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Version 2, Face mask disinfection device
08/31/2020 at 21:16 • 1 commentBuilding the device is divided into different parts.
- Enclosure
- Electronics
- Electricals
- Arduino code
- UVC - light
- Infrared Heater
- Fixtures
- Enclosure
The device enclosure is divided into 3 parts
- The main box,
- The electronics box &The electricals box
Instructions:
- Use 8mm or 10mm wood to laser cut the 2 files of the main box and the electrical and electronics box. The laser cut file is available on GitHub.
This file is for the main box. Refer to the files on GIThub for 8mm or 10mm.
This file is for the electronics & electrical box. Refer to the files GIThub for 8mm or 10mm.
Aluminium tape
Use a generous amount of aluminium foil tape to cover the inside of the box, both the top enclosure and the bottom. The aluminum foil tape with adhesive on one side is recommended over the aluminium foil from the kitchen in order to avoid tearing of the foil.
The reference we used, for example: https://fr.rs-online.com/web/p/rubans-aluminium/0176573/
Electronics
1) Circuit connection diagram, For detailed list of components please refer to the BOM.
2) Arduino pin mapping.
3) Schematics of the electrical and Electronics of the Face mask disinfection device (FMDD)
Remark:
If your Infrared heater has two bulbs, you should wire only one of them
Internal view of the electronics and electricals fit into the wooden box. On the right side compartment is the electronics and on the left side compartment is the electricals of the device.
Back of the control board, Use Hot glue to keep the board in place.
Front view of the electronics box - which displays the temperature and humidity.
Arduino code
1) Source code is available here:
2) Finite state Diagram
3) Link to the user manual:
https://hackaday.io/project/172189/instructionsFixing details
Infrared heater fixing details
Use of standard brackets to keep the infrared in place.
Placement and positioning of the infrared heater.
Use of the metal plate on top of the infrared heater in order to radiate heat into the air
not with direct infrared radiations.
Top view of the infrared heater with the metal plate and the insulated cables.
The cables are used to make a rack where the masks will be placed in order for them to get exposed to the heat.
Weaving of the cables. Equidistant and uniform with the help of the Laser cut holders on both sides of the box.
Fix the UV-C light on the other side of the box.
Place the masks in the rack.
Light leak test.
It is very important to make a dark room light leak test. => use a battery powered visible light source. Put it inside the box closed and check the leaks cover all the holes/ leaks if found, using some foam gasket and / or some borders
This will give clear indication if any UV-C light is leaking from the box in order to avoid any damage to your eyes.
WARNING:
You must be aware that UV-C radiation is very dangerous for your eyes and skin. The UV-C light must be switched ON only when the top cover of the device is closed and switched off when the device is open.
Due to the unseen danger of UV-C, one must check that the device is light proof. Remember, that the visible radiation of germicide tube is just a by product and it's only 3/4% of total emission, there's a big risk of emission leak and one doesn’t perceive it. One has to conduct a light test by checking for light leaks around the device/enclosure in a completely dark environment. One has to cover all the holes/ leaks if found, using some foam gasket and / or some borders to avoid this risk of UV-C leaks outside of the device.
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Version 1, Face mask disinfection device
08/28/2020 at 16:16 • 0 commentsV1 - Device set up diagram
● Temperature must be maintained in the range 65+/-5°C
● The lamp must provide UV-C wavelength.
● The disinfection cycle duration is minimum of 30 minutes. (recommendation: Not more than 30 min in order to have a safer range to avoid potential face-mask degradation and loss of functionality.)
Device Dimensions
First Heat testing
Cross sectional diagram of the device.
Remark: Induction hob was used to prove the concept. Dry heat of 65+/- 5 °c can be produced using several other methods. But, induction hob can be used in actual device as well.
Prototype heat testing using tabletop induction hob. The heating element is made of a frying pan (induction compatible) with the handle removed. The diameter is around 22 centimetres.
In 15 minutes required temperature of 70°C is attended. The temperature can be maintained constant by adjusting the power of the induction hob.
Making of the heating system
A frying pan of 22 centimetres diameter (induction compatible) with the handle removed.
Cover the frying pan with aluminum foil for UV-C light reflection.
Make a hole of 20 centimetres at the center of the box/ bottom surface of the device.
In order to maintain the position of the frying pan use four metal holders as shown in the image.
Heating element detail.
When the box is handled "in the air".
When the box is put on the table-top induction hob.
In order to maintain smooth contact with the table top induction hob- use 4 rubber patches at the bottom of the box.
Bottom view- showing the detail of the metal pan.
Making of the top cover
Two hinges are used in the back to enable smooth movement of the top cover.
UV-C System
For the UV-C source in this device, an 11 W lamp bulb from a “Sterilizer for Aquarium” kit was used. The UV-C bulb was extracted and mounted to the top cover at the two ends of the bulb as shown in the image. The bulb is mounted by creating 4 holes in the top cover and using a zip tie/cable tie and soft padding to securely fasten the bulb. The top surface is covered in aluminium to reflect the UV radiation.
Feel free to use UV-C lamp from other sources. If you do not have access to the crystal tube (used in this project) do not use glass as a replacement as glass blocks the UV radiation.
WARNING:
You must be aware that UV-C radiation is very dangerous for your eyes and skin. The UV-C light must be switched ON only when the top cover of the device is closed and switched off when the device is open.
Due to the unseen danger of UV-C, one must check that the device is light proof. Remember, that the visible radiation of germicide tube is just a by product and it's only 3/4% of total emission, there's a big risk of emission leak and one doesn’t perceive it. One has to conduct a light test by checking for light leaks around the device/enclosure in a completely dark environment. One has to cover all the holes/ leaks if found, using some foam gasket and / or some borders to avoid this risk of UV-C leaks outside of the device.
In order to turn off the light when the device cover is opened a switch was installed. Diagram representation of the switch.
View of the power switch.
Covering the surfaces with Aluminum foil
Before installing the UV-C tube and the wire rack, cover sides and top surface of the box with aluminum foil, as shown in the image.The goal is to reflect the UV-C light on the side faces, thus augmenting the efficacy.
Tips: Double sided tape can be used to maintain the aluminium foil in place for the surfaces and the edges can be duct taped.
Making of the Wire rack - Placement for the Face-mask
The face-masks will be placed on top of a wire rack. I wire rack was made using copper thinned wire at 30 mm apart from each wire. The wire rack is 120 mm above the bottom surface. The wire rack is held together by passing the wire through small holes made on the front and back surfaces of the box.
Internal view of the device showing the wire rack.
Back view- showing the detail of the wire rack fixing.
Front view- Wire rack copper thinned wire detail.
Setting up Arduino & sensors
Temperature and light sensor fixed to the interior wall of the box using glue.Arduino Overview
Temperature and light sensor:
Temperature and light sensor fixed to the interior wall of the box using glue.
The wires connected to the temperature and heat sensor as seen in the images are running out of the box to be connected to the Arduino.
Arduino control
INIT: In this state, the LED display indicates the temperature, but you have to wait for it to reach the threshold (70°C) to start the counting of the cycle in state COUNT
COUNT: Minutes elapsed from 30 to 0 are displayed on the LED display, next to the temperature. In the case of temperature is too low, or if the UV light is off, the state will change to ERR.
END: This is the normal state at the end of elapsed time.The speaker will advertise. Push the button to go to INIT again.
ERR: This is the error state, it will be activated if temperature goes too low or if the UV light are off. The speaker will advertise. Push the button to go to INIT again.
Alarms
There are few alarm conditions -If alarm is ON, there is a specific tone sequence on the speaker and messages are displayed on the LED display.
Alarm conditions:
1) If the system is in ERR state (UV light is off/lost or temperature too low)
2) If the temperature is too high (more than 75°C)Source code for Arduino
External libraries to include
Adafruit_LEDBackpack.h: https://learn.adafruit.com/adafruit-led-backpack/0-54-alphanumeric-9b21a470-83ad-459c-af02-209d8d82c462
Metro.h: https://github.com/thomasfredericks/Metro-Arduino-Wiring
User Manual
1. Place the box on top of your induction (or resistive) hob.
2. Switch the power ON for the Arduino.
3. Close the box and start to heat at 70~80% of the power of your induction hob.
4. Wait till you reach the 60°C temperature. Now reduce the change power of induction hob to 30%.
5. Now you can open the device, place your masks inside and close the device.
6. Make sure that the UV-C light is plugged.
7. Push the button to start => the remaining time should be displayed (30 minutes).
8. From now you just have to wait for the time has decreased to 00 minutes, there will be a signal on the speaker.
9. To restart at the initial state for a new cycle, just push the button.
Remark: When the timer is counting elapsing time (COUNT state), the small dot between Timer and Temperature displays will blink at 1 second rhythm.
Temperature cycles
This is the temperature curve obtained when starting to heat from ambient temperature (it was near 22°C when the experiment was conducted). When 60°C is reached, change the power of the induction hub to 30%. The threshold of 60°C is reached within 15- 20 minutes
This curve is obtained when the cover of the device is opened and closed to place the masks. This was tested, first time with an opening duration of 1 minute and the second time with opening duration of 30 seconds.
The 70°C threshold is recovered in less than 5 minutes.Heat inactivation of viruses
The capacity to get rid of microorganisms through moist heat usually under 100°C is known since the time of Pasteur. In this device, we implemented dry heat instead, which is reported to effectively eliminate SARS-CoV infectivity. Assays show considerable inactivation of the virus at 56°C during 30-90 min, almost complete inactivation at 65°C for 20-60 min, and complete inactivation at 75°C during 30-45 min (7,8). Furthermore, a recent study showed that SARS-CoV-2 lost all detectable infectivity after being incubated at 56°C for 30 min, or 70°C for 5 min (2).
According to this evidence and additional considerations regarding the effects of these disinfection methods on the functionality of the face masks —which will be explained in the next sections—, we decided to set the heat exposure of the protocol to be used with the device at 65 °C for 30 min.
Germicidal protocols on face masks
So far, we have presented evidence regarding viral disinfection on samples dissimilar to the face masks to which we intend to apply the disinfection. Hence, here we present some reports of viral disinfection on the same type of masks we intend to use.
Disinfection of face masks has been shown to be effective against influenza virus using UVGI at ~1 J/cm2 (10), UVGI at ~18 J/cm2, or moist heat at 65±5 °C during 3 h (11). There are no studies of disinfection of masks with coronaviruses, but since influenza viruses are also ssRNA viruses, similar effects could be expected.
Recommended method for disinfecting face-masks.
It is very important to establish a good procedure for the process of disinfecting used masks. The main questions are about Personalisation, counting the number of disinfection cycles, method of packaging disinfected face-masks. We recommend to take inspiration from this paper "N95 Filtering Facepiece Respirator Ultraviolet Germicidal Irradiation (UVGI) Process for Decontamination and Reuse" published by Nebraska Medicine.
Safety considerations
• You must be aware that UV-C radiation is very dangerous for your eyes and skin. The UV-C light must be switched ON only when the top cover of the device is closed and switched off when the device is open.
• Be careful with metallic parts of the box that could be hot after the heating and could burn the skin.
Disclaimer
Based on the available scientific evidence, the disinfection protocol will likely eliminate almost all SARS-CoV infectivity, and will definitely make the masks much safer to reuse than without any kind of disinfection. However, Needlab and the members working on this project assume no liability for the usage of this device. It was designed with goodwill and to the best of our knowledge and capabilities, but the following must be stated:
No proper laboratory testing has been yet done in terms of SARS-CoV-2 inactivation with this device, nor actual effects on face masks’ filtration capacities can be confidently assessed beforehand. The usage of the device and this guide is a free decision.
Next Steps
- Validating the disinfection process with the help of laboratory testing of the disinfected mask.
- Designing a V2, of the disinfecting device including some optimizations, user feedback and provide the necessary files for making it using methods like laser cutting and CNC.
Bibliography
- Centers for Disease Control and Prevention. Atlanta, GA: U.S. Department of Health and Human Services C for DC and P. CDC - Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings - NIOSH Workplace Safety and Health Topic [Internet]. 2019 [cited 2020 Apr 2]. Available from: https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html
- Chin A, Chu J, Perera M, Hui K, Yen H-L, Chan M, et al. Stability of SARS-CoV-2 in different environmental conditions. medRxiv. 2020 Mar 27;2020.03.15.20036673.
- Tseng C-C, Li C-S. Inactivation of Viruses on Surfaces by Ultraviolet Germicidal Irradiation. J Occup Environ Hyg [Internet]. 2007 Apr 23 [cited 2020 Apr 2];4(6):400–5. Available from: http://www.tandfonline.com/doi/abs/10.1080/15459620701329012
- Hackerfarm. HOWTO: NUKEMETER – Measuring UV-C Light Intensity. 2020; Available from: https://hackerfarm.jp/2020/03/nukemeter/
- van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. N Engl J Med [Internet]. 2020 Mar 17 [cited 2020 Apr 2];NEJMc2004973. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32182409
- Kariwa H, Fujii N, Takashima I. Inactivation of SARS coronavirus by means of povidone-iodine, physical conditions, and chemical reagents. Vol. 52, Jpn. J. Vet. Res. 2004.
- Duan SM, Zhao XS, Wen RF, Huang JJ, Pi GH, Zhang SX, et al. Stability of SARS Coronavirus in Human Specimens and Environment and Its Sensitivity to Heating and UV Irradiation. Biomed Environ Sci. 2003 Sep 1;16(3):246–55.
- Darnell MER, Subbarao K, Feinstone SM, Taylor DR. Inactivation of the coronavirus that induces severe acute respiratory syndrome, SARS-CoV. J Virol Methods. 2004 Oct 1;121(1):85–91.
- Ansaldi F, Durando P, Sticchi L, Gasparini R. SARS-CoV, influenza A and syncitial respiratory virus resistance against common disinfectants and ultraviolet irradiation Occupational Hygiene working group (SItI) View project Big Data in Occupational Medicine View project [Internet]. Article in Journal. 2004 [cited 2020 Apr 2]. Available from: https://www.researchgate.net/publication/267219876
- Mills D, Harnish DA, Lawrence C, Sandoval-Powers M, Heimbuch BK. Ultraviolet germicidal irradiation of influenza-contaminated N95 filtering facepiece respirators. Am J Infect Control. 2018 Jul 1;46(7):e49–55.
- Lore MB, Heimbuch BK, Brown TL, Wander JD, Hinrichs SH. Effectiveness of Three Decontamination Treatments against Influenza Virus Applied to Filtering Facepiece Respirators. Ann Occup Hyg [Internet]. 2012 [cited 2020 Apr 2];56(1):92–101. Available from: https://academic.oup.com/annweh/article-abstract/56/1/92/166111
- Lindsley WG, Martin SB, Thewlis RE, Sarkisian K, Nwoko JO, Mead KR, et al. Effects of Ultraviolet Germicidal Irradiation (UVGI) on N95 Respirator Filtration Performance and Structural Integrity. J Occup Environ Hyg [Internet]. 2015 Aug 3 [cited 2020 Apr 2];12(8):509–17. Available from: http://www.tandfonline.com/doi/full/10.1080/15459624.2015.1018518
- Viscusi DJ, Bergman MS, Eimer BC, Shaffer RE. Evaluation of Five Decontamination Methods for Filtering Facepiece Respirators. Ann Occup Hyg [Internet]. 2009 [cited 2020 Apr 2];53(8):815–27. Available from: https://academic.oup.com/annweh/article-abstract/53/8/815/154763
- Bergman MS, Viscusi DJ, Heimbuch BK, Wander JD, Sambol AR, Shaffer RE. Evaluation of Multiple (3-Cycle) Decontamination Processing for Filtering Facepiece Respirators. J Eng Fiber Fabr [Internet]. 2010 Dec 15 [cited 2020 Apr 2];5(4):155892501000500. Available from: http://journals.sagepub.com/doi/10.1177/155892501000500405
- Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. Vol. 104, Journal of Hospital Infection. W.B. Saunders Ltd; 2020. p. 246–51.
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Detrimental effects of physical disinfection on face masks
08/14/2020 at 14:36 • 0 commentsThe possible loss of functionality of the face masks after physical disinfection is a crucial consideration in order to evaluate the viability of such practice. Radiation and heat could definitely affect the materials of the mask, rendering it unsafe for further usage. We considered this when establishing the energies and time of exposure to safely operate the device.
Regarding UVGI effects on face masks, we found studies showing that it can be safely used without altering aerosol penetration and filter airflow resistances. One study reported no significant alteration of these filtration properties after using UVGI with dosages as high as ~1000 J/cm2 (1), which are several orders higher than our proposed dosage. Another study reported that no detrimental effect was observed when using dosages of 176-181 mJ/cm2 (2). Further studies of the same research group found that this results could be extended at least to a 3X cycle using a total dosage of 1,62 J/cm2 (3)—which is within the same order of our intended dosage—. According to this evidence, we consider that our intended dosage will probably not affect the filtration capacity of the masks for at least three cycles of disinfection.
In terms of the effect of heat, the reports are much more scarce. There are no assays are using dry heat, as we intend. The last study that we referenced for the UVGI used moist heat at 60°C and 80% RH for 30 min and observed no significant decrease in filtration capacities of the masks (3). This is the closest report we could find to our intended disinfection method, and so we chose the same temperature range, which we consider to be enough to remove almost all viral infectivity and also takes into account the functionality of the mask after the disinfection.
Bibliography
- Lindsley WG, Martin SB, Thewlis RE, Sarkisian K, Nwoko JO, Mead KR, et al. Effects of Ultraviolet Germicidal Irradiation (UVGI) on N95 Respirator Filtration Performance and Structural Integrity. J Occup Environ Hyg [Internet]. 2015 Aug 3 [cited 2020 Apr 2];12(8):509–17. Available from: http://www.tandfonline.com/doi/full/10.1080/15459624.2015.1018518
- Viscusi DJ, Bergman MS, Eimer BC, Shaffer RE. Evaluation of Five Decontamination Methods for Filtering Facepiece Respirators. Ann Occup Hyg [Internet]. 2009 [cited 2020 Apr 2];53(8):815–27. Available from: https://academic.oup.com/annweh/article-abstract/53/8/815/154763
- Bergman MS, Viscusi DJ, Heimbuch BK, Wander JD, Sambol AR, Shaffer RE. Evaluation of Multiple (3-Cycle) Decontamination Processing for Filtering Facepiece Respirators. J Eng Fiber Fabr [Internet]. 2010 Dec 15 [cited 2020 Apr 2];5(4):155892501000500. Available from: http://journals.sagepub.com/doi/10.1177/155892501000500405
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UVGI. Germicidal effect of UVC light
08/14/2020 at 14:34 • 0 commentsThe germicidal capacity of UVC light has been known and exploited in industry and research for a long time. UVC light (with a wavelength between 200 nm and 300 nm) is strongly absorbed by nucleic acids, causing photochemical alterations of the genetic material of microbes —such as pyrimidine dimers—.These alterations hinder the replication of the genetic material and/or the expression of vital proteins, killing or inactivating the germs.
Single-stranded RNA (ssRNA) viruses, such as SARS-CoV-2, are particularly vulnerable to UVC irradiation, requiring a dosage of ~2-5 mJ/cm2 (3). Most commercially available UVC light-bulbs are capable of providing the necessary dosage in relatively short times. However, some important technical considerations must be taken into account during the design of a UV germicidal device.
The UV dosage is the product between the intensity (mW/cm2) and the exposure time (s). Hence, it depends on the power of the light-bulb, the surface of exposure, and the time. The exposure surface itself depends on the shape of the light-bulb and the distance from the sample to the emission source.
We used a cylindrical light-bulb ~27 cm long, with a power of 11 W in UVC, placed at a distance of ~11 cm from the target samples. This gives a theoretical intensity of ~5,9 mW/cm2, rendering a needed exposure time of ~0,85 s to deliver the required energy to inactivate the virus (~5 mJ/cm2). However, some details must be considered when establishing a safe time of exposure. First, the light intensity is not homogeneous across the whole light-bulb; near the ends, it decreases down to a value of ~1/3 of the intensity in the center (4). This would increase the needed time at least three times, up to ~2,5 s. Moreover and more importantly, other factors —such as interactions between the light and the materials of the masks, absorption of some of the light by the coating of the light-bulb, end of lamp life, and loss of line-of-sight exposure of the sample—could alter the actual dosage that the sample is receiving. These factors are usually hard to calculate and would definitely entail a higher exposure time for safe disinfection protocols.
Due to the novelty of SARS-CoV-2, there are no specific studies about UV germicidal action on this strain since we reviewed it. However, literature reports regarding UV disinfection of SARS-CoV—the strain that caused the 2002-2004 outbreak—are a good guide in this matter, given the closeness between these two strains and confirmed reports of similar stability (5). The four most relevant studies that we considered report complete inactivation (or close to complete inactivation) of the virus after exposure times as short as 2 min using high intensities, and as long as 60 min using low intensities. These studies report that dosages proven to work against the virus are ~120 mJ/cm2 (6), ~324 mJ/cm2 (7), ~613 mJ/cm2 (8) and ~4800 mJ/cm2 (9). After calculating for the specifications of our device we obtain needed exposure times of ~20 s, ~55 s, ~2 min, and ~14 min—respectively—.It can be noticed that the exposure times of these studies are as much as two orders higher than our initial theoretical calculations, and it is also noteworthy that these studies had trustable ways of measuring intensities and usually worked with liquid samples—which are better media for UV disinfection than the materials of the face mask—For all of the above and the fact that one of the studies reported that SARS-CoV exhibits a relative tolerance to UV light, we decided to use an exposure time of 30 min for the disinfection protocol associated with our device. This time of exposure will deliver an energy about three orders higher than our theoretical needed value (~3,6 J/cm2), most likely eliminating all or almost all infectivity.
Bibliography
- Centers for Disease Control and Prevention. Atlanta, GA: U.S. Department of Health and Human Services C for DC and P. CDC - Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings - NIOSH Workplace Safety and Health Topic [Internet]. 2019 [cited 2020 Apr 2]. Available from: https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html
- Chin A, Chu J, Perera M, Hui K, Yen H-L, Chan M, et al. Stability of SARS-CoV-2 in different environmental conditions. medRxiv. 2020 Mar 27;2020.03.15.20036673.
- Tseng C-C, Li C-S. Inactivation of Viruses on Surfaces by Ultraviolet Germicidal Irradiation. J Occup Environ Hyg [Internet]. 2007 Apr 23 [cited 2020 Apr 2];4(6):400–5. Available from: http://www.tandfonline.com/doi/abs/10.1080/15459620701329012
- Hackerfarm. HOWTO: NUKEMETER – Measuring UV-C Light Intensity. 2020; Available from: https://hackerfarm.jp/2020/03/nukemeter/
- van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. N Engl J Med [Internet]. 2020 Mar 17 [cited 2020 Apr 2];NEJMc2004973. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32182409
- Kariwa H, Fujii N, Takashima I. Inactivation of SARS coronavirus by means of povidone-iodine, physical conditions, and chemical reagents. Vol. 52, Jpn. J. Vet. Res. 2004.
- Duan SM, Zhao XS, Wen RF, Huang JJ, Pi GH, Zhang SX, et al. Stability of SARS Coronavirus in Human Specimens and Environment and Its Sensitivity to Heating and UV Irradiation. Biomed Environ Sci. 2003 Sep 1;16(3):246–55.
- Darnell MER, Subbarao K, Feinstone SM, Taylor DR. Inactivation of the coronavirus that induces severe acute respiratory syndrome, SARS-CoV. J Virol Methods. 2004 Oct 1;121(1):85–91.
- Ansaldi F, Durando P, Sticchi L, Gasparini R. SARS-CoV, influenza A and syncitial respiratory virus resistance against common disinfectants and ultraviolet irradiation Occupational Hygiene working group (SItI) View project Big Data in Occupational Medicine View project [Internet]. Article in Journal. 2004 [cited 2020 Apr 2]. Available from: https://www.researchgate.net/publication/267219876
- Centers for Disease Control and Prevention. Atlanta, GA: U.S. Department of Health and Human Services C for DC and P. CDC - Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings - NIOSH Workplace Safety and Health Topic [Internet]. 2019 [cited 2020 Apr 2]. Available from: https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html