Abstract
Measurements of rate of oxygen consumption (VO2) recorded during controlled exercise is used to assess cardiovascular health in test individuals. In low- or middle-income countries, where Mycobacterium tuberculosis is common and older VO2 systems are in use, three specific preventative measures should be in place to prevent the transmission of tuberculosis. These include: (1) disinfecting reusable plastic masks and rubber tubing with bleach solution; (2) limiting maximum exposure of test individuals to Cl2 gas to <1–3 ppm for a duration of ≤15 min to prevent respiratory distress; and (3) carefully inspecting for degradation of plastic VO2 masks and rubber tubing repeatedly disinfected with bleach and replace these at the first signs of deterioration.
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