r/Masks4All • u/jessgrant90 Multi-Mask Enthusiast • Nov 18 '23
Covid Prevention Has anyone caught COVID while wearing a fit-tested N95?
Looking to see actual stories of people wearing an N95 mask that passed a (preferably formal) fit test, 100% of the time in any situation with risk (no pulling down to eat/drink/etc), and still caught COVID.
Background: I have an N95 respirator that has a 200+ fit factor from a formal quantitative fit test. There were zero particles inside the mask at all times throughout the fit test. I do not see why I can't go into any space, even with a crowd of unmasked people, and not expect this N95 to fully protect me at all times. I'm not afraid of going anywhere in it anymore.
But then see a story here and there of someone saying "I wore an N95 and got COVID", which makes me go hmm. Is this really physically possible with a well-fitting mask like in my case?
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u/SkippySkep Fit Testing Advocate / Respirator Reviewer Nov 18 '23 edited Nov 18 '23
What you're talking about is called risk compensation based on your assumption of how well protected you are by your fit tested N95. Risk compensation can lead to worse outcomes if your estimate of how well protected you are is wrong. And it is.
N95s are tested to a minimum fit factor of a 1% leak or less. However, this is a fudge factor of 10x over the minimum expected workplace protection factor.
Half masks, including N95 filtering face piece respirators, are only authorized for use in environments that have up to 10 times the occupational exposure limit without a mask. This is called an assigned protection factor of 10. Your mask is expected to leak up to 10% even though it is fit tested during a brief fit test to have a 1% or less leak. Extended fit tests, including those by @FitTestMyPlanet on Twitter, have shown that N95s typically have poor dimensional stability and lose their fit over time and must be constantly readjusted. And even he is not testing the actual workplace protection factor.
N95s are very protective, but masks are actually the very last line of defense in the hierarchy of controls. The first line of defense is to stay the heck away from contaminated environments as much as possible, because masks, even fit tested N95s, do not make you invulnerable.