Which of the following is NOT listed as part of the recommended PPE for healthcare workers caring for Ebola patients?

• A. Double gloves
• B. Mid-Calf waterproof boot covers
• C. Single-use full face shield
• D. Surgical mask

Answer: (D)

PPE for Ebola care centers on creating a complete barrier between the healthcare worker and infectious fluids, covering hands, eyes and face, skin, and the respiratory space when needed. In this context, the protective ensemble includes two layers of gloves, impermeable protective garments that withstand fluids, boot covers to keep feet and lower legs clean, and a full-face shield to protect the eyes and mucous membranes. Respiratory protection is also emphasized, with a properly fitted respirator such as an N95 or higher, or a powered air-purifying respirator, depending on the procedure and risk.

A surgical mask is not listed because it does not provide adequate protection for this tier of risk. It does not seal to the face or filter small aerosolized particles, and it isn’t sufficient when there is potential exposure to high-risk fluids or during procedures that can generate aerosols. In contrast, the other items described—double gloves, mid-calf boot covers, and a single-use full-face shield—are all components that contribute to a robust barrier against exposure during care.

The combination of double gloves, boot covers, and a disposable full-face shield helps prevent skin, eye, and mucous membrane contact with infectious material, which is essential in preventing transmission during Ebola care.