The single best way at an individual level- even once vaccinated- to prevent infection is to upgrade the mask you have and make sure it is on when you are near others in public, esp indoors
Tight fit, high filtration. We can’t wait for the government on this
There are a number of folks who have done extensive research into different brands of masks tagged here: please share on this thread
2/ For those new to the #BetterMasks push, it has been something we have been yelling for a long time
Last year we argued for Biden administration sending high filtration masks to people’s homes or make them way more accessible & free statnews.com/2021/01/07/nat…
One thing we learn as doctors early on is that being able to place your health as your number one priority in life is a privilege afforded to very few of the patients that end up hospitalized
If we approached #covid19 policies w this in mind, we could meet people where they are
2/ Put another way— do not assume that people that got sick were being careless
For many, the need to feed themselves & their families will come above avoiding infection
Failing to help them is a failure of the system, not the individual
3/ We saw this early on in the epidemic.
The people that could work & tweet from home did so.
Many of the people that ended up in the emergency room didn’t have that luxury. #covid19
1/ "Masks reduce transmission risk by decreasing the quantity and velocity of respiratory emissions and increasing their dispersion. They do not eliminate trans- mission risk, however, because pathogen-laden aerosols can enter or exit the gaps between masks and faces"
2/ Again-- why *fit* is so critically important
The fit on N95 masks is better than ear loop masks. The latter can be augmented using mask braces @FixTheMask
In the hospital, we undergo fit testing for N95. Can approximate this in the community too
3/ Not completely fool-proof but one quick measure could be to check on how much glasses are fogging as a very general estimate of how much you are exhaling (& potentially inhaling)
In hospital, I use this to re-adjust my own fit as well
It’s a lot of the same excuses we have heard in global health for decades…
When it’s really about profits
We have to recognize that all the noise is gaslighting by pharmaceutical companies & everyone they own
2/ “People are hesitant anyways”
“other companies can’t make these vaccines”
“Tech transfers are too complicated”
“Supply chain is too difficult”
The list is endless but I don’t think any of it is true
If the money was there, it would be done …like two years ago
3/ Honestly— it would be easier if the Bancels and Bourlas of the world just said “yes we are going to sell to the highest bidders— we don’t care about anything else”
Then we could start realigning the system; &/or finding other ways to hold big pharma accountable
Framing of vaccines must be that they are a critical tool in a larger toolbox- not a means to throw the toolbox out altogether
Why?
As we start rolling out boosters again to wider population, we must still have ways to slow spread (now & future) with other interventions
2/ Too often, I am seeing concerns that if we push vaccines plus other interventions, we will lose people on the vaccines front
That is a failure of messaging and expectation setting
Public health experts may have to do better on communicating what each intervention can do
3/ There are of course many people for whom the incentive toward getting vaccinated is getting back to 'life as usual' without masks or taking precautions
Critical to appreciate how much vaccines have already done to prevent severe disease/deaths