Should I wear a face mask or covering for corona virus protection?

The answer depends on who and where you are. At Johns Hopkins, a team of experts in infection prevention, emergency medicine and emergency management is always reviewing the best ways to protect our patients, our staff and the general public. These are our current recommendations.

Masks for the Public

The general public: The virus can spread between people interacting in close proximity — for example via speaking, coughing, or sneezing — even if those people are not exhibiting symptoms. In light of this evidence, wearing a cloth face mask or covering in public places where social distancing can’t be observed will help reduce spread of the disease. For example, in a grocery store or on a bus, if you wear a face mask, you help protect those around you in case you cough or sneeze.

Federal and state agencies also provide specific recommendations:

  • The Centers for Disease Control and Protection (CDC) recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (for example grocery stores and pharmacies), especially in areas of significant community-based transmission. Social distancing and taking precautions such as washing hands, using hand sanitizer and disinfecting surfaces frequently are also appropriate measures to avoid the spread of illness.
  • Some states are now requiring face masks in retail stores and on public transportation. In Maryland, starting on Apr. 18, face masks or coverings will be required in retail stores and on public transportation.  

People with higher risk factors for COVID-19: This would include people over age 65, and those living with heart disease, diabetes, chronic lung disease, immunity problems or cancer.

According to the CDC, since recent studies indicate a significant portion of people who have COVID-19 don’t show symptoms, the virus can spread before they realize they are sick. This new research — combined with the fact that the coronavirus can spread through close proximity to others, often via speaking, coughing or sneezing — led to their recommendation for the general public to wear cloth masks in public, especially where social distancing may be difficult and in areas of significant community transmission.

While social and physical distancing and frequent handwashing are the best ways to protect against COVID-19, you should check with your doctor about the best option for you. Johns Hopkins Medicine offers these directions for a homemade mask, intended for use in non-patient care settings.

  • Masks for COVID-19 Patients and Their Caregivers

In order to protect from the spread of droplets, a surgical or cloth mask should be worn in a home setting by those with COVID-19 when they are around others. If the person who is ill is unable to wear a mask, their caregiver should wear one. Patients being treated in hospital settings will follow hospital guidelines.

Many websites offer guidelines on how to make a cloth mask. Johns Hopkins Medicine offers these directions for a homemade mask for non-patient care settings.

  • Masks and Other Protective Equipment for Health Care Workers

Health care workers testing and treating patients for COVID-19: Anyone interacting directly with people ill or suspected to be ill with COVID-19 need professional respirators, such as N95 respirators, which are designed for medical use. N95 respirators fit the face snugly and filter the air to stop respiratory droplets from getting through or around the device. In addition, our care teams treating patients with COVID-19 wear added protective gear, including face shields that protect the eyes, nose and mouth from contamination from respiratory droplets, along with masks or respirators.

An important note about N95 respirators is that they are in high demand during this pandemic. It is crucial that they are only used by medical workers and first responders who have been fit tested to wear them so they can continue treating patients. Hoarding or diverting the use of these respirators could lead to serious harm to patients and medical staff.

Health care workers in patient areas, but not working directly with COVID-19 patients: Procedural, surgical and cloth face masks are being used to help guard against the possible spread of COVID-19. These masks don’t have a tight seal and are made of different types of materials.

Similar to influenza and other respiratory viruses, the virus that causes COVID-19 appears to be transmitted primarily through large respiratory droplets. Surgical or procedural masks provide protection against respiratory droplet spread.

While cloth masks are not medical-grade, they may be helpful in non-patient settings to contain coughs and to remind people to not touch their face, but they are not suitable for providing medical care to patients.

Read more about Johns Hopkins Medicine’s use of face masks in our care facilities.

What are the different types of masks?

  • Professional Respirators

Called N95 respirators, these medical devices are made to prevent exposure to tiny droplets that can remain suspended in the air. Health care workers who wear them undergo a fit-test to find the right make, model and size to ensure a tight seal. The N95 respirators are currently in very short supply and should be reserved for health care providers and first responders.

  • Procedural and Surgical Masks

These are loose-fitting masks designed to cover the mouth and nose. Although they are not close fitting, they provide protection against larger respiratory droplets from coughs and sneezes. Like N95 respirators, it is critical that these masks are used by health care workers.

  • Cloth or Paper Masks

According to the CDC, these masks may help slow the spread of the new coronavirus, and help people who may unknowingly have the virus from transmitting it to others. While cloth masks are not medical-grade, they may be helpful in non-patient care settings to contain coughs and to remind people not to touch their face.

  • Can I make my own cloth mask?

Yes: Some people are making masks out of cotton or linen or even t-shirts or bandanas. There are several patterns available, including this one from Johns Hopkins Medicine, for use in non-patient care settings. Cloth masks can and should be washed daily.

  • Remember the best protections

In times of a pandemic, it’s understandable to want to do everything possible to protect yourself from becoming ill. While masks may seem like a good idea, remember that social and physical distancing, and frequent, thorough handwashing are still the very best ways to avoid getting COVID-19.

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