Mythbusting The Mask Debate

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Mythbusting The Mask Debate

We asked you for your mask policy this respiratory virus season, and got the above-depicted, below-described, set of responses:

  • A little under half of you said you will be masking when practical in indoor public places
  • A little over a fifth of you said you will mask only if you have respiratory virus symptoms
  • A little under a fifth of you said that you will not mask, because you don’t think it helps
  • A much smaller minority of you (7%) said you will go with whatever people around you are doing
  • An equally small minority of you said that you will not mask, because you’re not concerned about infections

So, what does the science say?

Wearing a mask reduces the transmission of respiratory viruses: True or False?

True…with limitations. The limitations include:

  • The type of mask
    • A homemade polyester single-sheet is not the same as an N95 respirator, for instance
  • How well it is fitted
    • It needs to be a physical barrier, so a loose-fitting “going through the motions” fit won’t help
  • The condition of the mask
    • And if applicable, the replaceable filter in the mask
  • What exactly it has to stop
    • What kind of virus, what kind of viral load, what kind of environment, is someone coughing/sneezing, etc

More details on these things can be found in the link at the end of today’s main feature, as it’s more than we could fit here!

Note: We’re talking about respiratory viruses in general in this main feature, but most extant up-to-date research is on COVID, so that’s going to appear quite a lot. Remember though, even COVID is not one beast, but many different variants, each with their own properties.

Nevertheless, the scientific consensus is “it does help, but is not a magical amulet”:

Wearing a mask is actually unhygienic: True or False?

False, assuming your mask is clean when you put it on.

This (the fear of breathing more of one’s own germs in a cyclic fashion) was a point raised by some of those who expressed mask-unfavorable views in response to our poll.

There have been studies testing this, and they mostly say the same thing, “if it’s clean when you put it on, great, if not, then well yes, that can be a problem”:

❝A longer mask usage significantly increased the fungal colony numbers but not the bacterial colony numbers.

Although most identified microbes were non-pathogenic in humans; Staphylococcus epidermidis, Staphylococcus aureus, and Cladosporium, we found several pathogenic microbes; Bacillus cereus, Staphylococcus saprophyticus, Aspergillus, and Microsporum.

We also found no associations of mask-attached microbes with the transportation methods or gargling.

We propose that immunocompromised people should avoid repeated use of masks to prevent microbial infection.❞

Source: Bacterial and fungal isolation from face masks under the COVID-19 pandemic

Wearing a mask can mean we don’t get enough oxygen: True or False?

False, for any masks made-for-purpose (i.e., are by default “breathable”), under normal conditions:

However, wearing a mask while engaging in strenuous best-effort cardiovascular exercise, will reduce VO₂max. To be clear, you will still have more than enough oxygen to function; it’s not considered a health hazard. However, it will reduce peak athletic performance:

Effects of wearing a cloth face mask on performance, physiological and perceptual responses during a graded treadmill running exercise test

…so if you are worrying about whether the mask will impede you breathing, ask yourself: am I engaging in an activity that requires my peak athletic performance?

Also: don’t let it get soaked with water, because…

Writer’s anecdote as an additional caveat: in the earliest days of the COVID pandemic, I had a simple cloth mask on, the one-piece polyester kind that we later learned quite useless. The fit wasn’t perfect either, but one day I was caught in heavy rain (I had left it on while going from one store to another while shopping), and suddenly, it fitted perfectly, as being soaked through caused it to cling beautifully to my face.

However, I was now effectively being waterboarded. I will say, it was not pleasant, but also I did not die. I did buy a new mask in the next store, though.

tl;dr = an exception to “no it won’t impede your breathing” is that a mask may indeed impede your breathing if it is made of cloth and literally soaked with water; that is how waterboarding works!

Want up-to-date information?

Most of the studies we cited today were from 2022 or 2023, but you can get up-to-date information and guidance from the World Health Organization, who really do not have any agenda besides actual world health, here:

Coronavirus disease (COVID-19): Masks | Frequently Asked Questions

At the time of writing this newsletter, the above information was last updated yesterday.

Take care!

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    Sleep: yes, you really do still need it!

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    • A little of a third of all respondents selected the option “< 7 hours”
    • However, because respondents also selected options such as < 6 hours, < 5 hours, and < 4 hours, so if we include those in the tally, the actual total percentage of respondents who reported getting under 7 hours, is actually more like 62%, or just under two thirds of all respondents.
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    • Three respondents, which was a little under 2% of the total, reported getting over 9 hours of sleep
    • In terms of the classic “you should get 7–9 hours sleep”, approximately a third of respondents reported getting this amount.

    You need to get 7–9 hours sleep: True or False?

    True! Unless you have a (rare!) mutated ADRB1 gene, which reduces that.

    The way to know whether you have this, without genomic testing to know for sure, is: do you regularly get under 6.5 hours sleep, and yet continue to go through life bright-eyed and bushy-tailed? If so, you probably have that gene. If you experience daytime fatigue, brain fog, and restlessness, you probably don’t.

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    Quality of sleep matters as much as duration, and a lot of studies use the “RU-Sated” framework, which assesses six key dimensions of sleep that have been consistently associated with better health outcomes. These are:

    • regularity / usual hours
    • satisfaction with sleep
    • alertness during waking hours
    • timing of sleep
    • efficiency of sleep
    • duration of sleep

    But, that doesn’t mean that you can skimp on the last one if the others are in order. In fact, getting a good 7 hours sleep can reduce your risk of getting a cold by three or four times (compared with six or fewer hours):

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    ^This study was about the common cold, but you may be aware there are more serious respiratory viruses freely available, and you don’t want those, either.

    Napping is good for the health: True or False?

    True or False, depending on how you’re doing it!

    If you’re trying to do it to sleep less in total (per polyphasic sleep scheduling), then no, this will not work in any sustainable fashion and will be ruinous to the health. We did a Mythbusting Friday special on specifically this, a while back:

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    If you’re doing it as a energy-boosting supplement to a reasonable night’s sleep, napping can indeed be beneficial to the health, and can give benefits such as:

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    As we get older, we need less sleep: True or False

    False, with one small caveat.

    The small caveat: children and adolescents need 9–12 hours sleep because, uncredited as it goes, they are doing some seriously impressive bodybuilding, and that is exhausting to the body. So, an adult (with a normal lifestyle, who is not a bodybuilder) will tend to need less sleep than a child/adolescent.

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    Just because we survive something with a degree of resilience doesn’t mean it’s good for us.

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    Take good care of yourself!

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