As a pulmonologist and ICU doctor, I share Dr. Calderwood’s problem and annoyance more than the soaring variety of critical instances and the pressure take a look at our state’s hospitals are going through. Still expertise about COVID-19 has grown exponentially, and the growing rollout of vaccines provides additional opportunity to reassess the response to the pandemic far more broadly.
In the only printed cluster randomized manage trial to day all through the pandemic, surgical masks had an 11{b574a629d83ad7698d9c0ca2d3a10ad895e8e51aa97c347fc42e9508f0e4325d} threat reduction and cloth masks had zero influence on the principal endpoint of symptom driven lab beneficial benefits. This analyze took put in Bangladesh at a time exactly where the prevalence of COVID was lower and no just one was vaccinated. Under these ripe situations the examine had its best possibility at demonstrating masks most effective impact size at viral transmission reduction. But now, just one has to check with the query — what is the magnitude of reward from masking when 65{b574a629d83ad7698d9c0ca2d3a10ad895e8e51aa97c347fc42e9508f0e4325d} of our population is vaccinated and an extra percentage have some defense from organic immunity? And why does the CDC go on to advocate cloth masks when we know they don’t perform? The recommendation, if any, must be disposable surgical masks, N95, KN95, or KF94.
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