Masks: Still a Great Stocking Stuffer
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/ Categories: WELLNESS, 2021

Masks: Still a Great Stocking Stuffer

While we had all hoped to ditch the masks long ago, with Delta still going strong and the slow inevitable approach of Omicron, we could go on needing them for a while longer. And a lot has changed since we first started talking about masks. Here are the updates you need as you get (or give) masks this holiday season.

Go for fit first. Coming up on almost 2 years of the COVID pandemic, we know things now that we didn’t know in the beginning. For instance, the most important thing about a mask is how well it fits. If it gaps at the top, sides, or bottom, it’s not working as well as it should. Try twisting or knotting the ear loops to make it tighter or swap it out for a better fitting mask.

Next, evaluate comfort. The best mask for you is the one that you can wear for the entire grocery trip or shift comfortably and without having to readjust. If you do touch your mask, wash or sanitize your hands.

Medical-grade masks are OK. At the beginning of the pandemic, medical professionals were urging members of the public not to purchase medical-grade masks—including surgical masks and N95s—because they were in short supply. Thankfully, the supply issues for personal protective equipment have been resolved. Medical professionals have all they need, and there are additional ones available in stores. Surgical masks and N95s are more effective germ blockers than cloth masks, so they are much better for travel and other situations where you cannot avoid a crowd.

Any mask is better than no mask. Some things have not changed. Vaccination is the #1 COVID-mitigation strategy. Wearing a mask, any mask, in public, around unvaccinated people, and around people whose vaccination status you do not know is still an important way to protect yourself and others from COVID.

With our vaccinations, boosters, masks, avoiding crowds, washing our hands, and staying home when we are sick, we will all be more likely to have a joyful holiday season and a happy new year, in spite of what COVID throws at us.

Donna Barron, RN, is the infection preventionist at Southwestern Vermont Medical Center, part of Southwestern Vermont Health Care in Bennington.

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Moving Forward Safely

One of the most frustrating and anxiety-producing traits of our COVID –19 pandemic is how much uncertainty is involved in all aspects of this disease. Symptoms caused by the Coronavirus, age groups affected, the usefulness of medications, anticipated death rate, and the timeline for development of a vaccine are examples of information that sometimes change on a weekly basis.

Vermonters have done a great job of limiting the spread of the virus and protecting our most vulnerable neighbors by following the Governor's "Stay Home, Stay Safe" order over the past few months. Now, we've all been directed to wear masks in public. Both Bennington and Wilmington's Select Boards have passed local mandates requiring masks in public places. Thanks to these efforts—along with distancing, handwashing, and other factors—Vermont is among the states with the fewest number of infections. Continuing each of these important infection-prevention strategies is crucial to returning to a more normal way of life.

As we open up and begin to re-connect, we fully expect to see a rise in COVID –19 cases in Vermont. Thankfully, we have had time to prepare for this increase. We also have adequate PPE, and increased testing will help us gather crucial information for stemming the spread with less disruption to our normal lives.

More than ever, I find it helpful to focus on what we have learned and how it can help us move forward safely. Here is some of what we have learned so far: Most large hospitals, often treating over 1000 COVID patients daily, effectively protected their workers by obsessively following the rules of screening, hygiene, distancing, and masking. Each of these components is designed to work together; Each alone has its inherent limits.

  • Absent quick testing at the workplace, the best screening is asking employees if they have COVID-like symptoms (fever, chills, new cough, shortness of breath, sore throat, loss of taste or smell) and to stay home if they do.
  • Washing our hands (or using sanitizer) after touching well-handled items or visiting populated areas. Washing your hands 10 times daily is not too often.
  • Though an uncovered sneeze or cough can travel farther, 6 feet distancing continues to be the sweet spot for safety.
  • Masks (double layer cotton and surgical) are effective to prevent spreading of large and some small droplets containing virus. They also seem to give some minimal protection to those wearing a mask. Since possibly 40 percent of transmission happens when we do not have symptoms, we wear our masks to protect others and to suppress overall infection rate. They also help many people (not all) to avoid touching their face. The downside is a warm chin; the upside is you may be protecting someone from a significant illness. Masks are not a symbol of government intrusion. Masks are simply a tool to protect others and show empathy.

It is difficult to predict how many COVID-19 infections will occur in our communities in the coming months. What I am certain of is that our choices, on where we go and what we do, often affect the safety of those around us. As we learn to live with this virus in our community, following the recommendation above will help us all.

Marie George, MD, is SVMC’s infectious disease specialist.

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