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  • Water-blocking asphyxia of ...
    Zhu, Jintuo; Jiang, Qijun; Ye, Yuxuan; He, Xinjian; Shao, Jiang; Li, Xinyu; Zhao, Xijie; Xu, Huan; Hu, Qi

    Safety and health at work, 12/2023, Volume: 14, Issue: 4
    Journal Article

    During hot environment work tasks with whole-body enclosed anti-bioaerosol suit, the combined effect of heavy sweating and exhaled hot humid air may cause the N95 medical respirator to saturate with water/sweat (i.e., water-blocking). 32 young male subjects with different body mass indexes (BMI) in whole-body protection (N95 medical respirator + one-piece protective suit + head covering + protective face screen + gloves + shoe covers) were asked to simulate waste collecting from each isolated room in a seven-story building at 27∼28°C, and the weight, inhalation resistance (Rf), and aerosol penetration of the respirator before worn and after water-blocking were analyzed. All subjects reported water-blocking asphyxia of the N95 respirators within 36∼67 min of the task. When water-blocking occurred, the Rf and 10∼200 nm total aerosol penetration (Pt) of the respirators reached up to 1270∼1810 Pa and 17.3∼23.3%, respectively, which were 10 and 8 times that before worn. The most penetration particle size of the respirators increased from 49∼65 nm before worn to 115∼154 nm under water-blocking condition, and the corresponding maximum size-dependent aerosol penetration increased from 2.5∼3.5% to 20∼27%. With the increase of BMI, the water-blocking occurrence time firstly increased then reduced, while the Rf, Pt and absorbed water all increased significantly. This study reveals the respirator water-blocking and its serious negative impacts on respiratory protection. When performing moderate-to-high-load tasks with whole-body protection in a hot environment, it is recommended that respirator be replaced with a new one at least every hour to avoid water-blocking asphyxia.