Still not convinced about #masks?

Our new paper in @LancetDigitalH surveyed mask-wearing behavior in over 300k Americans.

We find a 10% increase in self-reported mask use in a community was associated with > 3 fold better odds of #COVID19 Rt below 1.

thelancet.com/journals/landi…
Important notes

Mask mandates alone were not sufficient to increase mask wearing.

Mask wearing layered with social distancing yielded highest probability of transmission control.

Findings remained strong after accounting for other factors (eg mobility and pop density).
Paper is led by Ben Rader with colleagues Jeff Shaman, Jack Chen, Michael Burns, @lfwhite14, @jcpolls, @joebrilliant, @larrybrilliant, @MOUGK, @Jared_B_Hawkins, @svscarpino, @AstleyCM

Mask data from @surveymonkey, contact data from @CmuDelphi @facebook & mobility from @google

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More from @johnbrownstein

11 Apr 20
So I recognize that the concept of participatory surveillance might seem novel and potentially scary. But actually there is a rich history.

Historically, it was used in the eradication of smallpox and rinderpest. The approach has been modernized with new technology.

(1/8)
Participatory disease surveillance collects data for public health action by directly involving the population at risk in submitting relevant data through survey tools. This is especially relevant when testing is lacking and we have no means to measure risk (#covid19)

(2/8)
It also helps get access to information quicker than through traditional channels of public health surveillance. (3/8) Image
Read 9 tweets

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