COVID-19 & Mask Facts
COVID-19 PUBLIC HEALTH MEASURES – FACTS and CLARIFICATIONS
The members of the Health Subcommittee of the Citizen Response Task Force are concerned that misinformation and misunderstanding of key facts related to the spread of COVID-19 can and will impede Portsmouth’s success in reducing community transmission of the disease. Specifically, we summarize below current facts and expert opinion on three key topics.
Viruses cannot replicate outside of a host cell. The virus that causes COVID-19 can live on common surfaces such as paper, fabric or metal for varying periods of time, measured in hours to about a week. Importantly, however, the virus cannot replicate or reproduce on these surfaces. A face mask, for example, does not serve as an “incubator” for the virus.
People can become infected by the transmission of coronavirus via the eyes, nose and mouth. Reducing the tendency to touch one’s face and eyes is a possible benefit of face coverings.
Portsmouth has a Mask Ordinance in effect through June 30, 2021.
NH has a Mask Mandate effective, statewide, through March 26, 2021.
- Cloth face masks are recommended for the general public in part to maintain the supply of other varieties of face masks for individuals exposed to higher risk, e.g. health care providers and first responders.
- Note that the CDC does not limit this suggestion based solely on location (indoors or outdoors). Nor is the recommendation limited to use in situations when physical distancing is not possible although it is “especially” important in those situations. Note that physical distancing per the CDC is not simply 6 feet, but “at least 6 feet.”.
- The effectiveness of this approach in the prevention of COVID-19 spread depends on the widespread use of the mask, as the mask primarily protects others by containing the spread of exhaled virus. Emerging evidence suggests that the wearer of a cloth or surgical mask may derive protection, as well.
- Broad use of face masks in public and when congregating with people outside of one’s household is particularly important given the ability of asymptomatic carriers to infect others. Exceptions are made for children under the age of 2 years [CDC recommendation] and for certain medical conditions.
- Cloth face masks should cover the nose, mouth and chin and snugly fit at the sides. They should be applied with clean hands. Further handling of the mask (adjusting, pulling down, etc.) should be minimized and done with clean hands. To our knowledge it has never been shown that masks allow viruses to replicate or “grow”. However, touching areas of the face, especially with unclean hands, should be avoided.
- Cloth face masks are best constructed with at least two layers of tightly woven, non-stretchy fabric. Reusable cloth masks should be washed regularly.
There is little to no data supporting the use of face shields in community settings. It is possible that they block exposure for the wearer, but are not better than masks in regard to a wearer spreading the virus to others--most are open below the chin/neck. There are very few situations that would necessitate an individual's wearing a shield as opposed to a mask. Shields should complement masks, not replace them.
Per the CDC:
- It is not known if face shields provide any benefit as source control to protect others from the spray of respiratory particles. CDC does not recommend use of face shields for normal everyday activities or as a substitute for cloth face coverings.
- Some people may choose to use a face shield when sustained close contact with other people is expected. If face shields are used without a mask, they should wrap around the sides of the wearer’s face and extend to below the chin.
- Disposable face shields should only be worn for a single use. Reusable face shields should be cleaned and disinfected after each use. Plastic face shields for newborns and infants are NOT recommended.
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