Key point: no significant effect for protecting wearers. The study makes no claims (and didn't study) whether the masks protect others from the wearer.
It is important to emphasize that this trial did not address the effects of masks as source control or as protection in settings where social distancing and other public health measures are not in effect.
This was a solid randomized controlled study showing masks don’t protect the wearer. That’s a good start, and it’s important that everyone understands that mask are not protecting you when you go outside. People should not feel safer by putting on a mask. And if masks give people a false sense of security then that can do damage by encouraging behavior that would otherwise be avoided.
Beyond randomized controlled studies, we obviously have very strong observational worldwide evidence that even high incidence of mask wearing is not enough to prevent a seasonal outbreak. You basically need an island nation with strict border controls to do that.
To me the big remaining question around wearing a mask to protect others — since I can’t see how that’s something that can be tested in a randomized controlled study — becomes a materials science question of how these homemade masks dampen the spread of larger particles versus potentially aerosolizing smaller particles.
Was there ever any scientific study of the effect of non-surgical masks on aerosolizing the virus? I recall reading an article specifically warning against for example bandanas, or basically any single-ply cotton could actually amplify the spread.
Lastly, if some people who have mild symptoms think it’s safe enough for them to go out because they are putting a mask on, it’s likely to tilt the overall balance of help vs. harm decidedly against masks.
In short, the question isn’t really just whether surgical mask use by the general population can somewhat reduce the R factor — you’d like to think that it could, although scientifically this has not been proven and many studies show otherwise.
It’s first about homemade masks used haphazardly by the general population, and secondly it’s a behavioral question of what happens if you tell people to wear a face covering and they reasonably assume that wearing one would be somehow helpful.
Wasn't the main argument for basic masks the entire time that they reduce the wearer spreading it if they are infected? And thus deriving "no significant effect on spread" from this finding seems a bit odd?
Conclusion:
The recommendation to wear surgical masks to supplement other public health measures did not reduce the SARS-CoV-2 infection rate among wearers by more than 50% in a community with modest infection rates, some degree of social distancing, and uncommon general mask use. The data were compatible with lesser degrees of self-protection.
If there's those more qualified I'd be interested to know if these results are only being done on the receiving end, or if surgical masks still protect others to some extent.
This headline is inaccurate to the point of malfeasance. The study absolutely did not look into whether masks have a significant effect on COVID-19 transmission; it tracked whether a medical doctor's recommendation to a patient would reduce transmission.
One of the limitations called out in the paper was the fact that compliance with mask wearing was low, and/or not tracked.
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[ 3.1 ms ] story [ 39.9 ms ] thread> As a result, it seems that any effect masks have on preventing the spread of the disease in the community is small.
It is important to emphasize that this trial did not address the effects of masks as source control or as protection in settings where social distancing and other public health measures are not in effect.
Beyond randomized controlled studies, we obviously have very strong observational worldwide evidence that even high incidence of mask wearing is not enough to prevent a seasonal outbreak. You basically need an island nation with strict border controls to do that.
To me the big remaining question around wearing a mask to protect others — since I can’t see how that’s something that can be tested in a randomized controlled study — becomes a materials science question of how these homemade masks dampen the spread of larger particles versus potentially aerosolizing smaller particles.
Was there ever any scientific study of the effect of non-surgical masks on aerosolizing the virus? I recall reading an article specifically warning against for example bandanas, or basically any single-ply cotton could actually amplify the spread.
Lastly, if some people who have mild symptoms think it’s safe enough for them to go out because they are putting a mask on, it’s likely to tilt the overall balance of help vs. harm decidedly against masks.
In short, the question isn’t really just whether surgical mask use by the general population can somewhat reduce the R factor — you’d like to think that it could, although scientifically this has not been proven and many studies show otherwise.
It’s first about homemade masks used haphazardly by the general population, and secondly it’s a behavioral question of what happens if you tell people to wear a face covering and they reasonably assume that wearing one would be somehow helpful.
If there's those more qualified I'd be interested to know if these results are only being done on the receiving end, or if surgical masks still protect others to some extent.
That's it. It's a crappy study and don't expect much from "The Spectator"
One of the limitations called out in the paper was the fact that compliance with mask wearing was low, and/or not tracked.