Women healthcare workers and medical staff with Asian heritage are less likely to be using face masks that fit them properly making them more vulnerable to infection, according to a report on Tuesday calling for more robust equipment testing. The report published in the journal Anaesthesia looked at studies into different methods used to assess filtration masks like the N95 and FFP2 models, used by medical workers in high risk situations. The authors said that to ensure a mask is not liable to leak it needs to adequately fit the face shape of the wearer, adding that this appears to be more important for protection from airborne viral spread than the filtration capacity of the mask itself. But hospitals can sometimes lack the time and resources to perform the more rigorous tests, often leaving it up to staff to assess their own equipment. “Satisfactory airborne protection will only be provided if the filtering facepiece respirators are properly fitted to the individual’s face, providing a tight facial seal,” said co-author Prof Britta von Ungern-Sternberg, from the University of Western Australia. “Airborne protection is decreased in the presence of a leak as unfiltered air will be drawn inside the mask.” Their review drew on pre-pandemic research suggesting that in the highest level “fit test”, only 85 percent of women could be fitted with a respirator, compared to 95 percent of men, while men were also more likely to find a suitable mask first time around. They also looked at other research that showed higher initial fit-pass rates in Caucasians (90 percent) compared with Asians (84 percent) and said particularly low initial fit-pass rates were reported in Asian women, with a reported average of just 60 percent. In the US the report said authorities use a fit-test panel to assess the suitability of the N95 masks provided to healthcare workers.