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The case against masks at school

theatlantic.com

451–460 of 1001 posts

Re: The case against masks at school

#451

Earlier quoted context omitted.

For two years we’ve been asked to park our problems and to act like literally all that matters is the spread of Covid. Nothing else matters. Just a myopic fixation on the spread of one highly infectious respiratory virus. Even a year after vaccines we are still being asked to treat Covid like it is the #1 priority in our lives. More important than our well being, our mental health, our communities, our children, or a…

Well put. I’m a 29 year old male who moved to a new city right before covid and my life has basically been put on hold for two years now with my only access to meeting potential partners being Tinder (or bars, I suppose.) All the activities I try to join (other than my BJJ classes) are remote. Chess club is remote (might as well just play chess.com) my bipolar support group is remote, etc.

I am very curious, which city? I moved to NYC in early pandemic and have had an extremely robust dating and social life. Even in 2020 dating was not difficult here. And for the past year or so life has been 95% normal, with big events, shows, packed bars, etc.

Re: The case against masks at school

#452

Earlier quoted context omitted.

Too bad you can't know if you're sick or not until it's too late. It's one of the reasons this virus spreads so quickly. Even if you're not sick wearing masks also helps to protect you from getting sick. It's win/win for extremely minimal effort/inconvenience.

Extremely minimal? Masks make it a lot harder to communicate effectively. People are harder to understand, emotions are harder to read, speaking takes more effort. If communicating is the main thing you do all day, because you're a teacher for instance, that is a significant inconvenience.

Personally I found that a good n95 mask aside from being more effective is far less muffling than a shitty cloth mask.

Re: The case against masks at school

#453

Earlier quoted context omitted.

Isn't the whole point of the article that school mask mandates probably don't reduce spread? If it doesn't reduce spread than it won't help your overwhelmed friends working in medicine. Sorry I guess I just don't understand what point you are trying to make.

The thesis of the article is that even though studies show masks work studies in schools had obvious flaws and are measuring multiple confounding factors ergo masks might not work so we have no justification for mask mandates. This is materially different from knowing they don't work. I cannot countenance the idea that keeping most of your spit with you rather than floating around the room doesn't reduce spread of a…

Yeah I don't think they are really saying that they absolutely don't work but that the evidence that they do is weak enough to justify removing the mandates. They address N95 mask in the article (did you read it) pointing out that they are more difficult to breath in and hinder communication more (I'll add my own point in that they are harder to keep a seal with which seems to be quite important according to the studies I have seen). Personally I have used N95 mask quite a bit for sanding projects and can to attest to the difficulty of wearing them for long period in a properly fitting way.

Re: The case against masks at school

#454

Earlier quoted context omitted.

The US is not as different as you think. Seat belts are mandatory in 49/50 states, restrictions on smoking are common, restaurant employees generally need to wash their hands after going to the bathroom, "no shirt no shoes no service" is the general rule, nudity in public places is generally against the law. I don't know where you are getting your impression of US laws from, but it's just wrong.

> restaurant employees generally need to wash their hands after going to the bathroom I struggle to grasp a society where that has to be mandated

>I struggle to grasp a society where that has to be mandated

You're probably unaware of the high prevalence of fecal bacteria on public surfaces, then.

https://pubmed.ncbi.nlm.nih.gov/16134485/

https://www.cnbc.com/2018/11/29/mcdonalds-touchscreen-kiosks...

"A study by U.K. newspaper Metro found gut and fecal bacteria on touchscreens in all of the chain’s restaurants it surveyed. It took samples from the screens in eight branches and found that they contained coliform bacteria, a group of microorganisms found in people’s intestines as well as in soil and on plants."

Re: The case against masks at school

#455
post #96

This argument is poorly constructed. I think there could be better ones, but here’s my problem. It goes through the three CDC studies and correctly observes that they fail to separate regions that have high vaccination rates from schools without a mask mandate. Indeed, the ideal experiment would involve two schools that are otherwise identical in the same geographical area with high vaccination rates: one that has no…

A randomized study was run in Bangladesh. There they handed out masks to randomly selected villages among a pool of 600 villages with similar vaccination and political stances. That study showed that the effect of surgical masks was statistically significant when used by the elderly 50+ population. For other age groups and for cloth masks, the advantage was statistically insignificant. All the headlines around this s…

Saying the effects of masking on younger age groups and with cloth masks in this study were statistically insignificant is also a misrepresentation of what the study found. The actual paper itself can be downloaded here:

https://www.poverty-action.org/publication/impact-community-...

From the paper:

    We found clear evidence that surgical masks are effective in reducing symptomatic seropreva-
    lence of SARS-CoV-2. While cloth masks clearly reduce symptoms, we find less clear evidence of
    their impact on symptomatic SARS-CoV-2 infections, with the statistical significance depending
    on whether we impute missing values for non-consenting adults. The number of cloth mask vil-
    lages (100) was half that for surgical masks (200), meaning that our results tend to be less precise.
They're talking about the analysis of the sub-group that consented to blood tests for Covid antibodies through the trial, and the fact that a smaller group of people (which could also be a confounding factor) consented to these, but that if they assume the non-consenting participants had similar rates of infection as the consenting group (instead of throwing them out), that the advantage becomes more pronounced even for cloth masks.

Furthermore, they said that even without that consideration, the cloth masks still reduced symptoms of Covid, which is still a great win for masks, as it seems they reduce the viral load received by an individual enough to reduce the severity of their infection. So saying the overall advantage of masks was statistically insignificant isn't really true.

What the trial really found was indeed that masks seem to work, and surgical masks work better than cloth masks. This aligns with what many other studies have found as well. However, even though that's probably a valid inference to draw from the data collected in the trial, it's not really what the trial was designed to find, which was more specifically that if you actively distribute masks to people and encourage them to be worn, then more people will indeed wear them, and this in turn seems to have a positive effect on reducing both the transmission and severity of Covid.

Re: The case against masks at school

#456

General observation from reading the comments - the folks on HN must not have many friends working in medicine for if they had they'd realize those friends are swamped and burned-out. They'd also know that pretty much the only condition we're treating nowadays is Covid. Surgeries are continuing to be postponed - including surgeries that can lead to worse problems down the road such as removing cancerous tumors. And i…

> My daughter is in pre-med. Apparently people are dropping out like flies This may not be a bad thing in the long run. There’s a shortage of medical professionals because the medical industry wants it that way. If the crisis becomes acute enough, the government will be forced to loosen regulations, and that would allow for more people to enter the field faster and more easily.

_thats_ your takeaway? that if the damn government stopped bothering to try to oversee outcomes in an area with extreme information asymmetry, a desire to get treated regardless of the cost, a bunch of agents between the doctor and the patient taking their cut, and a massive problem with cost control....everything would just be fine and we'd have plenty of doctors.

Re: The case against masks at school

#457

Earlier quoted context omitted.

> My daughter is in pre-med. Apparently people are dropping out like flies This may not be a bad thing in the long run. There’s a shortage of medical professionals because the medical industry wants it that way. If the crisis becomes acute enough, the government will be forced to loosen regulations, and that would allow for more people to enter the field faster and more easily.

_thats_ your takeaway? that if the damn government stopped bothering to try to oversee outcomes in an area with extreme information asymmetry, a desire to get treated regardless of the cost, a bunch of agents between the doctor and the patient taking their cut, and a massive problem with cost control....everything would just be fine and we'd have plenty of doctors.

No. You’re putting a bunch of words in my mouth.

Re: The case against masks at school

#458
> In the panicked spring of 2020, as health officials scrambled to keep communities safe, they recommended various restrictions and interventions, sometimes in the absence of rigorous science supporting them. That was understandable at the time.

The fact that they were enacted with such zeal in the absence of rigorous science is why some/many people don't want them removed now. What was instituted without science cannot be removed by science.

If anything, the same emotional manipulation must be used. They used to say "we have to lock up if only to save one life". Now it should be "we need to go back to normal if only to save one child from killing himself from isolation".

Re: The case against masks at school

#460
post #180

It appears that the article is looking at vaccination in addition to mask usage. There are many areas of the US where vaccination percentages are relatively low and vaccination percentage of children between the ages of 5 to 11 are even lower. While children may not wear masks correctly, at a population level, it stands to reason that wearing masks will reduce the chance of transmission. Just like condoms have a theo…

You may look at the data of how much protection masks add between the ages of 5 to 11 and 2 to 5. And how much other mitigations measures add (ventilation, cohorting, etc). You'll find that high quality masks for teachers reduce spread a lot. Masks for kids - the effect can't be clearly registered. And using masks for kids, particularly outdoors is a hazard in itself. Masks tend to block lower peripheral vision. Whic…

> And it is unclear what is the long-term impact on kids development.

Keep in mind that it's also pretty unclear the long term effects of contracting COVID (even with no symptoms) in the first place. What about getting COVID twice? Three times? Four times? I'd rather do what I can to ensure my kids don't get it at all, are vaccinated, social distance, etc. Hopefully we'll get to a place where vaccinations / natural immunity reduce cases to a point where masks no longer make sense, but until then...

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