3/ But our government and institutions and the way society is fundamentally structured has proven that at this point, in yet another surge, the most tangible ask is to get people something immediately that they can put on their face and be as protected as possible.
On this platform, there has always— since day 1– been pushback even from ‘experts’ incl infectious disease docs that N95 & other respirators aren’t needed
I don’t buy it
If every essential worker was wearing a better mask since March 2020, things would have been VERY different.
2/ I was in the Covid 19 emergency room @BrighamWomens in April 2020
Most of the people infected were frontline workers and their family members
None of them were wearing high filtration masks in their workplaces
They brought infections back home
3/ During surges, IF the public had been provided w/ a comfortable respirator such as 3M 9205 from the start— I can bet they would NOT have gone back to cloth or unfitted surgical
Once you wear this mask, you’ll understand
And a version of this ⬇️⬇️ was *supposed* to be there
So there was a respirator FOR THE PUBLIC for emergencies such as a PANDEMIC by 3M from 2008
How in the hell did CDC recommend cloth masks for this long instead of pushing the federal government to scale up production for every single American immediately 2 years ago?????
And this looks *a lot* like the 3M 1870– the respirator that is so comfortable I did an entire workout in the gym with absolutely no issues at all if we are going to bring this back to N95 being ‘uncomfortable’
In a viral surge, time is everything, esp with exponential spread. It means you cannot reasonably vaccinate your way out. You cannot depend on test results that take days to come back. You cannot hedge on quarantining or isolating. You cannot wait to start using better masks.
2/ You essentially need a way to stun transmission. Many have called for circuit breaker events in which any social interaction that could introduce transmission stops altogether outside of households (a “lockdown”)
However, I don’t think this is necessary to achieve this.
3/ This was part of our proposal in May 2020 in this piece. With enough people wearing the right respiratory protection— that is, masks with excellent filtration AND source control— you could achieve close to the same thing without shutting down.
One of the problems w/ CDC isolation guidelines is it hinges on many assumptions, some which may be clarified with more data tomorrow, and others which cannot be clarified or even really monitored/guaranteed by any means
1/
First assumption is that most people are barely transmitting after day 5. This might be true- but I haven't seen that data the way it was shown for transmission early on which helped to create the 10 day protocol
Esp need that data for people w/ Omicron specifically
2/
Second assumption is that people who are done isolating and feel better will actually wear a mask at all
Third assumption is that cloth masks or whatever people are using that are not high filtration actually have good source control (no good data saying this is true)
3/
1/ People are rightfully concerned that cases who are out of isolation too early can still transmit (they can)
And CDC guidelines hinge on people wearing masks for the 5 days after (they should)
But they should be wearing a high filtration mask.
Better source control.
2/ Part of our push for HiFi masks was not only to protect the wearer, but also to protect those around the wearer esp because people transmit before they show any symptoms at all
3/ From NIOSH scientists on source control provided by cloth masks versus respirators here
Respirators are much better. Fit is of course still very important as well.