Association of headache and other attributes to duration of wearing face mask during pandemic COVID -19
Background: Capability of performing work proficiently declines while wearing face mask when related to the while not wearing the mask. Time edge that an activity can be continued is diminished after wearing face masks. This study designed to determine the association of headache with duration of wearing face mask during the pandemic COVID 19. Methodology: This cross-sectional comparative research study conducted by Physiology and Medicine departments, Indus medical college, Tando Muhammad Khan from 07 April 2020 to 07 October 2020. Health care and non health care professionals wearing face mask included and those, not using facemask, have respiratory or neurological dysfunction or migraine or any disorder or infection causing headache not included. Data entered and analyzed by IBM SPSS version 20. Result: Mean age of study population (n=126) was 40.96±7.31 years and among them 68(54.0%) and 58(46.0%) were health and non-health professionals respectively and 94(74.6%) found to be wearing facemask for ≥6 hours and 32(25.4%) for <6 hours. Among study population (n=126), frequency (%) of headache among those wearing face mask for ≥ 6 hours was 77(81.9%). Frequency of other complaints among face mask users compared with duration of wearing face mask. Among those wearing face mask for ≥6 hours, frequency % of hard of hearing, anxiety, palpitation, difficulty breathing, mental fatigue, halitosis and glass fog was 4 (3.2%), 11(8.7%), 6(4.8%), 16(12.7%), 28(22.2%) and 12(9.5%) respectively. Conclusion: There is significant positive association of headache with wearing face mask for longer duration and mostly affected were the health professionals.
Wiersinga WJ, Rhodes A, Cheng AC, Peacock SJ, Prescott HC. Pathophysiology, Transmission, Diagnosis, and Treatment of Coronavirus Disease 2019 (COVID-19): A Review. JAMA. 2020;324(8):782–793. doi:10.1001/jama.2020.12839
World Health Organization. Protocol for assessment of potential risk factors for coronavirus disease 2019 (COVID-19) among health workers in a health care setting, 23 March 2020. World Health Organization; 2020.
Garcia-Godoy LR, Jones AE, Anderson TN, Fisher CL, Seeley KM, Beeson EA, et al. Facial protection for healthcare workers during pandemics: a scoping review. BMJ Glob Health. 2020; 5(5):e002553.
Van der Sande M, Teunis P, Sabel R. Professional and home-made face masks reduce exposure to respiratory infections among the general population. PLoS One. 2008; 3(7):e2618
Johnson AT. Respirator masks protect health but impact performance: a review. J Biol Eng. 2016;10:4. doi: 10.1186/s13036-016-0025-4. PMID: 26865858; PMCID: PMC4748517.
Rosner E. Adverse effects of prolonged mask use among health care professionals during COVID-19. J Infect Dis Epidemiol. 2020;6:130.
Wu HL, Huang J, Zhang CJ, He Z, Ming WK. Facemask shortage and the novel coronavirus disease (COVID-19) outbreak: Reflections on public health measures. E Clinical Medicine. 2020:100329.
Locatelli SM, LaVela SL and Gosch M. Health care workers' reported discomfort while wearing filtering face-piece respirators. Workplace Health Saf. 2014; 62: 362-368. 2014/08/08. DOI: 10.3928/21650799-20140804-03.
Ong JJ, Bharatendu C, Goh Y, Tang JZ, Sooi KW, Tan YL, Tan BY, Teoh HL, Ong ST, Allen DM, Sharma VK. Headaches associated with personal protective equipment–A cross‐sectional study among frontline healthcare workers during COVID‐19. Headache: The Journal of Head and Face Pain. 2020 May;60(5):864-77.
Zhu JH et al. Effects of long-duration wearing of N95 respirator and surgical facemask: a pilot study. J Lung Pulm Resp Res 2014:4:97-100
Lim EC, Seet RC, Lee KH, Wilder‐Smith EP, Chuah BY, Ong BK. Headaches and the N95 face‐mask amongst healthcare providers. Acta Neurologica Scandinavica. 2006;113(3):199-202. DOI: 10.1111/j.1600-0404.2005.00560.x
Atangana E, Atangana A. Facemasks simple but powerful weapons to protect against COVID-19 spread: Can they have sides effects?. Results in physics. 2020:103425
Jefferson T, Foxlee R, Del Mar C, Dooley L, Ferroni E, Hewak B, Prabhala A, Nair S, Rivetti A. Physical interventions to interrupt or reduce the spread of respiratory viruses: systematic review. BMJ. 2008;336(7635):77-80
Rebmann T, Carrico R, Wang J. Physiologic and other effects and compliance with long‐term respirator use among medical intensive care unit nurses. Am J Infect Control. 2013;41:1218‐1223.
Shenal BV, Radonovich LJ, Jr., Cheng J, et al. Discomfort and exertion associated with prolonged wear of respiratory protection in a health care setting. J Occup Environ Hyg 2012; 9: 59-64. 2011/12/16. DOI: 10.1080/15459624.2012.635133.
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