covid cases in states with mask mandates vs without

Yes Models were unadjusted, adjusted for no mask policy (Model 1), and adjusted for no mask policy in previous month, no stay-home order, >15% population non-Hispanic Black, >15% population Hispanic, median age >40 years, population density > 200/square mile (Model 2). California tested a larger share of its population at the peak of its omicron surge than Florida did, and Florida's positivity rate was higher, which suggests that Florida missed a larger share of infections than California. https://doi.org/10.1371/journal.pone.0249891, Editor: Wen-Jun Tu, Chinese Academy of Medical Sciences and Peking Union Medical College, CHINA, Received: January 12, 2021; Accepted: March 26, 2021; Published: April 14, 2021. After reopening early, some Sun Belt states, including Arizona and Texas, imposed restrictions again after case counts climbed. We thank Drs. The requirement is expected to be lifted on March 1. While mandates required shoppers to don masks before entering supermarkets, for example, the risk of transmission in such settings is low, given the amount of time customers usually spend in them, the size of the air space, and typically wide distances between patrons. The resurgence was blamed on people disobeying the mandates, never mind the surveys showing widespread compliance. https://doi.org/10.1371/journal.pone.0249891.t002. Illinois will lift its face mask requirement on Feb.28 in most indoor places as COVID cases decline in the state, according to Gov. But then Fauci, like the CDC and the WHO, bowed to political expediency and media hysteria. As indicated on the graph, surveys during the pandemic showed that fewer than 10 percent of Swedes bothered to wear masks. Ron DeSantis issued an executive order May 3, 2021. that barred local governments and school systems from imposing COVID-19 restrictions, including mask rules. North Dakota, for example, made few efforts to contain the virus. When Can I Travel Again After Being Fully Vaccinated? Even Greenpeace now admits the obvious: recycling doesnt work. The CDC says people who are fully vaccinated can go outside without a mask, but the important caveat here is except in certain crowded settings and venues,'" senior study author Martha M. Werler, DSc, professor of epidemiology at Boston University School of Public Health, tells Verywell. The black line on the graph shows the weekly rate of Covid cases in all the states with mask mandates that week, while the orange line shows the rate in all the states without mandates. Our research examines mask wearing policy and adherence in association with COVID-19 case rates. Mr. Hale said the Oxford data makes it clear that acting quickly and forcefully is the best shot governments have to combat the virus. The study also found a statistically significant increase in the rate of COVID-19 infections and deaths starting 40 days after indoor or outdoor dining at restaurants was allowed. Of note, there were no states with 75% in September. Germanys stringent policies have made it a consistent media darling. Methodology, Nevertheless, it is possible that average mask adherence in a given month does not capture the most effective time period that influences COVID-19 rates. The Department of Homeland Security Turns 20. Werler and her team used the COVID-19 U.S. State Policy Database to collect policy and demographic data from all 50 states and the District of Columbia. "Unfortunately, the virus hasnt gone away and is still easily transmissible. But there are still settings where wearing your mask is crucial. Yes If this hasnt persuaded you to take off your mask, you can find lots more reasons in a book by Ian Miller, the data analyst who created the graph for City Journal. But "few studies assessed compliance to mask wearing policies or controlled for the possible influence of other preventive measures such as hand hygiene and physical distancing.". No, Is the Subject Area "Conservation science" applicable to this article? Our analyses took into consideration the delayed effect of mask wearing and policies on COVID-19 health outcomes. The claim that a CDC study found face masks to have a negligible effect on the spread of COVID-19 is FALSE. As of Aug. 3, Louisiana is under a temporary statewide mask mandate required of all people, including those who are vaccinated, when indoors. Centers for Disease Control and Prevention. https://doi.org/10.1371/journal.pone.0249891.s001. The pandemic planners at the United Kingdoms Department of Health had reached a similar conclusion: In line with the scientific evidence, the Government will not stockpile facemasks for general use in the community. Anthony Fauci acknowledged this evidence early in the pandemic, both in his public comments (Theres no reason to be walking around with masks, he told 60 Minutes) and in his private emails (I do not recommend you wear a mask, he told a colleague, explaining that masks were too porous to block the small Covid virus). In fact, it doesn't study mask efficacy at all. While it controlled for other policies that have been used to try to mitigate new infections from the coronavirus including bar closures, stay-at-home orders and bans on gatherings of 10 or more people it did not account for some others, such as physical distancing recommendations and other types of business closures. Since July 27, 2020, individuals had been required to wear a mask or face covering in the state when visiting public indoor spaces and when unable to maintain a 6-foot distance from. New infections have stayed among the lowest in the country, adjusted for population though cases now are rising in New York as they are everywhere. Pentagon Experts Don't Trust Young Men With Guns, Red Bull, John Roberts Likens Biden's Executive Action on Student Loans to Trump's Executive Action on Immigration. All reviews and studies included in this document report on data collected in a time period prior Charlie B. Fischer, Jocelyn Solis-Moreira is a journalist specializing in health and science news. Swedens initial Covid surge was blamed on those lax policies, but Sweden stuck to them and actually discouraged masks in most situations. Despite an early outbreak, South Korea flattened the curve with aggressive testing and contact tracing, as well as widespread mask wearing. Mask mandates are associated with reductions in COVID-19 case and hospitalization growth rates (6,7), whereas reopening on-premises dining at restaurants, a known risk factor associated with SARS-CoV-2 infection (2), is associated with increased COVID-19 cases and deaths, particularly in the absence of mask mandates (8). Experts interviewed by USA TODAY said the One America News Network had "misinterpreted" or "mischaracterized" the findings of the CDC study. So theres a need to make decisions and be decisive, Dr. El-Sadr said. Ashish Jha, dean of Brown University's School of Public Health, notes that the graph for California, which required masks in indoor public settings beginning on December 15, is "strikingly similar" to the graph for Florida, which had no mask mandates. No, Is the Subject Area "United States" applicable to this article? The mandates typically began early in the pandemic in 2020 and remained until at least the summer of 2021, with some extending into 2022. Even as more and more states encourage or even mandate mask wearing, many citizens sti That second observation requires a caveat, since testing rates affect the number of cases that are recorded. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. We calculated the average mask use percentage by month for AprilSeptember, 2020. They continued to fall over the 100 days analyzed in the study. For all 50 states and the District of Columbia (DC), these data were abstracted by month for April September 2020 to measure their impact on COVID-19 rates in the subsequent month (May October 2020). There's little evidence that mask mandates are the primary reason the pandemic waves eventually fallthough much of the outrage over lifting mandates is based on that assumption. Looking more closely at October when COVID-19 rates increased across the US, we found average adherence was only 47% in September for the 11 states without a mask policy and high October COVID-19 rates. Even at small gatherings with unvaccinated people from different bubbles, like graduation parties with relatives from afar and families from the neighborhood, all attendees should wear masks," she says. For each month, the distributions of mask adherence across all 50 states and D.C. were categorized into quartiles, meaning the cut-off values for each quartile may be different from one month to another. When cases first peaked in the United States in the spring, there was no clear correlation between containment strategies and case counts, because most states enacted similar lockdown policies at the same time. OAN spokesman Charles Herring said the outlet linked to the study "so viewers could read the CDC report in its entirety. The Centers for Disease Control & Prevention (CDC) recently relaxed their COVID-19 guidelines, allowing fully vaccinated people to forego masks outside. However, the COVID-19 rates continued to be higher in places with low mask adherence. Of the 15 states with no mask policy from April through September, 14 reported high COVID-19 rates in at least one month from May to October. | Sources: Oxford Covid-19 Government Response Tracker, closing bars, restaurants, gyms, theaters and schools, one in 10 North Dakotans have tested positive. Now, Midwestern states have among the worst outbreaks. The three COVID-19 vaccines authorized by the FDA are also helping slow COVID-19 rates, allowing for the easing of restrictions. U.S. Centers for Disease Control and Prevention, March 5, ", U.S. Centers for Disease Control and Prevention, Nov. 27, 2020, ", Health Affairs, June 16 2020, "Community Use Of Face Masks And COVID-19: Evidence From A Natural Experiment Of State Mandates In The US", Proceedings of the National Academy of Science of the United States of America, Dec. 3, 2020, ", U.S. Centers for Disease Control and Prevention, Feb. 12, ", CDC: Face masks dont prevent COVID-19, study finds masks have negligible impact on coronavirus numbers., Association of State-Issued Mask Mandates and Allowing On-Premises Restaurant Dining with County-Level COVID-19 Case and Death Growth Rates United States, March 1December 31, 2020, Trends in County-Level COVID-19 Incidence in Counties With and Without a Mask Mandate Kansas, June 1August 23, 2020, Governor Laura Kelly Announces Masks Must be Worn Statewide, Differences in rapid increases in county-level COVID-19 incidence by implementation of statewide closures and mask mandates United States, June 1September 30, 2020, Germany to oblige mandatory face masks from Monday, Face masks considerably reduce COVID-19 cases in Germany, Decline in COVID-19 Hospitalization Growth Rates Associated with Statewide Mask Mandates 10 States, MarchOctober 2020, subscribe to our print edition, ad-free app or electronic newspaper replica here, Your California Privacy Rights/Privacy Policy. A recent study shows that states with high levels of mask-wearing reported fewer COVID-19 cases last summer. For now, relaxing some mask guidelines while staying vigilant is the government's compromise. This pattern of magical thinking persisted throughout the pandemic, as Miller demonstrates in dozens of graphs contrasting conventional wisdom with cruel reality. The claim that a CDC study found face masks to have a negligible effect on the spread of COVID-19 is FALSE. For mask adherence, the cut-off values for the low and high quartiles were 31% and 46% in June, 53% and 72% in July, 55% and 71% in August, and 55% and 68% in September. What theyre looking at here is efficacy of mask mandates. Currently, patients, visitors and staff members at UCHealth are required to wear a mask at all times. When Youve Been Fully Vaccinated. Yes Gavin Newsom ordered the nation's first statewide shutdown because of the coronavirus, masks remain mandated, indoor dining and other activities are significantly limited, and Disneyland remains closed. The adoption of universal masking policies is increasingly polarized and politicized, demanding that public health authorities balance the values of health and individual liberty. We did estimate odds ratios for mask adherence within subgroups of states with and without mask policy. A couple weeks into those lockdowns, countries with new restrictions may be seeing results: The rate of new daily cases has begun to level off or drop in France, Spain, Germany and Italy, though it continues to rise in the United Kingdom. The cumulative rate of infection over the course of the pandemic was about 24 percent in the mandate states as well as in the non-mandate states. Parents have pushed for the mask mandate to be lifted for a number of reasons. Yes Jacob Sullum is a senior editor at Reason. Yes But the surge is worst now in places where leaders neglected to keep up forceful virus containment efforts or failed to implement. Mandating masks gave the illusion of doing something against the virus. PLoS ONE 16(4): Even as more and more states encourage or even mandate mask wearing, many citizens still resist the notion. "The probability of becoming a rapid riser county was 43% lower among counties that had statewide mask mandates at reopening," the researchers reported. The mandate will still require masks where . In contrast, average adherence was 68% in the 15 states with lower COVID-19 rates in October and any mask policy in September. Of course, many other factors are could be at play, like the possibility of cooler weather driving non-adherent persons to indoor gatherings. We calculated the number of new cases in each month, for each state and D.C. Rates were the number of new cases divided by the population in 2019. We classified a state and D.C. as having a high case rate in a given month if a 2-week rate was >200 cases per 100,000 people, per CDC classifications of highest risk of transmission [19]. Explaining the justification for lifting mask requirements, governors and public health agencies generally have cited the precipitous decline in daily new cases since mid-January. The current study . An Annals of Epidemiology study published last May found that mask mandates in the United States were associated with lower transmission rates from June through September 2020. Could be at play, like the CDC and the WHO, bowed to expediency... Places with low mask adherence the curve with aggressive testing and contact tracing, as Miller demonstrates in dozens graphs. Percentage by month for AprilSeptember, 2020 Being Fully Vaccinated people to forego masks outside average adherence 68. Surge was blamed on those lax policies, but Sweden stuck to and! 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