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Subject: Re: [DCHAS-L] 3' Social Distancing "Rule"

Date: Jan 14, 2021 18:41 UTC

Author: Wagoner, Jo <jwagoner**At_Symbol_Here**butler.edu>

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Subject: Re: [DCHAS-L] 3' Social Distancing "Rule"

Date: Jan 14, 2021 19:17 UTC

Author: Rob Toreki <info**At_Symbol_Here**ILPI.COM>

Thread context

From: John Callen <jbcallen**At_Symbol_Here**GMAIL.COM>

Subject: Re: [DCHAS-L] 3' Social Distancing "Rule"

Date: Jan 14, 2021 18:50 UTC

Reply-To: ACS Division of Chemical Health and Safety

In-Reply-To: Re: [DCHAS-L] 3' Social Distancing "Rule"

Demystify: 

Monona, Peter, Rob and ALL,

At 3M we have always taken a very conservative approach to Voluntary Use of Respirators and advised customers to go through formal medical evaluation, training and fit-testing regardless as to whether or not respirator use is required (internally or by law) or voluntary.

Peter, you are correct regarding Medical Evaluation for Elastomeric Facepiece Respirators.

Monona, only if the Big Bad Wolf passed his PFT!

Rob gives you a terrific glimpse into his experiences with the N95's.  My analogy to ear-looped face masks or standard surgical masks and respiratory protection has been like manufacturing submarines with screen doors and hatches.  

Although the demand is still far greater than the supply, USA healthcare institutions as well as buying consortia and associations are learning by "baptism by fire" and again something that they forgot when they went through TB, SARs, MERs, H1N1/5, is how to effectively and efficiently order, stockpile and manage inventory.  3M is making good their commitment to produce 2B N95s in 2021 running 24/7/365 with a 30% increase in factory size and over 330% increase in annual output.  Other US manufacturers including but not limited to Honeywell (Charlotte, NC) and Protective Health Gear (Paterson, NJ) and US distributors with their private label N95's made in Asia are helping to reduce the strain.

You must realize that N95=E2=80™s are only one part of the equation as it relates to PPE, source control, decontamination, etc.  There is a global shortage of raw materials to make wipes (not the chemicals, but rather the wipe itself plus canisters or other packaging), nitrile glove and gowns.  This is compounded by the whole logistics nightmare regarding the shortage of containers, chassises (base frame of a truck which the container sits on), sky-rocketing transportation and labor costs, and the shortage of personnel to do internal or 3rd-party inspections of goods.  Also, importers are now searching for alternate ports-of-entry (e.g., Norfolk, Tampa, Mobile & New Orleans, San diego and Portland & Seattle) since the NY/NJ Ports of Red Hood/Brooklyn and Elizabeth, NJ, Galveston, TX and Long Beach/LA, CA are jammed-up.

With all of that, the demand now for needles and syringes is starting to mount with the administration of the Pfizer, Moderna and soon to be J&J vaccines.

Finally,  =E6=81=AD=E7=A6=A7=E7™=BC=E8=B2=A1 (simplified =E6=81=AD=E7=A6=A7=E5=8F=91=E8=B4=A2, pinyin spelling g=C5=8Dng x=C7=90 f=C4=81 c=C3=A1i).  Happy Chinese New Year, the Year of the Ox which is February 12, 2021!  Just remember that China and many part of Asia are closed down for the week's holiday (February 11 - 17, 2021).  That will affect manufacturing output and shipment of goods which may overlap by a week or more on either side of the holiday!

Be Safe and Stay Healthy!

All My Best,

John B. Callen, Ph.D.
3M Personal Safety Division - Retired
ACS/DCHAS Founding Member
(312) 632-0195

On Jan 14, 2021, at 12:41 PM, Wagoner, Jo <jwagoner**At_Symbol_Here**BUTLER.EDU> wrote:

Here is an enforcement memo concerning healthcare respiratory protection rules: https://www.osha.gov/memos/2020-03-14/temporary-enforcement-guidance-healthcare-respiratory-protection-annual-fit
 
-Jo Wagoner, Butler University
 
From: ACS Division of Chemical Health and Safety <DCHAS-L**At_Symbol_Here**Princeton.EDU> on behalf of "Reinhardt, Peter" <peter.reinhardt**At_Symbol_Here**YALE.EDU>
Reply-To: ACS Division of Chemical Health and Safety <DCHAS-L**At_Symbol_Here**Princeton.EDU>
Date: Thursday, January 14, 2021 at 1:35 PM
To: "DCHAS-L**At_Symbol_Here**Princeton.EDU" <DCHAS-L**At_Symbol_Here**Princeton.EDU>
Subject: Re: [DCHAS-L] 3' Social Distancing "Rule"
 
As I recall, OSHA requires a medical certification for the voluntary use of elastomeric respirators? - Pete Reinhardt, Yale EHS
 
From: ACS Division of Chemical Health and Safety <DCHAS-L**At_Symbol_Here**Princeton.EDU> on behalf of Monona Rossol <0000030664c37427-dmarc-request**At_Symbol_Here**LISTS.PRINCETON.EDU>
Reply-To: Monona Rossol <actsnyc**At_Symbol_Here**CS.COM>
Date: Thursday, January 14, 2021 at 1:28 PM
To: "DCHAS-L**At_Symbol_Here**Princeton.EDU" <DCHAS-L**At_Symbol_Here**Princeton.EDU>
Subject: Re: [DCHAS-L] 3' Social Distancing "Rule"
 
Hooray for Rob.  And as for the risks, remember that OSHA allows voluntary use of respirators without medical certification and fit testing.  The only requirement is to give the worker a copy for 1910.134 Appendix D which talks about the risks.  So there is precedent for giving N95s to people who are not certified.   That's what we should be doing along with some additional training.
 
Monona
 

 

-----Original Message-----
From: ILPI Support <info**At_Symbol_Here**ILPI.COM>
To: DCHAS-L**At_Symbol_Here**Princeton.EDU
Sent: Thu, Jan 14, 2021 11:40 am
Subject: Re: [DCHAS-L] 3' Social Distancing "Rule"

Doesn't matter how many ply you have or whether they kill or trap the virus if the sides are open because it's an ear loop mask. It's like putting deadbolts on the front door but leaving the windows open. 
 
As to Monona's inquiry about state of N95. I assume most folks know by now my company has been selling those since this all started.  In the past few months, we've been contacted by three different US manufacturers about selling their startup N95 products, two of which have NIOSH approval already and one of which is pending. Production of those are ramping nicely although they are all priced rather high as the manufacturers are trying to pay off startup costs and, of course, the cost of US labor.
 
Many hospitals, at least on the East Coast and in states that have their acts in gear, appear to be pretty well supplied with medical-grade (FDA-approved; liquid resistant) N95's.  For example, I know of a regional hospital here that has 225+ days of PPE on hand and ongoing supply agreements moving forward. And most hospitals out here are owned by large networks so their peers are well set, too.  Independent and rural hospitals elsewhere in the US, well, that's another matter, I assume.
 
That said, we've been seeing fierce downward pressure on N95's and especially non-medical earl loop masks, which is to be expected with supply orders that were placed six months ago in addition to domestic ramp up (and 3M's gargantuan efforts, of course). We'll be selling NIOSH N95's for under $1 each by the end of February although the US ones will remain $3-4, I expect. Some sellers of N95's and ear loop masks are now faced with inventory concerns - too much, not too little.  Those who have not successfully penetrated the market are looking to unload supplies they paid dearly for before they are left holding the bag. 
 
On that basis, our health officials should be now be encouraging high risk populations (e.g half the general public) to wear (non-medical!) NIOSH N95's.  But they presumably don't want to cause confusion or diversion of the medical grade ones, I suppose.
 
Rob Toreki
 
PS:  I get so frustrated by sites like BGR and Buzzfeed etc. that have lists of "the best masks" that refer people to KN95 garbage and cloth masks for sale on Amazon when we are selling genuine protection for less.  Those "recommendations" are based on kickbacks for purchase referrals.  I've emailed a few of them and said hey - we don't have the margin to give you a reward for spreading the word, but you should list our stuff because it's better and cheaper.  Crickets in response. I understand they have to make money somehow, but for something as literally life and death as this, well, it tells me a lot about their character, sadly.
 
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On Jan 14, 2021, at 10:54 AM, McLaren III, Jim A. <james.mclaren**At_Symbol_Here**TRINCOLL.EDU> wrote:
 
I love you Monona.
They also state the idea that 13 ply cotton is as good as the N-95's------------------where in the market are there 13 ply masks?  I see three plys at best.
 
Jim McLaren
Jim McLaren
Lab Technician/Chemical Hygeine Officer/Nuclear Safety Officer
300 Summit Street, Trinity College Chemistry Department,
Hartford, CT  06106-3100
Telephone:  860-297-2512
 
From: ACS Division of Chemical Health and Safety <DCHAS-L**At_Symbol_Here**Princeton.EDU> On Behalf Of Monona Rossol
Sent: Thursday, January 14, 2021 10:41 AM
To: DCHAS-L**At_Symbol_Here**Princeton.EDU
Subject: Re: [DCHAS-L] 3' Social Distancing "Rule"
 
Here's the first paragraph of the Discussion:
 

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