COVID-19 disease comparison masks vital differences

AAP FactCheck October 16, 2020
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An epidemiologist told AAP FactCheck that mask-wearing helps slow the spread of COVID-19. Image by AP

The Statement

An Instagram post1 questions the value of wearing a face mask to prevent COVID-19 by comparing the approach to that used for other diseases, such as influenza, tuberculosis and the common cold.

The post features an image of a woman wearing a mask and asks, "If you've never worn a mask for any of the following: Common cold, influenza, diphtheria, whooping cough, pneumonia, tuberculosis, bronchitis, Then ask yourself, Why are you wearing one now?"

At the time of publication, the post by an Instagram user who lists New Zealand as their location has been viewed more than 1000 times.

An Instagram post
A post compares wearing a face mask to prevent COVID-19 with other diseases such as the common cold.

The Analysis

The Instagram post is one of many on social media - see examples here2, here and here - that dismiss the utlitity of mask-wearing to protect against COVID-19 by questioning why the face coverings aren't also worn for the prevention of other infectious diseases.

However, the diseases listed in the post have either effective vaccines or treatments available,or cause few deaths, unlike COVID-19.

While testing and development for a vaccine is underway, the World Health Organization currently advises3 that there are no medicines that have been shown to either prevent or cure COVID-19.

Of the diseases mentioned in the post, most have some form of medical treatment or vaccine available. There are multiple preventative vaccines for flu4 and whooping cough5, and there are effective treatments for diphtheria6 and tuberculosis7.

Professor Michael Baker8, an epidemiologist and a member of the New Zealand government's COVID-19 Technical Advisory Group9, noted that COVID-19 is a new, fast-spreading virus that is "highly infectious and relatively dangerous". 

"Because (COVID-19) is a new virus, most people are not immune, so it has the potential to infect a large proportion of the world's population resulting in a high burden of death and disease," told told AAP FactCheck in an email.

"Masks are one of the few tools we have available to limit transmission of this virus between people, hence their widespread use."

Patricia Priest, an associate professor of Epidemiology at the University of Otago10 and also a member of the COVID-19 advisory group11, said mask-wearing can slow the spread of COVID-19 to prevent healthcare networks from being overwhelmed. 

"It's because of the wider context - i.e. the number of cases (and associated impacts) that would result from this virus spreading widely in a fully susceptible population," she told AAP FactCheck

"With influenza, for example, there is a vaccine which reduces the risk of infection in a large proportion of the population and so the impact of masks as a protection is arguably less important." 

The Instagram post includes a reference to tuberculosis, which is one of the top-10 causes of death worldwide and in 2019 was the leading cause of death from an infectious agent12. Tuberculosis is spread by a bacterium13, not a virus, and is also curable14.

"Respiratory infections such as TB fortunately don't cause fast-moving pandemics," Prof Baker told AAP FactCheck.

The CDC has also recommended that anyone suspected of having seasonal influenza wear a mask15 in healthcare settings until they can isolate to prevent spreading the infection. 

"Masks have also been widely used by the public in some societies for decades to protect themselves from infections, particularly at times where people are in crowded environments such as public transport," Prof Baker said. 

"For less-serious respiratory infections, such as rhinoviruses that cause many common colds, mass masking would not usually be justified."

Even before COVID-19, mask-wearing was common in parts of Asia, notably in Japan16 and also China during the 2002-03 Severe Acute Respiratory Syndrome (SARS) outbreak17. The wearing of masks can even traced back as far as a 1910 Manchurian plague in China18.

Similar claims comparing mask-wearing responses for tuberculosis and COVID-19 have been debunked here19, here20 and here21

A woman wearing a face mask walks past a statue with a face mask.
An epidemiologist told AAP FactCheck that mask-wearing helps slow the spread of COVID-19.

Experts told AAP FactCheck that wearing a face mask provides individual protection against COVID-19 and helps to slow transmission in the community.

False – The primary claims within the post are inaccurate. 

* AAP FactCheck is accredited by the Poynter Institute's International Fact-Checking Network, which promotes best practice through a stringent and transparent Code of Principles. https://aap.com.au/

Sources

  1. https://archive.is/Y4C3s
  2. https://archive.is/ncIsy
  3. https://www.who.int/news-room/q-a-detail/q-a-on-on-covid-19-for-older-people#:~:text=While%20some%20western%2C%20traditional,research%20results%20become%20available.
  4. https://www.cdc.gov/flu/prevent/different-flu-vaccines.htm
  5. https://www.cdc.gov/vaccines/vpd/pertussis/index.html
  6. https://www.immune.org.nz/diseases/diphtheria
  7. https://www.cdc.gov/tb/topic/treatment/tbdisease.htm
  8. https://www.otago.ac.nz/wellington/departments/publichealth/staff/otago024831.html
  9. https://www.health.govt.nz/about-ministry/leadership-ministry/expert-groups/covid-19-technical-advisory-group
  10. https://www.otago.ac.nz/dsm/people/expertise/profile/index.html?id=784
  11. https://www.health.govt.nz/about-ministry/leadership-ministry/expert-groups/covid-19-technical-advisory-group
  12. https://www.who.int/tb/publications/global_report/tb19_Exec_Sum_12Nov2019.pdf?ua=1
  13. https://www.health.govt.nz/your-health/conditions-and-treatments/diseases-and-illnesses/tuberculosis-disease
  14. https://www.who.int/health-topics/tuberculosis#tab=tab_3
  15. https://www.cdc.gov/flu/professionals/infectioncontrol/maskguidance.htm
  16. https://www.japantimes.co.jp/news/2020/07/04/national/science-health/japans-history-wearing-masks-coronavirus/
  17. https://www.tandfonline.com/doi/full/10.1080/09581596.2014.923815?src=recsys&
  18. https://www.tandfonline.com/doi/full/10.1080/01459740.2017.1423072
  19. https://healthfeedback.org/claimreview/comparisons-of-tuberculosis-and-flu-with-covid-19-omit-important-context-that-explains-the-different-public-health-responses/?fbclid=IwAR2A6XLMNRWF3w_MuVEhBbS0FgUds6rNrCJLmFF1tFLal5wFPmFgYGZGoL0
  20. https://www.politifact.com/factchecks/2020/sep/18/viral-image/post-misleads-about-covid-19-using-tuberculosis-da/
  21. https://www.reuters.com/article/uk-factcheck-covid-tb-idUSKCN25F16X

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