Necrotizing Fasciitis Treatment

Those who recover from necrotizing fasciitis may experience anything from minor scarring to limb amputation. The recommended course of treatment is the use of vancomycin linezolid or daptomycin to treat MRSA and gram-positive bacteria an agent to treat anaerobic bacteria eg clindamycin or metronidazole and an agent to treat gram-negative bacteria.

Necrotising Fasciitis Chapter 56 Questions For The Final Fficm Structured Oral Examination

Treatment is done by cutting the infected skin tissues away antibiotics hyperbaric oxygen therapy and other medical procedures for complications such as shock and breathing problems.

Necrotizing fasciitis treatment. In this context HBO as part of a multimodal strategy consisting of surgery antibiotics and intensive care may reduce mortality from 34 to 119 compared to standard care 7. The therapeutic strategies of necrotizing fasciitis include early surgical intervention antibiotic therapy and adjuvant measures such as hyperbaric oxygenation 6. The treatment of necrotizing fasciitis depends on the stage of the disease complications such as toxic shock and more.

The main treatments are. Aminopenicillin sulbactam in combination with clindamycin andor metronidazole is recommended as initial calculated antibiotic treatment. Surgeons must be consulted early in the care of these patients as early and aggressive surgical.

Surgery is the primary treatment for necrotizing fasciitis. A surgical procedure to remove dead damaged infected tissue. Standard treatment of necrotizing fasciitis may include.

When debridement is performed surgical incisions should extend beyond the areas of visible necrosis and the entire necrotic area excised. Necrotising fasciitis needs to be treated in hospital. Doctors treat necrotizing fasciitis with IV antibiotics.

Antibiotics and surgery are typically the first lines of defense if a doctor suspects a patient has necrotizing fasciitis. Diabetes mellitus was a clinical predictor of limb amputation in patients with necrotizing fasciitis in our cohort. Accurate and prompt diagnosis treatment with intravenous IV antibiotics and surgery to remove dead tissue are vital in treating necrotizing fasciitis.

Necrotizing fasciitis can also result in multiple organ failures and death. Alternatively anaerobic and gram-negative bacteria can be treated with one drug that covers both. Necrotizing fasciitis is a surgical emergency and the patient should be urgently taken to the operating room for debridement of all infected devitalized tissues.

Definitive treatment is surgical debridement repeated as necessary. Surgical therapy is indicated if necrotizing fasciitis is suspected. Surgery to remove infected tissue this may be repeated several times to ensure all the infected tissue is removed amputation of affected limbs may be necessary sometimes antibiotics usually several different types are given directly into a vein.

Adjunctive clindamycin hyperbaric oxygen therapy and intravenous immunoglobulin are frequently employed in the treatment of necrotizing fasciitis but their efficacy has not. As the blood supply to the infected tissue becomes impaired antibiotics often cannot penetrate the infected tissue. Antibiotic therapy is crucial but is considered adjunctive to surgical management.

Necrotizing fasciitis is a very serious illness that requires care in a hospital. Supportive care and surgical debridement where blistering or necrotizing fasciitis are present Contact isolation procedures until the patient has received 24 hours of appropriate antibiotic therapy Prophylaxis in health care workers is not recommended unless there has been. It may require multiple surgical procedures to treat and then additional procedures.

Empiric antibiotics should cover major bacterial etiologic agents and group A streptococcal toxin production that can accompany type II necrotizing fasciitis.

Signs Of Infertility After Abortion

Get medical advice as soon as possible if you experience any signs of infection after an abortion such as. Signs to watch out for an ectopic pregnancy are.

Scientists Argue That There Are Early Signs That Can Warn You Of Potential Infertility Or Some Risk Fac Signs Of Infertility Infertility Trying To Get Pregnant

Planned Parenthood is aware of these long-term abortion effects but tries to keep women blind by.

Signs of infertility after abortion. Another complication that can occur and cause infertility after an abortion is a perforation of the uterus. Bleeding in amounts similar to your menstruation is normal and should be expected for up to. After 24 weeks.

Vomiting and nausea can also be seen during pregnancy. A high temperature fever smelly vaginal discharge. Here are a few ways by which you can recognize an infection after your abortion.

In such case you may have difficulty in conceiving again. Answer From Yvonne Butler Tobah MD. Laws regarding abortion after 24 weeks vary by state.

If it is a first-trimester abortion which is also called incomplete abortion leaves some fetal tissues in the uterus. Morning sickness is one of the main symptoms of pregnancy. That is why you experienced cramps and discharge plus intercourse before the 2 weeks check up could lead to infections.

Painful or heavy periods. When the child is lost it is a bereavement and your sense of loss tinged with pain anger isolation and depression can be profound - especially when it follows a long period of infertility. Others include breast pain increase in breast size increased vaginal discharge watery looking discharge back pain vomiting and nausea mood swings mild spotting from the vagina increased appetite and feeling tired.

Generally elective abortion isnt thought to cause fertility issues or complications in future pregnancies. Unfortunately some abortions end with such situations. It is possible that this material could weaken the cervix and result in infertility.

Physical Signs and Symptoms to Expect According to The New Harvard Guide to Womens Health page 10 post abortion physical symptoms can include pelvic cramps vaginal bleeding increased breast tenderness and fatigue. This is not the case with each first-trimester abortion. Find out more about the risks of an abortion.

Signs of Infertility in Women. Epidemiology and Clinical Signs PRRSV characteristically causes both reproductive and respiratory clinical signs. During surgery the uterus can be accidentally harmed and cut.

During pregnancy dizziness or nausea is called morning sickness. If you are worried that an abortion has resulted in your infertility there are some signs that may indicate this as a possibility. Symptoms of pregnancy such as nausea bloating or breast tenderness typically resolve within a week or two following an abortion.

This is one of the first symptoms of pregnancy it is very common and usually morning sickness can exist more than 3 months in the pregnancy. Damage to the fetal tissue. Some signs of infertility in women are.

After an abortion is recommended to wait 2 weeks before any intercourse because you are still scared and your cervix is not completely closed. Of course the most common sign you will notice is a delayed period. Although the probability of getting an infection is quite low it does exist.

2 Reproductive clinical signs include late-term abortions premature farrowings weak-born piglets and increased preweaning mortality rate. It is when the embryo implants in a fallopian tube instead of the womb. This study shows that women with a history of abortion are 60 more likely to miscarry eventually leading to infertility.

First you may experience profuse bleeding. Induction abortion is an approach that is rarely used in the United States but is indicated in the later stages of pregnancy. Be sure to check before going ahead with your decision.

If your abortion has not been done by an expert medical provider or is done imperfectly it may cause complications and damage your reproductive system. If you experience continuing symptoms of pregnancy such as breast tenderness or morning sickness If you have abdominal pain it might be on one side only and can be severe. If these symptoms persist you may still be.

Here are the major factors that can cause infertility after having an abortion. After a miscarriage it is normal to experience a period of grief. The degree of some of your symptoms will depend on how far along in your pregnancy you are.

But risks to future pregnancies may depend on the type of elective abortion performed. Learn about the risks involved in getting pregnant after an abortion. In addition to being vulnerable to disease a womans cervix can be damaged during the abortion procedure and the lining becomes thinner and thinner after every pregnancy.

This can cause the uterus to be scarred or become distorted in shape.

Meningitis B Vaccine Reaction

Very rarely a baby may have a severe allergic reaction anaphylaxis after having the MenB vaccine. It can be caused by different bacteria and viruses although bacterial infections are usually more serious.

Meningitis Vaccine Reaction Stock Image C042 6324 Science Photo Library

The CDC bulletin on meningitis B vaccination notes that infection is very rare.

Meningitis b vaccine reaction. This can cause breathing difficulties and collapse. About half of the people who get a MenACWY vaccine have mild problems following vaccination such as. As with all vaccines a severe allergic reaction for example anaphylaxis to a vaccine component or to a prior dose is a contraindication to further doses of that vaccine.

WarningsPrecautions Sensitivity Reactions Hypersensitivity Reactions. Uncommon Side Effects of Meningitis Vaccine The only uncommon side effect of any type of meningitis vaccine is an allergic reaction to something in the vaccine itself Mukundan says. This new vaccine was developed to protect against disease caused by MenB type B meningococcal bacteria a major cause of meningitis and blood poisoning.

These reactions usually get better on their own within 3 to 5 days but serious reactions are possible. A person who has ever had a severe allergic reaction eg anaphylaxis after a previous dose. Muscle or joint pain.

Redness where the shot was given. Mild problems following MenACWY vaccination can include. Some of these reactions occur in more than half of the people who receive the vaccine.

One of the bacteria which causes meningitis is called Neisseria meningitidis also known as the meningococcus. Meningitis is an infection of the meninges the lining around the brain and spinal cord. A public petition to give the meningitis B vaccine to children up to the age of 11 has gathered more than 575000 signatures which means the matter will be.

If otherwise indicated clinicians may administer meningococcal vaccines to pregnant or breastfeeding women. Hypersensitivity including severe allergic reactions to any vaccine component or previous dose of the vaccine. If these problems occur they usually last for 1 or 2 days.

Expert reaction to MenB vaccine for meningitis B following the public petition calling for all children in the UK to be given the vaccine. Soreness redness or swelling where the shot is given tiredness fatigue headache muscle or joint pain fever chills nausea or diarrhea can happen after meningococcal B vaccine. Meningococcal group B vaccine is used to prevent infection caused by serogroup B meningococcal bacteria.

Weve told you the scary stuff now heres the part where we give you some reassuring news. In very rare cases they may have a severe allergic reaction anaphylactic reaction within a few minutes of the vaccination. Reactions where the shot was given Soreness.

A person who has a severe allergy to any vaccine component. A total of around 750 people in the UK mostly babies and children were infected by MenB in 2011 and around 50 of these died. This may take the form of a rash or itching that affects part or all of their body.

This vaccine helps your body develop immunity to meningitis. Mild problems following a MenB vaccination can include. First any form of meningococcal.

Soreness redness or swelling where you got the shot. This bacteria commonly lives harmlessly in peoples throats but can cause. Reactions where the shot was given Redness.

Pain where the shot was given. This may be a rash or itching that affects part or all of the body. These reactions usually get better on their own within 1 to 2 days but serious reactions are possible.

The anti-gonococcal antibodies induced by MeNZB-like OMV proteins could explain the previously-seen decrease in gonorrhoea following MeNZB vaccination. Among all 11- to 23-year-olds in the US between 50 and 60 cases are reported annually with five to 10 deaths. Following a MenB shot more than half of people who get the vaccine will have mild problems.

An allergic reaction is a rare side effect of the MenB vaccine. See more information on meningococcal disease. What is meningitis B.

In rare cases babies can have an allergic reaction to the MenB vaccine soon after the injection. The high level of human anti-gonococcal NHBA antibodies generated by Bexsero vaccination may provide additional cross-protection against gonorrhoea. However as with any vaccine side effects can occur.

Muscle or joint pain. People sometimes faint after medical procedures including vaccination. This vaccine contains four common strains of group B meningococcal bacteria.

The meningitis B vaccine can help prevent this deadly illness. Do not administer meningococcal vaccines to. Cautions for Meningococcal Group B Vaccine Contraindications.

Severe allergic reaction after previous dose of the vaccine.

Common Types Of Cancer

Non-melanoma skin cancer which includes basal cell carcinoma and squamous cell carcinoma is the most common form of cancer. Many dogs will experience enlargement of the lymph nodes in one or more parts of the body.

Distribution Of Common Cancer Types Download Scientific Diagram

Carcinomas can be identified by the different cells that they affect.

Common types of cancer. Cancer sometimes begins in one part of the body before spreading to other areas. The types of cancers that occur most often in children are different from those seen in adults. Lymphoma is a type of cancer that affects the lymphatic system.

Learn about the estimated number of new cases and deaths for the 13 most common cancers including breast cancer melanoma leukemia and colorectal cancer. Head and Neck Cancers. Lung cancer was the most common cancer in men worldwide contributing 155 of the total number of new cases diagnosed in 2018.

In the UK the 4 most common types of cancer are. Oesophagus canceralso known more commonly as esophageal carcinomais a close second. There are different types of epithelial cells and these can develop into different types of carcinoma.

This process is known as metastasis. They make up about 85 out of every 100 cancers 85 in the UK. Bone cancer including osteosarcoma and Ewing sarcoma.

Among smoking-related cancers lung cancer is the most common. Lung colorectal breast prostate and skin cancers are among the most common types of cancer. This cancer starts with a tumor located in the prostate gland in men which is part of.

Lung cancer skin cancer pancreatic cancer and ovarian cancer are some of its common manifestations. Breast cancer in men. NCIs Cancer Stat Facts include detailed cancer rate and trend information for certain types of childhood cancer.

Cervical ovarian uterine vaginal and vulvar. Five main types of cancer affect a womans reproductive organs. Lymphoma including both Hodgkin and non-Hodgkin Rhabdomyosarcoma.

Malignant lymphoma is one of the most common types of cancer that affects dogs. The most common cancers of children are. The most common types of cancer diagnosed in children ages 0 to 14 years are leukemias brain and other central nervous system CNS tumors and lymphomas.

The top 10 most common types of cancer listed in order of number of estimated new cases for 2011. It affects more than a million Americans each year. As a group they are referred to as gynecologic cancers.

First on the list is prostate cancer with an estimated 240890 new cases anticipated for 2011 and is the most common cancer affecting men. Carcinomas are the most common type of cancer. 1 in 2 people will develop some form of cancer during their lifetime.

Cancers of the head and neck include cancers that start in several places in the head and throat not including brain cancers or cancers of the eye. Children teens and young adult cancers. Find out more about cancer at Everyday Health.

It is the most common form of cancer that affects the epithelial cells which form the lining of internal organs or the skin. Lymphoma may also cause changes to the eyes and internal organs. Head and neck cancers.

Brain and spinal cord tumors. The top three lung prostate and colorectal cancers contributed 444 of all cancers excluding non-melanoma skin cancer. Cancer of unknown primary.

Other common cancers contributing more than 5 were stomach and liver.

Chitterlings For Sale

The company claims this helps maximize the flavor while reducing prep time for the consumer. Buds has been Houstons hometown meat market for over 40 years.

Don T Want To Clean Chitlins These Detroit Stores Will Do It For You

Refreeze pork or keep refrigerated.

Chitterlings for sale. Aunt Bessies hand-cleaned chitterlings are sanitary and prepared according to. Meats so fresh yould think it just came off the farmers truck delicious prepared food from our BBQ To Go low prices that are friendly on every budget and superb service is what sets Buds apart from. Get reviews and coupons for Farmland Pork Chitterlings 10 Lb.

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Contactless delivery and your first delivery is free. Sold By the Case 12lbs Mr. Meats so fresh yould think it just came off the farmers truck delicious prepared food from our BBQ To Go low prices that are friendly on every budget and superb service is what sets Buds apart from everyone else.

Global Delights Cooked Pork Chitterlings dont shrink when they are cooked. Aunt Bessies Premium Pork Chitterlings are a delicacy made from the small intestine of pork. Our Aunt Bessies Premium Hand Cleaned Pork Chitterlings are without a doubt the best and cleanest pork chitterlings currently available for purchase in the US.

Look at what Aunt Bessies Chitlins fans are saying. Get your Fresh Pork Chitterlings 10 lbs at Buds House of Meat. Also cooked meats and a variety of special items.

Simply remove the clean chitterlings from the bag rinse them in cold water. A family favorite since 1887. Raw chitterlings can lose 50 or more of their weight when cooked.

Motts Natural 100 Apple Juice. Buds has been Houstons hometown meat market for over 40 years. Js Pork Chitterlings are all-natural cleaned to perfection frozen fresh and shipped directly to our customers.

Indian Summer Premium Apple Juice. Global Delights Cooked Pork Chitterlings are sold in grocery stores frozen meat departments and are also sold to restaurants and venues where they can be served from steam tables or warming tables. Enjoy Smithfield pork chitterlings boiled fried or roasted.

High-quality pork meat you can trust. Lucerne Reduced Fat Milk. Get your Cleaned Pork Chitterlings 5 lbs at Buds House of Meat.

One 10 pound package of Smithfield Fresh Pork Chitterlings. By far the cleanest chitterlings in the WORLD. O Organics Organic Reduced Fat Milk.

Find quality products to add to your Shopping List or order online for Delivery or Pickup. Now shipping in our newly developed leak proof tamper proof containers. 18 rows Chitterlings Pork.

Compare and find lowest price. Frozen hand-cleaned chitterlings delivered to your door. Our clean chitterlings are easy to prepare for family and friends.

Shop for Aunt Bessies Pork Chitterlings at Kroger. Wiltshire Country Fayre home deliver Pork and a range of quality fresh free range meat fish cheese cold meats and deli products direct to your door. At Moo Oink customers can find chitterlings double washed by machine or hand washed.

Get Ibp Pork Chitterlings 10 lb delivered to you within two hours via Instacart. Start shopping with Instacart now to get products on-demand. Simply rinse cook and enjoy.

Buy Farmland Pork Chitterlings 10 Lb online now. Clean Chitterlings - Gourmet Food Center Detroits Original Home of the Cleanest Chitterlings in Town. Call us on 0121 526 2181.

We welcome enquiries from caterers cafes restaurants and indeed other retailers interested in authentic Black Country made products such as faggots brawn chitterlings black puddings and polonies. Airtight plastic package helps to maximize freshness. I will never go back to the bucket.

Chitterlings are a staple of American Southern cuisine and other types of regional cuisines. Delivers fresh pork flavor to your favorite southern-inspired recipes.

Risk Assessment Methods

In the following sections four methods of risk mapping will be discussed. Who might be harmed and how.

5 5 Methods For Risk Assessment Charim

You can use a risk assessment template to help you keep a simple record of.

Risk assessment methods. It defines the structures level of exposure to risks. Risk treatment is the process of considering selecting and implementing one or more options for addressing the risk s youve been assessing. Risk assessment is a process to determine the nature and extent of risk and is critical.

Develop methods to complete risk evaluations for the PGDP. Risk assessment template Word Document Format. In the first method viz.

The RAWG is a multiagency multidisciplinary group tasked by the PGDP Core Team with meeting the following goals. This document was prepared by the PGDP Risk Assessment Working Group RAWG. Chemical risk assessment form Confined space identification and risk assessment form Field work risk assessment form First aid risk assessment form Hazardous manual handling risk assessment form Noise hazard identification form.

There are two approaches to analyzing identified risks and they are the qualitative and quantitative methods. Decide how likely it is that someone could be harmed and how seriously the risk take action to eliminate the hazard or if this isnt possible control the risk Assessing risk is just one part of the overall process used to control risks in your workplace. Examples of hazard-specific risk assessment forms available include.

Quantitative risk assessment QRA Event-Tree Analysis ETA Risk matrix approach RMA and Indicator-based approach IBA. Who needs to carry out the action. Methods of risk assessment include.

The Qualitative Analysis all the identified risks are plotted on a matrix. Y Methods and techniques to be used for risk assessment and their contribution to the. Another important method of risk assessment is Shape Harness And Manage Project Uncertainty SHAMPU.

What-if analysis Fault tree analysis FTA Failure mode event analysis FMEA Hazard operability analysis HAZOP etc. Risk assessment is necessary in individual cases including patient and physician interactions. Once a risk assessment including risk identification analysis and evaluation has been conducted its time to turn your attention to risk treatment.

Individual judgements or assessments of risk may be affected by psychological ideological religious or otherwise subjective factors which impact rationality of the process. Qualitative analysis is one of several risk assessment methods of analyzing the seriousness of a risk. When the action is needed by.

What youre already doing to control the risks. Risk assessment is a method for identifying and assessing risks for a given perimeter and period and putting them into a hierarchy. What further action you need to take to control the risks.

Risk Assessment Effective Risk Management integrates assessment methods into a larger framework Initiate Quality Risk Management Process Risk Identification Risk Analysis Risk Evaluation Risk Control Risk Reduction Risk Acceptance Risk Review Review Events Risk Communication Risk Management Tools Output Result of the Quality Risk Management Process. When part of an entity structure has been the subject of one or more risk assessments these assessment results must be considered when defining the Business. This is a generic framework that consists of nine steps define focus identify structure ownership estimate evaluate plan and manage for assessing the risk organized by the outline set forth in the acronym as follows.

Produce tools that can be used by the Core Team to prioritize remedial activities at the PGDP.

Merv 13 Vs Hepa

HEPA air filters are not MERV rated as. For MERV 14 15.

What Are The Differences Between A Merv 13 And A Hepa Filter Iso Aire Air Purifiers

However the airflow restriction of these filters causes a pressure drop and the ventilation system capacity must be considered before using them.

Merv 13 vs hepa. A HEPA high efficiency particulate air filter generally is equal to a rating of MERV 17. MERV ratings are generally given to filters used in dehumidifiers and air conditioners whereas the HEPA standard is generally seen in filters for air purifiers and vacuums. In this test HEPA reduced from 51 to 3 after 60 minutes while MERV 13.

03 micron particles are the smallest particles that are tested by the MERV rating scale. The filter is able to trap 99 of air particles 3 to 10 microns in size. HEPAs are tested under a completely different test method are typically a different size 24x24x1150 exact vs 24x24x12 nominal and HEPA filters are also defined by IEST standards.

The high-end filters can filter particles as small as 03 microns with 75 percent efficiency. A low ranking filter is rated 1-4 MERV and medium filter falls into the 5-13 MERV range and high-efficicency filter will range from 13 to 16 MERV. The MERV rating for a HEPA filter exceeds the highest MERV rating of 16 and is therefore measured on the removal efficiency of particles in the 030 - 10-micron range.

This test is similar to HEPA Test 1 however the outside level was higher being 74. All HEPA air filters must meet a minimum efficiency of 9997 at 03 microns. This high particle capture rate comes at a cost HEPA filters present more resistance to air flow than MERV filters.

This is much better than a MERV 13. HEPA filters are very efficient. HEPA filters are tested and certified to filter out at least 9997 of 03 micron particles.

8 rows HEPA is a type of pleated mechanical air filter. HEPA filter can capture a minimum of 9997 impurities in the air as small as 03 microns VS MERV 16 filter that captures 95 of particles from 03 to 10 microns. An air filters minimum efficiency reporting value MERV rating measures how effectively the filter stops dust and other contaminants from passing through the filter and into the air stream.

It is an acronym for high. Not quite as high as the 88 for the MERV 13 test. So whats better MERV or HEPA.

A HEPA filter with a MERV 17 rating will trap 9997 of air particles that are 03-10 micron in size. Yes HEPA will provide more filtration but if cost is an issue than the DIY MERV 13 Box Fan is a sensible choice. HEPA filter is the best as it is essentially a top tier MERV 17 to 20 ratings that surpassed even a MERV 16 filter.

It can trap 9997 of air particles of 3 to 1 micron in size. They both closely match until around the 30 minute mark where HEPA goes a little lower. Volatile organic compounds are commonly released into the air when using household cleaning products and are extremely harmful to your health.

All HEPA filters have a rating of a MERV 17 or higher. HEPA vs High Efficiency Air Filters. As a quick side-note to summarize these filters there are many people throughout the industry that call these higher MERV filters HEPA filters and they are not.

HEPA stands for High Efficiency Particulate Air filters and they are super-efficient. HEPA filters are the most efficient for residential or commercial use followed by MERV 13-16 filters. A MERV 11 filter only needs to stop 20 of particles in the 03 to 10 micron three to ten times bigger than a COVID-19 particle a MERV 12 only needs to stop 35 of particles under 03 micron and a MERV 13 only needs to stop half.

In fact HEPA air filters are the ONLY mechanical air filters that are tested and certified to meet a specific efficiency at a specific particle size. Here is where the HEPA high efficiency particulate air filter comes in. Further testing needs to be done with higher MERV ratings and over longer periods of.

HEPA air filters are not MERV rated as they exceed the ASHRAE test protocol 522 used in determining the MERV ratings. Filters with higher MERV ratings trap small particles more effectively than filters with lower MERV ratings. HEPAs are more efficient at capturing particles both larger and smaller than the MPPS but the standard has been set for a HEPA filter to be 9997 efficient at 03 microns.

This means the blower on your HVAC equipment has to work harder to push air through the filter and therefore uses more energy. As for air particles 3 to 10 microns in size 99 percent can be trapped. MERV 13 or ISO equivalent are efficient at capturing airborne viruses MERV 14 or ISO equivalent filters are preferred High efficiency particulate air HEPA filters are more efficient than MERV 16 filters.

For comparison MERV-16 filters are rated for only capturing 95 of E1 particles which include particles between 03. Filters with a MERV rating of 13 to 17 are normally used in hospitals and nursing homes. A filter with a MERV rating of eight to 16 can remove these pollutants from the air.

9 rows This is often compared with the MERV rating scale. For a MERV filter to get close to the efficiency of a HEPA filter it should be rated 13 minimum. A HEPA filter is the creme dela creme in the air filter world.

So why doesnt everyone simply use HEPA.