That’s exactly the paper. Methodologically flawed. N95 use in a particular ward generalized to people out in public. Yes if we had unlimited supply everyone could do what they please. These public health recommendations are couched in the context the resources we have.
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Replying to @domillima @zeynep
The paper does not generalize to the public. Its conclusions are occupation-specific. Baffling to see the resistance to a tool that almost certainly carries no harm, yet has epidemiological support, several possible mechanisms, and some modest evidence of effectiveness.
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Replying to @ataraxisfinch @domillima
The issue is the shortage, and I think a lot of people in health think telling folks to preserve them for the sick will work when, in my view and experience, it backfires and encourages hoarding.
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Replying to @zeynep @domillima
There is no shortage! I know several suppliers that have stock. It’s just poor supply management and resourcing.
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Replying to @ataraxisfinch @zeynep
I didn’t say the paper makes that conclusion—the paper is erroneously being used to that end, not by me. As for your claim that there is no shortage. I’m a doctor. Taking care of patients. There’s a shortage at my hospital. We are canceling elective surgeries because of it.
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Replying to @domillima @zeynep
I’m aware that masks are in short supply in hospitals, but I can assure you and provide evidence that there are factories producing regulated masks that can ship tomorrow. So this seems like a hospital supply management issue sadly.
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Very sorry to hear this regarding the surgeries. Understand if your concern is masks being prioritised for healthcare workers. Just don’t want a situation where, if there were masses of masks, those in community contact with elderly / ill would think them worthless.
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At the end of the day, look what’s happening with toilet paper. Makes no sense. People rationing supplies such that people who need it for regular daily use cannot find it. I’m sure masks confer some benefit.Have to weigh those benefits with risks not being able to provide care.
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Replying to @domillima @ataraxisfinch
The toilet paper kinda started as far as I can tell as it did actually run out in Hong Kong (small shops there) and then the idea spread. Could have easily been managed, similarly, by immediate distribution controls (three per family). It's obviously nothing but temporary spike.
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But exactly shows if you don't have right messaging plus demand management, things can get on a feedback cycle and get worse.
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