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Sterility Assessment of Some Face Masks for Public Use During COVID-19 Pandemic in Lagos, Nigeria

Received: 24 October 2021    Accepted: 18 November 2021    Published: 24 December 2021
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Abstract

Globally, the use of face masks is one of the non-pharmaceutical interventions recommended as a method of preventing spread of SARS-CoV-2. Lagos State was an epicenter of COVID-19 and as such, the State Government made the use of facemasks mandatory while in the public and social gatherings. Due to the alarming rate of spread of COVID-19 pandemic, shortage of masks and respirators has been observed and reported globally. This has led to production and use of different types of facemasks including locally made facemasks of different fabrics. A total of 400 consisting of 200 made of local fabrics, 100 imported face/surgical masks and 100 N95 respirators were selected from different sources in Lagos State between May 2020 and November 2020. Samples were immersed aseptically into conical flask containing 100ml Nutrient broth and incubated 18-24hrs. The broth culture was sub-cultured onto Sabouroid Dextrose Agar in duplicates. One of the SDA was incubated at room temperature and the other at 37°C. Blood, Chocolate and MacConkey agar plates were also inoculated and incubated at 37°C for 18-24 hrs. Isolates were identified using phenotypic identification methods. Of the total 400 samples, 346 (86.5%) had no bacterial or fungal growth while 44 (11.0%) had one bacterial isolate and 10 (2.5%) had mixed growth of bacterial isolates. Of the 200 locally-made face masks, 39 (19.5%) had one bacterial isolate and 9 (4.5%) had two bacterial isolates and 5 (2.5%) had fungal isolates while out of the 100 imported surgical masks, only 4 (4.0%) had one bacterial isolate and one (1.0%) had mixed growth of bacterial isolates. One (1.0%) of the imported N95 respirator had only one bacterial isolate (Lactobacilli spp). Generally, the isolated bacteria were Staphylococcus aureus, Coagulase negative Staphylococcus, Escherichia coli, Klebsiella species and Lactobacilli species while fungal isolates were Candida albicans and Aspergillus fumigatus. The locally-made face masks were contaminated with both bacterial and fungal isolates. Face masks with no bacterial or fungal growth had a p-value of 0.02 and it is statistically significant in terms of the face masks tested in this study. Face masks with one bacterial isolate had a p value of 0.35 and those mixed growth of two different bacterial and fungal isolates had a p value of 0.36 which indicated a non-statistically significant results of the face mask tested in these categories. Locally made face masks were more contaminated with single or mixed bacterial and fungal agents. Cautionary use of the masks is recommended.

Published in Biomedical Sciences (Volume 7, Issue 4)
DOI 10.11648/j.bs.20210704.14
Page(s) 114-119
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Face Masks, Respirators, Sterility, SARS CoV-2, COVID-9, Lagos, Nigeria

References
[1] US Department of Labor, 2009: Occupational Safety and Health Administration, Pandemic Influenza Preparedness and Response Guidance for Health care Workers and Health care Employers.
[2] WHO “Coronavirus disease (COVID-19) advice for the public cited 10/12/2020 available on https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public.
[3] EN 14683: 2014 Standard: Microbial Cleanliness Test (Bioburden). Nelson Labs- A Sotera Health Company.
[4] World Health Organization: Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. WHO Dir Gen speeches. 2020; (March): 4.
[5] Prevention (CDC) C for disease control and. Use of Cloth Face Coverings to Help Slow the Spread of COVID-19. cdc.gov/coronavirus. 2020; 4–6.
[6] S Steve Zhou, Salimatu Lukula, Cory Chiossone, Raymond W Nims, Donna B Suchmann, M Khalid Ijaz (2018): Assessment of a respiratory face mask for capturing air pollutants and pathogens including human influenza and rhinoviruses J. of Thorac Dis March 10 (3): 2059-2069 doi: 10.21037/jtd.2018.03.103.
[7] James Samet et al., 2020: Evaluation of Cloth Masks and Modified Procedure Masks as Personal Protective Equipment for the Public During the COVID-19 Pandemic. JAMA Intern Med. Published online December 10, 2020. doi: 10.1001/jamainternmed.2020.8168.
[8] Chughtai, A. A., Seale, H., & Macintyre, C. (2020). Effectiveness of Cloth Masks for Protection Against Severe Acute Respiratory Syndrome Coronavirus 2. Emerging Infectious Diseases, 26 (10), 1-5. https://doi.org/10.3201/eid2610.200948.
[9] Nafisa Abedin, Kazi Nabila Bushrah, Muhit Reza Md. Muktadir, Raisa Abedin Disha, Saumitra Chakravart (2020) Suggestions and Recommendations of Face Mask Usage during COVID 19 Pandemic. Bangladesh Journal of Infectious Diseases. June 2020, Volume 7, Number 1, Page 27-32 ISSN (Online) 2411-670X, ISSN (Print) 2411-4820 DOI: https://doi.org/10.3329/bjid.v7i1.48674.
[10] Massimiliano Scalvenzi, Alessia Villani & Angelo Ruggiero (2020): Community Knowledge About the Use, Reuse, Disinfection and Disposal of Masks and Filtering Facepiece Respirators: Results of a Study Conducted in a Dermatology Clinic at the University of Naples in Italy. Journal of Community Health. https://doi.org/10.1007/s10900-020-00952-3.
[11] World Health Organization W. WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. WHO Dir Gen speeches. 2020; (March): 4.
[12] C. Raina MacIntyre, Abrar Ahmad Chughtai, A Rapid Systematic Review of the Efficacy of Face Masks and Respirators Against Coronaviruses and Other Respiratory Transmissible Viruses for the Community, Healthcare Workers and Sick Patients, International Journal of Nursing Studies (2020), doi: https://doi.org/10.1016/j.ijnurstu.2020.103629.
[13] MacIntyre CR, Seale H, Dung TC, Hien NT, Nga PT, Chughtai AA, et al. A cluster randomised trial of cloth masks compared with medical masks in healthcare workers. BMJ Open. 2015; 5: e006577. https://doi.org/10.1136/ bmjopen-2014-006577.
[14] Macintyre R, Chughtai A, Tham CD, Seale H. BMJ (Clinical research ed) [Internet] 2020.
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  • APA Style

    Toyosi Yekeen Raheem, Kazeem Osuolale, Samuel Kayode Akindele, Oluranti Ojerinola, Samuel Amoo, et al. (2021). Sterility Assessment of Some Face Masks for Public Use During COVID-19 Pandemic in Lagos, Nigeria. Biomedical Sciences, 7(4), 114-119. https://doi.org/10.11648/j.bs.20210704.14

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    ACS Style

    Toyosi Yekeen Raheem; Kazeem Osuolale; Samuel Kayode Akindele; Oluranti Ojerinola; Samuel Amoo, et al. Sterility Assessment of Some Face Masks for Public Use During COVID-19 Pandemic in Lagos, Nigeria. Biomed. Sci. 2021, 7(4), 114-119. doi: 10.11648/j.bs.20210704.14

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    AMA Style

    Toyosi Yekeen Raheem, Kazeem Osuolale, Samuel Kayode Akindele, Oluranti Ojerinola, Samuel Amoo, et al. Sterility Assessment of Some Face Masks for Public Use During COVID-19 Pandemic in Lagos, Nigeria. Biomed Sci. 2021;7(4):114-119. doi: 10.11648/j.bs.20210704.14

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  • @article{10.11648/j.bs.20210704.14,
      author = {Toyosi Yekeen Raheem and Kazeem Osuolale and Samuel Kayode Akindele and Oluranti Ojerinola and Samuel Amoo and Ahmed Ismaila Ochacha},
      title = {Sterility Assessment of Some Face Masks for Public Use During COVID-19 Pandemic in Lagos, Nigeria},
      journal = {Biomedical Sciences},
      volume = {7},
      number = {4},
      pages = {114-119},
      doi = {10.11648/j.bs.20210704.14},
      url = {https://doi.org/10.11648/j.bs.20210704.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bs.20210704.14},
      abstract = {Globally, the use of face masks is one of the non-pharmaceutical interventions recommended as a method of preventing spread of SARS-CoV-2. Lagos State was an epicenter of COVID-19 and as such, the State Government made the use of facemasks mandatory while in the public and social gatherings. Due to the alarming rate of spread of COVID-19 pandemic, shortage of masks and respirators has been observed and reported globally. This has led to production and use of different types of facemasks including locally made facemasks of different fabrics. A total of 400 consisting of 200 made of local fabrics, 100 imported face/surgical masks and 100 N95 respirators were selected from different sources in Lagos State between May 2020 and November 2020. Samples were immersed aseptically into conical flask containing 100ml Nutrient broth and incubated 18-24hrs. The broth culture was sub-cultured onto Sabouroid Dextrose Agar in duplicates. One of the SDA was incubated at room temperature and the other at 37°C. Blood, Chocolate and MacConkey agar plates were also inoculated and incubated at 37°C for 18-24 hrs. Isolates were identified using phenotypic identification methods. Of the total 400 samples, 346 (86.5%) had no bacterial or fungal growth while 44 (11.0%) had one bacterial isolate and 10 (2.5%) had mixed growth of bacterial isolates. Of the 200 locally-made face masks, 39 (19.5%) had one bacterial isolate and 9 (4.5%) had two bacterial isolates and 5 (2.5%) had fungal isolates while out of the 100 imported surgical masks, only 4 (4.0%) had one bacterial isolate and one (1.0%) had mixed growth of bacterial isolates. One (1.0%) of the imported N95 respirator had only one bacterial isolate (Lactobacilli spp). Generally, the isolated bacteria were Staphylococcus aureus, Coagulase negative Staphylococcus, Escherichia coli, Klebsiella species and Lactobacilli species while fungal isolates were Candida albicans and Aspergillus fumigatus. The locally-made face masks were contaminated with both bacterial and fungal isolates. Face masks with no bacterial or fungal growth had a p-value of 0.02 and it is statistically significant in terms of the face masks tested in this study. Face masks with one bacterial isolate had a p value of 0.35 and those mixed growth of two different bacterial and fungal isolates had a p value of 0.36 which indicated a non-statistically significant results of the face mask tested in these categories. Locally made face masks were more contaminated with single or mixed bacterial and fungal agents. Cautionary use of the masks is recommended.},
     year = {2021}
    }
    

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    AU  - Toyosi Yekeen Raheem
    AU  - Kazeem Osuolale
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    AU  - Oluranti Ojerinola
    AU  - Samuel Amoo
    AU  - Ahmed Ismaila Ochacha
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    JO  - Biomedical Sciences
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    AB  - Globally, the use of face masks is one of the non-pharmaceutical interventions recommended as a method of preventing spread of SARS-CoV-2. Lagos State was an epicenter of COVID-19 and as such, the State Government made the use of facemasks mandatory while in the public and social gatherings. Due to the alarming rate of spread of COVID-19 pandemic, shortage of masks and respirators has been observed and reported globally. This has led to production and use of different types of facemasks including locally made facemasks of different fabrics. A total of 400 consisting of 200 made of local fabrics, 100 imported face/surgical masks and 100 N95 respirators were selected from different sources in Lagos State between May 2020 and November 2020. Samples were immersed aseptically into conical flask containing 100ml Nutrient broth and incubated 18-24hrs. The broth culture was sub-cultured onto Sabouroid Dextrose Agar in duplicates. One of the SDA was incubated at room temperature and the other at 37°C. Blood, Chocolate and MacConkey agar plates were also inoculated and incubated at 37°C for 18-24 hrs. Isolates were identified using phenotypic identification methods. Of the total 400 samples, 346 (86.5%) had no bacterial or fungal growth while 44 (11.0%) had one bacterial isolate and 10 (2.5%) had mixed growth of bacterial isolates. Of the 200 locally-made face masks, 39 (19.5%) had one bacterial isolate and 9 (4.5%) had two bacterial isolates and 5 (2.5%) had fungal isolates while out of the 100 imported surgical masks, only 4 (4.0%) had one bacterial isolate and one (1.0%) had mixed growth of bacterial isolates. One (1.0%) of the imported N95 respirator had only one bacterial isolate (Lactobacilli spp). Generally, the isolated bacteria were Staphylococcus aureus, Coagulase negative Staphylococcus, Escherichia coli, Klebsiella species and Lactobacilli species while fungal isolates were Candida albicans and Aspergillus fumigatus. The locally-made face masks were contaminated with both bacterial and fungal isolates. Face masks with no bacterial or fungal growth had a p-value of 0.02 and it is statistically significant in terms of the face masks tested in this study. Face masks with one bacterial isolate had a p value of 0.35 and those mixed growth of two different bacterial and fungal isolates had a p value of 0.36 which indicated a non-statistically significant results of the face mask tested in these categories. Locally made face masks were more contaminated with single or mixed bacterial and fungal agents. Cautionary use of the masks is recommended.
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • Clinical Diagnostic Laboratory, Nigerian Institute of Medical Research, Yaba-Lagos, Nigeria

  • Monitoring and Evaluation Unit (Biostatistics), Nigerian Institute of Medical Research, Yaba-Lagos, Nigeria

  • Clinical Diagnostic Laboratory, Nigerian Institute of Medical Research, Yaba-Lagos, Nigeria

  • Clinical Diagnostic Laboratory, Nigerian Institute of Medical Research, Yaba-Lagos, Nigeria

  • Centre for Human Virology and Genomics, Nigerian Institute of Medical Research, Yaba-Lagos, Nigeria

  • Clinical Diagnostic Laboratory, Nigerian Institute of Medical Research, Yaba-Lagos, Nigeria

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