As new COVID variants gain traction, reinfections become more
common and cases climb in certain areas, a few schools and businesses are
reinstating mask requirements. Experts say it makes sense to increase
precautions, including turning back to masks.
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“I tend to say, if you’re going to go out, make sure you have a
mask in your car, a couple masks at home or at work, so you always have
something available to put on,” said Andrew Pekosz, a professor of molecular
microbiology and immunology at the Johns Hopkins University Bloomberg School of
Public Health.
Here is a refresher on where, when and how to mask.
When should you wear a mask inside?
Everyone’s risk tolerance varies, Dr. William Schaffner, an
infectious disease specialist at the Vanderbilt University School of Medicine,
said. But particularly if you are 65 or older, have an underlying condition
that makes you more vulnerable to severe disease or are pregnant, he recommends
wearing a mask whenever you are in a relatively confined, crowded indoor space.
That can include stores, offices and public transportation.
“Certainly every time you add another person to the room,
particularly people who are within 3 to 5 feet of you, that increases your
chance of getting infected, exponentially,” Pekosz added.
Time matters, too: Darting in and out of a packed grocery store
is less risky than working all day in a busy office, for example. Ten minutes
is a good marker to keep in mind, Pekosz said. If you’re headed somewhere
indoors for longer than that, you may want to consider putting on a mask.
When should you wear a mask outside?
Outdoor transmission is generally rare, but if you’re in a
scenario where people are “jammed together and yelling,” Schaffner said, like
at a sporting event or a concert, you might want to wear a mask.
Linsey Marr, an expert in airborne transmission of viruses at
Virginia Tech, said a good rule of thumb if you’re trying to avoid getting
COVID is to opt for a mask if you’re elbow-to-elbow with other people: “When
you’re in environments where you can reach out and touch someone.”
Which type of mask should you wear?
Marr recommends N95, KN95 or KF94 masks, all of which filter out
more than 90% of virus particles, she said, making them far more effective than
surgical or cloth masks at reducing your chance of getting infected. The
Centers for Disease Control and Prevention has a list of resources for where to
find free N95s.
Experts said that a mask should fit snugly across your face and
cover both your nose and mouth; wearing a mask below your nose will do very
little to shield you from the virus.
A high-quality mask “does wonders in terms of protecting you
from getting infected, but you have to wear it the right way,” Pekosz said. “If
you don’t crimp the metal thing around your nose, if it’s loose around you,
then you’re probably breathing around the mask, not through the mask. And that
is not going to protect you.”
Some experts estimate that you can use a mask for a total of
about 40 hours before it’s time to replace it. If you notice fraying, creases,
new holes or dirt on your mask, you should replace it before then, Marr said.
If your mask is uncomfortable, or if you feel like it’s moving too much across
your face, Marr recommends trying different brands to find the best fit.
Do you need to mask after being exposed?
If you get the dreaded text that someone you recently spent time
with has tested positive for COVID, the CDC recommends putting on a
high-quality mask as soon as possible, and keeping it on for 10 full days when
you’re around people. Even if you test negative, the agency says you should
still wear a mask in public indoor settings. It can take several days for
people to develop symptoms, Pekosz said, and testing too early can lead to
false negatives.
Is one-way masking effective?
Even if you are the only person wearing one on the subway or in
your office, a high-quality mask can still meaningfully reduce your risk of
getting infected. “You’re going to be pretty well protected,” said Dr. Yvonne
Maldonado, a professor of global health and infectious diseases at Stanford
Medicine, because you’re guarding your face from the particles around you.
There are additional ways to build up your defenses against the
virus: sanitizing your hands before touching your face, social distancing from
others and getting an updated booster shot when new vaccines are available.
While many people are exhausted by this long pandemic, Maldonado
stressed it’s important to remember that we have tools to reduce risk. “Masks
work, period,” she said. “Whether you choose to use them or not is a different
matter. But they definitely work.”
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