Masks, hand sanitizer help halt flu spread

NEW YORK Wed Jan 27, 2010 3:41pm EST

A boy wears a mask before receiving an Influenza A (H1N1) vaccine at a hospital in Taipei November 9, 2009. REUTERS/Nicky Loh

A boy wears a mask before receiving an Influenza A (H1N1) vaccine at a hospital in Taipei November 9, 2009.

Credit: Reuters/Nicky Loh

Related Topics

NEW YORK (Reuters Health) - Want to be prepared for a flu pandemic? You may want to stock up on face masks and hand sanitizer, according to a new study.

College students living in residency halls who wore the masks for a few hours a day and regularly used alcohol-based hand sanitizer cut their risk of coming down with flu-like illness by up to half, Dr. Allison E. Aiello of the University of Michigan in Ann Arbor and her colleagues found.

"We do think it probably would generalize to other settings in which you have people living in close quarters and eating in shared facilities" -- for example military barracks or nursing homes, Aiello told Reuters Health in an interview. "We can probably even bring this to the household setting."

Non-drug interventions like hand hygiene and face masks are likely to be important in fighting any flu pandemic, Aiello and her team point out. During the current H1N1 epidemic, they note, vaccines were slow to arrive and use of antiviral drugs was "limited."

To investigate what measures might be most effective in preventing spread of the flu, the researchers divided 1,437 college students into three groups, based on which residence hall they lived in: mask plus hand-sanitizer, face masks only, or a control group. Aiello and her team kicked off the six-week study as soon as the university confirmed the first case of influenza on campus, but continued enrolling study participants for the first two weeks.

During those two weeks, there was no difference among the three groups in the incidence of flu-like illness; this is likely because the flu season was just beginning, according to Aiello. But for the last couple of weeks of the study, she and her colleagues found that students using face masks and hand sanitizer were 35 percent to 51 percent less likely to develop flu-like illness than students in the control group.

While the face mask-only group were also less likely to catch flu-like illness than the control group, the difference wasn't statistically significant.

Aiello noted that some studies investigating measures to prevent the spread of influenza don't have people start using a particular intervention -- like face masks -- until someone in their household is already sick. Because she and her colleagues started having people use the intervention at the very beginning of flu season, they note, "this fundamental study design difference may have improved our ability to identify an effect of mask and hand hygiene use, compared with studies of secondary transmission in which household members may already have been infected by the time of mask adoption."

Aiello and her colleagues are now looking at whether masks and hand sanitizers had an effect on the spread of influenza actually confirmed in a laboratory, rather than less specific "flu-like illness."

SOURCE: Journal of Infectious Diseases, February 15, 2010.

We welcome comments that advance the story through relevant opinion, anecdotes, links and data. If you see a comment that you believe is irrelevant or inappropriate, you can flag it to our editors by using the report abuse links. Views expressed in the comments do not represent those of Reuters. For more information on our comment policy, see
Comments (2)
There are new hand sanitizers that kill 3 times the germs, work up to 30 minutes, and they are safer for kids than the ones that contain alcohol. This one is my favorite:

Jan 28, 2010 10:05am EST  --  Report as abuse
UWG wrote:
The University of West Georgia successfully implemented a voluntary H1N1 vaccination program for students, faculty and staff that has helped to significantly contain the spread of the virus on the campus. UWG’s School of Nursing operated the program, which issued vaccines to thousands of people.
–Rob Douthit, University of West Georgia

Jan 28, 2010 2:02pm EST  --  Report as abuse
This discussion is now closed. We welcome comments on our articles for a limited period after their publication.