During the COVID-19 pandemic, face
masks have become limited in
stock. Most of sterilization methods are not applicable for eliminating
virus from face masks without compromising the filtration efficiency
of the masks. In this study, using a human coronavirus (HCoV-229E)
as a surrogate for SARS-CoV-2 contamination on KF94 face masks, we
show that the virus loses its infectivity with a 4 log reduction when
exposed for 10 s to 120 ppm ozone gas produced by a dielectric barrier
discharge plasma generator. Scanning electron microscopy, particulate
filtration efficiency (PFE), and inhalation resistance tests revealed
that there was no detectable structural or functional deterioration
observed in the electrocharged filter layer of Korea Filter (KF) 94
masks even after their excessive exposure to ozone. Reverse transcription-quantitative
polymerase chain reaction (RT-qPCR) showed decreases in amplification
efficiency of HCoV-229E RNA recovered from masks exposed to ozone,
indicating the damage to the RNA by the ozone treatment. Our results
demonstrate that the plasma generator rapidly disinfects contaminated
face masks at least five times without compromising filtration efficiency.
Face masks are one of the currently available options for preventing the transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which has caused the 2019 pandemic. However, with the increasing demand for protection, face masks are becoming limited in stock, and the concerned individuals and healthcare workers from many countries are now facing the issue of the reuse of potentially contaminated masks. Although various technologies already exist for the sterilization of medical equipment, most of them are not applicable for eliminating virus from face masks. Thus, there is an urgent need to develop a fast and easy method of disinfecting contaminated face masks. In this study, using a human coronavirus (HCoV-229E) as a surrogate for SARS-CoV-2 contamination on face masks, we show that the virus loses its infectivity to a human cell line (MRC-5) when exposed for a short period of time (1 min) to ozone gas produced by a dielectric barrier discharge plasma generator. Scanning electron microscopy and particulate filtration efficiency (PFE) tests revealed that there was no structural or functional deterioration observed in the face masks even after they underwent excessive exposure to ozone (five 1-minute exposures). Interestingly, for face masks exposed to ozone gas for 5 min, the amplification of HCoV-229E RNA by reverse transcription polymerase chain reaction suggested a loss of infectivity under the effect of ozone, primarily owing to the damage caused to viral envelopes or envelope proteins. Ozone gas is a strong oxidizing agent with the ability to kill viruses on hard-to-reach surfaces, including the fabric structure of face masks. These results suggest that it may be possible to rapidly disinfect contaminated face masks using a plasma generator in a well-ventilated place.
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