Professional and Home-Made Face Masks Reduce Exposure to Respiratory Infections (2008)
ncbi.nlm.nih.gov
ncbi.nlm.nih.gov
It’s a sort of “sensible contrarianism”, designed to appeal to the vanity of readers who view themselves as being above the fray.
Another trope is making fun of people who are preparing for possible quarantines and supply chain disruptions, or comparing the absolute numbers of people who die from seasonal flu to Covid-19, and pronouncing it overblown (more common on social media).
Now to find a face mask...
Most likely 3M and crew are tooling up their production and diverting product to medical customers, but it’s still going to be tight for a while.
https://youtu.be/4nM0gDDKYDQ?t=205
> "Let's take face masks for example. N95 face masks. Typical problem, China. China basically makes a bunch of them. Well the first thing they did was put on export restrictions so that we couldn't get any of them. Next thing they did was nationalize effectively 3M, our company, in China, to prevent them from sending us any stuff."
On February 23rd Navarro discussed it as well:
https://www.youtube.com/watch?v=ImxuY_yLCBQ
> "China put export restrictions on those masks and then nationalized an American factory that produces them there."
https://youtu.be/4nM0gDDKYDQ?t=205
> "Let's take face masks for example. N95 face masks. Typical problem, China. China basically makes a bunch of them. Well the first thing they did was put on export restrictions so that we couldn't get any of them. Next thing they did was nationalize effectively 3M, our company, in China, to prevent them from sending us any stuff."
On February 23rd Navarro discussed it as well:
https://www.youtube.com/watch?v=ImxuY_yLCBQ
> "China put export restrictions on those masks and then nationalized an American factory that produces them there."
Between lay people buying up existing stock, and disruptions to production in China, we are seeing shortages. Some of our suppliers are restricting us to historical orders (if you usually ordered 5 boxes/mo, that's what you're getting), others are restricting us to flat-out number caps (3 boxes/mo, period).
They are not taking new accounts, even from medical practices.
My office practice is such that we have very low historical usage, and in this climate can't increase orders to keep up with the current level of caution patients prefer. I've ended up ordering P100s instead of surgical masks or N95s because they're the only thing I could get a hold of (and more effective than N95s), just to have something in the closet in case of a surge in need. I had to get it from an industrial supplier, and my understanding is that my modest order cleaned them out.
It ain't great.
An agency such as the CDC lying to public seems incredibly counterproductive in the long run.
> Among nurses in Ontario tertiary care hospitals, use of a surgical mask compared with an N95 respirator resulted in noninferior rates of laboratory-confirmed influenza. https://www.ncbi.nlm.nih.gov/pubmed/19797474
> during a severe pandemic when use of face masks might be greater, pandemic transmission in households could be reduced.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2662657/
Also, purely anecdotally, in Hong Kong and Taiwan, virtually everyone are wearing masks when going out in public. Compared to other regions, the spread is much more limited despite the close proximity to China - Taiwan had blocked entry from China early on, but not Hong Kong.
Lastly, even if it "only prevent the sick from spreading it", wouldn't it help with limiting the chance of the asymptomatic cases from from further spreading the disease?
Now, if the general population purchasing masks is truly impacting the medical staff's supplies, then it's a legitimate reason to ask people to stop buying them. But telling them it is useless seems quite misleading.
When you dig past this with the people telling you not to bother wearing a mask, another line of reasoning bubbles up - that we need to reserve them for healthcare workers.
It may be true that it’s most important to get N-95 masks into the hands of healthcare workers first, but lying to the public isn’t the right way to do it. It turns out that plenty of people are capable of understanding how to wear a mask properly, and a lot of them - myself included - May already have access to N-95 masks, like the handful I bought to wear while doing a home improvement project about six months ago.
I have to agree that more than anything else, this line of commentary that masks won’t work comes off as holier than though finger wagging. It’s at least partially a lie, and it strikes me as an ineffective way to deal with the problem of a shortage of masks for healthcare workers. I also doubt that the masks on the shelf at Home Depot were ever going to find their way into the hands of a healthcare worker if they hadn’t already.
"Dr. Pak-Leung Ho, head of Centre for infection at @hkumed, thinks it was due to the stepped-up vigilance of #HKers that no. of #COVID19 cases in #HK didn't skyrocket like Iran and Italy. He highlighted universal mask-wearing as one of the reasons widespread outbreak didn't occur."
"#HKers started wearing masks, universally and regardless of symptoms, even before the 1st confirmed case emerged in the city. Some say panic, some say unnecessary, some say cultural difference, but it is really down to our collective experience of #SARS."
"17 yrs ago #HKers learnt the impact of a disease outbreak at the cost of 299 lives. We knew if it starts in China, sooner or later it will reach #HK. Afterall, in the 1st week of Feb alone, 100,000 mainlanders entered HK, not to mention returning HK citizens."
This would appear to be line with the statements face masks indeed limit spread once you're sick, but doesn't do much to protect you when you are healthy.
https://twitter.com/yaneerbaryam/status/1233378620690878464
"If everyone wears masks, sick wear them. If nobody wears masks, they don't If you wear a mask, people will be comfortable wearing a mask with you. If not, not"
+"Individual, community and government early outbreak response guidelines "
https://twitter.com/yaneerbaryam/status/1235354865947365377
https://necsi.edu/individual-community-and-government-early-...
The parent comment said "#COVID19 cases in #HK didn't skyrocket like Iran and Italy. He highlighted universal mask-wearing as one of the reasons widespread outbreak didn't occur."
> There is some evidence to support the wearing of masks or respirators during illness to protect others, and public health emphasis on mask wearing during illness may help to reduce influenza virus transmission.
> There are fewer data to support the use of masks or respirators to prevent becoming infected.
https://www.cambridge.org/core/journals/epidemiology-and-inf...
On balance, masks in general usage probably help a tiny bit, but it it's much more important to wash your hands properly, so you're better of buying soap and paper towels.
There's no connection with NIH beyond the fact that they host the PubMed Central search engine this journal article appears on.
That said, PLoS One is a very reputable peer reviewed journal, so the fact that this is published here is significant.
Interesting theory.
https://www.politico.com/news/2020/03/05/white-house-alex-az...