Do Face Masks Really Protect You From Getting Sick?

Experts explain if medical face masks work against illnesses like the coronavirus.
More people are buying medical face masks as a way to prevent getting the coronavirus.
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More people are buying medical face masks as a way to prevent getting the coronavirus.

Coronavirus, which causes the respiratory illness COVID-19, has morphed into a global pandemic. Because the virus can be spread easily, many have resorted wearing face masks to protect themselves, as the virus is transmissible through human contact and exposure to respiratory droplets from an infected person.

But even though people are rushing to get their hands on a medical face mask, experts are somewhat skeptical about how effective they are in protecting people against dangerous viruses and bacteria. Below is their take on whether or not you should wear a mask and how else you can protect yourself.

Face masks can help, to a degree.

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There are a couple different ways viruses such as this one can go around. When an infected person coughs or sneezes, they expel respiratory droplets into the air that carry the virus. They can also spread those droplets around if they touch their eyes and nose then touch another person or surface. If someone were to come into contact with these contagious droplets — either in the air or by touching a surface that contained the droplets — they, too, could get sick.

There is some evidence that, when used correctly, face masks can slow the spread of airborne viruses. For example, one study from 2008 found that those who used a mask were 80% less likely to get the flu. Another 2009 report found that, in tandem with frequent hand-washing, face masks lowered people’s risk of getting the flu by about 70%.

But the masks aren’t foolproof, and just because you’re wearing one does not mean you’re in the clear.

“Masks of any kind would be helpful because then they are covering up your nose and mouth so they aren’t going to touch those, but they still leave your eyes open so you can touch and transmit the virus that way,” Michael Ison, an infectious disease specialist with Northwestern Medicine, told HuffPost.

When we look back at the severe acute respiratory syndrome (SARS) epidemic that struck in 2003, researchers concluded that face masks played some role in slowing down the spread — especially in a hospital setting — but mostly because they prevented sick people from passing SARS around. In fact, most people in Asia wear the masks not to avoid getting sick themselves but to protect other people from harmful germs and viruses.

In 2012, when another deadly coronavirus — Middle East respiratory syndrome (MERS) — struck, health officials recommended wearing a face mask only if you were in the same room as a person with MERS. There just wasn’t enough evidence on if masks had any role in halting the spread of MERS.

The main takeaway here: Masks alone won’t eliminate your risk of contracting the coronavirus. But, they may help.

“It can reduce the risk of some transmissions, but doesn’t take the risk to zero,” Ison said.

There are different types of face masks.

There are two types of face masks that can help cut your odds of getting coronavirus: Surgical face masks and respirators, also known as N-95 masks.

The ones we’re seeing all over the news? Those are surgical face masks, and what doctors, dentists and nurses use while treating patients.

While they do protect people from splashes and sprays to a degree, they aren’t foolproof. They’re loose-fitting and relatively thin, so tinier droplets can still seep in through the parts of the mask.

“[Surgical] masks do provide a degree of protection against fluids, including spray from a cough or sneeze, and they provide some filtration of the air. However, since the masks do not provide a tight seal around the wearer’s nose and mouth, much of the air inhaled and exhaled is unfiltered,” said Richard Martinello, a Yale Medicine infectious disease specialist.

Then, there are respirators, commonly used by construction workers. They’re heavy-duty, and are form fitted to your face. According to the Centers for Disease Control and Prevention, these masks filter out about 95% of airborne particles, including viruses and bacteria.

But, they aren’t so comfortable and many people report trouble breathing while wearing them, making them difficult to wear for hours on end. Respirators can get clogged and cause people’s breathing and heart rate to soar, so pregnant people or individuals with breathing problems should consult a doctor before using one.

That said, most people may not need to get a face mask.

Washing your hands is one of the most effective ways to prevent viruses.
hxdbzxy via Getty Images
Washing your hands is one of the most effective ways to prevent viruses.

It isn’t an essential need for everyone to wear face masks, according to the CDC. Many experts stress that the main point of them is to keep someone who is already sick from infecting others.

“We generally do not recommend the use of either masks or respirators for the general public. Of course, persons who desire to be extra cautious about their exposure to germs when in public may choose to wear a mask,” Martinello said.

There are some exceptions: The World Health Organization urges that if you’re healthy, you should wear a mask if you’re taking care of a person suspected of having COVID-19. Neil Fishman, the chief medical officer of the Hospital of the University of Pennsylvania, also told the New York Times that “for individuals working in certain essential industries, where they still have to go out every day, I think wearing a mask makes sense.”

How well the masks work largely depends on if you’re is wearing it correctly. Make sure the correct side is facing outward, keep the mask snug over your nose, secure the loops behind your ears, and close off the gaps around your jawline. Martinello said the biggest mistake people make is when the mask covers their mouth but not their nose.

There are other steps you can take to keep yourself healthy. For one, keep a distance from sick people, especially those coughing or sneezing. Also, not touching your face with your hands minimizes your exposure to harmful germs.

Lastly, hand-washing is your best line of defense against any virus, so wash frequently and thoroughly. That means spending at least 20 seconds scrubbing your hands with soap and rinsing water.

This story has been updated to reflect new information about the spread of the coronavirus.

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