{"id":11464,"date":"2020-04-11T14:09:01","date_gmt":"2020-04-11T18:09:01","guid":{"rendered":"http:\/\/airpurifierspecialist.com\/store\/?p=11464"},"modified":"2020-05-25T11:37:35","modified_gmt":"2020-05-25T15:37:35","slug":"a-doctor-says-masks-are-vital-for-1-stealth-reason","status":"publish","type":"post","link":"https:\/\/airpurifierspecialist.com\/store\/a-doctor-says-masks-are-vital-for-1-stealth-reason\/","title":{"rendered":"A doctor says masks are vital for 1 &#8220;stealth&#8221; reason"},"content":{"rendered":"<div>\n<div data-adroot=\"\">\n<p>The <a class=\"\" href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/prevent-getting-sick\/diy-cloth-face-coverings.html\" rel=\"noopener noreferrer\" target=\"_blank\">Centers for Disease Control and Prevention<\/a> has changed its policy and is now advising everyone, whether or not they have symptoms of COVID-19, to cover their face with a mask or cloth covering whenever social distancing is difficult to maintain. To be clear, the CDC is not saying you should wear a mask wherever you go, but rather in places where people congregate, including grocery stores and public transportation and ride-shares.<\/p>\n<p>The shift in recommendations reflects <a class=\"\" href=\"https:\/\/www.nap.edu\/read\/25769\/chapter\/1\" rel=\"noopener noreferrer\" target=\"_blank\">growing evidence<\/a> that COVID-19 can be transmitted by a person\u2019s exhalations and normal speech but also the fact that people are not effectively covering their sneezes and coughs.<\/p>\n<h3><strong>The stealth virus<\/strong><\/h3>\n<p>COVID-19\u2019s middle name should be \u201cstealth.\u201d People can be shedding virus for <a class=\"\" href=\"https:\/\/www.cidrap.umn.edu\/news-perspective\/2020\/04\/symptom-spread-may-complicate-covid-19-containment\" rel=\"noopener noreferrer\" target=\"_blank\">one to three days<\/a> before showing any symptoms \u2013 including no coughing, sneezing or fever \u2013 in what\u2019s called \u201cpresymptomatic transmission.\u201d A <a class=\"\" href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/69\/wr\/mm6914e1.htm\" rel=\"noopener noreferrer\" target=\"_blank\">Singapore study<\/a> suggests that 10% of infections are attributable to presymptomatic spread.<\/p>\n<p>A study of the 3,711 passengers and crew on the <a class=\"\" href=\"https:\/\/www.eurosurveillance.org\/content\/10.2807\/1560-7917.ES.2020.25.10.2000180\" rel=\"noopener noreferrer\" target=\"_blank\">Diamond Princess<\/a> cruise ship indicates that close to 1 in 5 COVID-19 carriers never develop symptoms. Some of these people transmit the virus through \u201casymptomatic transmission.\u201d The proportion of infected people that never develop symptoms could be more like <a class=\"\" href=\"https:\/\/www.nature.com\/articles\/d41586-020-00822-x\" rel=\"noopener noreferrer\" target=\"_blank\">one-third<\/a> for the general population that is younger and healthier than typical cruise takers.<\/p>\n<p>The virus\u2019s ability to spread so easily from one person to the next is why people are being asked to <a class=\"\" href=\"https:\/\/theconversation.com\/video-why-social-distancing-is-one-of-the-best-tools-we-have-to-fight-the-coronavirus-134742\" rel=\"noopener noreferrer\" target=\"_blank\">physically distance<\/a> themselves from one another. But people still have to go out to get essentials at places where people gather.<\/p>\n<p>If a person is not coughing or sneezing, how are they spreading the virus? One way is by contact. The virus lives on the mucous membranes in the throat and nose. With people touching their faces every <a class=\"\" href=\"https:\/\/www.ajicjournal.org\/article\/S0196-6553(14)01281-4\/fulltext\" rel=\"noopener noreferrer\" target=\"_blank\">two-and-a-half minutes,<\/a> on average it\u2019s easy to see how the virus gets on our hands, and then we can spread it to commonly used surfaces like doorknobs, a plastic handle in the subway or someone else\u2019s hand. <a class=\"\" href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMc2004973\" rel=\"noopener noreferrer\" target=\"_blank\">Steel and plastic<\/a> surfaces can harbor the live virus for three days.<\/p>\n<p>Wearing a mask can help protect others if you sneeze or cough in public. Growing evidence indicates that it can also protect the wearer from airborne virus particles.<\/p>\n<p>The other manner of spread is by asymptomatic infected people simply <a class=\"\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2843947\/?report=reader\" rel=\"noopener noreferrer\" target=\"_blank\">breathing<\/a>, <a class=\"\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6984704\/\" rel=\"noopener noreferrer\" target=\"_blank\">talking<\/a>, <a class=\"\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6382806\/\" rel=\"noopener noreferrer\" target=\"_blank\">yelling<\/a> or <a class=\"\" href=\"https:\/\/www.latimes.com\/world-nation\/story\/2020-03-29\/coronavirus-choir-outbreak\" rel=\"noopener noreferrer\" target=\"_blank\">singing<\/a>. These activities <a class=\"\" href=\"https:\/\/www.cdc.gov\/niosh\/topics\/aerosols\/pdfs\/Aerosol_101.pdf\" rel=\"noopener noreferrer\" target=\"_blank\">aerosolize virus<\/a>, creating airborne virus particles \u2013 also called droplet nuclei \u2013 that are so tiny they can float around in the air for <a class=\"\" href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMc2004973\" rel=\"noopener noreferrer\" target=\"_blank\">three hours<\/a>. Coughing and sneezing produce larger water and virus-borne <a class=\"\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK143281\/\" rel=\"noopener noreferrer\" target=\"_blank\">droplets<\/a>, as well as producing <a class=\"\" href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2763852\" rel=\"noopener noreferrer\" target=\"_blank\">aerosolized virus<\/a>.<\/p>\n<p>Common medical devices, like nebulizer machines for people with asthma and CPAP machines for those with sleep apnea, can aerosolize virus. But the concentration of aerosolized virus will be small in a large well-ventilated space and practically absent outdoors. The infectious aerosolized virus becomes more of a concern in a place like a small, poorly ventilated room. Places like a patient\u2019s bedroom in their home, some nursing home rooms, and a classroom would all be concerning to me as a <a class=\"\" href=\"https:\/\/www.bumc.bu.edu\/busm\/profile\/thomas-perls\/\" rel=\"noopener noreferrer\" target=\"_blank\">physician<\/a>. Hospital rooms are generally better ventilated.<\/p>\n<p>Another key determinant of getting infected is the amount of time you are exposed \u2013 so your risk is much less with five minutes versus 30 or more minutes of exposure. People think about the danger of radiation exposure in very much the same way \u2013 how close you are to the source, the concentration of exposure and the amount of time you are exposed.<\/p>\n<h3><strong>DIY and surgical masks may protect you and others<\/strong><\/h3>\n<p>The purpose of all of us wearing face coverings or surgical masks anywhere people congregate is first and foremost to protect others if we sneeze or cough. These coverings will stop much of the large droplets that could otherwise reach people as far away as 18 feet away. Just-published <a class=\"\" href=\"https:\/\/www.nature.com\/articles\/s41591-020-0843-2\" rel=\"noopener noreferrer\" target=\"_blank\">research<\/a> indicates that surgical masks can also decrease the amount of aerosolized virus the people produce by breathing and talking.<\/p>\n<p>A big question is: Can these DIY or <a class=\"\" href=\"https:\/\/www.osha.gov\/Publications\/respirators-vs-surgicalmasks-factsheet.html\" rel=\"noopener noreferrer\" target=\"_blank\">surgical masks<\/a> also protect the wearer? The same research <a class=\"\" href=\"https:\/\/www.nature.com\/articles\/s41591-020-0843-2\" rel=\"noopener noreferrer\" target=\"_blank\">study<\/a> shows these masks impede aerosolized virus being expelled out by the user so presumably they can decrease breathing in the virus as well. But they aren\u2019t foolproof. These coverings don\u2019t fit the face tightly, so aerosolized virus and larger droplets can be sucked in through the gaps between the face and the mask when we take a breath.<\/p>\n<p>Additionally, some of the viral particles are so small that they can be inhaled through the cloth or paper that\u2019s used to make these masks. People should not be lulled into a false sense of security in thinking that these types of masks will protect them from airborne, aerosolized virus especially in poorly ventilated spaces frequented by others. The best thing to do is to either avoid such spaces or be in them for as short a period of time as possible.<\/p>\n<h3><strong>The bottom line<\/strong><\/h3>\n<p>The chance of catching COVID-19 from a person walking by outdoors is extremely small. Wearing face coverings is recommended and requested for when you are indoors, including mass transit and ride-shares, with other people.<\/p>\n<p>Anywhere you go, maintain <a class=\"\" href=\"https:\/\/qz.com\/1830347\/social-distancing-isnt-the-right-language-for-what-covid-19-asks-of-us\/\" rel=\"noopener noreferrer\" target=\"_blank\">physical distancing<\/a> of at least 6 feet with no bodily contact. If someone nearby sneezes or coughs and they aren\u2019t wearing a mask, get at least 20 feet away, quickly. When you do go out on an errand, wear a face covering and get your business done as fast as you can.<\/p>\n<p>You don\u2019t need an N-95 mask if you wear a face-covering when you go out in a public indoor place or ride mass transit and practice good physical distancing. Health care workers have to care for their COVID-19 patients within very close distances for prolonged periods of time. If they don\u2019t have an N-95 mask, the risk goes way up for them. If you have an N-95 mask, please donate it to your local hospital or first responder.<\/p>\n<p><strong><em>This article was originally published on <a class=\"\" href=\"https:\/\/theconversation.com\" rel=\"noopener noreferrer\" target=\"_blank\">The Conversation<\/a> by <\/em><\/strong><a class=\"\" href=\"https:\/\/theconversation.com\/profiles\/thomas-perls-993885\" rel=\"noopener noreferrer\" target=\"_blank\"><strong>Thomas Perls<\/strong><\/a><strong> <em>at Boston University. Read the <a class=\"\" href=\"https:\/\/theconversation.com\/the-cdc-now-recommends-wearing-a-mask-in-some-cases-a-physician-explains-why-and-when-to-wear-one-135590\" rel=\"noopener noreferrer\" target=\"_blank\">original article here<\/a>.<\/em><\/strong><\/p>\n<\/div>\n<\/div>\n<p><a href=\"https:\/\/www.inverse.com\/mind-body\/the-cdc-now-recommends-wearing-a-mask-in-some-cases-a-physician-explains-why-when-to-wear-one\" class=\"button purchase\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">Read More<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Centers for Disease Control and Prevention has changed its policy and is now advising everyone, whether or not they have symptoms of COVID-19, to cover their face with a mask or cloth covering whenever social distancing is difficult to maintain. To be clear, the CDC is not saying you should wear a mask wherever&hellip;<\/p>\n","protected":false},"author":1,"featured_media":11465,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[120,162,161,157],"_links":{"self":[{"href":"https:\/\/airpurifierspecialist.com\/store\/wp-json\/wp\/v2\/posts\/11464"}],"collection":[{"href":"https:\/\/airpurifierspecialist.com\/store\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/airpurifierspecialist.com\/store\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/airpurifierspecialist.com\/store\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/airpurifierspecialist.com\/store\/wp-json\/wp\/v2\/comments?post=11464"}],"version-history":[{"count":1,"href":"https:\/\/airpurifierspecialist.com\/store\/wp-json\/wp\/v2\/posts\/11464\/revisions"}],"predecessor-version":[{"id":16812,"href":"https:\/\/airpurifierspecialist.com\/store\/wp-json\/wp\/v2\/posts\/11464\/revisions\/16812"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/airpurifierspecialist.com\/store\/wp-json\/wp\/v2\/media\/11465"}],"wp:attachment":[{"href":"https:\/\/airpurifierspecialist.com\/store\/wp-json\/wp\/v2\/media?parent=11464"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/airpurifierspecialist.com\/store\/wp-json\/wp\/v2\/categories?post=11464"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/airpurifierspecialist.com\/store\/wp-json\/wp\/v2\/tags?post=11464"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}