Face masks: Why the guidance has changed so much, and how wearing masks can protect the economy

By Holly Yan, CNN 59 mins ago




First, health officials said we shouldn't wear face masks. Then, they said we should. Now, many are saying we must wear masks if we want to keep the economy open and save tens of thousands of lives.

© Kevin Dietsch/Pool/Getty Images WASHINGTON, DC - JUNE 23: Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, takes off his face mask before testifying at a hearing of the U.S. House Committee on Energy and Commerce on Capitol Hill on June 23, 2020 in Washington, DC. The committee is investigating the Trump administration's response to the COVID-19 pandemic. (Photo by Kevin Dietsch-Pool/Getty Images)

The Centers for Disease Control and Prevention now says everyone "should wear a cloth face cover when they have to go out in public, for example to the grocery store or to pick up other necessities."

"Cloth face coverings are meant to protect other people in case the wearer is unknowingly infected but does not have symptoms," the CDC said.

Researchers say the payoff would be enormous. If 95% of Americans wore face masks in public, it could prevent 33,000 deaths by October 1, according to the University of Washington's Institute for Health Metrics and Evaluation.

So why has the guidance on face masks changed since the pandemic started? This novel coronavirus is still just months old, and scientists are constantly learning more about it -- including more reasons why wearing masks is so important:

-- It's easy to spread this virus by just talking or breathing.

-- This coronavirus is highly contagious. Without mitigation efforts like stay-at-home orders, each person with the coronavirus infects, on average, another two to three other people. That makes it twice as contagious as the flu.

-- It's easy to spread the coronavirus without any symptoms -- either from asymptomatic carriers or pre-symptomatic carriers.

-- This virus has a long incubation period -- up to 14 days -- giving a wide window of opportunity for people to infect others before they even know they're infected.

-- Carriers may be most contagious in the 48 hours before they get symptoms, making transmission even more blind.

In other words, it's not just people who are sneezing and coughing who can spread coronavirus. It'soften people who look completely normal and don't have a fever. And that could include you.
Why did health officials tell us not to wear masks before?




Early in this pandemic, scientists didn't know how easily this virus spreads between people without symptoms or how long infectious particles could linger in the air.

There was also a shortage of N95 respirators and face masks among health care workers who were quickly overwhelmed with Covid-19 patients. Some medical workers ended up using plastic office report covers or other ordinary items as makeshift, often substandard face masks while working closely with Covid-19 patients.

In March, both the World Health Organization and the CDC said face masks shouldn't be worn by healthy members of the general public and instead should be reserved for those who are sick or caring for the sick.

US Surgeon General Jerome Adams posted a tweet on February 29 urging people not to buy masks.

But in early April, both the CDC and Adams reversed their guidance after doctors learned more about how easily coronavirus spreads without symptoms. They even created a video showing how to make a mask with just a T-shirt and rubber bands -- no sewing required.

WHO in June also reversed its guidance. The global health agency now says countries should urge the public to wear fabric masks where there's widespread transmission of the virus and where physical distancing is difficult.
What do doctors say about face masks now?

"People need to know that wearing masks can reduce transmission of the virus by as much as 50%, and those who refuse are putting their lives, their families, their friends, and their communities at risk," said Dr. Christopher Murray, director of the Institute for Health Metrics and Evaluation.

There are just a few groups of people who shouldn't wear cloth masks, including children under 2 years old and people who have breathing problems, according to the Mayo Clinic.

The nation's top infectious disease expert, Dr. Anthony Fauci, is strongly urging the public to wear face masks -- especially now that states have reopened, more people are out in public and new Covid-19 hospitalizations are surging in many areas.

"Plan A: Don't go in a crowd. Plan B: If you do, make sure you wear a mask," Fauci testified Tuesday on Capitol Hill.

But Fauci said he has no regrets about not telling Americans to wear masks early in the pandemic.

"At that time, there was a paucity of equipment that our health care providers needed -- who put themselves daily in harm's way of taking care of people who are ill," he said.

"We did not want to divert masks and PPE (personal protective equipment) away from them, to be used by the people." But now, Fauci said, "we have enough."
Which states have mask requirements?

At least 16 states and the District of Columbia have mandates on wearing cloth face masks in public.

"It's an incredibly simple, cheap, and now turning out to be effective intervention -- both for individuals (and) for communities," Murray said.

"There's no reason that every state shouldn't do what other states are starting to do, which is mandate mask use."

Other countries have had mask requirements nationwide, including Germany, the Czech Republic and Austria.
Do mask requirements actually help?

An estimated 230,000 to 450,000 Covid-19 cases were prevented in the states that enacted requirements for mask use between April 8 and May 15, researchers from the University of Iowa found.

The IHME projected a total of 179,106 US deaths from Covid-19 by October 1. But the number of expected deaths drops by ‭33,059‬ -- down to 146,047 -- if 95% of Americans wear masks in public, the researchers said.
What about my civil liberties?

Wearing a face mask will give you more freedom, not less, the surgeon general said.

"Some feel face coverings infringe on their freedom of choice- but if more wear them, we'll have MORE freedom to go out," tweeted Adams, who was nominated by President Donald Trump.

"Face coverings → less asymptomatic viral spread → more places open, and sooner! Exercise and promote your freedom by choosing to wear a face covering!"

Murray agreed that one of the fastest ways to help get Covid-19 under control and help prevent a second wave of economic shutdowns is to wear a mask.

Jerome Adams✔@JeromeAdamsMD

Some feel face coverings infringe on their freedom of choice- but if more wear them, we’ll have MORE freedom to go out.

Face coverings less asymptomatic viral spread more places open, and sooner!

Exercise and promote your freedom by choosing to wear a face covering!

8,5957:35 AM - Jun 14, 2020Twitter Ads info and privacy3,603 people are talking about this

"For pretty much every state that we've looked at, if we can get people to wear masks, we can not only save lives, but ... we can also save the economy, because we can keep businesses going."
Can I stop taking other precautions when I'm wearing a mask?

No. It's still important to keep social distancing when possible and wash your hands frequently -- especially because since you could touch a contaminated surface (like the front of your mask) and then touch your face when your mask is off.

"Don't get a false sense of security that that mask is protecting you exclusively from getting infected," said Dr. Deborah Birx, a member the White House coronavirus task force.

"There are other ways that you can get infected."


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