PackPA2015 said:
Wayland said:
nm. Not even worth debate at this point.
You're not bothering me. I read your post before you took it down.
It's hard to know what I am looking at with your graphs without the description beside the color. There are differences between each that are noticeable.
You make fair points and they are data-based which is greatly appreciated. I have attached a study which I believe I've shared before which is not cherry picked data and provides evidence that mask mandates do lower numbers/transmission. As I have shared before, my county does me no favors in changing my opinion of mask mandates. We have 50% wearing a mask with a mandate. With talking to patients and others in the community, without a mandate this likely drops to around 20-25%. We have dealt with climbing covid cases, hospitalizations, and deaths much longer when compared to similar surrounding counties that have more mask adherence.
I agree with you wholeheartedly that our focus should be on increasing vaccination rates as quickly as possible and we are doing that currently. The rest of the equation is, do we keep on doing the rest of what has worked or not? In my opinion, we do in order to guarantee or lower the risk of prolonging a return to normalcy until vaccination rates get there. We can have our sole focus on vaccination rates and still wear a mask. One does not prevent the other, right? Or am I missing your point all together?
https://www.healthaffairs.org/doi/10.1377/hlthaff.2020.00818
"This study provides evidence from a natural experiment on the effects of state government mandates for face mask use in public issued by fifteen states plus Washington, D.C., between April 8 and May 15, 2020. "
Now they certainly had a limitation in time because the study was done so early but still if they had revisited this same study much later, it might hold more weight.
"COVID-19 growth rates between March 31 and May 22, 2020" (Not a very big time frame to look at).
I don't have the list of the 15 states they have included, but that certainly could be a heavily biased selection.
(Found the appendix. Here are the states:
CT, DE, DC, HI, IL, KT, ME, MD, MA, MI, NJ, NM, NY, RI, UT).
Those states identified with early mandates are SUPER heavily biased to include states that had spring C19 seasonal peaks. Nowhere in the article or appendix is seasonality addressed. So it would follow that those locations would also see a decrease in cases as they were already past their initial seasonal peak. Timing and place in a seasonal outbreak curve is as or more important as timing of mandate. I could show you any number of charts and you wouldn't be able to guess when the mandate was put in place.
The time frame of the study is ridiculously early in the pandemic and testing levels were not sufficient during this period. Places that had an early spring peak were also more likely to enact earlier NPI's including mask mandates.
For example, North Carolina did not hit its first seasonal peak until July, so all throughout March->July cases were increasing mirror the case growth through the majority of the South.
Their simple conclusion is :
"As countries worldwide and states begin to relax social distancing restrictions and considering the high likelihood of a second COVID-19 wave in the fall/winter, requiring use of face masks in public
might help in reducing COVID-19 spread."
It is so early in the pandemic that they haven't even recognized we are about to catch a summer wave in the South. And the conclusion is just they "might" help, certainly not super conclusive evidence.
If there was a study that further incorporated the full summer and winter waves accounting for regional climate and geographical difference, maybe I find something compelling.
Again, I respect your opinion and the right of anyone to wear a mask who wants to. I wear one, as required, and do not create a fuss. I have just watched a years worth of empirical evidence myself and not seen any compelling evidence that they have successfully made a significant impact in the pandemic. I would have much rather seen FOCUSED and DIRECTED efforts.
Whether that is a focus on much higher level and quality of masking in ACTUAL risky environment where the iterative impact could be significantly higher or any number of other non-divisive focused interventions.