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Do masks protect the people wearing them or the people around them?

April 27, 2021

“I think there’s enough evidence to say that the best benefit is for people who have COVID-19 to protect them from giving COVID-19 to other people, but you’re still going to get a benefit from wearing a mask if you don’t have COVID-19,” said Chin-Hong.
Masks may be more effective as a “source control” because they can prevent larger expelled droplets from evaporating into smaller droplets that can travel farther.
Another factor to remember, noted Rutherford, is that you could still catch the virus through the membranes in your eyes, a risk that masking does not eliminate.

Does the type of mask matter?

Studies have compared various mask materials, but for the general public, the most important consideration may be comfort. The best mask is one you can wear comfortably and consistently, said Chin-Hong. N95 respirators are only necessary in medical situations such as intubation. Surgical masks are generally more protective than cloth masks, and some people find them lighter and more comfortable to wear.
The bottom line is that any mask that covers the nose and mouth will be of benefit.
“The concept is risk reduction rather than absolute prevention,” said Chin-Hong. “You don’t throw up your hands if you think a mask is not 100 percent effective. That’s silly. Nobody’s taking a cholesterol medicine because they’re going to prevent a heart attack 100 percent of the time, but you’re reducing your risk substantially.”
However, both Rutherford and Chin-Hong cautioned against N95 masks with valves (commonly used in construction to prevent the inhalation of dust) because they do not protect those around you. These one-way valves close when the wearer breathes in, but open when the wearer breathes out, allowing unfiltered air and droplets to escape. Chin-Hong said that anyone wearing a valved mask would need to wear a surgical or cloth mask over it. “Alternatively, just wear a non-valved mask,” he said.
San Francisco has specified that masks with valves do not comply with the city’s face covering order.

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