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To wear or not to wear a mask in the COVID-19 era? The broken bridge between recommendations and implementation in Lebanon

机译:穿着或不穿在Covid-19时代的面具?黎巴嫩建议与实施之间的破碎桥梁

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摘要

At the beginning of the COVID-19 pandemic, the scientific community has been debating the use of face masks amongst the general public, sending conflicting recommendations. On one side, the World Health Organization (WHO) did not recommend using face masks as a preventive measure [1], in the absence of extensive scientific evidence on the matter. Till May 2020, there were no high quality controlled trials addressing the question of wearing masks by the general population as a protective measure to contain COVID-19. In the absence of evidence related explicitly to COVID-19, analogies were be made with similar types of viruses with high transmission rates, such as influenza or SARS. A recent meta-analysis looking into the effectiveness of the public’s use of non-pharmaceutical interventions in the transmission of influenza did not report supporting evidence for the use of face masks [2]. With the lack of strong evidence, the absence of supportive recommendations became more meaningful when considering the shortages of personal protective equipment, including face masks needed for health care workers worldwide.
机译:在Covid-19大流行的开始时,科学界一直在辩论一般公众之间的面部面具,发送冲突的建议。一方面,世界卫生组织(世卫组织)不建议使用面部面具作为预防措施[1],在没有关于此事的广泛科学证据。直到2020年5月,没有高质量的受控试验,解决了一般人群作为含有Covid-19的保护措施的佩戴面具的问题。在没有明确与Covid-19相关的证据的情况下,使用具有高传输速率的病毒进行类比,例如流感或SARS。最近探讨了公众在流感传播中使用非药品干预措施的有效性的荟萃分析并未报告使用面部面具的支持证据[2]。凭借缺乏有力的证据,在考虑个人防护装备短缺时,缺乏支持性建议将更加有意义,包括全世界医疗保健工作者所需的面部面具。

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