Chattanooga Times Free Press

Many studies show the effectiven­ess of face masks

- — Susan Raschal, D.O., Covenant Allergy and Asthma Care; member, Chattanoog­a-Hamilton County Medical Society.

Q: What proof do scientists have that masks can actually prevent the spread of the coronaviru­s?

A: Singing, speaking, shouting, laughing, coughing and sneezing have been shown to discharge many large and small virus droplets capable of infection.

One experiment using high-speed video found that hundreds of droplets were generated when saying a simple phrase, but that nearly all those droplets were blocked when the mouth was covered by a damp washcloth. Several other studies have shown similar results.

An April 20 article in the journal Nature revealed wearing a surgical mask significan­tly reduced the amount of droplets and aerosols emitted from respirator­y viruses. Case reports have shown infected persons wearing masks did not infect others despite several hours of close proximity.

Studies have revealed the viral load peaks days before symptoms begin and that speaking is enough to expel virus-carrying droplets. Epidemiolo­gist George Rutherford, M.D., and infectious-disease specialist Peter Chin-Hong, M.D., both of the University of California, San Francisco, say the evidence shows that wearing a mask is vital since presymptom­atic and asymptomat­ic transmissi­on of COVID19 is possible, making it impossible to know who is infected.

Asymptomat­ic carriers may not know they have the virus nor are capable of transmitti­ng it, therefore placing everyone they contact at risk of infection. This reinforces the need for everyone to wear a mask and further supports the mask mandates in many counties, cities and states.

Research published in the Proceeding­s of the National Academy of Sciences concluded airborne transmissi­on is the dominant route of spread for the coronaviru­s but that the number of infections could be reduced by this one protective measure alone. The results were determined by researcher­s in Texas and California, who compared COVID-19 infection rate trends in Italy and New York before and after face masks were made mandatory. Both locations started to see infection rates flatten only after mandatory face mask measures were put in place. Social distancing by itself was insufficie­nt in protecting the public from the virus, but wearing face masks in public correspond­ed to the most effective means to prevent inter-human transmissi­on. This inexpensiv­e practice, in conjunctio­n with simultaneo­us social distancing, quarantine and contact tracing, represents the most likely fighting opportunit­y to stop the pandemic.

The New England Journal of Medicine website includes video of the “Laser Light-Scattering Experiment Showing Speech-Generated Droplets.” It revealed that large droplets fell to the ground, but small droplets can dehydrate and linger as “droplet nuclei” in the air and increase the area of transmissi­on. Video clips of the events while the person was speaking, with and without a face mask, are available at bit.ly/2ExIDob.

The Institute of Health Metrics and Evaluation has suggested that 33,000 deaths could be avoided by Oct. 1 if 95% of people wore masks in public.

 ??  ?? Susan Raschal
Susan Raschal

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