Filtration Performance of FDA-Cleared Surgical Masks
Open accessAbstract
Ashortage of NIOSH-approved respirators is predicted during an influenza pandemic and other infectious disease outbreaks. Healthcare workers may use surgical masks instead of respirators due to non-availability and for economical reasons. This study investigated the filtration performance of surgical masks for a wide size range of submicron particles including the sizes of many viruses. Five models of FDA-cleared surgical masks were tested for room air particle penetrations at constant and cyclic flow conditions. Penetrations of polydisperse NaCl aerosols (75±20 nm, count median diameter), monodisperse NaCl aerosols (20-400 nm range) and particles in the 20-1000 nm range were measured at 30 and 85 liters/min. Filtration performance of surgical masks varied widely for room air particles at constant flow and correlated with the penetration levels measured under cyclic flow conditions. Room air particle penetration levels were comparable to polydisperse and monodisperse aerosol penetrations at 30 and 85 liters/minute. Filtration performance of FDA-cleared surgical masks varied widely for room air particles, and monodisperse and polydisperse aerosols. The results suggest that not all FDA-cleared surgical masks will provide similar levels of protection to wearers against infectious aerosols in the size range of many viruses
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the case of surgical masks, both electrostatic and mechanical types, with most penetrating particle size greater than 100 nm, are available.
“In the case of SMs, both electrostatic as well as mechanical (MPPS > 100 nm) types are available. (8)”
In general, the filter efficiency of N95 filtering facepiece respirators is superior to surgical masks.
“In general, the filter efficiency of N95 FFRs is superior to SMs. (7,8)”
The most penetrating particle size for N95 filtering facepiece respirators is approximately 50 nm electrical mobility diameter.
“The most penetrating particle size (MPPS) for N95 FFRs is ∼ 50 nm (electrical mobility diameter). (8)”
Cites
Influenza Virus in Human Exhaled Breath: An Observational Study
Fabian, P., McDevitt, J. J., DeHaan, W. H., Fung, R. O. P., Cowling, B. J., Chan, K. H., Leung, G. M., & Milton, D. K. (2008) · PLoS ONE · doi:10.1371/journal.pone.0002691 · Cited by 496 · see citing works
Electrostatic Respirator Filter Media: Filter Efficiency and Most Penetrating Particle Size Effects
Martin, S. B., & Moyer, E. S. (2000) · Applied Occupational and Environmental Hygiene · doi:10.1080/10473220050075617 · Cited by 156 · see citing works
Nanoparticle Filtration Performance of Commercially Available Dust Masks
Rengasamy, S., Eimer, B. C., & Shaffer, R. E. (2008) · Journal of the International Society for Respiratory Protection · doi:10.66828/001c.167215 · Cited by 17 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Bundgaard, H., Bundgaard, J. S., Raaschou-Pedersen, D. E. T., von Buchwald, C., Todsen, T., Norsk, J. B., Pries-Heje, M. M., Vissing, C. R., Nielsen, P. B., Winsløw, U. C., et al. (2021) · Annals of Internal Medicine · doi:10.7326/m20-6817 · Cited by 388 · see citing works
(2010) · The Annals of Occupational Hygiene · doi:10.1093/annhyg/meq044 · Cited by 352 · see citing works
Self-citationA comparison of facemask and respirator filtration test methods
Rengasamy, S., Shaffer, R. E., Williams, B., & Smit, S. J. (2016) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2016.1225157 · Cited by 200 · see citing works
Self-citationEscandón-Vargas, K., Rasmussen, A. L., Bogoch, I. I., Murray, E. J., Escandón, K., Popescu, S. V., & Kindrachuk, J. (2021) · BMC Infectious Diseases · doi:10.1186/s12879-021-06357-4 · Cited by 194 · see citing works
Roberge, R. J., Kim, J., & Benson, S. M. (2012) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2012.01.010 · Cited by 185 · see citing works
Noti, J. D., Lindsley, W. G., Blachère, F. M., Cao, G., Kashon, M. L., Thewlis, R. E., McMillen, C. M., King, W. P., Szalajda, J. V., & Beezhold, D. H. (2012) · Clinical Infectious Diseases · doi:10.1093/cid/cis237 · Cited by 171 · see citing works
Face masks against COVID-19: Standards, efficacy, testing and decontamination methods
Ju, J. T. J., Boisvert, L. N., & Zuo, Y. (2021) · Advances in Colloid and Interface Science · doi:10.1016/j.cis.2021.102435 · Cited by 141 · see citing works
Dispersion and Exposure to a Cough-Generated Aerosol in a Simulated Medical Examination Room
Lindsley, W. G., King, W. P., Thewlis, R. E., Reynolds, J. S., Panday, K. V., Cao, G., & Szalajda, J. V. (2012) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2012.725986 · Cited by 91 · see citing works
Proper Use of Surgical N95 Respirators and Surgical Masks in the OR
Benson, S. M., Novak, D. A., & Ogg, M. J. (2013) · AORN Journal · doi:10.1016/j.aorn.2013.01.015 · Cited by 66 · see citing works
Rengasamy, S., Eimer, B. C., & Szalajda, J. (2014) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2013.866715 · Cited by 61 · see citing works
“Non-neutralization of test aerosol may overestimate the filter efficiency and partly contribute to the enormous difference in the filter performance among SMs. (7,8) TIL is dependent on efficiency of the filter device.”
Self-citationHe, X., Reponen, T., McKay, R. T., & Grinshpun, S. A. (2013) · Aerosol Science and Technology · doi:10.1080/02786826.2013.829209 · Cited by 64 · see citing works
Rengasamy, S., Miller, A., & Eimer, B. C. (2011) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2010.515556 · Cited by 54 · see citing works
Self-citationTseng, C., Pan, Z.-M., & Chang, C.-H. (2016) · Aerosol Science and Technology · doi:10.1080/02786826.2016.1140895 · Cited by 46 · see citing works
Gao, P., Jaques, P. A., Hsiao, T.-C., Shepherd, A., Eimer, B. C., Yang, M., Miller, A., Gupta, B. S., & Shaffer, R. E. (2010) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2010.515554 · Cited by 39 · see citing works
Self-citationBaselga, M., Uranga-Murillo, I., de Miguel, D., Arias, M. A., Sebastián, V., Pardo, J., & Arruebo, M. (2022) · Materials · doi:10.3390/ma15144742 · Cited by 35 · see citing works
Kisomi, M. K., Sadegh Seddighi, K., Mohammadpour, R., & Rezania, A. (2023) · Nano Energy · doi:10.1016/j.nanoen.2023.108514 · Cited by 35 · see citing works
COVID-19 risk assessment at the opening ceremony of the Tokyo 2020 Olympic Games
Murakami, M., Miura, F., Kitajima, M., Fujii, K., Yasutaka, T., Iwasaki, Y., Ono, K., Shimazu, Y., Sorano, S., Okuda, T., et al. (2021) · Microbial Risk Analysis · doi:10.1016/j.mran.2021.100162 · Cited by 35 · see citing works
Liu, M., Chen, C.-T., Chuang, L.-C., Lin, W.-M., & Wan, G. (2019) · PLoS ONE · doi:10.1371/journal.pone.0225644 · Cited by 33 · see citing works
Guha, S., McCaffrey, B., Hariharan, P., & Myers, M. R. (2016) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2016.1237029 · Cited by 31 · see citing works
Janssen, L., Ettinger, H. J., Graham, S., Shaffer, R. E., & Zhuang, Z. (2013) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2013.799964 · Cited by 29 · see citing works
Self-citationKaruppasamy, K., & Obuchowski, N. A. (2020) · Annals of Work Exposures and Health · doi:10.1093/annweh/wxaa125 · Cited by 29 · see citing works
Exploring respiratory protection practices for prominent hazards in healthcare settings
Wizner, K., Nasarwanji, M. F., Fisher, E. M., Steege, A. L., & Boiano, J. M. (2018) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2018.1473581 · Cited by 26 · see citing works
Kisielinski, K., Hockertz, S., Hirsch, O., Korupp, S., Klosterhalfen, B., Schnepf, A., & Dyker, G. (2024) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2023.115858 · Cited by 25 · see citing works
Inspiratory leakage flow fraction for surgical masks with varying gaps and filter materials
Xi, J., Barari, K., Si, X. A., Jamalabadi, M. Y. A., Park, J. H., & Rein, M. (2022) · Physics of Fluids · doi:10.1063/5.0090356 · Cited by 26 · see citing works
New generation washable PES membrane face mask for virus filtration
Talukder, M. E., Alam, F., Pervez, M. N., Wang, J., Hassan, F., Stylios, G. K., Naddeo, V., & Song, H. (2022) · Nanocomposites · doi:10.1080/20550324.2021.2008209 · Cited by 22 · see citing works
The effects of face mask specifications on work of breathing and particle filtration efficiency
Monjezi, M., & Jamaati, H. (2021) · Medical Engineering & Physics · doi:10.1016/j.medengphy.2021.10.004 · Cited by 21 · see citing works
Lai, J., Coleman, K. K., Tai, S.-H. S., German, J. R., Hong, F. H., Albert, B., Esparza, Y., Rastogi, D., Srikakulapu, A. K., Kalliomäki, P., et al. (2024) · EBioMedicine · doi:10.1016/j.ebiom.2024.105157 · Cited by 21 · see citing works
Zhang, A., Zhen, Q., Zheng, C., Li, J., Zheng, Y., Du, Y., Huang, Q., & Zhang, Q. (2023) · Journal of Building Engineering · doi:10.1016/j.jobe.2023.106807 · Cited by 19 · see citing works
Determination of the optimal time for N95 respirator for aerosol infection control
Du, J., Zhang, L., Liu, Y., Shu, W., Ma, Y., Gao, J., & Li, L. (2020) · Medicine · doi:10.1097/md.0000000000023709 · Cited by 17 · see citing works
Whyte, H. E., Joubert, A., Leclerc, L., Sarry, G., Verhoeven, P. O., Coq, L. L., & Pourchez, J. (2022) · Environmental Technology & Innovation · doi:10.1016/j.eti.2022.102710 · Cited by 18 · see citing works
Measuring the quantity of harmful volatile organic compounds inhaled through masks
Ryu, H., & Kim, Y. (2023) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2023.114915 · Cited by 13 · see citing works
Rozzi, T. R., Snyder, J. L., & Novak, D. A. (2012) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2012.718943 · Cited by 12 · see citing works
Handbook of Respiratory Protection
Racz, L., Eninger, R. M., & Yamamoto, D. P. (2017) · CRC Press eBooks · doi:10.4324/9781351109079 · Cited by 11 · see citing works
Majchrzycka, K., Okrasa, M., Jachowicz, A., Szulc, J., Brycki, B. E., & Gutarowska, B. (2019) · Molecules · doi:10.3390/molecules24183339 · Cited by 11 · see citing works
A Review of the Fabrication Methods, Testing, and Performance of Face Masks
Azam, F., Ahmad, F., Uddin, Z., Rasheed, A., Nawab, Y., Afzal, A., Ahmad, S., Zafar, M. S., & Ashraf, M. (2022) · International Journal of Polymer Science · doi:10.1155/2022/2161869 · Cited by 11 · see citing works
Design of biodegradable cellulose filtration material with high efficiency and breathability
Ketoja, J. A., Saurio, K. J., Rautkoski, H., Kenttä, E., Tanaka, A., Koponen, A., Virkajärvi, J., Heinonen, K., Kostamo, K., Järvenpää, A., et al. (2024) · Carbohydrate Polymers · doi:10.1016/j.carbpol.2024.122133 · Cited by 10 · see citing works
Bowdle, A. T., Jelačić, S., Munoz-Price, L. S., Cohen, M., Sai Krishna, M., & Brosseau, L. M. (2021) · Anesthesiology · doi:10.1097/aln.0000000000004005 · Cited by 9 · see citing works
Lindsley, W. G., Blachère, F. M., Derk, R. C., Boots, T. E., Duling, M. G., Boutin, B. K., Beezhold, D. H., & Noti, J. D. (2023) · Aerosol Science and Technology · doi:10.1080/02786826.2023.2165898 · Cited by 8 · see citing works
N95 respirator decontamination: a study in reusability
Wang, C., Li, Z., Liu, S., Ng, C. T., Marzuki, M., Wong, P. S. J., Tan, B. H., Lee, A., Lim, C., Bifani, P. J., et al. (2021) · Materials Today Advances · doi:10.1016/j.mtadv.2021.100148 · Cited by 9 · see citing works
Exploring innovations in antimicrobial protective mask filters: A review
Ezeh, O. V., Ternero-Hidalgo, J. J., LINTAG, R. M. N., Han, W., & Yeung, K. L. (2025) · Advances in Colloid and Interface Science · doi:10.1016/j.cis.2025.103635 · Cited by 8 · see citing works
Novel sustainable filter for virus filtration and inactivation
Purwar, T., Esquivel-Puentes, H. A., Pulletikurthi, V., Li, X., Doosttalab, A., Nelson, C., Appiah, R., Blatchley, E. R., Castaño, V. M., & Castillo, L. (2022) · Scientific Reports · doi:10.1038/s41598-022-13316-9 · Cited by 8 · see citing works
Zhen, Q., Zhang, A., Bokel, R., Zheng, Y., Li, J., Du, Y., & Zhang, Q. (2024) · Journal of Building Engineering · doi:10.1016/j.jobe.2024.109328 · Cited by 8 · see citing works
The bacterial burden of worn face masks—observational research and literature review
Kisielinski, K., Wojtasik, B., Zalewska, A., Livermore, D. M., & Jurczak-Kurek, A. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1460981 · Cited by 6 · see citing works
A Delphi technique study to understand nurses' knowledge and concerns regarding surgical smoke
Vortman, R. K., Wendler, M. C., & McPherson, S. (2021) · Perioperative Care and Operating Room Management · doi:10.1016/j.pcorm.2021.100193 · Cited by 7 · see citing works
Jaques, P. A., & Portnoff, L. (2017) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2017.1351614 · Cited by 6 · see citing works
Lotfi, M., Sheikhalipour, Z., Zamanzadeh, V., Aghazadeh, A., Khordeforoush, H., Rahmani, P., & Akhuleh, O. Z. (2021) · Perioperative Care and Operating Room Management · doi:10.1016/j.pcorm.2021.100234 · Cited by 5 · see citing works
Zhuang, E., Thurman, P., Chen, H. H., McDiarmid, M. A., & Hines, S. E. (2021) · Annals of Work Exposures and Health · doi:10.1093/annweh/wxab069 · Cited by 5 · see citing works
Seo, S., Ruzycki, C. A., Finlay, W. H., Romanyk, D. L., & Martin, A. R. (2023) · American Journal of Infection Control · doi:10.1016/j.ajic.2023.01.010 · Cited by 5 · see citing works
Ngo, D. M., Doan, N. B., Tran, S. N., Hoang, L. B., Nguyen, H. B., & Nguyen, V. D. (2023) · PLoS ONE · doi:10.1371/journal.pone.0284603 · Cited by 5 · see citing works
Design and validation of a wind tunnel for viral aerosol filtration testing
Brochu, V., St-Onge, G., Turgeon, N., Veillette, M., Olivier, M., & Duchaine, C. (2024) · Aerosol Science and Technology · doi:10.1080/02786826.2024.2310542 · Cited by 5 · see citing works
An apparatus for rapid and nondestructive comparison of masks and respirators
Sheets, D., Shaw, J., Baldwin, M., Daggett, D. F., Elali, I., Curry, E. B., Sochnikov, I., & Hancock, J. (2020) · Review of Scientific Instruments · doi:10.1063/5.0015983 · Cited by 4 · see citing works
Zhang, Z., Erşan, M. S., Westerhoff, P. K., & Herckès, P. (2023) · Toxics · doi:10.3390/toxics12010003 · Cited by 3 · see citing works
General Awareness Regarding Face Masks to Combat Covid-19: A Comprehensive Review
Kumaraswamy, M., Shaji, J. S., S, D. S. V., & Paul, P. (2021) · International Journal of Pharmaceutical Sciences Review and Research · doi:10.47583/ijpsrr.2021.v67i01.004 · Cited by 3 · see citing works
Young, C. C., Byrne, J. D., Wentworth, A. J., Collins, J. E., Chu, J. N., & Traverso, G. (2022) · Global Challenges · doi:10.1002/gch2.202200001 · Cited by 3 · see citing works
The mask dilemma: unmasking the myths and facts
Narayanan, V. (2020) · International Journal of Community Medicine and Public Health · doi:10.18203/2394-6040.ijcmph20205419 · Cited by 1 · see citing works
Study of the inward protection efficiency of various facial masks
El Khayri, H., Pieris, S., Peterson, S. D., & Yarusevych, S. (2025) · Aerosol Science and Technology · doi:10.1080/02786826.2025.2547901
Development of Inducible Anti-influenza Therapies
McMillen, C. M. (2016) · doi:10.33915/etd.6203
Hapan, M. F. Z., Hizon, C. M. B., Salmon, S. S., Sanchez, L. A. R., Tiu, M. N. B., & Unilongo, A. E. (2021) · International Journal of Research Publications · doi:10.47119/ijrp100811720212132
Caehnorhabditis Elegans: A Low-Cost In Vivo Animal Model for Efficacy Studies of Novel Antibiotics
Gregory, R. (2021) · PubMed Central · doi:10.26076/6226-6700
Airborne Particle Control Methods in Dental Clinics
Chacko, R. K., Rupali, P., Murugesan, M., & Premchander, M. (2021) · Current Medical Issues · doi:10.4103/cmi.cmi_64_21
Critical evaluation of some microbial contamination removal and inactivation methods for face masksPreprint
Salo, S., Harlin, A., Kulmala, I. K., Kamppuri, T., Saarimäki, E., & Kiiskinen, T. (2022) · Research Square · doi:10.21203/rs.3.rs-1328518/v1
Bacterial Filtration Efficiency
Stevina, L., & Tjampakasari, C. R. (2024) · Journal of Clinical Microbiology and Infectious Diseases · doi:10.51559/jcmid.v4i1.49
Is double masking even worthwhile?
Chea, P., Pushpawela, B., Ward, R. X., & Flagan, R. C. (2024) · Aerosol Science and Technology · doi:10.1080/02786826.2024.2369638
Naher, S., Das, E. J., Toha, M., Bhuiyan, M. A. R., & Tania, K. A. (2024) · Urban Water Journal · doi:10.1080/1573062x.2024.2397793
Full Issue, Volume 12, Number 3
Peterson, D. J., Cummings, S. R., & North, E. G. (2025) · Journal of Human Sciences and Extension · doi:10.55533/2325-5226.1572
Evaluation of a smoke extraction system for veterinarian exposures to surgical smoke—A pilot study
Anderson, K. R., & Arai, S. (2025) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2025.2496493
Testing filtration capabilities of household fabrics for protection against airborne contaminants
Shah, E., & Shah, B. (2025) · Journal of Emerging Investigators · doi:10.59720/24-122
- Authors
- Rengasamy*, S., Miller, A., Eimer, B. C., & Shaffer, R. E.
- Affiliations
- National Institute for Occupational Safety and Health (US)
- ORCID
- Shaffer, Ronald E.
- Venue
- Journal of the International Society for Respiratory Protection
- Published
- 2009-06-30
- Volume
- 26
- Issue
- 1-2
- Pages
- 54-70
- ISSN
- 0892-6298 (ISSN-L)
- PMC
- PMC7357397
- OpenAlex
- W7202395910
- Cited by
- 69
- References
- 1
- Citations by year
- 2025: 5 · 2024: 9 · 2023: 7 · 2022: 8 · 2021: 13 · 2020: 6 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 4 · 2013: 4 · 2012: 5
- FWCI
- 2.25
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of the International Society for Respiratory Protection (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- PubMed
- Funders
- National Institute for Occupational Safety and Health
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
- Physical Sciences › Engineering › Electrical and Electronic Engineering › Aerosol Filtration and Electrostatic Precipitation
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Keywords
- surgical masks, filtration efficiency, particle penetration, submicron particles, pandemic influenza, respirator shortage, healthcare workers, viral aerosols, NaCl aerosol, respiratory protection
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review