Ill-fitting face masks are putting healthcare workers at risk of contracting coronavirus, with women and Asian people most likely to be impacted, a new report says.
The review of previous studies, published in the peer-reviewed Anaesthesia medical journal on Wednesday, said a standardised fit-testing procedure was needed to improve protection against COVID-19 and should form part of mandated health and safety protocols in hospitals.
Currently, in Australia, healthcare workers are often expected to check their own masks after putting them on by inhaling and exhaling sharply and feeling for air leaks. This process, known as fit-checking, is the minimum safety standard when personal protective equipment is worn.
"Satisfactory airborne protection will only be provided if the filtering facepiece respirators are properly fitted to the individual's face, providing a tight facial seal," said Professor Britta Von Ungern-Sternberg, from Perth Children's Hosptial, who co-authored the review.
"It’s important that health care workers are checking their face mask when they put it on, but also regular fit testing of masks is needed to ensure there are no leaks that are often too small for health care workers to pick up with simple fit checking."
Women and Asian healthcare workers were less likely to have a properly fitting face mask, the review said, opening them up to a greater risk of infection.
The initial fit pass rate for women was 85 per cent, compared to 95 per cent for men, one study quoted in the review found. The initial fit pass rate was also higher for Caucasians compared with Asians, with 90 per cent to 84 per cent respectively.
For Asian women, the initial fit pass rate was particularly low with a reported mean of 60 per cent.
The correct fit was "far more important" than the material of the masks for airborne protection, Professor von Ungern-Sternberg said.
In a survey last month, the Royal Australasian College of Physicians found 20 per cent of their members in public hospitals had been forced to source their own PPE, including 45 per cent of respondents who said they had limited or no access to N95 or P2 masks.
More than 3,400 healthcare workers have so far contracted coronavirus in Victoria, with 261 of those cases active as of Wednesday morning.
Despite the challenges of the coronavirus pandemic the review calls for annual formal fit-testing of facemasks for health workers as opposed to relying on self-checks.
"The COVID-19 pandemic has highlighted deficiencies of some healthcare facilities to protect their healthcare workers in line with national and international recommendations and the requirement for formal fit-testing programmes appears to be particularly important," the authors said.
