[red-beard]

Continued

Rather, the highest-quality evidence so far is studies like the one published in June in Health Affairs, which found that U.S. states instituting mask mandates had a 2% reduction in growth rates of Covid-19 compared with states without these mandates. Because respiratory virus spread is exponential, modest reductions can translate into large differences over time. But these shifts in trajectory are distinct from the notion that mandating masks will bring the pandemic to an end. Based on evidence around the world, it should be clear that mask mandates won’t extinguish the virus.

The most reasonable conclusion from the available scientific evidence is that community mask mandates have—at most—a small effect on the course of the pandemic. But you wouldn’t know that from watching cable news or sitting next to a mother being forced off an airplane because her small children aren’t able to keep a mask on.

While mask-wearing has often been invoked in explanations for rising or falling Covid-19 case counts, the reality is that these trends reflect a basic human need to interact with one another. Claims that low mask compliance is responsible for rising case counts are also not supported by Gallup data, which show that the percentage of Americans reporting wearing masks has been high and relatively stable since June. Health officials and political leaders have assigned mask mandates a gravity unsupported by empirical research.

On even shakier scientific ground is the promotion of mask use outdoors. One contact-tracing study identified only a single incident of outdoor transmission among 318 outbreaks. Even the Rose Garden nomination ceremony for Justice Amy Coney Barrett, which the media giddily labeled a “superspreader” event, likely wasn’t; transmission more likely occurred during indoor gatherings associated with the ceremony.

By paying outsize and scientifically unjustified attention to masking, mask mandates have the unintended consequence of delaying public acceptance of the unavoidable truth. In countries with active community transmission and no herd immunity, nothing short of inhumane lockdowns can stop the spread of Covid-19, so the most sensible and sustainable path forward is to learn to live with the virus.

Shifting focus away from mask mandates and toward the reality of respiratory viral spread will free up time and resources to protect the most vulnerable Americans. There is strong evidence that treating patients early in outpatient settings can be effective, as outlined in a recent American Journal of Medicine paper, but these treatments are underused. Identifying effective treatments for hospitalized patients with Covid-19 is essential, but preventing severe illness before hospitalization will save more lives.

Until the reality of viral spread in the U.S.—with or without mask mandates—is accepted, political leaders will continue to feel justified in keeping schools and businesses closed, robbing young people of the opportunity to invest in their futures, and restricting activities that make life worthwhile. Policy makers ought to move forward with more wisdom and sensibility to mitigate avoidable costs to human life and well-being.

Dr. Ladapo is an associate professor at UCLA’s David Geffen School of Medicine.

Article Links

CDC publication on Mask use effectiveness (not very)
https://wwwnc.cdc.gov/eid/article/26/5/19-0994_article

(Mask Mandates only 2% reduction)
https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2020.00818

(Poll of people using masks)
https://news.gallup.com/opinion/gallup/321698/covid-responses-men-women.aspx

Contact Tracing data
https://www.medrxiv.org/content/10.1101/2020.04.04.20053058v1

List of Covid-19 Treatments and effectiveness
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7410805/