same; however, given the difference in the methods for detecting the particles that penetrate through the filters (i.e., plaque assay vs. particle counting), it was deemed prudent to verify that assumption.”
  • The paper relies on this without support.

    The particle size of approximately 3 µm is well outside the range of the most penetrating particle size of modern respirators.

    “That particle size is well outside the range of the most penetrating particle size of modern respirators.”
  • The authors state this as an assumption.

    For conventional FFRs without antimicrobial treatment, PEN V and PEN P are expected to be equal (LIV = 0).

    “Because neither conventional FFR had any antimicrobial treatment, each of their PEN V and PEN P values was expected to be equal (LIV = 0).”
  • The authors state this as an assumption.

    The conventional P100's spore PEN P was near the APS's detection limit (1 × 10^-4 %).

    “Assuming its PEN P was near the APS's detection limit (1 × 10 -4 %)”
6 of 6

Cites

Flagged first, then by citations

Research works printed but not linked: 8

  1. 1972, Code of Federal Regulations, 6243
  2. U.S. Centers for Disease Control and Prevention(CDC), 1994, MMWR 43, 1
  3. American Society for Testing and Materials (ASTM), 2007, ASTM Standard F2101-07. Evaluating the Bacterial Filtration Efficiency (BFE) of Medical Face Mask Materials, Using a Biological Aerosol of Staphylococcus aureus
  4. Cox C. S., 1995, Bioaerosol Handbook, 77
  5. 1995, Code of Federal Regulations Title 42, Part 84, 30335
  6. Eninger R. M., 2008, Clean, 36, 615
  7. TSI, Inc., 2004, Model 3321 Aerodynamic Particle Sizer Spectrometer Instruction Manual
  8. 2005, Code of Federal Regulations Title 29, Part 1910.134, 419

Cited by

Sorted by citations

Authors
Lore, M. B., Sebastian, J. M., Brown, T. L., Viner, A. S., McCullough, N. V., & Hinrichs, S. H.
Affiliations
  • University of Nebraska Medical Center (US)
  • 3M (United States) (US)
Venue
Journal of Occupational and Environmental Hygiene
Published
2012-02
Volume
9
Issue
2
Pages
69-80
ISSN
  • 1545-9624 (ISSN-L)
  • 1545-9632
OpenAlex
W1971334678
Cited by
17
References
28
Citations by year
2025: 1 · 2022: 2 · 2021: 3 · 2020: 1 · 2017: 2 · 2015: 2 · 2014: 4 · 2013: 2
FWCI
1.63
Type
journal article
Language
en
Open access
Locations
  • Journal of Occupational and Environmental Hygiene (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
  • Physical Sciences › Engineering › Electrical and Electronic Engineering › Aerosol Filtration and Electrostatic Precipitation
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
Keywords
filtering facepiece respirators, N95 respirators, iodine therapy, bacteriophage MS2, Bacillus atrophaeus spores
MeSH terms
Aerosols, Anti-Infective Agents, Filtration, National Institute for Occupational Safety and Health, U.S., Particle Size, Respiratory Protective Devices, Sodium Chloride, Spores, Bacterial, United States, Occupational Health, Levivirus

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