[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Patel  A, D’Alessandro  MM, Ireland  KJ, Burel  WG, Wencil  EB, Rasmussen  SA.  Personal protective equipment supply chain: lessons learned from recent public health emergency responses.  Health Secur. 2017;15(3):244-252. doi:10.1089/hs.2016.0129PubMedGoogle ScholarCrossref
Murray  M, Grant  J, Bryce  E, Chilton  P, Forrester  L.  Facial protective equipment, personnel, and pandemics: impact of the pandemic (H1N1) 2009 virus on personnel and use of facial protective equipment.  Infect Control Hosp Epidemiol. 2010;31(10):1011-1016. doi:10.1086/656564PubMedGoogle ScholarCrossref
Healthcare supply of personal protection equipment. Centers for Disease Control and Prevention website. Updated March 12, 2020. Accessed March 24, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/healthcare-supply-ppe-index.html
Wizner  K, Stradtman  L, Novak  D, Shaffer  R.  Prevalence of respiratory protective devices in U.S. health care facilities: implications for emergency preparedness.  Workplace Health Saf. 2016;64(8):359-368. doi:10.1177/2165079916657108PubMedGoogle ScholarCrossref
Hines  SE, Brown  C, Oliver  M,  et al.  User acceptance of reusable respirators in health care.  Am J Infect Control. 2019;47(6):648-655. doi:10.1016/j.ajic.2018.11.021PubMedGoogle ScholarCrossref
1910.134: Respiratory protection. Occupational Safety and Health Administration website. Accessed February 5, 2020. https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.134
Views 17,570
Citations 0
Research Letter
March 25, 2020

Training and Fit Testing of Health Care Personnel for Reusable Elastomeric Half-Mask Respirators Compared With Disposable N95 Respirators

Author Affiliations
  • 1Department of Pediatrics, Baylor College of Medicine, Houston, Texas
  • 2Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia
  • 3Division of Infectious Diseases, Emory University, Atlanta, Georgia
  • 4Department of Pediatrics, Baylor College of Medicine, Houston, Texas
  • 5Department of Epidemiology, Genetics and Environmental Sciences, University of Texas Health Science Center at Houston, Houston
  • 6National Institute for Occupational Safety and Health Centers for Disease Control and Prevention, Pittsburgh, Pennsylvania
JAMA. Published online March 25, 2020. doi:10.1001/jama.2020.4806

The demand for disposable respiratory protective devices needed to protect health care personnel may exceed supply during large outbreaks of respiratory infectious diseases.1,2 Concerns are growing over global shortages of respiratory protective devices during the novel coronavirus disease 2019 (COVID-19) pandemic.3 A reusable alternative to N95 respirators for which health care personnel can be rapidly assessed for fit (fit testing) and trained for use is needed. Elastomeric half-mask respirators (EHMRs), which provide the same level of respiratory protection as N95 respirators, are one alternative4 (eFigure in Supplement 1). These reusable respirators are used in construction and manufacturing, but not widely used in health care4 because of uncertainty about disinfection methods and upfront costs.5 The goal of this demonstration study was to test the feasibility of rapidly training and fit testing health care workers to EHMRs.