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COVID-19 face masks: A new source of human and environmental exposure to organophosphate esters

Environment International 2021 101 citations ? Citation count from OpenAlex, updated daily. May differ slightly from the publisher's own count.
Julio Fernández-Arribas, Teresa Moreno, R. Bartrolí, Ethel Eljarrat

Summary

Researchers tested COVID-19 face masks for chemical contaminants called organophosphate esters (OPEs) and found them present in all mask types, with KN95 masks containing the highest levels. While the health risk from inhaling these chemicals was calculated to be well below dangerous thresholds, the study highlights that disposing of billions of masks adds microplastics and toxic additives to the environment, making reusable masks a better option for reducing pollution.

Body Systems

For the first time, organophosphate ester (OPE) content was studied in different types of surgical, self-filtering (KN95, FFP2, and FFP3) and reusable face masks used for COVID-19 prevention. OPEs were detected in all mask samples, although in highly variable amounts which ranged from 0.02 to a maximum of 27.7 µg/mask, with the highest mean concentrations obtained for KN95 masks (11.6 µg/mask) and the lowest for surgical masks (0.24 µg/mask). Twelve out of 16 tested analytes were detected, with TEP, TPHP, TNBP, TEHP and TClPP being the most common OPEs as well as present at the highest concentrations. The non-carcinogenic and carcinogenic risks of OPE inhalation were calculated as being always several orders of magnitude lower than threshold levels, indicating that the use of face masks is safe with regard to OPE contamination. However, given the wide range of OPEs observed in different masks, it can be concluded that some masks (e.g. reusable) are less OPE-contaminated than others (e.g. KN95). With regard to environmental pollution, the disposal of billions of face masks is adding to the already substantial levels of microplastics and associated toxic additives worldwide, an impact that is lessened by use of reusable masks, which also have the lowest economic cost per user. However, in situations of relatively high risk of viral inhalation, such as poorly ventilated indoor public spaces, we recommend the use of FFP2 masks.

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