NON-MEDICAL FACE MASK MADE OF CLOTHES DOES NOT PREVENT COVID-19 – NAFDAC WARNS

The National Agency for Food and Drug Administration and Control (NAFDAC) has made clarifications on the use of non-medical face masks to stop the spread of Coronavirus.

The agency in a statement made available on its official Twitter page, said face masks which include self-made or commercial masks or face covers made of clothes does not prevent spread of diseases but reduces chances.

It advised Nigerians to perform a simple test to know if the mask is protective.

The statement in part reads: “Simple test: If wearer can put off a flame from a cigarette lighter that is placed in front of the wearer, the mask is protective enough.”

According to NAFDAC, “Barrier face masks do not prevent you from contracting disease but, they have been found to contribute to reduce spread of infections when used widely in conjunction with other measures. Such measures include social distancing, not touching the face, eyes or mouth, washing of hands with soap for 20 secs or use of alcohol based hand sanitizers.”

The agency warned that non-medical face masks made of cloth are not standardized for use in healthcare settings or by healthcare professionals.

“They serve to limit spread of droplets and offer some measure of protection to those around you.

“The material of construction is usually cloth(textile fabric), non-woven wadding, or paper-like materials. For these Barrier Masks, 100% cotton is preferred though, polyester, linen or knit fabric can be used.

“These face masks are recommended to be washed daily and preferably should be a double layer of fabric to increase the absorbency and effectiveness.

“It must be noted that several washes, drying and stretching of the mask over time reduce the effectiveness of the mask,” the statement read in part.

The agency made the statement following compulsory use of face masks by state governments as Nigeria continues to battle the spread of COVID-19.

ADEQUATE ENVIRONMENTAL MONITORING AND WASTE MANAGEMENT: CRITICAL FACTORS IN CORONAVIRUS CONTROL

The coronavirus (COVID-19) pandemic currently ravaging  all continents of the world has created a global public health emergency as a result of its rapid global transmission with almost 1 million people confirmed and several thousands killed globally. For example, New York, USA, recorded the highest death rate of about 735 deaths in a day.  Nigeria fortunately has 493 confirmed cases as of 17th April 2020 ; low casualty figure of 17 deaths thus far; while 159 cases have been discharged. Yet the outbreak is still spreading like  wildfire and also destabilising the economies of most countries with developing countries at the highest risk.. 

Knowledge gaps exist in available scientific literature about the control of coronavirus and these have thrown up some  questions about what factors influence the environmental behavior and survival of the virus  as well as a deep understanding of its lifecycle and fate.

The pertinent questions include the following : 

(i) How do environmental factors affect the role of aerosol transmission of the virus 

(ii) How does the virus survive in different environmental compartments (land, water, air) and conditions?; 

(iii) What are the environmental impacts of viral spread from the disposal of medical waste and contaminated articles? 

(iv) How does this virus survive and dissipate in human feces and wastewaters and the wider environment ; and not the least  (v) How effective are water disinfection treatments at stopping viral spread and how can we improve the current strategies for the containment of the outbreak in the environment?, 

Answers to these questions provide opportunities for research data for informed decision making.

Environmental monitoring challenges

One of the operational challenges of COVID-19 control is the inadequacy of testing facilities when compared to large populations to be tested.  Dutch scientists reported a break through recently having found that traces of the  pathogen “SARS-CoV-2 which is the virus that causes COVID -19 were present in the feces of many infected persons and wastewater.’’ This implies  that ‘’sewage surveillance could be a useful tool in detecting whether COVID-19 is present in a population before testing patients.

Dealing with hazardous waste during coronavirus plague

COVID-19 waste or any materials/articles contaminated with coronavirus fall under the category of Medical/Clinical wastes which are  hazardous or dangerous or deadly  waste (1989 Basel Convention) with inherent chemical and physical characteristics, such as toxicity, ignitability, corrosiveness, carcinogenicity or other properties which also  cause death. This has implication for the management of  wastes from COVID-19 or articles/materials contaminated with the virus from  testing laboratories ; Isolation facilities; and quarantine facilities for the treatment of infected persons as well as wastes from lockdown centers respectively and as appropriate. 

The use of personal protective equipment covering from head to toe and of the correct quality; specifications and standard cannot be over-emphasised. Chicago City workers in USA said they’re picking up 50 percent more garbage during lock-down or stay-home order — but aren’t issued masks. Nigeria has lessons to learn here by recognizing the value of efficient waste management system and safety protection for waste handlers in the lockdown areas of the country such as Lagos, Ondo, Abuja and Abeokuta.

Hence extant crude methods of disposal of municipal solid wastes or co-disposal with hazardous waste in dumpsites or non-engineered landfills or uncontrolled open air-burning are all not environmentally sound or acceptable for coronavirus waste management with potential high risks  to human health  and the environment.  

Co-disposal of municipal solid waste with coronavirus waste may result in the latter becoming secondary source of continual release of deadly coronavirus waste into the environment and causing more deaths in the future.  The order of Lagos state government asking waste scavengers to quit dumpsites in Lagos is therefore a timely proactive action to avoid unnecessary deaths at the dumpsites 

Some international organizations and professional bodies have offered advice  to governments that waste management be given a significant role during  coronavirus crisis. A few of the Headlines promoting this idea  are :  -United Nations Environment Programme(UNEP) Adds to Calls for Governments to Consider Waste Management an Essential Service-Public Waste Industry Must be Included in Coronavirus Emergency Response-Member States Must Recognise Waste as “Essential Services”

 Conclusion

The Nigerian government Coronavirus Emergency  Response Strategy and the  implementation have been highly commendable, making Nigerians proud. The performance of the Lagos State “Action Governor”, H.E. Babajide Sanwo-Olu, has been inspirational. The Presidential Task Force too has performed creditably; yet it should take on board international clamour that proper waste management must be Included in national Coronavirus Emergency  Response plan in  all countries. This should also be implemented in all the states of the federation. 

In this regard, the Federal Ministry of Environment, with the mandate for hazardous waste management control in the country, should develop National Guidelines for proper Management of coronavirus wastes, including high temperature incineration  technology with pollution control. The presidential taskforce through Federal Ministry of Environment should also carry out Post Impact Environmental Assessment (PIEA) of the following activity centres: lsolation ; Testing and Quarantine’; De-contamination materials /equipment store house etc,  to ascertain that no legacy of deadly coronavirus waste pollution  remains at these sites. 

Waste management must be Included in Coronavirus Emergency  Response plan. Furthermore, professional bodies in waste management and technology must be fully captured into the national response plan.

• Professor Osibanjo is President, Waste Management Society of Nigeria (WAMASON).