By Jim Rosenthal
July 14, 2020 – Canton of Graubunden, Switzerland
Local health officials spoke out against face shields. In a recent Covid-19 outbreak at a local hotel all of the employees who were infected had been wearing face shields without masks. None of the other employees caught the disease. All wore face masks.
Cantonal doctor Marina Jamnicki said: “Not only are face shields less effective than face masks, they provide wearers with a false sense of security. Plastic face shields should only be worn in tandem with a face mask. “
Many individuals swear by face shields. They are more comfortable to wear and easier to clean. They have been shown to stop droplets from a cough or sneeze (96% effective at 18 inches in one study). They do not cover up facial expressions. Verbal communication is easier. They allow the hearing impaired to read lips.
Unfortunately, face shields have a major problem with airflow. Even a face shield that goes beyond the ears on the sides and below the chin will allow a large amount of the surrounding air to enter the breathing zone of the wearer. In a room with an infected individual that air could contain particles with active viruses.
It has been established that aerosol transmission can be a pathway for catching Covid-19. Aerosols are generally described as particles smaller than 5 microns. One of their characteristics is that they stay in the air for an extended period of time (a 1 micron sized particle settles at the rate of about 5 inches per hour). A person with Covid-19 can expel particles through a variety of ways. The obvious ones are coughing and sneezing, but researchers have found that people who are talking, laughing, or singing are also emitters. The suspended aerosol particles act almost like gasses. They seldom move in straight lines like larger droplets. They move with differentials in heat, activity in the space, airflows introduced by fans, HVAC blowers, open windows and doors and a host of other factors.
So how does the room air get on the user side of the face shield? The large open gaps on the sides and bottom of the shield are obvious pathways. These could be particularly problematic for people like barbers and cosmeticians that are providing personal close contact services. If airflow enters from these openings, because of the curvature of the face shield, at least some of the particles will be directed downward. A major purpose of wearing Personal Protective Equipment (PPE) is to protect “other” people – in addition to the wearer. Should a personal service provider have Covid19 and be wearing a face shield without a mask, there could be some exposure for the client.
But let’s focus on what happens in situations where a face shield only wearer encounters airflow coming directly at them. This is probably the most likely scenario with the Swiss hotel workers. One would assume that they are service providers in the hotel food and beverage operation. As such, they would be on the move providing service for their guests. This would mean that they are walking briskly in their service area from their customers to the kitchen and around other areas of the facility. It is part of the job. The average server walking at 2 to 4 miles per hour provides plenty of airflow for our analysis of why wearing a face shield without a mask is a big problem.
And to demonstrate how airflow affects potential particle transmission I would like to introduce our willing expert – Hairy Manne. Hairy is a mannequin and is well qualified for the job. His face has human contours and he has 3 1/2″ pieces of needlepoint yarn all over his head. These will act as our wind direction sensors.
Through the use a of small portable fan we directed airflow at Hairy with his face shield. Immediately the “hair” on his face moved inward – right into his breathing zone.
So particles in the air near Hairy would be drawn inside the face shield. Some of those particles could contain Covid-19 virus.
How is this possible? How could there be airflow in the opposite direction of the source? Simple. It is driven by negative pressure. The air coming from the fan creates positive velocity pressure. All positive pressure is surrounded by low or negative pressure. (Explained by “Newton’s Third Law” which states that every action results in an equal and opposite reaction.) When the air from the fan hits the shield, it generates “drag” (negative pressure) and results in a backward pull. This occurs naturally when something is moving against a fluid or a gas and is the same concept that enables sailboats to sail “upwind.”
How strong is this backward airflow? To determine this we used what is known as an anemometer. An anemometer measures wind speed and direction. The one we used has a windmill that moves clockwise or counter clockwise depending on the direction of the airflow. It measures velocity in feet per minute and miles per hour.
Now let’s take a look at what happened when Hairy turned his head 90 degrees so that the airflow could enter from the side. The speed of the airflow leaving the face shield below Hairy’s chin was 2.1 MPH/190 fpm. Virtually all particles coming from his mouth would be directed downward.
When Hairy was turned back toward the fan, the airflow changed direction again. It was moving into the shield in this space under the chin at about the same rate measured on the sides. (0.5 MPH/45 fpm)
What can be done to solve this problem with face shields? In the long term the shields can be designed so that there are not any open gaps on the sides or bottom. Medical grade shields are made this way now.
In the short term, do not wear a face shield without a mask! No exceptions!