(06-19-2020 05:41 PM)JMUPurple Wrote: Here is another article. This time from the New England Journal of Medicine. The article is about the effectiveness/ineffectiveness of masks in medical facilities but also touches on their ineffectiveness in the general population. My point is not to prove masks are ineffective. My point is to say no one has convinced me that they are effective. The CDC has given conflicting information, and there are studies and medical advice on both sides. I feel like I have a right to choose for myself whether or not to wear one. Here is the link to this article along with a few quotes from the article.
https://www.nejm.org/doi/full/10.1056/NEJMp2006372
“We know that wearing a mask outside health care facilities offers little, if any, protection from infection.”
“The chance of catching Covid-19 from a passing interaction in a public space is therefore minimal. In many cases, the desire for widespread masking is a reflexive reaction to anxiety over the pandemic.”
“What is clear, however, is that universal masking alone is not a panacea.”
“It is also clear that masks serve symbolic roles. Masks are not only tools, they are also talismans that may help increase health care workers’ perceived sense of safety, well-being, and trust in their hospitals. Although such reactions may not be strictly logical, we are all subject to fear and anxiety, especially during times of crisis.”
“Expanded masking protocols’ greatest contribution may be to reduce the transmission of anxiety, over and above whatever role they may play in reducing transmission of Covid-19.”
This article was written more as an opinion piece by doctors about medical practice inside of hospitals. It really wasn't a scientific study.
Also ... full context is VERY important. A single sentence without the surrounding pieces is a bit misleading about what was being said. This was talking about the specific conditions inside of a hospital:
Quote:"a mask is a core component of the personal protective equipment (PPE) clinicians need when caring for symptomatic patients with respiratory viral infections, in conjunction with gown, gloves, and eye protection. Masking in this context is already part of routine operations for most hospitals. What is less clear is whether a mask offers any further protection in health care settings in which the wearer has no direct interactions with symptomatic patients."
"Public health authorities define a significant exposure to Covid-19 as face-to-face contact within 6 feet with a patient with symptomatic Covid-19 that is sustained for at least a few minutes "
Gee, that sounds possible at a gym, football, or basketball game ...
The doctors creating this article seem to be concerned that "universal masking" inside a hospital could lead to shortages at the more critical areas. Some doctors use a new medical mask for each interaction they have with a patient (every few minutes).
Quote:And then the potential benefits of universal masking need to be balanced against the future risk of running out of masks and thereby exposing clinicians to the much greater risk of caring for symptomatic patients without a mask.
Quote:"Focusing on universal masking alone may, paradoxically, lead to more transmission of Covid-19 if it diverts attention from implementing more fundamental infection-control measures.
Such measures include vigorous screening of all patients coming to a facility for symptoms of Covid-19 and immediately getting them masked and into a room; early implementation of contact and droplet precautions, including eye protection, for all symptomatic patients and erring on the side of caution when in doubt"
The article IN CONTEXT was not arguing against masks. It was suggesting that a lot of other measures are also needed in hospital settings, and that "universal masking" of healthcare workers is not sufficient in that environment.
One thing I did find informative about that article is that at least some doctors feel the risk of exposure from Asymptomatic individuals is minimal compared to those who show fever or cold/flu symptoms. The linked articles provide a basis for this, though they also noted there has been some asymptomatic spread in hospitals.
The problem with mass, densely populated public events is that it is difficult to screen out everyone who is symptomatic (sniffles or sore throat, etc) compared to the screening that occurs at a medical facility. Even with temperature checks, I'm skeptical my gym will screen out everyone with symptoms, just based on what I've seen previously with those sneezing or coughing, etc. I will probably check out the gym again soon, but if I don't see adequate spacing, or anyone with even mild sneezing/coughing, thats a red flag to me.