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Tuesday, April 14, 2020

Coronavirus: Who needs masks or other protective gear?

Face masks, gloves and other protective gear can help stop the spread of coronavirus in the right circumstances, but there has been a lot of discussion about who should use them.

World Health Organization (WHO) special envoy Dr David Nabarro has suggested that more widespread use of masks will become "the norm" as the world adjusts to living with Covid-19.

Why doesn't everyone wear a mask now?
Coronavirus is spread by droplets that can spray into the air when those infected talk, cough and sneeze. These can enter the body through the eyes, nose and mouth, either directly or after touching a contaminated object

The World Health Organization says it remains the case that medical masks should be reserved for healthcare workers, not the general public.

Only two groups of people should wear protective masks, those who are:

sick and showing symptoms
caring for people suspected to have the coronavirus
Masks are not recommended for the general public because:

they can be contaminated by other people's coughs and sneezes or when putting them on or removing them
frequent hand-washing and social distancing are more effective
they might offer a false sense of security
How might things change?
Dr Nabarro told Radio 4's Today programme that healthcare workers and those with symptoms remained the priority, especially given the worldwide shortage of the best quality masks.

But he said masks might also need to be worn by non-medical workers who are in frequent contact with others and who can't distance themselves, such as people operating cash registers, or hairdressers.

Among society as a whole, he said that he expected "some form of facial protection is going to become the norm", not least to offer people reassurance when they encounter others.

But Dr Nabarro warned against complacency: "Don't imagine that you can do what you like when you are wearing a mask. [It] doesn't give you the excuse to disregard social distancing."

The UK is not advising most people to wear either medical or homemade masks.

Sir Patrick Vallance, the UK's chief scientific adviser, says there is a review ongoing at the moment and it has already seen "more persuasive" data on it stopping you passing on the virus, rather than catching it. However, the advice has yet to change.

Do homemade face masks work?
Americans are advised to use clean cloth or fabric to cover their faces whilst in public. Officials say medical masks are in short supply and should be left for healthcare workers.

Only the sick, or those caring for patients of coronavirus, had previously been told to wear masks. But US officials hope the new rules could stop people without symptoms unknowingly spreading coronavirus.

However, reusable cloth masks are also not recommended and may even increase the chance of infection, say European advisers.

They say there is a high chance virus particles could go through cloth. Problems with moisture could also mean the cloth retains the virus, they warn.

By Michelle Roberts
Health editor, BBC News online

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