Published: 2021-11-26

Use of face mask in COVID-19 pandemic-a review

Santosh Kumar Swain, Pragnya Paramita Jena


The current novel corona virus disease 2019 (COVID-19) is a highly infectious disease of the respiratory tract and rapidly spreading all over the world in short span of time. In current COVID-19 pandemic, use of the face mask is becoming usual and ubiquitous for both health care workers and public individuals. Wearing face mask is one of the non-pharmaceutical interventions which need minimum cost and provide dramatic response for preventing the COVID-19 infection. Limited availability of the vaccine and inadequate supply of therapeutic options, face mask use is an important part for public health measures for restricting the COVID-19 spread. Regardless of the debate among medical community regarding global face mask production shortage, a greater number of countries in the world are moving ahead with recommendations or mandates for using face mask in public. As currently global shortage of N95/FFP2 respirators and surgical masks for use by health care workers in the hospitals, simple cloth masks will act as a pragmatic solution for the use of the public. General public often use the surgical mask or even filtering facepiece (FFP) masks irrespective of their need, resulting unnecessary shortage for needy individuals those are exposed to the patients or those are health care workers. So, this review article will clarify the indication of the different types of masks and their rational use in the current COVID-19 pandemic.


COVID-19, Face mask, SARS-CoV-2, Aerosols, N95 mask

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Swain SK, Agrawala R. Mastoid surgery: a high-risk aerosol generating surgical procedure in COVID-19 pandemic. Int J Otorhinolaryngol Head Neck Surg. 2020;6(10):1941-6.

Zhu N, Zhang DY, Wang WL, Li X, Yang B, Song J et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33.

Swain SK, Jena PP. Clinical implications and future perspective of COVID-19 pandemic-a review. Int J Adv Med. 2021;8(2):334-40.

World Health Organization. WHO declares COVID-19 a pandemic. 2020. Available at:–-11-march-2020. Accessed March 13, 2020. Accessed on 10 March 2021.

Johns Hopkins University. Johns Hopkins CSSE COVID-19 Dashboard. (Baltimore, MD 2020). Available at: Accessed on 10 March 2021.

Worby CJ, Chang HH. Face mask use in the general population and optimal resource allocation during the COVID-19 pandemic. Nature communications. 2020;11(1):1-9.

Chu DK, Akl EA, Duda S, Solo K, Yaacoub S, Schünemann HJ et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet. 2020;395(10242):1973-87.

de Wilde AH, Snijder EJ, Kikkert M, Van Hemert MJ. Host factors in corona virus replication. Curr Top Microbiol Immunol. 2018;419:1-42.

Kumar D, Malviya R, Sharma PK. Corona virus: a review of COVID-19. EJMO. 2020;4(1):8-25.

Swain SK, Acharya S, Sahajan N. Otorhinolaryngological manifestations in COVID-19 infections: An early indicator for isolating the positive cases. J Sci Soc. 2020;47(2):63-8.

Swain SK, Pani SR. Role of oral corticosteroid and olfactory training for treatment of Post-COVID-19 olfactory dysfunction: Our experiences. Apollo Medicine. 2021;18(3):162-5.

Tuite AR, Fisman DN, Greer AL. Mathematical modelling of COVID-19 transmission and mitigation strategies in the population of Ontario, Canada. Cmaj. 2020;192(19):497-505.

Schoeman D, Fielding BC. Coronavirus envelope protein: current knowledge. Virology j. 2019;16(1):1-22.

Van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Eng j med. 2020;382(16):1564-7.

Swain SK, Pani SR. Incidence of Hearing Loss in COVID-19 Patients: A COVID Hospital-based Study in the Eastern Part of India. Int. J Curr Res Rev. 2021;13:103-7.

Morawksa L. Droplet fate in indoor environments, or can we prevent the spread of infection? Indoor Air. 2006;16:335-47.

Gengler I, Wang JC, Speth MM, Sedaghat AR. Sinonasal pathophysiology of SARS‐CoV‐2 and COVID‐19: A systematic review of the current evidence. Laryngoscope investigative otolaryngol. 2020;5(3):354-9.

Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One. 2012;7(4):35797.

Shao S, Zhou D, He R, Li J, Zou S, Mallery K et al. Risk assessment of airborne transmission of COVID-19 by asymptomatic individuals under different practical settings. J aerosol sci. 2021;151:105661.

World Health Organization (WHO). Global Alert and Response (GAR), Pandemic (H1N1) 2009-update 76 Available at: Accessed on 10 March 2021.

Bermingham A, Chand MA, Brown CS, Aarons E, Tong C, Langrish C et al. Severe respiratory illness caused by a novel coronavirus, in a patient transferred to the United Kingdom from the Middle East, September 2012. Eurosurveillance. 2012;17(40):20290.

Quesnel LB. The efficiency of surgical masks of varying design and composition. Br J Surg. 1975;62:936-40.

MacIntyre CR, Wang Q, Cauchemez S, Seale H, Dwyer DE, Yang P et al. A cluster randomized clinical trial comparing fit‐tested and non‐fit‐tested N95 respirators to medical masks to prevent respiratory virus infection in health care workers. Influenza other respiratory viruses. 2011;5(3):170-9.

Pang X, Zhu Z, Xu F, Guo J, Gong X, Liu D et al. Evaluation of control measures implemented in the severe acute respiratory syndrome outbreak in Beijing, 2003. JAMA. 2003;290(24):3215-21.

MacIntyre CR, Chughtai AA, Rahman B, Peng Y, Zhang Y, Seale H et al. The efficacy of medical masks and respirators against respiratory infection in healthcare workers. Influenza other respiratory viruses. 2017;11(6):511-7.

Desai AN, Mehrotra P. Medical masks. JAMA. 2020;323(15):1517-8.

Swain SK, Behera IC. Performing Laryngotracheobronchial Procedure in Coronavirus Disease 2019 Pandemic: A highly Aerosol Generating Event in Clinical Practice. Matrix Sci Medica. 2021;5(1):1-6.

Sugrue M, O’Keeffe D, Sugrue R, MacLean L, Varzgalis M. A cloth mask for under-resourced healthcare settings in the COVID19 pandemic. Irish J Med Sci. 2020;189:1155-7.

Center for Disease Control and Prevention. Recommendation Regarding the Use of Cloth Face Coverings. 3 April 2020. Available at: Accessed 9 April 2020.

Oberg T, Brosseau LM. Surgical mask filter and fit performance. Am j infection control. 2008;36(4):276-82.

Swain SK, Das S, Padhy RN. Performing tracheostomy in intensive care unit-A challenge during COVID-19 pandemic. Siriraj Med J. 2020;72(5):436-42.

Swain SK, Sahu A. Performing tracheostomy on COVID-19 pediatric patients at intensive care unit: Our experiences. Indian J Health Sci Biomed Res. 2021;14(1):131-6.

Swain SK, Behera IC. Managing pediatric otorhinolaryngology patients in coronavirus disease-19 pandemic-A real challenge to the clinicians. Indian J Child Health. 2020;7(9):357-62.

Runde DP, Harland KK, Van Heukelom P, Faine B, O'Shaughnessy P, Mohr NM. The “double eights mask brace” improves the fit and protection of a basic surgical mask amidst COVID‐19 pandemic. J Am College Emergency Physicians Open. 2021;2(1):12335.

Swain SK, Behera IC, Ananda N. Pediatric tracheostomy in COVID-19 pandemic: a review. Int J Contemporary Pediatrics. 2021;8(3):602-8.