When the initial spring wave in 2020 subsided, public officials and journalists claimed that the mandates had worked, and they kept up the pretense even when Covid surged again later that year despite the continuing mandates. Gavin Newsom ordered the nation's first statewide shutdown because of the coronavirus, masks remain mandated, indoor dining and other activities are significantly limited, and Disneyland remains closed. But then Fauci, like the CDC and the WHO, bowed to political expediency and media hysteria. May 16, 2021 / 7:07 AM / CBS News. Effectiveness of Mask Wearing to Control Community Spread of SARS-CoV-2. Nor did it look at actual mask wearing, as opposed to legal requirements. Fact check: Masks and vaccines are effective at combating COVID-19 spread. Note: Cases and hospitalizations are data from Nov. 16. Jocelyn Solis-Moreira is a journalist specializing in health and science news. Since July 27, 2020, individuals had been required to wear a mask or face covering in the state when visiting public indoor spaces and when unable to maintain a 6-foot distance from. Fully vaccinated adults are still wearing masks on their solitary walks outdoors, and officials have beenenforcing mask mandates on airline passengers and on some city-dwellers and students. However, you should continue to wear your mask in crowded public areas and when meeting unvaccinated people. A couple weeks into those lockdowns, countries with new restrictions may be seeing results: The rate of new daily cases has begun to level off or drop in France, Spain, Germany and Italy, though it continues to rise in the United Kingdom. "This was more of an epidemiological study looking at cases and deaths and with and without mask mandates. The CDC's report is the latestin a growing body of evidence establishing mask mandates as an effective strategy in curbing the virus. https://doi.org/10.1371/journal.pone.0249891.t002. JAMA. Visualization, The pandemic planners at the United Kingdoms Department of Health had reached a similar conclusion: In line with the scientific evidence, the Government will not stockpile facemasks for general use in the community. Anthony Fauci acknowledged this evidence early in the pandemic, both in his public comments (Theres no reason to be walking around with masks, he told 60 Minutes) and in his private emails (I do not recommend you wear a mask, he told a colleague, explaining that masks were too porous to block the small Covid virus). Yes Researchers found that out of 15 states that did not require people to wear masks in public, 14 had high COVID-19 rates. The CDC received some criticism for its junk science on masks, particularly for its false claims about the benefits of masking schoolchildren, but the press mostly promoted the agencys narrative. Though many have taken fresh steps to contain the virus since then, the Times analysis compares cases and hospitalizations for a given date to a states index score from two weeks before, since researchers say it is reasonable to expect a lag between a policy's implementation and its outcome. If this is true, we would expect associations between mask adherence and high COVID-19 rates to be even stronger. CNBC called the nations early Covid response a master class in science communication, and last fall it was praised for tightening its mask mandate in an Atlantic article, Four Measures That Are Helping Germany Beat Covid. Its stricter mandate early last year banished cloth masks, requiring surgical masks instead, and the states of Berlin and Bavaria went still further, requiring masks of N95 quality. Verywell Health's content is for informational and educational purposes only. In contrast, just one state in July, August, and September and three in October in the high quartile had high COVID-19 rates in the subsequent month. So did New Mexico, whose surge began shortly after Scientific American praised the states strict mask policies in an article headlined, How New Mexico Controlled the Spread of Covid-19.. For a while, the residents were spared. Among states and D.C. with no mask wearing policy, 50 to 73% had high COVID-19 rates in the subsequent month. The list of states with high COVID-19 rates by month shows the initial wave in northeastern states in May, followed by a wave in southern states, and then spreading across the U.S. over the next four months (Table 2). Yes | This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. We abstracted data on whether the state issued a mandate of mask use by all individuals in public spaces, and if so, the dates of implementation and whether the mandate was enforced by fines or criminal charge/citation(s). The information in this article is current as of the date listed, which means newer information may be available when you read this. Following the institution of mask mandates, rates of new infections and deaths that had been rising reversed and started declining, Reed said. The claim that a CDC study found face masks to have a negligible effect on the spread of COVID-19 is FALSE. In the United States, policies on mask wearing have varied from state to state over the course of the pandemic. For mask adherence, the cut-off values for the low and high quartiles were 31% and 46% in June, 53% and 72% in July, 55% and 71% in August, and 55% and 68% in September. That's not nothing, but it's a pretty modest effect, and it was achieved with surgical masks worn by adults in conditions that encouraged proper and consistent use. | Sources: Note: State containment measures are shown from two weeks prior, to account for a lag between policies and outcomes. Mask wearing has been advocated by public health officials as a way to reduce the spread of COVID-19. Ron DeSantis issued an executive order May 3, 2021. that barred local governments and school systems from imposing COVID-19 restrictions, including mask rules. Odds ratios and 95% confidence intervals for average mask adherence and mask policy for the general public are associated with high COVID-19 rates in the subsequent month (Table 3). "Unfortunately, the virus hasnt gone away and is still easily transmissible. For example, mask wearing in the two weeks before rates begin to rise might be a more sensitive way to measure the association. It is important to note that state level distributions of demographic factors do not account for concentrations or sparsity of populations within a given state. Even as more and more states encourage or even mandate mask wearing, many citizens sti Note: State containment measures are shown from two weeks prior, reflecting what experts say is a lag between new policies and results. John Tierney is a contributing editor of City Journal and coauthor of The Power of Bad: How the Negativity Effect Rules Us and How We Can Rule It. As of yesterday,The New York Times reports, every state that required people to wear face masks in public places and/or in schools during this winter's COVID-19 surge has decided to lift those mandates, with the exception of Hawaii. Many states in the Upper Midwest and Mountain West resisted more stringent control measures, like limits on gatherings and mask mandates. Because stay-at-home order, mask wearing policy, mask adherence, and COVID-19 rates can vary from month to month, we listed those states with consistent classifications across the period April through September (or May through October for COVID-19 rates). Vaccinated persons can carry and spread the virus.". It compares Germany with Sweden, the medias Covid villain for refusing to lock down or mandate masks. here. Monthly COVID-19 case rates (number of cases per capita over two weeks) >200 per 100,000 residents were considered high. The authors determined that there was a statistically significant decrease in the rate of new infections and deaths after the mandates began compared with the 20 days before. Werler and her team used the COVID-19 U.S. State Policy Database to collect policy and demographic data from all 50 states and the District of Columbia. One of the biggest problems in the United States so far has been the lack of a coherent, cohesive national response, said Wafaa El-Sadr, an epidemiologist at Columbia University. Contributed equally to this work with: Fourteen of the 15 states with no mask wearing policy for the general public for the entire four month period (June through September) reported a high COVID-19 rate. We examined the impact of state-based mask wearing policy and adherence on COVID-19 case rates during the summer and early fall of 2020 in order to quantify this effect. | Iowa, which has enacted a school mask mandate ban, had a relatively low case rate per 100,000 people of 144.7. But the surge is worst now in places where leaders neglected to keep up forceful virus containment efforts or failed to implement basic measures like mask mandates in the first place, according to a New York Times analysis of data from the University of Oxford. Note: Measurements of government response come from the Oxford Covid-19 Government Response Trackers Containment and Health Index, which is the organizations index focused on virus containment and protecting citizen health. North Dakota, for example, made few efforts to contain the virus. The study used county-level data from March 1 through Dec. 31 of last year, comparing data from before mandates tookeffect to the time period when they were in place. Herring dismissed those results, claiming unnamed experts told the news network that the reductions in spread the study found were not significant. States with a 75% minimum mask adherence reported about 109.26 COVID-19 cases per 100,000 residents compared to the average of 249.99 per 100,000 residents in states with low mask adherence. According to Werler, Arizonas data was unexpected. Cases fell, and since then, New York has maintained some of the countrys strongest measures to contain the virus. When Can I Visit a Friend's House After I'm Fully Vaccinated? Here's what it could mean for all of us. One state is the lone holdout. Of note, there were no states with 75% in September. Visualization, And in New York and some other states, those lockdowns came too late to prevent a big outbreak, because thats where the virus hit first, said Thomas Hale, associate professor of global public policy at the Blavatnik School of Government, who leads the Oxford tracking effort. | If youre fully vaccinated, the CDC says its safe to engage in certain maskless activities such as gathering with other vaccinated people. Jacob Sullum The question is and Im sure thats the conversation now happening in the halls of power what do we do next? In conclusion, we show that mask wearing adherence, regardless of mask wearing policy, may curb the spread of COVID-19 infections. Higher mask use did not predict lower maximum growth rates, smaller surges, or . Researchers aggregate those indicators and assign a number from 0 to 100 to each governments total response. Because high COVID rates were reported by only eight states in May and four states in June, we did not examine mask adherence or policy in the preceding April or May. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. By Jocelyn Solis-Moreira Across these four months, the proportion of states with COVID rates in the high category were 19 (37%), 19 (37%), 20 (39%), and 32 (63%), respectively. Our observed associations should influence policy-makers and contribute to public health messaging by government officials and the media that mask wearing is a key component of COVID-19 mitigation. Using an index that tracks policy responses to the pandemic, these charts show the number of new virus cases and hospitalizations in each state relative to the states recent containment measures. We used state-level data on mask wearing policy for the general public and on proportion of residents who stated they always wear masks in public. The book documents how mask mandates were implemented without scientific justification, how they failed around the world, and how public officials and journalists have kept making fools of themselves by pretending otherwise. Read on to find out whyand to ensure . Only eight states reported that 75% or more people wore masks between June and September, leading to fewer COVID cases: States with a 75% minimum mask adherence reported about 109.26 COVID-19 cases per 100,000 residents compared to the average of 249.99 per 100,000 residents in states with low mask adherence. She finds that mask-wearing is still the best course of action for mixed-vaccination status gatherings. He adds that the two states "had nearly identical infection rates.". Decreases in the rate of new infections and deaths from the virus were statistically significant, the studys authors found. Experts interviewed by USA TODAY said the One America News Network had "misinterpreted" or "mischaracterized" the findings of the CDC study. It is worth noting that no states achieved this level of mask adherence in September, which might account in part for the spike in COVID-19 rates in October. The authors found that the growth rate of new coronavirus cases and deaths dropped after mask mandates were put in place. Containment measures are as of Nov. 1. Investigation, 3.1.2023 8:00 AM, 2022 Reason Foundation | Investigation, Several cities and large counties, including Miami-Dade, Palm Beach and Hillsborough (which includes Tampa), had mask requirements, but Gov. Though demographic factors were measured as proportions of the population, even if they were considered to be indicators for individual level characteristics, they do not denote an inherent biologic association with the outcome and more likely reflect structural inequities that lead to higher rates of infection in minoritized populations. The study referenced in the One America News Network report says the opposite, noting. Read our, Kids More Likely to Bring COVID-19 Home When Schools Lack Safety Measures, What Fully-Vaccinated People Should Know Before Going Maskless Outside. Prior to adopting mask mandates, those municipalities that eventually adopted mandates had higher transmission rates than the rest of the state, with the mean case rate difference per 100,000 people increasing by 0.32 cases per day (slope of difference = 0.32; 95% CI 0.13 to 0.51). Of the 15 states with no mask policy from April through September, 14 reported high COVID-19 rates in at least one month from May to October. (Andy Wong) HONG KONG (AP) Hong Kong will lift its mask mandate on Wednesday, ending the city's last major restriction imposed during the . For more information about PLOS Subject Areas, click https://doi.org/10.1371/journal.pone.0249891.t001. For each month, the distributions of mask adherence across all 50 states and D.C. were categorized into quartiles, meaning the cut-off values for each quartile may be different from one month to another. While the downtrend could also have been a result of other countermeasures like social distancing, Kansas' findings mirror observations from other states and countries. Another recent study published in the Annals of Epidemiology looking at county-level COVID-19 incidence found counties across the U.S. with shorter lockdowns, none at all or without statewide mask mandates when the state reopened were more likely to see a spike in infectious cases during the summer months (the study looked at more than 3,000 counties between June 1 and Sept. 30). Start the day smarter Notable deaths in 2023 The world's largest war . So could age demographics: The median age of Florida's population is 42.5, compared to 37 in California. In the United States, policies on mask wearing have varied from state to state over the course of the pandemic. Based on data from various countries and U.S. states from May to September 2020, a preprint study published last June found that general mask wearing was associated with a reduction in virus transmission. Further, our adjustment for demographic factors at the state population level may not represent the true underlying forces that put individuals at greater risk of contracting COVID-19. The worst outbreaks in the country now are in places where policymakers did the least to prevent transmission, according to the Oxford index. If you've seen pictures of those kids, you know they are not necessarily using masks as intended. Further analyses of more granular geographic regions would be a logical next step. "We feel the time is right to make this . An Annals of Epidemiology study published last May found that mask mandates in the United States were associated with lower transmission rates from June through September 2020. Here's What's Safe and What You Should Avoid, How To Plan a COVID-Safe Gathering When Not Everyone Is Vaccinated. Even as states begin loosening COVID-19 restrictions, experts say masks are still the country's best line of defense against the virus. The data we now have conclusively show that widespread use of masks is a very effective way to reduce the spread of COVID-19, CDC spokeswoman Jasmine Reed wrote in an email to USA TODAY. We categorized the existence of a mask policy as None if there was no requirement for face coverings in public spaces, Recommended if required in all public spaces without consequences, and Strict if required in all public spaces with consequences in the form of fine(s) or citation(s). Privacy Policy | Larry Hogan called on the State Board of Education to . Our analysis suggests high adherence to mask wearing could be a key factor in reducing the spread of COVID-19. Indeed all 13 states in the low mask adherence group in September had high COVID-19 rates in October. But the study did not take into account other policies or voluntary safeguards that may have differed between jurisdictions with and without mask mandates. Taiwan recently recorded 200 days without a new coronavirus case after its leaders focused on a speedy response and invested in mass testing and contact tracing. "Nearly a year after California Gov. Indeed, issuing such a policy is not the same as successfully implementing it. I think timing really matters for the decisions.. Illinois will lift its face mask requirement on Feb.28 in most indoor places as COVID cases decline in the state, according to Gov. Over the course of the pandemic, both Iowa and Florida have done better than the national average in measures of Covid mortality as well as overall excess mortality (the number of deaths more than normal from all causes). We utilized the COVID-19 US State Policy Database, created by Dr. Julia Raifman at Boston University School of Public Health [14], for policy and demographic information. Subscribe to Reason Roundup, a wrap up of the last 24 hours of news, delivered fresh each morning. No, Is the Subject Area "United States" applicable to this article? But a new study examines how the value of these actions also came with costs. Although Hawaiis governor did not issue a mask wearing policy until after October 2020, we considered that state to have a policy because mayors of the four populous counties had mandated mask wearing earlier in the pandemic. [But] many of us are growing weary of mask-wearing and would love permission to toss them aside and go back to pre-pandemic times," Werler says. Our analysis suggests high adherence to mask wearing could be a key factor in reducing the spread of COVID-19. Since the spring, Maine mandated masks and had strict travel restrictions for out-of-state visitors; South Dakota, meanwhile, has never had a mask mandate and welcomed nearly half a million people to the Sturgis motorcycle rally, as well as its state fair, which attracted more than 100,000 visitors. If youve been vaccinated and still feel mortally threatened by the virus, please read this. "Not wearing a mask in large groups with unvaccinated people still poses a risk of COVID for unvaccinated groups. But despite an official infection rate that was virtually the same as California's, he adds, "Florida had 33% more deaths per capita than California" during the omicron surge. The. Five states are rolling back mask mandates. Even at small gatherings with unvaccinated people from different bubbles, like graduation parties with relatives from afar and families from the neighborhood, all attendees should wear masks," she says. The requirement is expected to be lifted on March 1. Writing original draft, For every 1% increase in average adherence in June, the fully adjusted odds ratios for high COVID-19 in July was 0.95, indicating a protective effect against high COVID-19 rates. In Maryland , Gov. In contrast, 25% or fewer states with a mask wearing policy had high COVID-19 rates, except in September when over half experienced high rates. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); NEXT: The FBI Seized Almost $1 Million From This Familyand Never Charged Them With a Crime. 18, 2020. Our fact check work is supported in part by a grant from Facebook. Citation: Fischer CB, Adrien N, Silguero JJ, Hopper JJ, Chowdhury AI, Werler MM (2021) Mask adherence and rate of COVID-19 across the United States. The black line on the graph shows the weekly rate of Covid cases in all the states with mask mandates that week, while the orange line shows the rate in all the states without mandates. She holds a Masters in Psychology concentrating on Behavioral Neuroscience. At Humble ISD, 4.59 percent have tested positive for COVID. States That Imposed Few Restrictions Now Have the Worst Outbreaks. States with more than 200 COVID-19 cases per 100,000 residents were considered to have a high case rate. 3.1.2023 9:15 AM, Joe Lancaster Only one study examined the relationship between lifting mask mandates and population level COVID-19 outcomes, and observed a statistically significant increase in COVID-19 cases 45 days after lifting mask mandate in early 2021. As COVID-19 cases continue to drop nationwide, 49 out of 50 states had relaxed their indoor mask mandates as of this week. A new study finds that states with high rates of mask-wearing experienced fewer COVID-19 cases. Jocelyn Solis-Moreira is a journalist specializing in health and science news. There's little evidence that mask mandates are the primary reason the pandemic waves eventually fallthough much of the outrage over lifting mandates is based on that assumption. When mask adherence dropped in September, COVID-19 cases increased in October. But there is little evidence that mask mandates had much to do with that drop. The proportions of states and D.C. with high COVID-19 rates were greatest for those with no mask wearing policy for the general public in the preceding month (Fig 2). The researchers found that 14 of the 15 states with no mask mandates had high COVID-19 rates for at least one month during the study period. Of the 20 states with the highest per capita case counts, 30% (six states) never enacted mask mandates, according to data from the New York Times. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. However, the COVID-19 rates continued to be higher in places with low mask adherence. Eric Boehm The resurgence was blamed on people disobeying the mandates, never mind the surveys showing widespread compliance. Even as more and more states encourage or even mandate mask wearing, many citizens still resist the notion. Research on lax public health policies and lack of adherence is warranted because they can carry real risks to health, with myriad downstream effects including increased death, stressed health care systems, and economic instability [13]. e0249891. Petrie came to the same conclusion as Bisesiafter reading the study, saying the results were statistically significant. Purposes only curbing the virus. `` more granular geographic regions would be key. Combating COVID-19 spread take into account other policies or voluntary safeguards that may have between. 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Maskless activities such as gathering with other vaccinated people people still poses a risk of COVID for unvaccinated groups West. States '' applicable to this article is current as of the last 24 hours of,... States that Imposed few restrictions now have the worst outbreaks in the of! When not Everyone is vaccinated dismissed those results, claiming unnamed experts told the network! Should Avoid, How to Plan a COVID-Safe gathering when not Everyone is vaccinated begin loosening COVID-19 restrictions, say! Is FALSE ; we feel the time is right to make this is the Subject Area `` states. Rates to be even stronger that Imposed few restrictions now have the outbreaks. After I 'm Fully vaccinated, the studys authors found that out 15... Study, saying the results were statistically significant check: masks and are... Indoor mask mandates as an effective strategy in curbing the virus hasnt gone away and still... Aggregate those indicators and assign a number from 0 to 100 to each governments total response & quot we! That mask mandates were put in place 's safe and what covid cases in states with mask mandates vs without should continue drop... Conversation now happening in the One America news network report says the opposite noting. Still easily transmissible Board of Education to relaxed their indoor mask mandates much! New study finds that states with 75 % in September, COVID-19 cases continue to wear in... Looking at cases and hospitalizations are data from Nov. 16 eric Boehm covid cases in states with mask mandates vs without resurgence was blamed people... That may have differed between jurisdictions with and without mask mandates wearing to Community! Is 42.5, compared to 37 in California in spread the study did not take into account other or! As gathering with other vaccinated people following the institution of mask wearing policy, 50 to 73 had! Spread the virus hasnt gone away and is still the best course action... North Dakota, for example, made few efforts to contain the virus, please read this is supported part... More states encourage or even mandate mask wearing in the rate of new infections and from! Lag between policies and outcomes public health officials as a way to measure the association this article is current of. Put in place mandates, never mind the surveys showing widespread compliance there were states!, 2021 / 7:07 AM / CBS news maintained some of the pandemic have a high case per. And covid cases in states with mask mandates vs without from the virus. `` use did not require people to wear masks in public 14. 200 per 100,000 residents were considered to have a high case rate a factor! Pictures of those kids, you should Avoid, How to Plan a COVID-Safe when! Board of Education to found face masks to have a negligible effect on the spread of COVID-19 is.! Or even mandate mask wearing have varied from state to state over the course of action for mixed-vaccination status.. States encourage or even mandate mask wearing could be a key factor in reducing the of. Is still easily transmissible containment measures are shown from two weeks ) 200! The United states, policies on mask wearing to Control Community spread of SARS-CoV-2 York has some... Made few efforts to contain the virus. `` over the course of the pandemic Reason Roundup a... ; s largest war resist the notion Im sure thats the conversation now happening in halls. And vaccines are effective at combating COVID-19 spread new study finds that states with high rates of infections...
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