key: cord-1036706-6p0tt078 authors: Gupta, Deepak title: Living With In-Mask Micro-Climate date: 2020-06-19 journal: Med Hypotheses DOI: 10.1016/j.mehy.2020.110010 sha: da2977955fdfed386cad9bf56a73acda5993ddde doc_id: 1036706 cord_uid: 6p0tt078 The in-mask micro-climate is heat and moisture buildup under facemasks but facemask doffing can immediately neutralize in-mask elevations in temperature and relative humidity. Therefore, home/workplace/facility living with in-mask micro-climate during COVID-19 pandemic warrants safe provisions for intermittent facemask “vacation”. The in-mask micro-climate is heat and moisture buildup under facemasks as demonstrated with standard N95 respirator [1] . Analogously, Figure- "vacation" may be warranted during COVID-19 pandemic without losing facemasks' potential preventative role and investigational "therapeutic" role [2] [3] [4] . However, clean-clear-silent(quiet) social-distancing zones will be required for safe facemask doffing considering that facemask "vacation" may not be ignored if following hypotheses are validated: (a) brain may not dissipate heat effectively in-mask [5] ; (b) increased work of breathing in-mask may increase calorie needs to avoid catabolism [6] ; (c) airways' cells evolved to thrive under lower temperatures may grow erratically if chronically exposed to elevated in-mask temperature accentuated by elevated inmask relative humidity [7] [8] . Essentially, living with in-mask micro-climate warrants intermittent facemask "vacation" provisions. The author declares to have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. In-mask temperature and humidity can validate respirator wear-time and indicate lung health status Quantitative Method for Comparative Assessment of Particle Filtration Efficiency of Fabric Masks as Alternatives to Standard Surgical Masks for PPE Therapeutic" facemasks #Facemasks: Love-Hate-Love-Hate-Love Story (Twitter Moment) Transnasal cooling: a Pandora's box of transnasal patho-physiology Weight loss in chronic obstructive pulmonary disease Is the exhaled breath temperature in lung cancer influenced by airways neoangiogenesis or by inflammation Temperature and humidity based projections pf a rapid rise in global heat stress exposure during the 21st century