As time goes on it’s starting to feel like the hesitancy around getting #bettermasks out to high risk or highly exposed people is less that this isn’t a good idea or isn’t needed- operationalization of this may be beyond capacity of what feds can/will do right now #covid19
2/ But- as with any interventions- if you believe in it, you must keep pushing for it. We believed #bettermasks were needed last year; we believe they will be needed for a long time to come. As @sri_srikrishna put it, they should be as common as fire extinguishers in your home.
3/ And I’ve seen some arguing about whether you may just use surgical masks & why N95 masks are needed. We actually don’t disagree with this IF you have a surgical mask that has been quality approved (@larmbrust has been tweeting about this) AND is fitted like w/ @FixTheMask
4/ Alternative would be a KN95, KF94, FFP2 and all would benefit from a fit adjustment/brace. Other option is an elastomeric N95- available off the shelf, reusable, but admittedly can look somewhat silly (but they work). #covid19
5/ Would we also benefit from getting more people who wear no masks to wear any kind of mask? Yes- absolutely. A very different, maybe even tougher challenge.
Does that mean that getting #bettermasks is not an important goal? No.
6/ This is why in our recent @CNN op-ed we ended it asking for this- if this is an issue of supply or operationalizing a smarter masks plan, then just say that.
But don’t deny that #BetterMasks would help especially those who are high risk/high exposure
• • •
Missing some Tweet in this thread? You can try to
force a refresh
I think of masks the same way I think of any risk mitigation. Better is better. Unregulated cloth masks not the bar to settle on
2/ we even specifically asked CNN to change the headline (they initially chose N95 masks) bc the idea behind this movement was always to provide folks w/ a multitude of options- N95s are one of those. But so are high grade surgical masks w/ mask fitters
3/ The arguments saying “just get more people to wear any mask”- guess what?
We should do both
& getting “anti-maskers” to wear a mask is actually IMO a harder problem than getting someone who already believes in masks a #BetterMask (which helps them around those who don’t)
THREAD
1//
The key points from our recent op-ed @CNN pushing back (respectfully) against Dr. Fauci & @CDCDirector who earlier this week on #CNNTownHall were asked about #BetterMasks
2/ -new more contagious #covid19 variants could mean infection w/ less exposure time - better viral transmission needs better protection; cloth masks better than no masks, surgical better than cloth, but the bar must be raised now
-still transmit by droplets & aerosols
3/ -aerosol transmission better stopped by N95 masks (or equivalents, KF94, KN95, FFP2) or some surgical masks; electrostatic charge traps small particles; cloth masks not designed to do this
If any single intervention worked *perfectly*, it could feasibly stop the epidemic- whether test/trace/isolate; fully supported lockdowns until transmission is dead; 100% usage of high-filtration masks at all transmission points; 100% vaccination
Real world doesn't work that way
2/ Instead, we are trying to do a bit of everything. That can work, but it won't if everything is done below standard, which at times it has
This is why trying to improve every intervention we have is critical
More testing
Faster tracing
Safer isolating
Better masking
Vaccines
3/ Sometimes, it feels like new ideas to get us *better* are shot down bc not *perfect*- like #BetterMasks recently; response from @CDCDirector was that they are hard to breathe through- sure, but that doesn't mean they aren't needed, or that they won't help.
Short thread 1/ As much as we have been tweeting lately about #BetterMasks, & as much as wearing masks that offer higher source control & personal protection could quickly paralyze #covid19 transmission- even these are but one more tool in our playbook; they are not the only one.
2/ With that being said, the responses to our push for #BetterMasks from Drs. Fauci & Walensky last night on #CNNTownHall were frustrating- essentially "a mask is better than no mask" & "N95s are hard to tolerate for long periods of time"
3/ To bring more nuance here, I have said many times this would not be as simple as "mass produce N95s"- you still need to make sure the fit is correct & that people are using them consistently during high transmission risk situations both outside AND sometimes inside the house
1/ One point of resistance from some is that we don't "need" #BetterMasks for the general public
Yet we still have people saying they took "all precautions" & got infected (while wearing a cloth or surgical mask)- many have reached out to me w/ this story washingtonpost.com/outlook/2020/0…
2/ @RanuDhillon & I wrote this WaPo piece earlier in the epidemic to highlight that we still do not have a solid grasp on relative contributions of various modes of transmission (think droplets v aerosols as one over-simplified version of this)
3/ Part of the issue is that we have been falling behind on contact tracing since the very beginning of the epidemic & still are.
Moreover, if tracing is only looking for transmission within 6 feet/ 15 minutes, that is what it will find #covid19