As the mask debate continues to circle around and around, one of the things that seems to need pointing out is that if you’re going to mandate wearing masks (which, it needs to be re-stated is a provincial and/or municipal decision and not a federal one), that is going to have to come with some sort of consequences for not adhering to rules for wearing it, and that’s where things get very sticky, and start getting into areas where civil liberties start getting at stake – and if there are to be no consequences for not adhering, then what’s the point of making them mandatory? So it’s not really as easy as you may think.
Meanwhile, here is infectious disease specialist Dr. Isaac Bogoch on why this is not a cut-and-dried discussion.
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Nobody is arguing that masks don't work at an individual level. They help reduce the probability of transmitting infection – we've known this long before #COVID19.Proximity and duration of exposure to an infected person are key factors, especially in indoor settings…
— Isaac Bogoch (@BogochIsaac) June 28, 2020
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*Build trust now before any possible mandate*We have a lull now in Canada. Now is the time to do this.
We may get a second wave in the fall/winter where mandates may be enacted depending on outbreak/location. Don't shoot your shot too soon (below).
— Isaac Bogoch (@BogochIsaac) June 28, 2020
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And if/when masks are mandated, give them away free of charge. *THIS IS AN EQUITY ISSUE*You cannot exclude people from interacting with the world around them. Some cannot afford or make a mask.
Check out this successful program: https://t.co/BObBZfHJHS
— Isaac Bogoch (@BogochIsaac) June 28, 2020
8/ Enforcement: Remember that disaster with Toronto By-Law officers handing out $880 fines for being in a park during the lockdown? Remember how well that turned out for public trust in public health? Yeah. Don't do this. If you think about mandating, how do you enforce?
— Isaac Bogoch (@BogochIsaac) June 28, 2020
10/ Enforcement III: Equity. There's that word again.
Just read the title:
"Millions of dollars in COVID-19 fines disproportionately hurting Black, Indigenous, marginalized groups: report"
Now forget fines, and think about access to transit & business.https://t.co/BLA5wS6VzD
— Isaac Bogoch (@BogochIsaac) June 28, 2020
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Science: Good luck with a reasonable discussion on twitter.Think about the incremental value of masks in *community* (not individual) settings. Look at assumptions & primary data in the models. Sadly they don't do as much as we would like. @AntibioticDoc knows what's up.
— Isaac Bogoch (@BogochIsaac) June 28, 2020
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In Canada, when you consider timing, current burden, geography, enforcement, practical measures, politicization, data, messaging/communication, and forecasting…now is not the time to mandate masks. We *may* get there (key word: "may"), but we are not there yet.— Isaac Bogoch (@BogochIsaac) June 28, 2020