Robin Jeonga,
Hitendra Kumarab,
Steven Jonesc,
Allen Sandwella,
Keekyoung Kima and
Simon S. Park*a
aDepartment of Mechanical and Manufacturing Engineering, University of Calgary, Calgary, Alberta T2N 1N4, Canada. E-mail: simon.park@ucalgary.ca; Tel: +1 403 220 6959
bSchool of Engineering, The University of British Columbia, Kelowna, BC V1V 1V7, Canada
cZymetrix Biomaterials & Tissue Engineering Technology Development Centre, Calgary, Alberta T2N 1N4, Canada
First published on 7th July 2021
Supplies of respiratory masks have recently become a concern due to the onset of the SARS-CoV-2 pandemic. Sanitization and reuse of masks can alleviate high mask consumption and production stresses. In the present work, improved sanitization potency of vaporous hydrogen peroxide (VHP) treatment of resilient bacterial spores while retaining polymeric filter performance was explored. A batch fumigation chamber with hydrogen peroxide (H2O2) vapor and ozone (O3) is featured, followed by intense pulsed light (IPL) flash treatments. A resilient bacterial indicator, Geobacillus stearothermophilus (G. stearothermophilus), was utilized to compare the efficacy of various H2O2 concentrations in combination with O3 and IPL. It was found that exposure to 30 minutes of 4.01 L min−1 0.03% H2O2 aqueous vapor and 3 g h−1 O3 followed by 10 IPL flashes per side completely inactivated G. stearothermophilus. The xenon sourced IPL irradiation was found to synergistically enhance radical production and strengthen the complementary biocidal interaction of H2O2 with O3. Due to the synergistic effects, H2O2 was able to sanitize at a diluted concentration of 0.03% H2O2. The physical properties, such as surface potential, tensile strength, hydrophobicity, and filtration efficiency of >300 nm saline water aerosol of fibrous polypropylene (PP) sheets, were maintained. In addition, no residue of sanitizers was detected, thus confirming the biosafety and applicability of this method to disposable masks. Performance was benchmarked and compared with commercially available processes. The synergistic regime was found to achieve sterilization of G. stearothermophilus at drastically reduced H2O2 concentrations and in ambient conditions relative to commercial methods.
The PPE recommendation from various institutions emphasizes primarily wearing a face cover designed to cover the mouth and nose. Several types of masks and face-shields have been deployed for this purpose. High-risk persons require high efficiency PPEs such as N95 grade masks to protect from continuous exposure or due to increased vulnerability. These respirators help prevent exposure to droplets suspended in the air that may contain SARS-CoV-2 and thus require a fitting test to ensure tight sealing. Furthermore, these cannot be conventionally washed, which limits their disinfection avenues. To conserve higher grade PPEs, surgical or loose-fitting disposable masks have been recommended to the public as these can be more easily fabricated. Popular materials for fabricating these masks also include cotton, silk, chitosan, and polypropylene (PP). A recent study evaluated the efficacy of various cotton-based masks and found cotton-silk as one of the more effective fabric combinations.3 However, both N95 respirators and surgical masks are often fabricated using PP fibers. These PP based non-woven masks are suitable for mass production while retaining breathing comfortability due to a less dense (thinner) filter piece.
Sanitization and reuse of PPEs such as facepiece respirators are possible and outlined by various studies.4–8 This would also minimize contaminated wastes designated for landfills. Filtration efficiency of polymeric masks is reliant on various mechanisms including electrostatic capture.6 Electrostatically dependent or electret filters can achieve filtration of smaller particles while minimizing fiber density. Electrostatic properties on PP based masks are necessary to effectively capture sub-300 nm droplets or even possibly the virus itself which has a mean size around 100 nm.9 Therefore, sanitization methods for polymeric masks must preserve or regenerate the electrostatic potential while maintaining structural integrity. Three methods of sanitization are recommended by the Center for Disease Control (CDC): vaporous hydrogen peroxide (H2O2) (VHP) treatment, ultraviolet germicidal irradiation (UGI), and moist heat treatment at 60 °C. These methods have shown at least 99.99% antimicrobial efficacy against contaminants such as Geobacillus stearothermophilus (G. stearothermophilus) spores, Influenza A (H1N1), SARS-CoV, and Avian influenza A virus (H5N1). These treatment methods have also produced sanitized N95 grade filters with acceptable filtration efficiency post sanitization. Other high temperature-based sterilization methods, such as microwave or autoclaves, are not recommended as they can melt PP fibers. The use of alcohol is also not recommended as alcohol treatment can strip electrostatic charge properties from electret-based filters.
However, the CDC advises the public not to sanitize and reuse loose-fitting disposable masks. Most disposable masks are not intended for reuse as they cannot be deemed safe nor reliably resistant to sanitization methods. Household sanitization methods, such as soaking and washing, have previously shown a severe loss in filtration efficiency despite no physical damage to the fibers.6 Therefore, contactless treatments, such as UGI or heat, are recommended but require a lengthy treatment cycle.6
UGI appropriate lamps are widely available for off-the-shelf use; however, the UGI processes can be lengthy and easily obstructed. Heated sanitization methods that require controlling humidity levels and steam treatment has been proven to inoculate various viruses, including the SARS-CoV-2.10 For example, simple disinfection via microwave generated steam is available in most households. However, continuous steam treatment runs the risk of degenerating a masks surface charge. Ou et al.6 and Pirker et al.11 found filtration efficiency losses in electret-based masks after 5 to 10 cycles of steam exposure for 30 min, which was attributed to the condensation of water droplets that can strip surface charge. Furthermore, Ou et al.6 observed an unacceptable loss in filtration efficiency in surgical and procedure masks after being immersed in isopropyl alcohol (IPA).6 A shift in the most-penetrating particle size (MPPS) to a much larger size range after IPA immersion indicated a loss in electrostatic charge-based action, which is a typical observation when alcohol and soap-based sanitization methods are used. The group found acceptable filtration performance from masks that were sanitized by VHP, UGI, and thermal methods. However, certain limitations exist in industrial-scale sanitization. UGI treatment has limited throughput due to the required surface area exposure to lamp irradiation. Moist heat treatment requires precise control of humidity to avoid long treatment times.6 H2O2 vapour treatment requires consumption of H2O2 as well as possible toxic residues left on the mask. In addition, quantitative direct surface electrostatic charge observations before and after treatment of non-medical masks and their correlation to filter efficacy are lacking.
The efficacy of H2O2 can be further improved by introducing a UV irradiation source that can provide the necessary energy to drive the breakdown of the H2O2 molecules into biocidal reactive oxygen species (ROS). This method is commonly referred to as an advanced oxidation process and is typically used for wastewater treatment in which free radicals attack and mineralize contaminants such as sewage or pharmaceutical waste.12 Alkawareek et al.13 utilized a composition of H2O2 and silver nanoparticles (AgNPs) with strong antibacterial effects at a concentration 100 times lower than the commonly used 3–6% for disinfecting surfaces. They attributed the increased antibacterial efficacy to a Fenton-like synergistic effect of H2O2 with AgNPs. Escherichia coli and Staphylococcus aureus were used as model organisms with exposure to H2O2 and AgNPs in a liquid medium. This significantly improved sterilization; however, its application was mostly focused towards hard surface disinfection.13 Antibacterial effects of H2O2 were also studied in recent works by using G. stearothermophilus as a model organism. It was demonstrated that H2O2 fogging was able to kill the spores; however, longer contact times ranging from 60 minutes to 200 minutes and higher concentration of H2O2 ranging from 5% to 35% were required.14,15 These conditions highlight the need for an efficient H2O2 based sterilization approach to reduce both processing time and the concentration of H2O2.15
In response to the above challenges, we aimed to develop a novel sanitization method that increases the potency of VHP while retaining filter performance after treatment. PP based filter sheets was selected as the mask analogue. A simulated contaminant in the form of G. stearothermophilus was used to assess the biocidal potency. In addition, PP filter sheets can simulate potential changes in PP based masks after exposure to various sanitization regimes. We chose G. stearothermophilus due to its extremophile classification, making it hard to sterilize thus resulting in its widespread use for sanitization benchmarking.16 The goal is to produce an optimized sanitization condition that increases the potency of H2O2 during VHP treatment while ensuring safe reuse of sanitized filters. Synergistic elements O3, and IPL were introduced to improve the potency of VHP sanitization. This novel combination was explored at decreasing aqueous H2O2 concentrations. Sanitization efficacy and biosafety was evaluated by 24 hour incubation of treated spore discs and FT-IR analysis of PP sheets, respectively. Retention of PP filtration efficiency was evaluated with filtration tests of >300 nm saline droplets and electrostatic surface potential measurements before and after sanitization. In addition, mechanical strength of the PP sheets before and after treatment was quantified via tensile testing. By introducing synergistic elements O3 and IPL, biocidal potency was improved; this facilitates lower H2O2 consumption which allows scaling to larger operations or augmenting existing methods to reduce the sanitization time.
For surface residue and surface potential experiments, 1 cm × 3 cm PP sheets were cut and used. Attenuated total reflection (ATR) FT-IR analysis was performed to identify any sanitizer residue left after treatment. To observe changes in surface potential due to the sanitization treatment, a non-contact digital static field meter (DESCO 19492, DESCO, Chino, CA, USA) was used to measure the static surface potential of the PP sheets.
Fig. 4 (a) Filtration test schematic and (b) laboratory setup for filtration efficiency of aerosol saline water testing. |
These experimental characterizations evaluated the limits of biocidal efficacy for the synergistic VHP process. By introducing O3 and IPL, sanitization of G. stearothermophilus spore discs at diluted H2O2 concentrations can be achieved. Mask integrity tests were used to infer conservation of filtration efficacy and mechanical strength after exposure to the process. Retention of biosafety and filtration of smaller particles was examined by utilizing ATR FT-IR and surface potential characterizations, respectively.
Various synergistic combinations of H2O2, O3, and IPL flash sanitization results are shown in Table 1. Introducing IPL post-H2O2 fumigation yielded spore disc sterilization at H2O2 concentrations as low as 0.1%. The combination of 3% H2O2 and O3 provided a strong sanitization action in contrast to these sanitizers' individual performances. The combination of H2O2, O3, and IPL irradiation produced a further improved synergistic effect. This H2O2/O3/IPL combinate achieved sterilization of G. stearothermophilus with an H2O2 aqueous vapour concentration as low as 0.03%.
Testing | H2O2 (% volume) | O3 (g h−1) | Flash number (per side) | Result |
---|---|---|---|---|
H2O2 + IPL | 3.00% | 10 | Sanitized | |
2.00% | ||||
1.00% | ||||
0.30% | ||||
0.20% | ||||
0.10% | ||||
0.03% | Incubated | |||
0.01% | ||||
H2O2 + O3 | 3.00% | 3 | Sanitized | |
Synergetic H2O2 + IPL + O3 | 0.05% | 3 | 10 | Sanitized |
0.03% |
Thus, the synergetic effect of H2O2, O3, and IPL was optimized to sterilize G. stearothermophilus at a severely reduced H2O2 concentration. This resulted in an optimal sanitization condition of 0.03% H2O2 vapor at 4.01 L min−1 and 3 g h−1 O3 exposure for 30 minutes, followed by ten flashes per spore disc face (Table 1). The optimized condition lowered the consumption of H2O2 about 3-fold relative to using 0.1% H2O2 + IPL by introduction of O3 while retaining a sanitization potency capable of eliminating G. stearothermophilus spores. For reference, the commercially available Bioquell BQ-50 is able to achieve total sterilization of G. stearothermophilus after 20 min of VHP treatment with 35% H2O2.15 Assuming the maximum setting for inlet flow of 16 g min−1 H2O2 for the BQ-50, the optimized synergistic condition presents a 67.8% decrease in H2O2 consumption. Although not present in Table 1, the reduction of flash number was investigated. However, flash pulses lower than 10 per side resulted in incubation with 3% H2O2 and O3. Thus, 10 flash pulses (6 ms) per side was kept standard in this study. The optimal sanitization condition of 4.01 L min−1 of 0.03% H2O2 vapor and 3 g h−1 O3 exposure for 30 minutes followed by ten flashes per substrate/sheet side will be referred to as the optimized condition/regime.
Fig. 5 (a) Filtration efficiency of PP sheets before and after exposure to the optimized condition. (b) Change in surface potential of PP sheets after exposure to various sanitization conditions. |
Polypropylene ranks relatively negative in the triboelectric series and is likely to interact strongly with aqueous H2O2. This phenomenon was confirmed by comparing surface charge measurements before and after full immersion of PP sheets in 3% aqueous H2O2 of PP sheets. The PP samples soaked in 3% H2O2 followed by 12 h of drying exhibited 74% decrease in surface potential magnitude (Fig. 5b). This contrasted with the 1.6% and 5% surface potential change on PP sheets treated with 30 min of 0.03% H2O2 vapour and the optimized 0.03% H2O2 vapor + O3 + IPL condition, respectively. At a constant pressure and temperature, the dew point of a vaporous mixture of water and H2O2 is dependent on H2O2 concentration. At an increasing concentration of H2O2, the maximum water vapour saturation pressure will decrease and will facilitate condensation. By utilizing a dilute 0.03% aqueous H2O2 vapours, potential condensation was minimized.
It should be noted that certain systems utilize condensation to improve the decontamination performance of vaporous H2O2. However, the biocidal enhancement of condensed H2O2 is still debated and certain studies even suggest a dry environment facilitates greater H2O2 biocidal action.22,23 It should also be noted that the static field meter used for surface potential measurements only provide a potential value proportional to the actual surface potential. However, the static field meter is still able to capture the polarity and relative magnitude changes in electrostatic potential of PP sample surfaces. Furthermore, despite precautions during handling, the initial magnitude of the sheets differs due to changes in surface potential during storage. In addition to taking precaution during handling to minimize affecting the surface potential, all experiments were performed in triplicate and sourced from the same roll of PP filter sheet.
To confirm the removal of any residual sanitizers, FT-IR spectra of non-woven PP sheets before and after sanitization were analyzed for the presence of H2O2 and O3 species. The optimized sanitization condition of 0.03% H2O2 vapour exposure and 3 g h−1 O3 fumigation for 30 min was performed on PP sheets, with and without IPL irradiation. As shown in Fig. 6b, none of the PP sheet samples provided detectable amounts of H2O2 and O3 in their ATR FT-IR spectra, performed in triplicate. The control untreated PP sheet exhibited strong peaks in the 3000–2800 cm−1 range attributed to CH3 asymmetric and symmetric vibrations. In addition, distinct 1460 cm−1 and 1378 cm−1 peaks associated with CH3 asymmetric and symmetric deformations were also present.27 When normalized based on the PP control spectrum, neither bands or peaks associated with H2O2 and O3 were observed in any of the samples, including fully immersed and direct sprayed. This was further corroborated by the lack of any 3200–3150 cm−1 bands representing O–H bonds. In addition, the near identical spectra suggest little change in the chemical structure of the PP sheets. This was also indicated by an only minor embrittlement observed during tensile tests after exposure to the optimized sanitization regime. This can be the result of the relatively short lifetime of H2O2 and O3 on surfaces before they decompose to benign products such as water and oxygen.22,23 PP has also been reported to have limited interactions and good chemical compatibility with present sanitizers. This was especially evident in ambient temperatures and short exposure times.25,28
The lack of interaction between the PP sheets and present aqueous sanitizers is further reduced by the high hydrophobicity of PP. To verify the minimal chemical and physical effects of the optimized regime, contact angle measurements were taken with distilled water droplets. Retention of hydrophobicity in PP sheets was observed by measuring their contact angles with static water droplets prior to and post sanitization. The initial contact angle was measured to be 146° while the contact angle post sanitization was measured to be 133°. This small decrease in the contact angle suggested that there may be a slight increase in the wetting effect but the overall hydrophobicity of the PP sheets was retained.
Fig. 7 Mechanisms for increased radical species during VHP treatment with the introduction of O3 and IPL irradiation. ↑ indicates increased and rapid generation of OH* species. Species with red background are ROS and contribute to disinfection action.29,30 |
O3 exhibits oxidative properties, which has attracted its use for antibacterial applications. O3, often generated by a corona discharge device or UV light, is relatively stable in the gaseous phase mixed with oxygen or air. By simply sourcing ambient air, O3 has the potential to be a readily available sanitizer that can easily penetrate porous structures.31–33 Typically, O3 is not considered an effective sanitizer below 50% relative humidity.32 When dissolved in water, O3 decays to form biocidal hydroxyl radicals (Fig. 7). Alone in the gaseous phase, O3 is hypothesized to damage the cell membrane by reacting with: proteins, respiratory enzymes, unsaturated fatty acids, peptidoglycans, nucleic acids, spore coats, and virus capsids.34 Thus, the present sanitization chamber with no environmental humidity control did not effectively utilize O3 as a sanitizer with 30 min of exposure.
Previous studies found the requirement of H2O2 concentration in the presence of visible light to be several folds lower than the minimum inhibitory concentration of H2O2 for various bacteria strains.35 It was also demonstrated that the mechanism of action did not involve the generation of more hydroxyl radicals but involved an ‘activation’ of H2O2 through light exposure. Physiological changes in the bacteria cells resulting from visible light exposure can also increase the vulnerability to lower concentrations of H2O2. Additionally, the photo-Fenton reaction was attributed to the improvement of the biocidal performance of H2O2 in the presence of light. The H2O2 interaction with intracellular Fe2+ is enhanced under blue light exposure, leading to irrecoverable damage of several proteins, nucleic acids, and various organelles.35 This was attributed to advanced oxidation and the peroxide process, which enhances the production of reactive hydroxyl radicals and trioxidane (H2O3), a potent biocidal agent.8,36
Photolytic mechanisms of H2O3 production in the presence of H2O2 and O3 were previously studied by isolation in argon matrices. Further analysis of H2O3 production in a peroxide system by Xu et al.37 indicates an initial [(HOO)(HOOO)-7r] complex formation. In the presence of irradiation such as IPL, [(HOO)(HOOO)-7r] produces [(HOO)(HO)] complex which rapidly close to form H2O3. As stated earlier, H2O2 showed synergistic behavior with blue light exposure to result in a higher biocidal efficacy. The advanced oxidation process involving a combination of H2O2, O3, and light exposure, however, has not been studied in-depth in the context of sanitization. A few studies, however, have used a H2O2/O3/UV exposure system for chemical oxidation of municipal landfill leachate and oxidation of organic compounds.38,39 When UV exposure was introduced, the decomposition of O3 was accelerated, and H2O2 was formed as an intermediate species. In parallel, H2O2 decomposed and produced hydroxyl radical species, which were further activated by light exposure. Both reactions occurred simultaneously in the advanced oxidation process using a O3/H2O2/light exposure system. The presence of H2O2 drove the UV-assisted O3 decay process, resulting in a higher and more rapid yield of hydroxyl radical species. These species, in turn, exhibited biocidal characteristics. It was evident from these investigations that the advanced oxidation processes involving O3/UV exposure and H2O2/light exposure enhances biocidal activity.
Fig. 8 Theorized mechanism of surface charge loss via condensed droplets. (a) PP sheet is exposed to H2O2 flow. (b) H2O2 droplets condense and accept charge from PP sheet surface. (c) As condensed droplets fall off, the charge is carried with the droplet and overall PP sheet is left neutral.40 |
Although PP fiber density is kept at a minimum by utilizing electrostatic mechanisms, fiber density is still crucial in capturing larger particles or droplets. Mechanical degradation compromises both the filtration efficiency and resistance against stresses from regular handling and wear. The present sanitizing agents can damage the mechanical integrity of PP in a variety of ways. High concentration of O3 has been found to attack and degrade the polymeric backbone of PP.26 Brief exposure of H2O2 at diluted concentrations can minimize the rate of oxidative attack on PP. In addition, IPL exposure specifically in the biocidal UVC range has been found to have little affect on the mechanical properties of PP.11 However, PP is susceptible to damage from heat which the broadband flashes do provide. Although brief, the introduction of heat can not only thermally damage PP but catalyze and intensify the oxidative attack of H2O2 on PP.24 For the reuse of polymeric-based masks using the presented novel sanitization process, the filters must also be biosafe. Although H2O2 readily decomposes to become H2O and O2, prolonged H2O2 vapour inhalation can cause coughing and shortness of breath. O3 is used for various medical applications; however, chronic exposure and inhalation can cause inflammation and shortness of breath.41,42 Both O3 and H2O2 have been found to cause skin irritations and skin damage at various levels based on the individual's sensitivity.
For future investigations, the effect of the present sanitization condition on other mask components such as ear loops and nose clips should be characterized. In addition, much of the surface potential of electret-based filters can be lost during normal usage; in consideration of this, an additional re-charging stage can be implemented, such as exposure to corona discharge.
Although filtration efficiency of sub-300 nm particles was inferred by surface potential, proper filtration efficiency tests on commercial facemasks (surgical, N95 grade, and dense cartridge based) is recommended. In addition, the current sanitization condition can be applied to disinfect a multitude of surfaces. Although O3 generation may prove cumbersome, back-pack or handheld nebulization of H2O2 is currently utilized to disinfect high-touch surfaces. A simple modification of the process by incorporating a flash lamp can enhance the biocidal effect of H2O2; this modification will also extend existing supplies of aqueous H2O2 as the synergistic regime achieves potent disinfection at diluted H2O2 concentrations.
Ideally, the present study should have incorporated viral samples, especially the SARS-CoV-2 virus. However, due to regulatory and time limitations, commercially available G. stearothermophilus was utilized as a model organism. These spore discs have been previously utilized to test the biocidal efficacy of commercial sanitization equipment as well as other vaporous H2O2 processes. In addition, IPL exposure requires surfaces free from obstruction. The disposable masks will have to be unfolded and properly oriented to achieve optimal IPL surface exposure. Although these limitations of IPL exposure affect scalability, the flashing regime only takes a few seconds. In comparison, the Battelle Critical Care Decontamination System™ (CCDS™) is a proprietary N95 mask decontamination service; this process was quoted to achieve decontamination of 80000 masks per day using VHP exposure for 2.5 h44 It is important to note that the proprietary CCDS™ VHP process parameters were not disclosed. However, if assuming the methodology is similar to the Battelle report on VHP decontamination for N95 masks (where G. stearothermophilus was also utilized), comparisons can be made.20 The optimized VHP process in the report quotes a 20 min gassing phase at 2 g min−1 H2O2 followed by 150 min of dwell time at 0.5 g min−1 H2O2. Thus, the optimized synergistic sanitization method presents a potential 68.6% reduction in H2O2 consumption relative to the Battelle CCDS™ process. In addition, the novel synergistic sanitization regime achieved decontamination at 30 min of fumigation followed by a few seconds of IPL irradiation. The novel synergistic also did not require dehumidification prior to sanitization nor post sanitization drying.
VHP | Vaporous hydrogen peroxide |
H2O2 | Hydrogen peroxide |
O3 | Ozone |
IPL | Intense pulsed light |
PP | Polypropylene |
COVID-19 | Coronavirus disease 2019 |
SARS-CoV-2 | Severe acute respiratory syndrome coronavirus 2 |
PPE | Personal protective equipment |
UGI | Ultraviolet germicidal irradiation |
G. stearothermophilus | Geobacillus stearothermophilus |
FFR | Filtering facepiece respirator |
IPA | Isopropyl alcohol |
MPPS | Most penetrating particle size |
ROS | Reactive oxygen species |
TSB | Tryptic soy broth |
ATR FT-IR | Attenuated total reflection fourier transform infrared spectroscopy |
This journal is © The Royal Society of Chemistry 2021 |