Yet the discourse has been framed unhelpfully as a meaningless oversimplification: “masks work” versus “masks don’t work.” — Russell and Patterson
Should be something like: masks can help (when used right). — jorndoe
Yep. So why isn't it?
The point being made is that if masks only help when used right, why mandate them in situations when you know they're not going to be used right (primary age schoolchildren, reluctant Republicans, dottering retired hedge-fund managers who've never lifted a finger to help others in their life...)?
What is the public health benefit of a policy which you know isn't going to work?
We do our best to figure things out bona fides, like the truth of the matter for example :ghasp:, and take it from there. — jorndoe
Are you seriously that partisan? Who's 'we' here? 'We' the good people of 'science' unaffected by bias, bribery, lobbying, zeitgeist, peer pressure, careerism, ideology...the saints standing above the rest of humanity mired in those things. Do you realise how arrogant that sounds?
And this 'citation bombshell' tactic is pathetic...
• How efficient are facial masks against COVID-19? Evaluating the mask use of various communities one year into the pandemic (Jul 21, 2021) — jorndoe
Specifically states...
Studies suggest the use of masks mainly in the healthcare facilities...Optimum use of face masks with additional precautions has been found to be useful controlling the spread of the respiratory viruses
...which supports the argument in the piece.
• Surgical masks reduce COVID-19 spread, large-scale study shows (Sep 1, 2021) — jorndoe
This is the Bangladesh RCT. It showed that "cloth masks did not offer a statistically significant rate reduction (cloth mask: 0.74%, control: 0.76%, P=0.540)"
• (meta) Do face masks work? Here are 49 scientific studies that explain why they do (Sep 17, 2021) — jorndoe
I can't access this site in Europe
• Why We Need to Upgrade Our Face Masks—and Where to Get Them (Sep 30, 2021) — jorndoe
Actually supports the argument that cloth face masking doesn't work. As does...
• What’s the best MASK to protect me from the Delta variant? (Oct 6, 2021) — jorndoe
...not sure what you're trying to say with these. Perhaps embed your citations within the context of an actual argument rather than just spew them all up at the end?
• An Ocean Away, I Found Some Common Sense on Mask Wearing (Oct 12, 2021) — jorndoe
Is an opinion piece. I already have your opinion, citing someone else's opinion is not evidence of anything other than that someone else also thinks that way. Just padding out your citations with puff pieces doesn't help your credibility.
• How well masks protect (Dec 2, 2021) — jorndoe
The trial referenced was still a mechanistic trial not an RCT and it didn't measure the endpoint (reduction in infection) only mechanism of particle filtration. Even then the reduction from surgical to cloth masks shows "decreasing from ~78% at 0.3 micron size to ~5% at the 10 micron size" that cloth masking will be rendered ineffective in reducing the clinical endpoint after a few hours.
• Face mask fit modifications that improve source control performance (Dec 15, 2021) — jorndoe
Another mechanistic trial. These tell us nothing.
Let's say the shedding of viral particles is reduced by 11% (the figure from your most recent mechanistic trial), that means that one of two things can bring the number of viral particles up to a level where infection is likely...
1) taking off your mask
2) spending ~11% more time in that environment
So either masking is pointless in environments you're spending little time in (they were safe anyway, low chance of encountering sufficient viral particles), or masks are useless in environments you spend hours in (like school) because even at 11% reduction the air is going to fill with viable particles within a matter of hours and you're screwed.
• N95, KN95 Or Cloth Masks? What To Wear To Best Protect Against Omicron (Jan 10, 2022) — jorndoe
This one actually states “Cloth masks are little more than facial decorations. There's no place for them in light of Omicron,” - Do you even read these first?
• What Do Masks Do to Kids? (Feb 7, 2022) — jorndoe
From the study itself
the absence of evidence is not evidence of absence; just because there is no research showing something exists doesn’t mean it’s not happening. And there are few long-term studies on masks and development because we’ve only been wearing them widely in the United States for two years or so
Since when did public health policy become - "we'll mandate something and if anyone happens to turn up some data that it's harmful we'll stop". what on earth happened to 'Do No Harm'?
Are you seriously advocating the enaction of health policy on the basis that there's no trial out there on the matter so we can do what we like?
• Children and COVID-19: State-Level Data Report — jorndoe
I don't know what this one's supposed to show other than that children are at virtually zero risk from this and are more likely to be run over on the way to mask store than they are to die from the disease it's supposed to offer an miniscule amount of protection from, if they're worn right (which they're not).
___
Besides which, none of this is the point.
You've got trials showing masks are effective but they've got some issues (reliance on mechanism rather than RCT, no clinical endpoint measures, low rates of reduction problematic in long-term exposure environments...)
I've got some trials which show masking is ineffective - mentioned in the article, but
here's a good summary too.
That's the makings of a
discussion. You know...where people talk about the pros and cons, look at the evidence, hold different opinions. The point of the article I posted was that this is not what we have.
As I've said ad nauseam now I don't have any problem at all with you looking at your collection of evidence and concluding that, for you, masks are the best bet.
I have a problem with you insisting that unless I reach the same conclusion as you I'm somehow either mentally or morally deficient. It's just school-yard tribalism and it's downright irresponsible when there's a public health emergency that needs a serious clear-headed response.