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charbonneau | 4 years ago
> The opposing position to "wear a mask to protect others" should have been "wear a mask to protect yourself and your family"
Should the mask topic also prohibit any divergence? Is the evidence so unambiguous that all raised objections can only be a tragic misleading with disastrous results?
Cochrane review (Nov 2020): "We included nine trials (of which eight were cluster‐RCTs) comparing medical/surgical masks versus no masks to prevent the spread of viral respiratory illness (two trials with healthcare workers and seven in the community). There is low certainty evidence from nine trials (3507 participants) that wearing a mask may make little or no difference to the outcome of influenza‐like illness (ILI) compared to not wearing a mask (risk ratio (RR) 0.99, 95% confidence interval (CI) 0.82 to 1.18)"
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD...
mindslight|4 years ago
The dynamic isn't that the evidence is unambiguous, but rather that when the evidence is inconclusive falling back to first principles makes sense. Respiratory filtration should help prevent spread of respiratory pathogens, period.
If there are no conclusive results proving that out for ersatz cloth masks, then the scientific approach is to try better protective equipment until it does become effective. Taking a lack of positive results as a reason to eschew protection is anti-scientific nihilism. If a virus is still spreading somehow with a certain type of PPE, then what does it take to stop it? Full face mask? Bunny suit plus PAPR? Once we know that, then we have a good idea of all the mechanisms of spread, and can debate whether specific precautions are worthwhile. Bunny suits might not be, but half face P100 respirators plus face shields at $50 per person might have actually made economic sense based on what Covid has done to the economy.
charbonneau|4 years ago
> If there are no conclusive results proving that out for ersatz cloth masks, then the scientific approach is to try better protective equipment until it does become effective.
I respect your view and completely agree that personal protective equipment should be examined further. The current evidence is definitely sufficient for a strong mask recommendation. I’m only critical of mandates (or bans) in this situation as they push people away from doing their own research and lead to bizarre scenes, as you encountered it with your respirator.