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Facial coverings effective?

Disasters   (6,831 Views | 168 Replies)

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46 minutes ago, Thanksforthedonuts said:

I don’t know. ... I assume for a season or two maybe. 

It's not clear at this time that long term immunity is achieved after infection.  A small subset of victims, in fact, seem to fail to produce enough immune cells to avoid reinfection. 

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HiddencatBSN has 9 years experience as a BSN and specializes in Peds ED.

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2 hours ago, Thanksforthedonuts said:

I don’t know. ... I assume for a season or two maybe. 

Do you think this is information that we should know before deciding that recovered covid patients don’t need to wear facemasks? 

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4 hours ago, Thanksforthedonuts said:

I don’t know. ... I assume for a season or two maybe. 

That is a very dangerous thing to do.

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malamud69 has 10 years experience as a ADN, BSN, EMT-B and specializes in Emergency.

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On 5/12/2020 at 9:38 AM, FolksBtrippin said:

Yes, masks are effective at slowing down the spread. This is a droplet illness. Your mask protects others from your droplets. How is it that nurses don't know this? Hopeless.

This! Thank you...

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11 hours ago, Thanksforthedonuts said:

How About this, for people who have already had and recovered from COVID, should They continue to wear a mask in public?

I'm in a hotspot in the NE, and some of my colleagues have had COVID19 and returned to work.  I asked one of them if that means he doesn't have to wear a mask anymore.  He replied, "no, it means I have to wear a mask all the time."  

We don't know if everyone who had COVID has antibodies that will protect from future infections.  For those who do have adequate antibodies, we don't know how long immunity lasts.  At this point, we don't have terribly reliable tests when it comes to detecting the presence of antibodies, much less a test that accurately shows how many antibodies a person has, and even if we did, we don't yet know what level of antibodies is required for immunity.  

We know some people who tested positive and then negative have later re-tested positive.  Now maybe the issue is that it was a false negative, and the patient never cleared the virus.  Or maybe it was a true negative, but the patient was reinfected.  Either way, I wouldn't want that "recovered" person breathing in my direction without a mask.

Basically, until we know more, wear a mask.

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1 hour ago, Trinam2006 said:

There’s an article in JAMA from March 2020 which clearly states that a healthy individual should NOT wear a mask because there is no evidence that it prevents the spread of disease 

Did you actually read the article? 

"Face masks should not be worn by healthy individuals to protect themselves from acquiring respiratory infection because there is no evidence to suggest that face masks worn by healthy individuals are effective in preventing people from becoming ill."

The JAMA article above is referring to protecting the wearer which is not at all the point of having the general public wear masks. Please see below and you'll note there is another JAMA article that is actually relevant.

https://health.clevelandclinic.org/heres-how-wearing-a-cloth-mask-helps-fight-the-spread-of-coronavirus/

https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-mask/art-20485449

https://jamanetwork.com/journals/jama/fullarticle/2764955

 

Edited by Wuzzie

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CeejRN010617 has 12 years experience and specializes in CCU.

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3 hours ago, Wuzzie said:

Did you actually read the article? 

"Face masks should not be worn by healthy individuals to protect themselves from acquiring respiratory infection because there is no evidence to suggest that face masks worn by healthy individuals are effective in preventing people from becoming ill."

The JAMA article above is referring to protecting the wearer which is not at all the point of having the general public wear masks. Please see below and you'll note there is another JAMA article that is actually relevant.

https://health.clevelandclinic.org/heres-how-wearing-a-cloth-mask-helps-fight-the-spread-of-coronavirus/

https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-mask/art-20485449

https://jamanetwork.com/journals/jama/fullarticle/2764955

 

Thank you! Why is this so hard to understand?

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dirtyhippiegirl has 8 years experience as a BSN, RN and specializes in PDN; Burn; Phone triage.

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11 hours ago, Trinam2006 said:

There’s an article in JAMA from March 2020 which clearly states that a healthy individual should NOT wear a mask because there is no evidence that it prevents the spread of disease 

 

https://jamanetwork.com/journals/jama/fullarticle/2762694

Reading comprehension isn't exactly your thing, is it?

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14 hours ago, Trinam2006 said:

There’s an article in JAMA from March 2020 which clearly states that a healthy individual should NOT wear a mask because there is no evidence that it prevents the spread of disease 

 

https://jamanetwork.com/journals/jama/fullarticle/2762694

And in April 2020, there was a new article that said the general public wearing cloth masks may, along with other preventive measures such as hand hygiene and attempts at social distancing, help prevent spread caused by asymptomatic/presymtomatic individuals.

Even though the information about this virus and what it does is evolving rapidly, the articles aren't really in conflict.  The March article focused on medical-grade PPE and how important it is going to be for health care workers to have access to adequate amounts of it, so discouraged the public from buying it all.

Encouraging the use of cloth masks by the general public in public settings, along with other helpful measures, also saves PPE for medical personnel. (And yes, I know the people advising our nation's leader are important people, but it kind of irritates me to see even *them* in medical-grade masks when people actually treating patients can't get enough of them.  My governor wears cloth in his daily briefings.)

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2 minutes ago, moriahcat said:

And in April 2020, there was a new article that said the general public wearing cloth masks may, along with other preventive measures such as hand hygiene and attempts at social distancing, help prevent spread caused by asymptomatic/presymtomatic individuals.

Even though the information about this virus and what it does is evolving rapidly, the articles aren't really in conflict.  The March article focused on medical-grade PPE and how important it is going to be for health care workers to have access to adequate amounts of it, so discouraged the public from buying it all.

Encouraging the use of cloth masks by the general public in public settings, along with other helpful measures, also saves PPE for medical personnel. (And yes, I know the people advising our nation's leader are important people, but it kind of irritates me to see even *them* in medical-grade masks when people actually treating patients can't get enough of them.  My governor wears cloth in his daily briefings.)

My uncle works at our local Costco. They gave EVERY employee a box of 100 medical grade surgical masks. Our local HH/hospice just finally got PPE 2 weeks ago. 

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1 minute ago, Thanksforthedonuts said:

My uncle works at our local Costco. They gave EVERY employee a box of 100 medical grade surgical masks. Our local HH/hospice just finally got PPE 2 weeks ago. 

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.  

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