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by skeletor_999 2211 days ago
The need for hyperrigour is one thing, but I think that unfamiliarity with the literature and poor science communication comes in play as well. I'm a biologist, so I have access to the scientific literature. When the mask debate came up, I did a small literature review to see what the science said. I was surprised to find that the science was pretty nuanced and subject to debate. Some papers suggested that masks are ineffective,but others suggested that they could play a role. Many of these studies had strong limitations and only provided insight for very specific scenarios. For example, some papers treated infections as a binary (they either prevent infections or not, rather than looking at reducing infections), many papers looked at preventing the mask wearer from getting infected, but not at reducing the spread by infected mask wearers, etc.

Any scientist can tell you that it's hard to keep up with the literature, and it's very likely that many of them spoke out against make without reading the papers. I was taught as an undergrad that they don't work. Many of these things are passed down uncritically.

This issue demonstrates that we need to improve science communication. Many scientists and public health professionals declared outright that make don't work. This shows that they are either unfamiliarity with the totality of the literature or that they feel the need to give definitive statements. When some people provided evidence in favour of masks, some of them switched to saying that make are needed by medical professionals and that improper usage can increase your risk. A better approach would be to acknowledge that there is uncertainty at that in their view the evidence against masks outweighs that in favour. If they took this approach, it wouldn't seem like they just flip flopped when they started recommending make. Also, it's not hard to train people to use them, and condescending to treat people as being too stupid to wear them.

1 comments

In this case, simple risk management should have ruled the day. Regardless of research, it seems fairly obvious (though perhaps not?) that mask wearing has effectively zero negative health risks. It doesn't take a genius to realize that blocking just a single sneeze confers benefits.

Given the risk/reward, and the high stakes nature of what we were about to go through, stating "no comment" on masks was pants-on-head stupid, because when medical folks say "there is no evidence to support" the press inevitably spins it to mean "this doesn't work." It highlights just how behind the medical field is when it comes to understanding how to incorporate human psychology, risk management, and other areas mastered by other industries to minimize harm.

I thought the same and it seems obvious. Maybe it was politicised in the sense that they got caught pants down unprepared when even the medical staff didnt have masks, so certain actors or a whole chain of command who were to blame for the lack of supplies spined it out this way. Or maybe it was simply a miscommumication in the cacophony of voice and messages that first came out.
I seem to recall that we were shipping a lot of masks to China back in January, perhaps that’s part of the reason.
Aren’t these masks largely manufactured outside the US? Were these masks made in China which were shipped back?
Or maybe it highlights how behind the media is in reporting reality?

I mean I agree that science community should consider some aspects of communication, but every participant in this chain should act responsibly. Once we put the blame squarly on the scientists, we absolve the actual bad actors.

With the situation you describe above, the fault is with the press for not doing due diligence. Not with the scientists telling the facts.

It was obvious, that's why most every other country across the world started wearing masks while the US didn't.