COVID Mask Wearers Could Be Exposed to Toxic Chemicals: Study

COVID Mask Wearers Could Be Exposed to Toxic Chemicals: Study
(Graham Hughes/The Canadian Press)
Mary Gillis
8/29/2023
Updated:
9/26/2023
0:00

Some have heralded masks as the gold standard of protective gear against COVID-19. However, they may be causing more problems than expected.

Results from a study published in the Journal of Ecotoxicology and Environmental Safety in May have indicated that masks pose significant risks to wearers because of toxins emitted by the tight-fitting face coverings.

Researchers from South Korea measured the number and concentration of volatile organic compounds (VOC) emitted from several different masks, including cotton masks and KF94 masks—a popular type of disposable mask similar to the N95 mask.

Four types of VOCs were detected in KF94 masks at 22.9 times to 147 times higher concentrations compared with other masks made of fabrics such as cotton. The total number of VOC particles was 14 times that of cotton masks. In some KF94 masks, numbers reached a threshold high enough to pose a serious risk to human health.

VOCs are substances that have a high vapor pressure at room temperature, according to the Environmental Protection Agency (EPA). They often provide the odors that we notice. They exist naturally but also include manmade chemicals that can evaporate at room temperature and are often used and produced in the manufacture of paints, pharmaceuticals, and refrigerants, according to the EPA.

Inhaling them may cause eye, nose, and throat irritation; difficulty breathing; headaches; nausea; damage to the central nervous system and organs; and cancer.

VOC Concentrations Worse at Certain Times and Temperatures

Researchers found that VOC concentrations fluctuated depending on environmental temperature and when the KF94 masks were removed from their packaging. When the temperature of the KF94 masks was raised to 104 degrees Fahrenheit (40 degrees Celsius), concentrations increased by 119 percent to 299 percent. The levels decreased by 80 percent 30 minutes after removing the masks from the packaging.

Risks can be mitigated to reduce harm, according to the study authors.

“It is clear that particular attention must be paid to the VOCs associated with the use of KF94 masks [and their] effects on human health,” they wrote.

“Based on our findings, we suggest that prior to wearing a KF94 mask, each product should be opened and not worn for at least 30 [minutes], thereby reducing total VOC concentrations to levels that will not impair human health.”

Other Toxins and Mask-Induced Exhaustion Syndrome

One 2022 study also highlighted toxic chemicals found in several masks and a long list of the possible consequences of covering up.

Phthalates are widely used chemicals that disrupt human endocrine systems and impact human health. While phthalates are said to make masks more versatile and flexible, there’s a high price to pay when choosing comfort over safety.

Instead of being chemically bonded to the material, phthalates are used as an additive that can be inhaled, ingested, or absorbed through the skin. Exposure has been found to be detrimental to reproductive and neurological development.
Researchers in China found harmful phthalates in 56 mask samples collected from several countries. According to results from a study published in the Journal of Hazardous Materials, nearly 90 percent of the samples contained potential carcinogens, suggesting that any benefits of masking may be outweighed by the risks unless the types and levels of chemicals are managed to be within safe limits.
A comprehensive review published in Frontiers in Public Health in April found significant negative impacts of both surgical and N95 masks. Adverse effects correlated with mask-wearing included:
  • Decreased oxygen saturation.
  • Decreased minute ventilation.
  • Increased carbon dioxide in the blood.
  • Increased heart rate, blood pressure, and skin temperature.
  • Higher levels of discomfort.
  • Shortness of breath.
  • Headaches.
  • Acne.
  • Skin irritation.
  • Dizziness.
“Masks interfered with O2-uptake and CO2-release and compromised respiratory compensation,“ the review authors wrote. ”Outcomes independently validate mask-induced exhaustion syndrome (MIES) and down-stream physio-metabolic dysfunctions. MIES can have long-term clinical consequences, especially for vulnerable groups. So far, several mask-related symptoms may have been misinterpreted as long COVID-19 symptoms. In any case, the possible MIES contrasts with the WHO definition of health.”
The study was retracted a month after its publication. The reason given for the retraction was that “the article does not meet the standards of editorial and scientific soundness for Frontiers in Public Health.” Further details weren’t provided.

The Return of Mask Mandates?

The decision to mask up is becoming a hot-button issue across the United States as the nation sees an uptick in COVID-19 cases, the arrival of the new EG.5 variant, and new mask mandates at some schools, hospitals, and companies.
Morris Brown College reinstated its mask mandate on Aug. 20 as a two-week precautionary measure because of an increasing number of cases reported in the Atlanta region. According to the school’s official Instagram account, students and faculty were told that they must all mask up. Faculty members were told that they could unmask if alone in their office.
Several hospital systems have reinstated mask mandates. UMass Memorial Hospital confirmed in a statement last month that it would reimpose masking for staff. It stated that patients and visitors are exempt from the mandate, instituted on Aug. 24.

The Centers for Disease Control and Prevention (CDC) recommends masks in indoor public transportation settings. The agency suggests that people make decisions based on the level of COVID-19 hospital admissions in their county. The CDC also recommends mask-wearing by older adults, the immunocompromised, and anyone more likely to get severely sick from COVID-19.

Mary Elizabeth Gillis is a health reporter and cardiopulmonary specialist with over a decade of experience. After graduating with her doctorate in applied physiology, she earned a master of science degree in journalism from Columbia University.
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