The mask of ignorance

Specifically, Cochrane found, “Wearing masks in the community probably makes little or no difference to the outcome of influenza-like illness (ILI)/COVID-19 like illness”—or “to the outcome of laboratory-confirmed influenza/SARS-CoV-2”—“compared to not wearing masks.” Moreover, “The use of a N95/P2 respirators compared to medical/surgical masks probably makes little or no difference for the outcome . . . of laboratory-confirmed influenza infection.” Each of these claims was made with “moderate certainty,” the second highest of four certainty classifications. (“Moderate certainty” means that “the true effect is likely to be close to the estimate of the effect.”)

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The mask advocates’ grasping-at-straws response to this review has been that Cochrane doesn’t know what it’s doing (despite its “worldwide” reputation for providing “the highest standard” of medical research). Or they say that Cochrane produced a fine study, but people didn’t read it correctly. Or randomized controlled trials aren’t to be trusted when it comes to masks (RCTs are universally considered the gold standard in medical research). Or we need more and better RCTs on masks, though 16 have already been conducted on surgical or cloth masks, none of which has provided compelling evidence that they work.

The mask advocates’ refusal to recognize that medical science does not support their steadfast belief is truly remarkable. Clearly, something more is going on here than a genuine debate about which health-care measures work.

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