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  • In the fight against COVID-19, guidance on wearing masks has been...confusing.

  • Now, the CDC is saying that we should all wear homemade cloth masks.

  • And luckily for us, groups of scientists have been testing which materials work best for homemade masks,

  • and have some preliminary results.

  • But first of all, I do just wanna clear this up

  • until now, the CDC only recommended masks for people who are sick or for healthcare workers,

  • and this is still the WHO's guidance.

  • This seems primarily to be because these organizations were concerned about people hoarding

  • or stockpiling masks

  • when healthcare workers are the ones who desperately need them.

  • This especially applies to N95 respirators,

  • which are a specialized face coverings that when worn properly,

  • filter out 95% of particles down to 0.3 microns in size,

  • and can reduce the likelihood of contracting a contagious respiratory disease.

  • So, what about the rest of us?

  • Well, most countries still advise that there isn't enough robust evidence to suggest that a cloth mask

  • or even a regular surgical mask significantly protects you from becoming infected by this virus.

  • Some kind of mask can be better than no mask at all, depending on the circumstances,

  • but the main purpose of these masks is not to prevent you from getting sick

  • it's to prevent sick people from getting other people sick.

  • The CDC's new recommendation is that everyone should now be wearing a homemade mask

  • when out and aboutnot just sick people.

  • And that's because several new anecdotal studies about the transmission of COVID-19

  • indicate that there may be significant community spread of the disease

  • before someone shows symptoms

  • or from people who never show symptoms at all.

  • Even though there isn't yet solid evidence to suggest that cloth face coverings

  • combat asymptomatic shedding of the virus,

  • the CDC's policy has now shifted to say, Okay, let's all wear a mask so that even if we don't feel sick,

  • we still may reduce our likelihood of making someone else sick while we're out and about.'

  • Now, the literature on how well different homemade masks block particles, or aerosols, or droplets

  • both from coming in and from getting outis...pretty sparse.

  • In response, teams of scientists all over the country are now informally trying to determine

  • how good certain materials are at blocking droplets and particles,

  • and are sharing their research publicly.

  • The key is to find a material or combination of materials that blocks particles,

  • but that you can still breathe through—y'know, because that's pretty important.

  • Early results from a team at the Missouri University of Science & Technology were shared on Twitter recently.

  • They tested different kinds of air filters, like furnace filters and HVAC filters,

  • that in two layers created 94% filtering efficacy,

  • and in 6 layers, got to 95% filtration.

  • But, these filters are not made to be worn directly next to your face

  • and could shed particles that would be harmful to breathe in directly.

  • So, if you do want to use a filter like this,

  • you should sandwich it between two layers of fabric, like a t-shirt or a bandana.

  • This group also tested some common fabrics.

  • Four layers of a 600 thread count sheet filtered out 60% of microparticles,

  • two layers of a thick woolen scarf filtered out 48.8%,

  • three layers of coffee filters filtered out up to 50%—

  • but turned out to be much less breathable

  • and a cotton bandana by itself only filtered out 19.5%...even with four layers.

  • Other tests out of the Wake Forest Institute for Regenerative Medicine

  • indicate that high thread-count quilting cotton in a double layer

  • can perform as well or better than a standard surgical mask,

  • but they also caution that homemade masks using a less sturdy fabric

  • had filtration rates as low as 1%,

  • so you definitely need to choose your materials wisely.

  • And if you're not into sewing, no problem!

  • There are also patterns online for folding materials like vacuum bags into origami-like masks.

  • Depending on the material used, these can filter between 60-87% of particles.

  • But again, be super careful here, and make sure the filter you choose is made of material that's safe to breathe.

  • You've got to look at the ingredients.

  • And even though this research effort is really cool, there are a lot of caveats.

  • These results have not been formally peer-reviewed or published.

  • And it also needs to be said that these filtration rates I just mentioned are from highly controlled conditions

  • that tested just the materials by themselves,

  • and didn't test for protection for the actual coronavirus, just particles of a certain size.

  • When worn in a mask-form on someone's face,

  • how much particulate matter actually gets filtered depends on if you're wearing the mask properly.

  • The CDC recommends that your homemade mask cover your mouth and nose

  • and sit really snugly against your face with as little gapping as possible

  • like no air should be getting in there.

  • They also recommend that the mask be secured with a tie or ear loops to keep it in place.

  • And you have to remember that reducing your risk of infection is still hugely dependent on

  • not touching your mask and your face with unwashed hands,

  • so think really carefully before you adjust it.

  • To top it all off, we're still waiting for more guidance from the CDC on how often to change your mask

  • if it gets saturated,

  • if homemade masks can be sterilized and reusedand if so, how?

  • So, it's very likely that mask recommendations will continue to evolve.

  • The bottom line here is: wearing a mask can slow the spread of this disease

  • by keeping actively sick people from infecting other people.

  • But it doesn't protect you from becoming infected as much as it protects other people from you,

  • so don't use as mask as license to go crazy and stand too close to someone in line at the grocery store

  • or not cover your sneeze.

  • Masks can give you a false sense of security,

  • but social distancing and hand-washing are still the #1 tactics for slowing this pandemic.

  • The use of masks may just tip the odds a little more in our favor

  • as we learn more about how the disease spreads.

  • If you want more of our coronavirus coverage, check out this video here,

  • and subscribe to Seeker to stay up to date with all your health news.

  • Thanks so much for watching, stay safe out there, and I'll see you next time.

In the fight against COVID-19, guidance on wearing masks has been...confusing.

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