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			 A Purdue University nursing professor says looking 
			to the past – as well as additional knowledge of medicine and 
			technology – can help people through the current COVID-19 pandemic. 
			 
			Joy Pieper, a clinical assistant professor of nursing in Purdue’s 
			College of Health and Human Sciences, teaches two courses on health 
			care history and wartime influences on health care. As the COVID-19 
			pandemic was spreading in the spring, Pieper and Rebecca Johnson 
			taught about the influenza outbreak of 1918 and the protective 
			measures communities took – including wearing masks – to reduce the 
			spread of disease. 
			 
			The current surging spread of COVID-19 has put a high level of 
			attention on masks. Pieper, who has expertise as a surgical nurse 
			and has worked on infection control and patient safety initiatives, 
			provides four tips on proper mask usage: 
			
			  
			 
			 
			Pick out a mask that is easy to wear. Pieper says studies are 
			suggesting the higher the thread count in masks, the better, and 
			another layer helps too. “Think of the Swiss cheese principle: You 
			are trying to block anything from getting through consecutive holes. 
			The more layers, the better,” she says. 
			 
			For the general public, Pieper does not recommend wearing a mask 
			with valves. “Masks with certain valves that can filter are really 
			designed for use by workers in cleaning and construction fields to 
			filter out dust and other materials. They don’t prevent the spread 
			of infection because the valve only filters air coming into the mask 
			and not what is exhaled.” 
			 
			Proper mask placement and removal. When removing a mask, be 
			sure to fold it in half so the outer part of the mask stays 
			contained when stored in a pocket or plastic bag. 
			 
			“You should always clean your hands after you remove the mask,” she 
			says. “If you think about it, you are touching something you have 
			put in place to literally intercept germs, so it contains 
			potentially infectious material that you now have on your hands and 
			could spread through touch.” 
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            Cover both the mouth and nose. “Wearing your 
			mask to cover only your mouth is not helping anyone, including you,” 
			Pieper says. “Both your nose and mouth need to be covered because 
			you breathe out of both. The mask is meant to cover all air 
			exchanges, not just a cough.” 
			 
			Keep your mask dry and clean it after every use. Pieper says 
			wet fabric can transfer germs more easily than dry, so it’s 
			advisable to carry replacement masks. 
			“The mask or masks you wear during a day should be laundered before 
			use again, so it is a good idea to own a couple different ones so 
			you do not have to do laundry every day,” Pieper says. “They can be 
			cleaned by machine or by hand according to the type of fabric.” 
			 
			About Purdue University 
			 
			Purdue University is a top public research institution developing 
			practical solutions to today’s toughest challenges. Ranked the No. 6 
			Most Innovative University in the United States by U.S. News & World 
			Report, Purdue delivers world-changing research and 
			out-of-this-world discovery. Committed to hands-on and online, 
			real-world learning, Purdue offers a transformative education to 
			all. Committed to affordability and accessibility, Purdue has frozen 
			tuition and most fees at 2012-13 levels, enabling more students than 
			ever to graduate debt-free. See how Purdue never stops in the 
			persistent pursuit of the next giant leap at https://purdue.edu/. 
            [Writer, Matthew Oates  
			Source: Joy Pieper] 
            
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