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Davidfilce  
#1 Posted : 29 September 2021 06:57:41(UTC)
Rank: Forum user
Davidfilce

Hi

Just wondering if anyone has had to deal with the loss of taste COVID symptom and its effect on the outcome of face fit testing

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HSSnail on 29/09/2021(UTC)
A Kurdziel  
#2 Posted : 29 September 2021 08:29:19(UTC)
Rank: Super forum user
A Kurdziel

That’s a good point. It seems that for some the loss of taste has become permanent which puts the kibosh on  qualitative face fit test. I think this is something  that should be raised with the HSE. Has anyone got any contacts there? What about IOSH itself raising the issue?

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peter gotch on 29/09/2021(UTC), HSSnail on 29/09/2021(UTC), mihai_qa on 29/09/2021(UTC), LancBob on 09/02/2022(UTC)
HSSnail  
#3 Posted : 29 September 2021 10:47:07(UTC)
Rank: Super forum user
HSSnail

Good point - i am part of a liasion group which has a local HSE rep i will ask the question and get back to you.

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mihai_qa on 29/09/2021(UTC), A Kurdziel on 29/09/2021(UTC)
stevedm  
#4 Posted : 29 September 2021 14:11:14(UTC)
Rank: Super forum user
stevedm

isn't is just as simple as doing quantitaive rather than qualitative assessment for those that have anosmia ?

A Kurdziel  
#5 Posted : 29 September 2021 15:06:20(UTC)
Rank: Super forum user
A Kurdziel

Yes, Steve but only if you have the quantitative kit. Most people use half masks  and disposable masks and for those a £200 kit qualitative  is(or was adequate). Now you might have to think about several grands worth of particle counter plus training for the operator plus consumables.   

stevedm  
#6 Posted : 29 September 2021 15:50:56(UTC)
Rank: Super forum user
stevedm

I get that...but COVID is a red herring here...the loss of senses exists as before, so it isn't anything new so why would the HSE want a position on it?  It would be down to individual companies risk assessment at the end of the day...

Kate  
#7 Posted : 29 September 2021 19:20:28(UTC)
Rank: Super forum user
Kate

I have to agree with Steve about Covid being a red herring.  A preliminary to the qualitative fit test is checking that they can taste the thing that you are using, if not the sweet then the bitter.  If they can't taste either, then you can't do the qualitative fit test and will need to arrange the quantitative, or else prevent them from doing the task that requires the RPE. 

It doesn't matter what the reason is they can't taste it.  If they can't taste it, you can't do the qualitative test and have to do the quantitative.  Covid isn't the only reason people may lack a sense of taste, this has always been possible for other reasons.  Covid may make this situation more likely but I don't see how it can change the action when it does happen, unless it's to wait and see if their sense of taste recovers (but meanwhile you would still have to prevent them doing the task that requires the RPE).

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chris42 on 30/09/2021(UTC), HSSnail on 30/09/2021(UTC), stevedm on 14/10/2021(UTC)
Roundtuit  
#8 Posted : 29 September 2021 20:20:05(UTC)
Rank: Super forum user
Roundtuit

If you actually engineer the issue to eliminate any need for cheap disposable RPE then the problem for testing does not present itself.

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Kate on 30/09/2021(UTC), chris42 on 30/09/2021(UTC), HSSnail on 30/09/2021(UTC), Kate on 30/09/2021(UTC), chris42 on 30/09/2021(UTC), HSSnail on 30/09/2021(UTC)
Roundtuit  
#9 Posted : 29 September 2021 20:20:05(UTC)
Rank: Super forum user
Roundtuit

If you actually engineer the issue to eliminate any need for cheap disposable RPE then the problem for testing does not present itself.

thanks 6 users thanked Roundtuit for this useful post.
Kate on 30/09/2021(UTC), chris42 on 30/09/2021(UTC), HSSnail on 30/09/2021(UTC), Kate on 30/09/2021(UTC), chris42 on 30/09/2021(UTC), HSSnail on 30/09/2021(UTC)
HSSnail  
#10 Posted : 30 September 2021 08:38:17(UTC)
Rank: Super forum user
HSSnail

Originally Posted by: Roundtuit Go to Quoted Post

If you actually engineer the issue to eliminate any need for cheap disposable RPE then the problem for testing does not present itself.

Which is fine but my collegues that use cheep disposable PPE dont work in fixed locations and often they are outside in public areas - LEV is not an option so we have to use PPE even though its the last resourt.

HSSnail  
#11 Posted : 30 September 2021 08:42:35(UTC)
Rank: Super forum user
HSSnail

Originally Posted by: Kate Go to Quoted Post

It doesn't matter what the reason is they can't taste it.  If they can't taste it, you can't do the qualitative test and have to do the quantitative. 

Very good point - it has never been an issue for us in the past - but going forward it may be. I have still asked the question of my liasion group - might be that we can help each other if we find we only have a couple of people in eaxh area that need the quantitave test.

A Kurdziel  
#12 Posted : 30 September 2021 08:50:44(UTC)
Rank: Super forum user
A Kurdziel

I have done hundreds (thousands?) of  face fits over the years and I only every had one person  who could not detect the Bittrex solution. I gave him about 100 test squirts to be sure of that( the protocol says 60 is the limit but I just wanted to make sure).  So less than 1% of people can’t do the test. He ended up with a positive pressure face mask following some arm  twisting of his manager. If covid is as common as they (the  epidemiologists) say we can expect more people suffering from “long covid”  and as result more people suffering from a reduced  sense of taste. Perhaps  the HSE should be looking at this and deciding if we should just give up on the qualitative testing altogether or seeing if there are alternatives to quantitative  testing. Perhaps they should even look at the scale of the problem. I see often people working with disposable respirators, not least on make over TV shows or last night on the “Repair Shop” and I ask myself  “have they been face fit tested?” I suspect in many cases not. In my own place of work this is not an issue since I can do both, but  this might end up raising the bar for some businesses, who will just another excuse not to both: they might have invested  £200 for  a qualitative face fit testing kit but the £2000 plus for a quantitative system will be an excuse to do nothing.

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Kate on 30/09/2021(UTC), HSSnail on 30/09/2021(UTC), chris42 on 01/10/2021(UTC), Andrew McLean on 01/10/2021(UTC), willbowden on 01/10/2021(UTC), mihai_qa on 02/10/2021(UTC)
HSSnail  
#13 Posted : 30 September 2021 09:38:21(UTC)
Rank: Super forum user
HSSnail

When i took over my current role we were only face fit testing where we used FFP3 mask - i was told FFP2 did not need them "has they did not have the valve!) needless to say we now face fit all masks/repirators where they are idenified by RA as needed. But i agree i think many companies already just issue "universal" masks without undertsanding staff may not have Universal faces.

Kate  
#14 Posted : 30 September 2021 10:14:47(UTC)
Rank: Super forum user
Kate

The failures in fit tests I've come across have all been not fitting petite women.  There isn't the same range of small size half face masks as of the supposedly one size fits all, but actually designed to fit the average man.

A Kurdziel  
#15 Posted : 30 September 2021 11:51:50(UTC)
Rank: Super forum user
A Kurdziel

Now people with small faces that is a real issue. The majority of manufactures produce a small range of  size (in some the range consists of one size :too big!) The assumption of many manufactures seems to be the masks need only to be provided for large blokes with optional jowls. On last night’s “Repair Shop” (it’s so relaxing), a female restorer was wearing a mask which, to me at least,  looked too big for her. You really need to get the users to try out a range of  designs  and you might get one to fit. Otherwise its investing in positive pressure devices again.  Perhaps we should launch a campaign for better PPE for smaller framed people.  

HSSnail  
#16 Posted : 01 October 2021 07:41:18(UTC)
Rank: Super forum user
HSSnail

Got a reply from collegues on the liasion group including the HSE rep which unsuprisingly (if i had put my brain in gear last weak) is its no differnt to people who have never been able to taste the solution's.

Quote from HSE Rep.

"My Occ hygiene Specialist also suggests Quantitative testing.  Alternatively, it might be an idea to use a positive pressure mask that doesn’t rely on a face seal."

Sometimes the answer is stareing you in the face! (sorry but it is Friday)

Edited by user 01 October 2021 07:42:33(UTC)  | Reason: Not specified

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A Kurdziel on 01/10/2021(UTC)
chris42  
#17 Posted : 01 October 2021 08:30:00(UTC)
Rank: Super forum user
chris42

Originally Posted by: A Kurdziel Go to Quoted Post

but  this might end up raising the bar for some businesses, who will just another excuse not to both: they might have invested  £200 for  a qualitative face fit testing kit but the £2000 plus for a quantitative system will be an excuse to do nothing.

I would like to think that it may also spur other organisations to use this as a reason to look again at engineering out the need for the PPE (by engineering out I don’t just mean engineering controls but possibly engineering out the substance or need). Though I suspect I have accidentally put those rose-coloured glasses on again.

I see PPE as an ongoing cost that a company pays for ever, where with a little investment they can save themselves future costs, time and trouble and make things nicer for their employees.

The recent issues have highlighted there is a large number of people who suffer with extreme distress (apparently) from wearing something over their mouth. If they manage to put up with it over their mouth, managed not to cover their nose. Even if this is just “don’t want to” it indicates alternative solutions to RPE should have greater focus.

There are obviously tasks where it possibly can’t be avoided, but I think this is sometimes used as an excuse to take the easy path. The testing of mask wearers may be fine at day and time of test, but I’m less than convinced on a day-to-day basis it really provides the protection it should. I only base this last comment on my own experiences. It sometimes feels like the employer is saying wear this mask you will be fine trust me; would I lead you astray just to make a couple of pounds more.

Chris

pseudonym  
#18 Posted : 01 October 2021 09:38:36(UTC)
Rank: Forum user
pseudonym

Well I'd agree that RPE is a continuing cost and people should try to engineer it out, but for many businesses and many reasons that doesn't happen - the possibility that more people will now fail qualatative fit-testing because they can' t taste the solutions could well be a significant extra cost burden to some businesses.

As for RPE being thown at the worker because its the cheap and easy solution .. well we're all grown ups and know enough about the real world to know that happens, right? But back to the pointof protecting workers - loads of people still don't know that they should carry out fit-testing - amazing, but true! Are these businesses going to fork out the extra cash for quantative fit-testing or powered air systems when this is pointed out to them? Or engineer out the problem, one-way-or-another? I seriously think not.

So, where might this leave the poor worker in the crappy businesses we're talking about - less protected from rspiratory hazards, might the answer. Businesses take chances every day of the week - this will just be nother one for some businesses - what's the chance of an HSE inspection finding out we don't face-fit-test mask users, fairly low for many I'd suggest. 

Perhaps if suppliers of RPE clearly marked each box with a message that they may not offer any meaningful protection unless fit-tested to the user might work. But cheaper access to quantitative fit-testing should als be considered - in the real world people will end up in masks.

thanks 3 users thanked pseudonym for this useful post.
A Kurdziel on 01/10/2021(UTC), RVThompson on 01/10/2021(UTC), willbowden on 01/10/2021(UTC)
A Kurdziel  
#19 Posted : 01 October 2021 10:39:49(UTC)
Rank: Super forum user
A Kurdziel

The nearest similar thing I can think of was the guidance issued by the HSE(just before lockdown I think) making it clear that  they expected businesses doing welding to look at LEV rather than  RPE  as a control against the risk of fume. The key thing was that that HSE issued guidance backed up by an argument explaining how and why they wanted the switch over to take place. In the short term perhaps they can evaluate  if the long covid   is really an issue or are they too busy do public health inspections in connection with making workplaces “covid safe”?

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willbowden on 01/10/2021(UTC)
Kate  
#20 Posted : 01 October 2021 13:30:50(UTC)
Rank: Super forum user
Kate

Chris you are right that it only assesses protection on the day.  I've come across the practice of telling employees to turn up clean-shaven for their face fit test, without bothering to tell them they need to be clean-shaven whenever they wear the mask.

A Kurdziel  
#21 Posted : 01 October 2021 13:52:42(UTC)
Rank: Super forum user
A Kurdziel

…or you face fit someone for a particular make and model of mask only to find that they start wearing a completely different type and assume that the face fit process covers every conceivable make and model. They just don’t get it.

Holliday42333  
#22 Posted : 04 October 2021 15:19:25(UTC)
Rank: Super forum user
Holliday42333

.....or you face fit someone who asks why all this is necessary when a flimsy piece of cloth or paper is perfectly acceptable over a full beard for Covid.  They just don't get it.

craigroberts76  
#23 Posted : 07 October 2021 07:23:33(UTC)
Rank: Forum user
craigroberts76

I've had all the above... I had a guy fail the sensitivity test, he was taking medication to stop hayfever and nose bleeds and this killed his sense of taste. Unfortunately he only declared this after about an hour of wasted time.

We have a meeting tomorrow to discuss the issue with masks and facial hair as its getting out of control now and 1 person got kicked off site last week for having what I'd class as "teenage bumfluff" on his chin but the site H&S picked it out, others are worse and yet the policy is for clean shaven, as they've been allowed to get away with it its not epidemic.

We could buy positive pressure masks or contribute towards them, but are they likely to wear it for a quick 2 mins of sanding, or a quick repair with a spray can? no...  so back to square one

martin1804  
#24 Posted : 14 October 2021 11:53:34(UTC)
Rank: New forum user
martin1804

It's not just facial hair that can be a gremlin. When I worked in a large London hospital the Theatres department had pots of formalin(formaldehyde solution) in which they placed biopsies. No control over ordering, anyone did it so they ended up with a pallet load. Bottom containers buckled leading to many litres of nasty carcinogenic stinky liquid rolling down the  corridor.

Theatre manager had their face fit test wearing contact lenses. On this day she was wearing her glasses as Kate mentioned earlier.

Major incident, deep clean, lost two full days of operating (and Theatres bring more money into the NHS than most other departments) so the Theatre manager had a bit of explaining to do....

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