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(10) When the test subject leaves the chamber,       This nebulizer shall be clearly marked to distin-
             the subject shall remove the saturated towel         guish it from the fit test solution nebulizer.
             and return it to the person conducting the test,
             so that there is no significant IAA concentration    (5) The threshold check solution is prepared by
             buildup in the chamber during subsequent             dissolving 0.83 gram of sodium saccharin USP
             tests. The used towels shall be kept in a self-      in 100 ml of warm water. It can be prepared by
             sealing plastic bag to keep the test area from       putting 1 ml of the fit test solution (see (b)(5)
             being contaminated.                                  below) in 100 ml of distilled water.

             3. Saccharin Solution Aerosol Protocol               (6) To produce the aerosol, the nebulizer bulb
                                                                  is firmly squeezed so that it collapses com-
             The entire screening and testing procedure           pletely, then released and allowed to fully ex-
             shall be explained to the test subject prior to the  pand.
             conduct of the screening test.
                                                                  (7) Ten squeezes are repeated rapidly and then
             (a) Taste threshold screening. The saccharin         the test subject is asked whether the saccharin
             taste threshold screening, performed without         can be tasted. If the test subject reports tasting
             wearing a respirator, is intended to determine       the sweet taste during the ten squeezes, the
             whether the individual being tested can detect       screening test is completed. The taste threshold
             the taste of saccharin.                              is noted as ten regardless of the number of
                                                                  squeezes actually completed.
             (1) During threshold screening as well as dur-
             ing fit testing, subjects shall wear an enclosure    (8) If the first response is negative, ten more
             about the head and shoulders that is approxi-        squeezes are repeated rapidly and the test sub-
             mately 12 inches in diameter by 14 inches tall       ject is again asked whether the saccharin is
             with at least the front portion clear and that al-   tasted. If the test subject reports tasting the
             lows free movements of the head when a respi-        sweet taste during the second ten squeezes, the
             rator is worn. An enclosure substantially similar    screening test is completed. The taste threshold
             to the 3M hood assembly, parts # FT 14 and #         is noted as twenty regardless of the number of
             FT 15 combined, is adequate.                         squeezes actually completed.

             (2) The test enclosure shall have a 3/4-inch (1.9    (9) If the second response is negative, ten more
             cm) hole in front of the test subject’s nose and     squeezes are repeated rapidly and the test sub-
             mouth area to accommodate the nebulizer              ject is again asked whether the saccharin is
             nozzle.                                              tasted. If the test subject reports tasting the
                                                                  sweet taste during the third set of ten squeezes,
             (3) The test subject shall don the test enclosure.   the screening test is completed. The taste
             Throughout the threshold screening test, the         threshold is noted as thirty regardless of the
             test subject shall breathe through his/her           number of squeezes actually completed.
             slightly open mouth with tongue extended. The
             subject is instructed to report when he/she de-      (10) The test conductor will take note of the
             tects a sweet taste.                                 number of squeezes required to solicit a taste
                                                                  response.
             (4) Using a DeVilbiss Model 40 Inhalation
             Medication Nebulizer or equivalent, the test         (11) If the saccharin is not tasted after 30
             conductor shall spray the threshold check solu-      squeezes (step 10), the test subject is unable to
             tion into the enclosure. The nozzle is directed      taste saccharin and may not perform the sac-
             away from the nose and mouth of the person.          charin fit test.


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