How to wear a N95 Mask?
The Workplace Safety and Health Act (WSHA) is an essential part of the new framework to cultivate good safety habits in all individuals so as to engender a strong safety culture in our workplace.
Monday, June 24, 2013
All about Haze
Haze Information:
Frequently Asked Questions
|
What is Haze?
Slash-and-burn farming is a technique that involves cutting down
vegetation and burning to clear land for cultivation
It is cheaper than using excavators and bulldozers
The illegal burning of forests to clear land for palm oil plantations
has long been a problem in Indonesia - particularly during the dry season in
the summer
|
The
traditional practices of slash and burn agriculture generate smoke, which is
carried long distances by prevailing winds. The Haze in Indonesia comes largely
from extensive wood/peat fires from hot spots in Kalimantan (Borneo,
Indonesia) and to a lesser extent Sumatra and Sarawak blown in by the
South-Easterly trade winds.
Transboundary smoke haze from land and
forest fires during the traditional dry period between June and October has
been a recurrent feature in the southern ASEAN region in the past few
decades. These annual fires are caused mainly by land clearing and “slash and
burn” agricultural practices in Indonesia, particularly Sumatra and
Kalimantan. In the northern ASEAN region, agricultural burning activities are
common during the traditional dry season between December and March can also
cause large scale smoke haze at times. The smoke haze situation is usually
exacerbated when it coincides with the El NiƱo, a climatic phenomenon that
often leads to prolonged and drier weather conditions in the region.
What is Haze made up of? Haze is made up almost entirely of very small particles (less than 10 microns in diameter) produced by wood/peat fires. At the height of the Haze period of April 1998, an independent study was carried out by the Department of Environment Quality, T.N.O, Institute of Environmental Sciences, The Netherlands. It showed that the 97/98 Haze contained:
·
very
low levels of toxic chemicals, other than relatively inert particles.
·
Benzene
in very small quantities - below the levels seen in busy urban centres.
·
Benzopyrene
(polycyclic aromatic hydrocarbons) - well below levels seen in busy urban
centres.
·
No
soot (elemental carbon)
·
No
heavy metals
·
No
significant levels of volatile hydrocarbons.
|
What are the harmful
effects of the Haze particles?
|
Healthy normal
individuals will only experience irritation of the eyes and throat. People at
risk include: the elderly; people with chronic lung/heart disease and
asthmatics. Their conditions could be made worse by the Haze. The elderly
with lung/heart disease are most at risk.
|
When will the Haze
stop?
|
When people stop
lighting fires, and when major rains fall in Kalimantan. The North-East trade
winds (expected in November) should blow the Haze away from Brunei. However,
we may still experience Haze generated locally, if burning in the KB / Seria
area persists.
|
What does PSI mean?
|
PSI stands for Pollutant Standards Index. It
is an index developed by the United States Environmental Protection Agency
(US EPA) to provide accurate, timely and easily understandable information
about daily levels of air pollution.
The PSI gives an overall estimate of air quality on a given 24 hour day. It is a uniform index based on five pollutants:
·
PM10 (the level of small particles of less than 10 microns in the
air).
·
Sulphur
dioxide (SO2)
·
Carbon
monoxide (CO)
·
Ozone
(O3)
·
Nitrogen
dioxide (NO2)
|
The main pollutant
of concern to health during a smoke haze is the fine particulates matter or
PM10. The health effect depends on the severity
of the smoke haze as described by the PSI reading. At a PSI of 101 and above,
the air quality is deemed unhealthy.
See the Haze Index for a guide to PSI values, air quality ratings, general health effects and precautions to take. |
If you smoke, should
you worry more about the Haze?
|
Smoking is far worse
than the Haze. Smoking 20 cigarettes/day is about the same as an average 24
hour PSI of 24,000 ! This shows how BAD smoking is for our health.
|
What measures should
you take to reduce exposure to Haze?
|
At Home
·
Inspect
your house thoroughly and seal any obvious gaps (eg windows and doors).
·
Ask
air-conditioning personnel to seal any gaps due to a/c piping.
·
Keep
doors closed during hazy periods.
·
Don't
use the kitchen / bathroom exhaust fans during hazy conditions.
·
Plan
your outdoor activities and exercise to coincide with cleaner periods of the
day (generally afternoons / early evenings).
·
Don't
let children play outside during hazy conditions.
·
Keep
doors/windows OPEN when Haze clears in the evenings.
·
Use
air filters / purifiers.
·
Keep
the air purifier in the bedroom at night.
|
In Your Car:
·
Use
headlights, NOT side-lights - BE SEEN.
·
Restrict
your speed.
·
Drive
defensively - NO overtaking.
·
Be
extra vigilant of other road users.
·
Put
air conditioners on re-circulation
|
Office Workers:
·
Wear
your mask when travelling between home and office during hazy conditions.
·
Ensure
your office air conditioning is working efficiently.
·
Plan
your work, so that your outdoor exposure during hazy periods is minimised.
·
Avoid
using your bicycle during hazy periods.
·
Minimise
driving during hazy periods.
|
Outdoor Workers:
·
ALWAYS
use your mask during hazy periods - it reduces your exposure by at least 4
times.
·
Check
that you have been issued with a higher efficiency particulate mask, if you
are likely to be spending a long period of work outside in high Haze
conditions.
·
Plan
your work, wherever possible, so that your outdoor exposure during hazy
periods is minimised.
·
Plan
strenuous work activities for late afternoon and early evening.
·
Take
rest periods in air conditioned environments, where possible.
·
Change
masks regularly (see manufacturer’s instructions).
·
Refrain
from smoking.
·
Drive
safely (see above)
|
A Note for Managers & Contract
Holders…..:
·
Use
common sense when dealing with staff and contractors to minimise Haze
exposure - try and limit time people are exposed.
·
Encourage
outdoor work when it is less hazy, such as late afternoon, early evening, or
even at night.
·
Ensure
correct PPE is available and worn, especially contractors - replacement masks
should be readily available.
·
Ask
yourself "Is this job really necessary now, or can it wait till the Haze
is better?"
·
Use
the recommended PPE and working guidelines chart as a guide to PPE and work
limitations.
Can we conduct cloud
seeding in Singapore to disperse the smoke haze?
· Cloud seeding attempts to
artificially induce rain by implanting clouds with suitable particles. The
seeding particles serve as condensation or ice nuclei to induce formation of
more water droplets or ice crystals in the cloud. However, there is still a
lack of reliable means to validate the effectiveness of the seeding process.
· Cloud seeding requires
existing clouds as it cannot generate rain out of thin and dry air. During
the current dry season, cloud seeding is less effective due to the lack of
suitable clouds for seeding. The small size of Singapore and the variability
of winds also mean that the induced rain, if any, may not fall directly over
our island. In any case, the rain will provide only temporary relief as the
smoke haze would continue to be blown toward Singapore by the prevailing
winds, should the fires in the region continue to persist. For these reasons,
we have no plans to conduct cloud seeding, but we will keep the option open.
What is the effect of
the haze on my health?
· Haze particles may cause
irritation of the eyes, nose, throat in healthy individuals. Such irritation resolves on its own in most
cases.
· Haze particles can affect
the heart and lungs, especially in people who already have chronic heart or
lung disease e.g. asthma, chronic obstructive pulmonary disease (COPD), heart
failure.
· There may be up to 1-3
day time lag between exposure to haze and health effects/ symptoms.
What are the long term
effects of the haze?
· Studies have shown that
long-term exposure to fine particles (i.e. particulate matter 2.5 (PM2.5);
particles smaller than 2.5 micrometers) include (i) cardiovascular effects,
such as heart attacks and strokes, (ii) reduced lung development, as well as
(iii) the development of chronic respiratory diseases, such as asthma, in
children. However, these are the results of long term prolonged exposure,
which is not the case here, as we do not get haze throughout the year.
What is MOH’s advice to
the public on what to do?
· Please try to minimize
exposure by reducing outdoor activities and physical exertion. This means
staying indoors, and reducing the length of exposure and strenuous work if
you need to be outside.
· Drink plenty of water to
stay well hydrated
· Use an N95 mask where
appropriate, depending on how healthy you are, the PSI level and the time you
need to spend outside.
Should I still follow
the daily Health Advisory if the skies look clearer, since these are based on
PSI readings from previous hours’?
· While you need not
rigidly adhere to the daily Health Advisory, if the situation changes,
following the advice for a higher PSI based on previous day’s level would be
prudent.
What about
children? Children's N95 masks are not
available.
· There are no N95 masks
approved by the US FDA and HSA for use by young children.
· Young children should
therefore minimize prolonged outdoor activity at PSI levels above 100, and
avoid outdoor activity if PSI levels reach higher than 200.
|
Shouldn’t the N95 be
properly fitted? How do I learn to fit
my N95 mask?
· For best effect, N95
masks need to be fitted properly for each user.
The use of N95 masks to filter out pollutants in the air is not identical
to the use of N95 masks for infection control in a healthcare institution
during a disease pandemic situation.
For use during haze, even if the mask is not perfectly fitted, it can
still be useful in filtering out pollutants for those need to wear it.
What are the effects of
wearing a N95 mask?
· The use of N95 masks
increases effort in breathing. For
some people, the use of N95 mask may cause discomfort breathing, tiredness or
headache. This may be due to the mask causing increased resistance to
breathing, and a reduction in the volume of air breathed. For most people
this is not serious.
· However, some elderly
people, people with lung or heart conditions, and women in the later stages
of pregnancy may already have reduced lung volumes or breathing issues.
· Because of this, elderly
people and people with lung or heart problems should stop using a N95 mask if
they feel uncomfortable. Those with severe lung or heart problems who have
difficulty breathing at rest or on exertion should not wear N95 masks. They
should consult their doctor as to whether they should use the N95 mask.
· Women in the 2nd and 3rd
trimesters of pregnancy should not use the N95 mask for more than a short
duration each time.
· N95 masks are not
certified for use in children, so children should try to stay indoors when
air quality is poor.
Is the N95 mask an
adequate protection against the haze? Does it protect against PM2.5?
· N95 masks are designed to
seal to the face of the wearer. This way, most of the air that the wearer
breathes in has to go through the filter and not through the gaps between the
mask and the wearer’s face. Haze particles are predominantly made up of fine
particles that are 2.5 microns or smaller (PM2.5). Studies have shown that
N95 masks do provide good protection against the haze as they are at least
95% efficient against fine particles that are about 0.1 – 0.3 microns. It is
even more efficient (99.5% efficient) against particles that are 0.75 microns
and larger.
Can I reuse my N95
mask?
· You can reuse your N95
mask. It should be changed when it gets soiled or distorted in shape. It
should not be shared.
Are surgical masks
useful?
· In situations where a N95
is not recommended, those who are healthy and would like to use a surgical
mask can do so.
|
Monitoring Air Quality
·
Continuous
daily Haze monitoring - data available
on-line
|
Satellite Tracking
·
Tracking
of weather, satellite images of fire 'hot spots' - data available
on-line
|
FAQs on Smoke Haze and Health
Frequently Asked Questions (FAQs) on Smoke Haze and Health
a.
What
are the effects of the haze on healthy individuals?
§ The health
effects of the haze are caused by the irritant effects of fine dust particles
on the nose, throat, airways, skin and eyes.
§ The acute or
most immediate effects of the haze are sneezing, runny nose, eye irritation, a
dry throat and dry cough.
§ These are
usually mild and pose no danger to the health of the general public. These
symptoms are expected to subside as the air quality improves.
b.
Who
is at higher risk of developing adverse effects due to the haze?
§ People with
medical problems like heart or lung disease or asthma are likely to be more
affected by the haze. They may experience difficulty in breathing, develop a
cough, wheezing or chest discomfort/pain.
§ Such
individuals should seek immediate medical attention and take the appropriate
medication as advised by their doctor.
§ Children and
the elderly are also more likely to be affected by the haze. For some, symptoms
may worsen with physical exertion or outdoor activities.
c.
What
should I do if my eyes get watery and itchy as a result of haze?
§ Washing eyes
with clean water may provide some relief to eye irritation from haze. Avoid
wearing contact lenses. Put on wrap-around glasses if possible.
§ Alternatively,
normal saline drops or natural tear supplements are also effective in washing
away haze compounds or dust particles which may get into the eye. These are
readily available in commercial pharmacies or optical shops.
§ If irritation
persists, please see your doctor.
d.
Should
people wear masks?
§ When the PSI
level exceeds 150 (i.e. is in the unhealthy range), a respirator mask (e.g. the
N95) is advised for people with existing heart and respiratory (lung) problems
or those who are more susceptible to smoke haze, when they go outdoors.
§ These
respirator masks however can be uncomfortable to use, and increase the effort
of breathing. Those with heart and lung illness are advised to consult their
doctor before using them.
§ The N95 mask
may also be required for healthy individuals who need to be outdoors for more
than 2-3 hours at a stretch when the PSI is persistently above 200.
e.
Can
I use surgical masks?
§ Surgical
masks do not filter out the fine particles found in the haze.
§ If you are in
the vulnerable group, you should use the N95 mask if you need to go outdoors.
But please try to stay indoors.
f.
Are
surgical masks useful?
§ For those who
are healthy and would just like to use a surgical mask, they can do so.
§ But if you
are pregnant, a child, an elderly or have respiratory conditions, please use
the N95 mask instead. Surgical masks do not filter out the fine particles found
in the haze.
g.
Children’s
N95 masks are not available. How can we protect children from the adverse
effects of haze?
§ The N95 masks
are not designed for use in children or people with facial hair (e.g. beards)
because it is difficult to achieve a proper fit, since these masks are designed
to seal or fit closely to the wearer’s face.
§ Children
should therefore:
§ minimise outdoor
activity at PSI levels above 100
§ avoid all
outdoor activity if PSI levels reach higher than 300
§ see a doctor
if respiratory symptoms such as itchy/runny nose, cough continue despite
staying indoors
h.
Can
I reuse my N95 mask?
§ You can reuse
your N95 mask. It should be changed when it gets soiled or distorted in shape.
It should not be shared.
i.
What
is the recommended frequency for changing the mask?
§ There is no
fixed frequency for changing the mask. You can change the mask when it gets
soiled or distorted in shape. It should not be shared.
j.
Which
mask is better to reduce the adverse effects of haze?
§ Surgical
masks or paper masks are not useful in preventing the inhalation of very fine
particles.
§ Special
respirator masks (such as the N95), if worn properly are able to filter out the
very fine particles. These respirator masks however can be uncomfortable to
use, and increase the effort of breathing. Those with heart and lung illness
are advised to consult their doctor before using them.
k.
Where
are the N95 masks available?
§ The N95 masks
are available in pharmacies such as Guardian, Unity, Giant and Cold Storage.
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