In contrast, the last time the general public has had an issue with a pandemic has been so long ago that deniers and downplayers had an easy game with their bullshit. Had wearing fucking masks not been that politicized, I'd wager a very good portion of the 6.6 million people that died to COVID would still be alive. And to come back to my gay friend, at least in his community there were almost no COVID cases.
I saw so many studies that showed that a properly fitted mask makes a massive difference in how protective it is compared to other mask types. Where can I get a mask fitted? Never even saw anything about fitting masks other than "it makes a huge difference and we do this for nurses".
Clearly much of the air goes around the mask. Sure a little metal piece at the bridge of the nose makes this a little better, but why did nobody seem to work on a proper solution for this? How about a mask with a rubber seal that goes around it?
This kind of stuff could have saved thousands of lives, yet we seem to not even have tried.
I think the fatality of COVID was just right to create a societal mess. Fatal enough to kill tons of people. But not fatal enough to get everyone on the same page that some sacrifices need to be made to rein it in. At the same time some people also had practically no symptoms, creating more opportunity for disagreement.
I wore one of these: https://envomask.com/
They're relatively heavy compared to paper & fabric masks (not to mention expensive), but the gel seal made it quite comfortable and it was the only thing I found that I could wear all day without ever fogging up my glasses.
But I definitely agree that mask for should have been a big push. I'm not sure that sealing the gaps around the nose is that much of an issue from a transmissibility perspective, but it can make a significant difference in terms of comfort for those wearing glasses. And masks that are not comfortable don't get worn.
Both of these factors were improvable even by small measures that don't prevent infection but just reduce the severity or probability, slowing down ("flattening the curve") the pandemic and postponing more of the cases till later when there was more capacity as well as better treatment knowledge.
As someone who suffered a lot in 2021 due to an illness that was totally unrelated to covid, but that was only so bad because of insufficient medical care available due to the pandemic (literally, some simple better care and tests earlier on would have definitely caught and resolved it, but getting care during the pandemic was a shitshow), I take this aspect quite seriously. I think covid was best understood as a crisis for the medical system than for individuals (relatively speaking)
EDIT: fwiw I'm not even disagreeing with you on anything (yes, on HN, I know), just riffing :)
https://www.sfchronicle.com/bayarea/article/S-F-all-but-give...
Did I miss an instance where it worked well enough to be worth the effort?
Add in the fact that the gay community has reasons to be less than thrilled with medical disclosure of this sort and I'm not the least bit surprised.
Well yeah, it’s hard to recall the dozens or hundreds of people you may have interacted with over the course of days or weeks. It is however much easier to contract trace sexual partners, unless of course you’re engaging in repeated anonymous sexual encounters...
It's obvious isn't it? Handwashing isn't a badge you can wear. Meet somebody in public and you'll know if they're wearing a mask or not, but you won't know if they've washed their hands recently.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9250256/
> "To develop clear and simple guidance for the public, further work should focus on identifying the specific times when HH should be performed in different communities and situations. In the meantime, current guidelines should be followed and should be based on evidence summarised here. Resources to support frequent hand washing, if hand washing facilities are available, or alternatively ABHR, should be provided in schools, workplaces, and public spaces and HH should continue to be promoted"
There are some more recent studies (2022) that take a similar evidence-based approach to masking effectiveness, noting for example:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9017682/
> "The author pointed out that with active COVID-19 patients, who may contaminate the environment, a mask will not protect healthcare workers or other people if they are not accompanied by hand hygiene, eye protection, gloves and a gown."
The autopsy of the governmental and medical responses to the pandemic (and the original source of the outbreak) will make for interesting reading for years to come.
From a purely scientific perspective, and regardless of one's political leanings or preferences, it was obvious from the start that widespread everyday masking simply isn't effective, nor is it practical.
If such masking was even just somewhat effective, the entire situation would have been over by mid-2020 at the latest. That clearly wasn't the case.
Even in large regions with strictly-enforced masking (even outdoors, in some cases!), combined with numerous other onerous restrictions, we still saw massive case number spikes. Those would not have happened if masking worked.
Of course, there are also the numerous harmful effects of masking that must be considered. It causes many accessibility problems, it causes childhood development problems, it causes social strife (including discrimination), it enables abusive policing, and so forth.
Hopefully, society as a whole has been reminded how masking just doesn't work, and that's exactly why we didn't bother with it until this recent debacle.
Because you seem to mean it as "prevents 100% of transmission", and therefore anything less than that means masking isn't effective.
And that's simply untrue. Masking does, really, truly, assist with covid spread. It doesn't prevent 100% of transmission, because nothing does, especially something that requires active participation, but yeah it helps a lot if people actually do it.
It's likely a large part of the reason that I've never caught covid, despite a fairly active social life and continued in-person office work for almost a year now. And why the social events I attend, where you can have a hundred people in close quarters breathing on each other haven't had recorded transmissions, despite recorded isolated cases.
> It causes many accessibility problems, it causes childhood development problems, it causes social strife (including discrimination), it enables abusive policing, and so forth.
There's no evidence for any of these claims, and in fact you'll find the accessibility community strongly favors masks as immunocompromised people exist. Widespread seasonal masking has been common in other countries for decades (since SARS-1, two decades ago), and there's no evidence that it causes childhood development issues. There's, like, one academic paper whose conclusion is that mask wearing makes it difficult for preschoolers to detect the emotion of a person wearing a mask. But any extension of that to impacts on childhood psychological development isn't academic, it's you making things up.
The costs associated with widespread everyday masking are severe. You even quoted the ones that I'd mentioned earlier.
Just to overcome those severe costs, masking would have had to consistently bring astounding benefits.
At a bare minimum, that should have been a nearly-complete end to the transmission of not just this virus, but others, as well.
Unfortunately, we didn't see that happen, because masking isn't effective.
We experienced the severe costs of masking, but without receiving any benefits from enduring those costs.
This was demonstrated by what's among the largest set of scientific experiments ever performed, involving many millions of people, in many nations, and over two years of masking in some cases.
It wasn't just personal responsibility and willingness to get vaccinated and reduce number of partners. Gay men shouted from the rooftops at public health authorities to get them to step up testing, treatment, and vaccination campaigns very early, when many doctors were ignorant, unable or unwilling to take it seriously.
I ask this as a gay man with some awareness of the history of AZT.
That's a nice sentiment I guess. Meanwhile my gay friend didn't stop "socialization" during the pandemic except first few early months. According to him he must've had COVID at least 4 times by now. If you add natural immunity, vaccine and asymptotic transmission he was getting exposed to COVID pretty much all the time.
This is nothing against gay community. This is against idolozation of certain communities and demonization of certain other communities to fit certain political narrative. Reality is more complex and nuance.
Assuming he is a young man, then caution for the first few months meant he was cautious until mortality statistics revealed that the risk to himself, and presumably his partners, was minimal.
Also vaccination drives. I'm good friends with a few gay guys, and they all rushed to get vaccinated, even despite being in committed long term relationships. There was, metaphorically speaking, absolutely no fucking around with this one.