Facial coverings effective?

Nurses COVID

Published

I’m sure I have an unpopular opinion but does anyone else feel like the mass push for facial coverings and masks has very little benefit? Think about it (I know this is immature, so forgive me) if a fart can go through underwear and a pair of jeans... can’t good ol’ Rona go through a piece of cotton? Not only that, the general public is not educated in how to wear PPE and are not wearing the masks or gloves correctly.

Frankly... mask and gloves provide them with a false sense of security.

As nurses, we are keenly of what’s clean or sterile so we can do a pretty good job navigating ourselves in public during this pandemic. However, not trying to be disrespectful or anything, watching the public on with their masks and gloves on is quite entertaining to say the least. I was in Whole Foods recently and you can see who’s a medical professional from a mile away as it’s obvious to see which hand they’ve designated as their “dirty hand” and how they hold they hand in resting position while grocery shopping! If I can smell my coffee through my mask as I pick up a new bag from the shelf and toss it into the cart, then Rona ain’t going to be fooled by my mask. I’m not willing to waste an N95 for grocery shopping.
I just don’t see the need for a mask out in public unless you have a new or sudden change in cough or are immune compromised. We will always have rouge individuals who will defy advice and not wear a mask when sick, but I’m talking about the general public. I do see the benefit when you have a cough as it will stop the droplets from traveling further. But just breathing in and out can transfer this virus... I don’t know how a mask will provide protection from this.
I live in a fairly wealthy area where almost EVERYONE is wearing a mask in public. For those who are not wearing a mask, is it because of a conscious decision, typically unrelated to financial reasons.

My case is: I don’t see the efficacy of surgical/homemade masks against coronavirus for healthy individuals.

Thoughts?

Specializes in NICU, PICU, Transport, L&D, Hospice.
11 hours ago, moriahcat said:

And that's an issue.

Yes, retail employees are risking their lives, if not in the same way that HCWs are -- and CNAs don't get that much higher of pay in LTC/hospice than the average "manager" (aka a senior employee to the person you're dealing with in most big box stores). New CNAs getting their first jobs may get paid far less.

And those 100 masks are only going to last for a short period of time, in comparison to the cloth masks that are available and I've seen used by other companies (yes I have a Starbucks addiction, they all use cloth at the store close to me, and I saw that if I came in off-hours they had taken off their gloves when no customers had shown up, so put on fresh ones -- at least they aren't medical grade either).

Something reusable and washable will save money over the long haul, and I'm afraid it's going to be one.

That mask distribution or manufacturing company was under no obligation to do anything other than to sell the masks to the highest bidder or the established customer already in place. The federal government is generally the entity which causes to the private company to redirect efforts to achieve public health, rather than profit driven goals. That often includes government subsidy for the business and tons of public goodwill.

Specializes in Peds ED.
1 hour ago, toomuchbaloney said:

That mask distribution or manufacturing company was under no obligation to do anything other than to sell the masks to the highest bidder or the established customer already in place. The federal government is generally the entity which causes to the private company to redirect efforts to achieve public health, rather than profit driven goals. That often includes government subsidy for the business and tons of public goodwill.

And with FEMA bidding against states and driving up prices, an economy based on profit rather than resource distribution is definitely a hindrance during a global pandemic.

9 hours ago, toomuchbaloney said:

That mask distribution or manufacturing company was under no obligation to do anything other than to sell the masks to the highest bidder or the established customer already in place. The federal government is generally the entity which causes to the private company to redirect efforts to achieve public health, rather than profit driven goals. That often includes government subsidy for the business and tons of public goodwill.

While I would have to agree with you, our state medical suppliers did a pretty good job immediately re-routing all PPE to acute care settings first, and as PPE became more available, to other healthcare settings. Everyone besides acute care started getting PPE only consistently within the past 3 weeks. However, I still can't imagine how Costco got their hands. Gloves and masks were rationed up until the past 2 weeks for us.

Specializes in Psych, Addictions, SOL (Student of Life).
10 hours ago, Thanksforthedonuts said:

While I would have to agree with you, our state medical suppliers did a pretty good job immediately re-routing all PPE to acute care settings first, and as PPE became more available, to other healthcare settings. Everyone besides acute care started getting PPE only consistently within the past 3 weeks. However, I still can't imagine how Costco got their hands. Gloves and masks were rationed up until the past 2 weeks for us.

Costco buys this stuff by the railcar they didn't obtain more they simply held on to what they had.

Specializes in NICU, PICU, Transport, L&D, Hospice.
11 hours ago, Thanksforthedonuts said:

While I would have to agree with you, our state medical suppliers did a pretty good job immediately re-routing all PPE to acute care settings first, and as PPE became more available, to other healthcare settings. Everyone besides acute care started getting PPE only consistently within the past 3 weeks. However, I still can't imagine how Costco got their hands. Gloves and masks were rationed up until the past 2 weeks for us.

Lack of federal foresight, leadership and action is how that happened...the POTUS and closest advisors were not correctly focused when the first warnings were received.

The WHO agrees with you.

2 hours ago, TheVitalRN said:

The WHO agrees with you.

WHO agrees with who? ☺️

11 hours ago, Thanksforthedonuts said:

WHO agrees with who? ☺️

Not sure, but I think that would be "WHO agrees with whom".

Specializes in Occupational Health; Adult ICU.

As if it couldn't get any worse...

Many are fine wearing cloth facemasks but others really need an N95.

This article is worth looking at if you really need an N95 or better:


Counterfeit Respirators / Misrepresentation of NIOSH-Approval


https://www.CDC.gov/niosh/npptl/usernotices/counterfeitResp.html

I for one, would not put any reliance on those "carbon 2.5" filters. I have been unable to find ever one quantitative analysis of aerosols or particles.

By the way the activated charcoal would do nada for virus, they might remove a bit of benzene.

I found the article interesting.

On 5/23/2020 at 4:36 PM, TheVitalRN said:

The WHO agrees with you.

If you mean they agree there is no evidence for or against, but that health care grade masks should be saved for HCWs and those dealing with likely COVID-19 cases, not the hopefully well... yes, yes they do.

https://www.who.int/publications-detail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak

Helpful information, updated compared to their January recommendation that cloth masks should not be used at all.

11 hours ago, hherrn said:

Not sure, but I think that would be "WHO agrees with whom".

Yes you are correct. But I was playing on words.

http://www.capecharlesmirror.com/news/reader-submitted-if-your-mask-works-so-well-why-do-I-have-to-wear-one/

I spoke to a close friend. She’s works from home. Non-medical.

We chatted on and on. Catching up on our lives. After a hour conversation I mentioned how I feel after 8 hours of wearing a mask at work. I get fatigued, less productive, go home w/ a tickle in my throat. Her response was quick, “you wear that mask it’s not right if you don’t wear a mask. You must protect people.”.

I hope there’s test in time to determine best use of mask. Best type of mask. Etc. I want to do what’s safest for everyone. Even though I am a healthy person I just noticed the days I am home I feel good. Days I work w/ a mask on by 6-8 hours into shift I don’t feel well.

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