Coronavirus May 2020 - Observations, information, discussion

First, this also reflects my understanding of the benefit of mask wearing.

At the risk of practicing mind reading without a license, I think this answer explains an awful lot about why some people don’t wear masks. Droplets vs. aerosol? Seriously?

Not everyone thinks analytically, not everyone can visualize the difference between a droplet too small to see and an aerosolized virus particle floating around. And many many people don’t spend much time thinking of the technicalities, they think about who has lied to them recently and who they believe. Droplets vs. aerosolized particles is not a persuasive argument for most people. Some people, but not most people.

That’s why my recommendation stands for Federal and state gov’ts to recruit influencers targeting every demographic to spread the word if they want to make mask wearing common.

Interesting visit to Costco today. The vision center finally opened up, and I was able to get broken eyeglass frames replaced. My goodness people have interesting ideas on what parts of one’s face a mask should cover.

From the New England Journal of Medicine

Visualizing Speech-Generated Oral Fluid Droplets with Laser Light Scattering
15 Citing Articles

https://www.nejm.org/doi/10.1056/NEJMc2007800
‘The act of speaking generates oral fluid droplets that vary widely in size,1 and these droplets can harbor infectious virus particles. Whereas large droplets fall quickly to the ground, small droplets can dehydrate and linger as “droplet nuclei” in the air, where they behave like an aerosol and thereby expand the spatial extent of emitted infectious particles.’

Video related to the above showing the fluids released when speaking and again that the fluids are virtually all blocked by a mask.
https://www.youtube.com/watch?time_continue=19&v=UNHgQq0BGLI&feature=emb_title

A U of Hong Kong’s School of Public Health study found that surgical masks ‘significantly reduced viral RNA in aerosols’.

https://www.nature.com/articles/s41591-020-0843-2

Remembering how we convinced the free love generation to wear condoms, I really don’t see universal mask wearing as an insurmountable problem.

And huge yes to influencers. I already see it happening on most Instagram accounts where I lurk.

You mean a chart and summary of what Atul Gawande wrote in New Yorker about masks in a piece about what his medical facility is doing to reduce the spread of COVID-19 (not just masks)?

Gawande’s writing:
https://www.newyorker.com/science/medical-dispatch/amid-the-coronavirus-crisis-a-regimen-for-reentry

Short table summarizing what he says about masks:
http://talk.collegeconfidential.com/discussion/comment/22806709/#Comment_22806709

Mask-relevant quotes from his writing:
http://talk.collegeconfidential.com/discussion/comment/22812043#Comment_22812043

I posted this before but posting for those who are asking about masks.

https://pubmed.ncbi.nlm.nih.gov/32355904/

To Mask or Not to Mask: Modeling the Potential for Face Mask Use by the General Public to Curtail the COVID-19 Pandemic

Notably, masks are found to be useful with respect to both preventing illness in healthy persons and preventing asymptomatic transmission. Hypothetical mask adoption scenarios, for Washington and New York state, suggest that immediate near universal (80%) adoption of moderately (50%) effective masks could prevent on the order of 17-45% of projected deaths over two months in New York, while decreasing the peak daily death rate by 34-58%, absent other changes in epidemic dynamics. Even very weak masks (20% effective) can still be useful if the underlying transmission rate is relatively low or decreasing: In Washington, where baseline transmission is much less intense, 80% adoption of such masks could reduce mortality by 24-65% (and peak deaths 15-69%), compared to 2-9% mortality reduction in New York (peak death reduction 9-18%). Our results suggest use of face masks by the general public is potentially of high value in curtailing community transmission and the burden of the pandemic. The community-wide benefits are likely to be greatest when face masks are used in conjunction with other non-pharmaceutical practices (such as social-distancing), and when adoption is nearly universal (nation-wide) and compliance is high.

https://www.tampabay.com/news/health/2020/05/19/politifact-face-masks-including-homemade-ones-are-effective-covid-19-protection-experts-say/

“While evidence is still very limited, several laboratory studies indicate that the majority of homemade mask materials, including cotton fabric, cotton T-shirts, tea cloth, flannel, silk, linen, scarves, and chiffon offer at least 50 percent protection. Higher quality, more tightly woven fabrics are better, and multiple layers improves protection.”

‘Howard says that researchers were looking at the wrong question at first — how well a mask protects the wearer from infection — and not how well a mask prevents an infected person from spreading the virus. He said masks function very differently as personal protective equipment versus “source control.”’

'“When a person expels droplets into the air, they quickly evaporate and shrink to become tiny airborne particles called droplet nuclei. These are extremely hard to remove from the air. However, in the moist atmosphere between a person’s mouth and their mask, it takes nearly a hundred times as long for a droplet to evaporate and shrink into a droplet nuclei.”

He continued: “This means that nearly any kind of simple cloth mask is great for source control. The mask creates humidity, this humidity prevents virus-containing droplets from turning into droplet nuclei, and this allows the fabric of the mask to block the droplets.”’

Cuomo did that yesterday. He had Kid Rock and Rosie Perez at his press conference talking about the importance of wearing masks. Especially important in NYC as the hardest hit zip codes are those areas with large populations of Hispanics and Blacks.

I have no idea what influencers one would get for the other demographics that aren’t wearing masks. I think their “influencers” are against mask wearing, also.

Emily… I wrote a post with extremely helpful suggestions…

But remembered… NO politics here. :). :slight_smile:

I didn’t say anything political.

Emily - Sorry

You didn’t. Just a joke. Because it’s difficult to post around important issues and ideas. And the influencers idea seems really key to me.

I am absolutely fascinated by the notion that anyone would be influenced by Kid Rock’s opinions. Strange world.

Thanks so much @ucbalumnus! It was very informative and worth reposting! Lots of great information

Ah, gotcha.

In certain communities I suppose he is, plus he wants to help the community where he grew up (iirc Brooklyn.)

If I have the choice between protecting myself and my family with better masks vs protecting them less and others more with fabric masks, I’m going to choose to better protect my family. That being said, we are all being extremely careful. I shop every one or two weeks with a mask. I’m one of those crazies that was washing my groceries and Lysol spraying my WSJ every day. I’m over that now, lol. We visited my mother and MIL on Easter. They stayed in their homes; we were outside. That’s about it. So I really don’t feel like I’m a risk to others. I suppose I could look for masks that could go over the N95s to help others, but I’m keeping my N95s and wearing them to protect my family first and foremost.

If folks want to step up the level of protection they have and provide to others, here’s a link for making clear face shields using a piece of heavy clear plastic or acetone that is worn with glasses or sunglasses.

http://www.spoon-tamago.com/2020/04/15/tokujin-yoshioka-face-shield/

To make mine, I took apart a thick clear vinyl zippered bag that we were going to dispose of. It had enough plastic to make 4 shields. Clear report covers or any other stiff, heavy plastic would work for community use.

The shield can be worn alone or with your preference of mask or respirator…

Immune deficiency (doctors that represent them) organizations have told immune defiecient people that the only thing that is good enough for us is N95 if we are going to the doctors, etc. I hope people don’t get judgemental when they see a non-medical looking person in an N95.

Not all N95 masks have valves. The valve ones are meant to be used as dust masks in dusty construction/demolition situations and the like, where protecting others from the wearer’s exhalings is not the target. N95 masks targeted for medical use do not have the valve and are protective both ways, but are probably less comfortable, and there is still a recommendation to leave those for health care workers and perhaps those who are otherwise at much greater risk than average.

If you wear an N95 mask with a valve, you can add some protection of others by putting another mask over it. This may be necessary if a store or local government requires masks to reduce chance of infecting others and therefore does not consider N95 masks with valves to meet the requirement.

I remember some posters stating things like this:

“…60k Americans will die of COVID 19 by August…the number (that) die yearly from influenza without much notice”

I think it’s save to say that CV-19 has been much, much more lethal than the seasonal flu. It’s only May and 104,000 deaths and counting. And this was with very drastic safe at home / shelter in place restrictions for several months.

Without these restrictions, how many more 100’s of thousands would be dead?

I doubt the “same as the seasonal flu” group will ever admit they may have been wrong…and just maybe the government did the right thing this time…

Was thinking the same thing. Having Kid Rock and Rosie Perez appear in an attempt to appeal to the minority groups that are disproportionately dying sounds about as on point as your grandma helpfully trying to book Barry Manilow to perform at your 18th birthday party…