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How close can you get with masks on? Your mask questions answered – CBC.ca

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We’re answering your questions about the pandemic. Send yours to COVID@cbc.ca, and we’ll answer as many as we can. We publish a selection of answers online and also put some questions to the experts during The National and on CBC News Network. So far, we’ve received more than 55,000 emails from all corners of the country.

Most of us are wearing masks a lot, and winter is approaching. That’s led CBC readers to send us new, more detailed and more seasonal questions about wearing masks to protect against the spread of COVID-19. We checked in with experts for the answers. (You can also check out our previous mask FAQs, including questions such as: Is heat needed to clean reusable masks? Can I use a mouth shield instead of a mask? And can I reuse disposable masks?)

If we’re wearing masks, do we still have to distance?

Yes, distancing is still required, as regular medical and non-medical masks only reduce the number of particles from your nose and mouth. They don’t eliminate them, says Dr. Anand Kumar, associate professor of medicine at the University of Manitoba in Winnipeg. (Respirator masks such as N95s do a much better job of filtering particles.)

While most masks reduce particle spread by about 80 per cent, “that leaves 20 per cent of particles still going out. How far? Nobody really knows,” he told CBC News.

But the greater the distance, the greater the protection, whether you’re wearing a mask or not. Doubling the distance between you and another person reduces the viral particles reaching you about eightfold, Kumar said. And wearing a mask should cause the larger, most-infectious particles to drop close to an infected mask wearer before they can reach another person.

So, how close can you get if you’re both wearing masks?

There’s no definite answer, says Martin Fischer, an associate professor of chemistry at Duke University in Durham, N.C., who has studied how to measure the effectiveness of different masks. That’s because the risks depend on so many factors, such as how well the masks worn by each person stop particles and how long you interact.

Kumar and other experts note that approaches such as masking and distancing should be thought of as “layers” of protection that are “worn” together and aren’t replacements for one another.

“It’s not one or the other … it’s as many as you can do that gives you maximum protection.”

Ian McKay, an Australian virologist, illustrates this using the analogy of Swiss cheese — the virus can make it through the holes in some slices, but if you have many layers, it won’t get through the whole block of cheese.

Is it safe to kiss someone if we’re both wearing masks?

That’s probably not a good idea.

Canada’s chief public health officer has advised Canadians to skip kissing and wear a mask when getting intimate with a new partner to protect yourself from the coronavirus.

If you lean in very close — like you would for a kiss — you could unintentionally exchange droplets from breath around the sides of a mask, explained Colin Furness, an infection control epidemiologist at the University of Toronto, which could lead to transmission of the virus. 

With many parts of the country experiencing increased community transmission, Sumon Chakrabarti, an infectious disease physician with Trillium Health Partners in Mississauga, Ont., said it is best to follow local public health guidelines, which include minimizing close contact with people outside your immediate household.

WATCH | Doctors answer questions about what activities and places are higher risk for COVID-19

Two infectious disease doctors answer viewer questions about high-risk settings for COVID-19 transmission and how data about transmission could help people make decisions about how to live their lives. 6:11

Is there any evidence that masks protect the wearer at all?

It depends on the mask.

There are two main categories of masks:

  • Respirators such as N95s, which do protect the wearer and are therefore worn by medical staff who treat COVID-19 patients. 

  • Regular surgical or non-medical masks, which are designed mainly to stop particles exhaled from your nose or mouth from getting too far from you.

Studies show that those regular masks are very good at filtering particles leaving the mouth and nose of the wearer, as they tend to block larger particles more effectively. That’s how they protect the people around you if you’re infected.

But yes, there is some evidence that they can protect the wearer, too, including a metanalysis of 172 previous studies published this spring.

Lab experiments suggest they can block roughly 80 per cent of viral particles from entering your nose and mouse, and that can reduce the dose and therefore the severity of COVID-19 infection if you do become infected. 

There’s even better evidence that when most people wear masks, everyone is protected

“We’re seeing, as we put all the data together, that masks can be broadly helpful in reducing transmission from person to person outside of health-care settings and even just in the general community,” said Dr. Suzy Hota, medical director for infection prevention and control at the University Health Network in Toronto.

Which spews more droplets, my nose or my mouth?

That depends on whether you’re breathing, talking, sneezing or coughing. Shouting, cheering and singing all produce more droplets than breathing or talking, and those particles come mainly out your mouth. And coughing, mainly from your mouth, can propel droplets more than two metres.

But sneezing can propel particles, mainly from your nose, up to eight metres, studies show.

On the other hand, it’s not just the quantity of droplets that matters but also how infectious they are. Studies of COVID-19 patients have found higher amounts of virus in the nose than in the throat.

WATCH | Can I leave my mask under my chin when not using it?

An infectious disease physician answers viewer questions about the COVID-19 pandemic including whether it’s safe to pull a mask around the chin when it’s not in use. 2:18

So, can I wear my mask under my nose?

No. Wearing a mask below your nose defeats its purpose.

That’s because masks and face coverings are supposed to reduce coronavirus-spreading respiratory droplets, and the virus can both exit (see previous question) and enter via your nose.

In places where masks are mandatory, policies usually specify that they need to cover your nose. For example, Quebec’s regulation says a mask needs to cover the nose and mouth while Ontario’s says it needs to cover the mouth, nose and chin.

Does a winter scarf, neck warmer or balaclava count as a face covering? 

Generally, yes, they’re permitted as face coverings under mandatory mask bylaws as long as they cover the required parts of your face (see previous question).

But are they as effective?

Newfoundland and Labrador’s health ministry notes that scarves and other cloth face coverings may be less effective than non-medical masks. Fischer’s study in September showed that many scarves, balaclavas, bandanas, neck fleeces and neck gaiters are not very effective at blocking respiratory droplets compared to masks as they’re too thin or porous. In fact, some neck fleeces and neck gaiters tend to break large droplets into smaller ones, creating more particles that stayed airborne longer and potentially increasing viral transmission.

Scarves and neck warmers also generally don’t meet the recommendations that the Public Health Agency of Canada has for face coverings, such as fitting securely to the head with ties or ear loops and being made of at least two layers of tightly woven material fabric, such as cotton or linen. 

Toronto Public Health recommends that when wearing a face covering that doesn’t cover the mouth, nose or chin without gaps a face mask should be worn underneath.

WATCH | Are you making these face mask mistakes?

A face mask is meant to limit the spread of COVID-19. But if it slips below your nose, hovers around your chin, or you touch the outside with your hands, medical experts say that might be riskier than not wearing one at all. 3:56

Is a damp or frozen mask less effective? 

Multiple experts we talked to said it’s not really known whether masks are less effective when damp or frozen.

However, when it comes to N95 masks, the electrostatic filter stops functioning if it gets soaking wet, says Dr. Allison McGeer, infectious diseases specialist at Toronto’s Mount Sinai Hospital.

Regardless of whether filtering abilities are affected, damp or frozen masks tend to be more difficult to breathe through, notes Conor Ruzycki, a University of Alberta doctoral candidate in Edmonton who has done research on the filtration abilities of homemade masks. 

Wet masks can also provide an environment for bacteria to grow, he and other experts said.

“For these reasons, it’s a good idea to replace a wet or frozen mask with a fresh and dry one,” added Ruzycki, who volunteers with Masks4Canada, a group that advocates for mandatory mask laws.

“With winter coming, consider carrying an extra mask or two to change into if you find your mask freezing up or becoming water-logged.”

WATCH | How to wear and care for masks

Glasses fog up? Not sure how often to wash the mask? CBC’s Tina Lovgreen demonstrates how to wear a mask safely. 1:51

Is it safe to share cloth masks? 

Yes, if they’re clean.

“Sharing masks is not risky if they are well washed,” said Furness. Health Canada recommends washing them on a hot cycle and then drying thoroughly.

But even with good laundering, Dr. Sumon Chakrabarti noted that masks are pretty intimate items to be swapping with others.

“Think about it like sharing well-washed underwear,” Chakrabarti said. “Safe, yes. Gross, also yes.”

As masks are so widely available now, he said it’s a better option to use your own. 

A pedestrian wears a face mask in Frankfurt. Most experts recommend that masks cover the nose and mouth to prevent droplets travelling from a person infected with coronavirus to others nearby. (Ralph Orlowski/Reuters)

Is it true that masks can make you sick?

That’s unlikely if you keep your masks clean and change them as needed, experts say.

But if you allow them to get damp and don’t change or clean them, then wear them for a long time, bacteria can grow in them (but not viruses, which can’t reproduce outside the body.) 

That can cause masks to get smelly but wouldn’t necessarily be harmful, says Kumar.

However, Furness has previously said that studies have found that wearing the same mask all day can lead to an increase in respiratory infections.

In general, public health officials recommend changing masks when they become damp or dirty.

Some CBC readers have also written in worrying that wearing masks could reduce oxygen levels or cause a buildup of carbon dioxide, but experts say there’s no evidence that they can do that.

WATCH | Masks and oxygen levels

An infection control specialist answers questions about the COVID-19 pandemic, including whether wearing a mask affects your oxygen levels. 3:32

Is my choice not to wear a mask protected under the Charter of Rights and Freedoms?

It’s not so straightforward. Cara Zwibel, a lawyer for the Canadian Civil Liberties Association, says that an argument could be made under freedom of expression.

“Like with any piece of clothing, there’s this argument that people use what they wear and their appearance to express who they are,” said Zwibel.

But when it comes to charter rights, the government can restrict them if they do so in a way that is reasonable and justified.

“Given the circumstances of the pandemic and the importance of the objective of curbing the spread of COVID-19, a mere preference not to wear a mask likely would not be protected,” said Joanna Baron, executive director of the Canadian Constitution Foundation in Calgary. a non-profit organization that argues charter cases in court.

For someone who says they are unable to wear a mask for medical reasons, Zwibel says, it depends on the situation, but a case could be made under equality rights.

“If someone was treated differently or couldn’t access a government service because of a medical issue that precluded them from wearing a mask, then there would be a potential equality issue.”

Masks are required in stores across much of Canada. If a customer isn’t wearing a mask, staff are advised to ask if they have a medical reason for not being able to wear a mask. (Guy Quenneville/CBC)

As a business owner or retail employee, how should you approach customers not wearing a mask?

First, you should approach the customer and ask if they have a medical reason for not being able to wear a mask. If they say they do, you’ll have to take their word for it.

“A mere statement by an individual that they qualify for an exemption from a mandatory mask order is sufficient. They do not need to produce medical proof,” Baron said.

The Ontario Human Rights Commission recommends everyone involved should be flexible in the situation and explore whether individual accommodation would suffice.

What that accommodation might look like would vary based on the type of business or service, the medical reason precluding the customer from wearing a mask and the current government directives during the pandemic. It could be something as simple as a curbside pickup arrangement.

WATCH | How to stay safe from COVID-19 on a plane

An infectious disease specialist and a respirologist answer viewer questions about the coronavirus pandemic including how to reduce the risk of getting COVID-19 on an airplane. 4:29

What’s the best mask to wear on a plane?

For any setting, including an airplane, the Public Health Agency of Canada recommends any mask that covers the nose and mouth, can be secured to the head comfortably, allows for easy breathing and does not require frequent adjustment.

According to the Canadian Air Transport Security Authority website passengers must wear coverings that are properly secured and cover the mouth and nose and are made of at least two layers of tightly woven fabric, such as cotton or linen, which most on the market are.

Here’s what types of face coverings you don’t want to show up to the airport with:

  • A face shield without a proper mask underneath.

  • A mask with an exhalation valve or vent.

  • Neck gaiters or bandanas.

  • Militaristic masks such as gas masks.

  • Face coverings that cover the entire face. 

Ruzycki says properly fitted N95 respirators do provide more protection against airborne particles than regular cloth or surgical masks, but he doesn’t recommend them because the risk of COVID-19 transmission on an airplane is relatively low and there is a shortage of N95 masks.

“Until we can guarantee that health care and frontline workers who face constant exposure to SARS-CoV-2 have regular and consistent access to N95 respirators, it’s a good idea for the public to use well-designed and well-fitted cloth and surgical masks.”

Some studies have also shown that N95 masks are uncomfortable when worn for long periods of time, he said, especially if you’re not used to them.

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B.C. records 12 more COVID-19 deaths as top doctor warns against non-essential travel – ThePeterboroughExaminer.com

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VICTORIA – British Columbia’s top doctor says COVID-19 cases have levelled off in the Fraser and Vancouver Coastal health regions, but they’ve been rising in the North, Interior and to a lesser extent on Vancouver Island.

Dr. Bonnie Henry said Wednesday there is some variability in how the illness is spreading in different areas, but social interactions are driving transmission across the province.

Another 12 people have died in B.C. after contracting the novel coronavirus, while the province reported 834 new cases.

Of the latest cases, 529 are in the Fraser Health region, 174 are in the Vancouver Coastal Health region, 66 are in the Interior, 45 are in the North and 20 are on Vancouver Island.

The illness is still spreading quickly, said Henry, and while health restrictions on social gatherings and other activities are set to end Monday, it’s possible the rules could be extended.

Henry is urging people to avoid travelling for non-essential purposes, noting an adult hockey team from the Interior went to Alberta and its members spread COVID-19 in their community when they returned.

“I know that people feel like, ‘Oh it will be OK, we’ve not had any virus here, we’ll be fine.’ But this is just another cautionary tale that right now, you cannot take these types of licence from the restrictions that we’ve put in place for all of our safety,” she said.

“Making an exception for yourself or for your team or for your recreational needs puts a crack in our wall, and we see that this virus can exploit that very easily at this time of year.”

It’s crucial that anyone coming to B.C. over the holidays follows public health rules, Henry added.

“I cannot stop you by an order (from) getting into your car or going on to a plane, but I am asking in the strongest of terms for us to stay put.”

Henry also addressed what she called a small, vocal minority of people who are pushing back against public health rules.

“This is very real. Ask any of the families who have lost a loved one how real this is.”

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There are 8,941 active COVID-19 infections in B.C., including 337 people who are in hospital, and more than 10,200 people are being monitored after exposure to a known case.

This report by The Canadian Press was first published Dec. 2, 2020.

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What you need to know about COVID-19 in B.C. for Dec. 4 – CBC.ca

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THE LATEST:

  • Daily update on numbers expected in a written statement around 3 p.m. PT.
  • Health officials announced 694 new cases Thursday, as well as 12 more deaths.
  • There are now 9,103 active cases of COVID-19 across B.C.
  • 325 patients are in hospital, with 80 in intensive care.
  • 481 people have died of the disease since the pandemic began
  • New restrictions mean indoor and outdoor adult team sports are banned, kids’ sports limited.

Though B.C.’s active caseload continues to grow and the death toll keeps rising sharply, there is light at the end of the tunnel with news that COVID-19 vaccine rollout is expected to begin in the first week of January.

On Thursday, Provincial Health Officer Dr. Bonnie Henry said the first shipments of vaccines produced by Pfizer and Moderna should begin arriving within weeks, and priority patients including residents of long-term care are expected to get the first shots early in 2021.

By spring, there should be enough doses in the province for the vaccine to become more widely available, and Henry said the goal is to reach everyone who wants a vaccine by September.

But that is still months away, and in the meantime, Henry said it’s more important than ever that people buckle down and get serious about following public health orders and advice.

On Thursday, she announced 694 new cases of COVID-19 and 12 more deaths. There are 325 patients in hospital with the disease caused by the novel coronavirus, a slight dip from Wednesday. Eighty are in intensive care.

Meanwhile, health officials have announced a ban on all indoor and outdoor adult sports as well as new limitations on children’s sports. They’ve also updated the restrictions for group fitness activities.

All the details can be found here.

Henry said Thursday that between 10 and 15 per cent of COVID-19 cases in recent weeks have been linked to sports and recreational activities.

Public health orders remain in place banning all public and community events and limiting social interactions to people within your immediate household. Those orders will be reviewed on Monday.

READ MORE:

What’s happening elsewhere in Canada

As of Thursday night, there have been 396,270 cases of COVID-19 in Canada. A CBC News tally of deaths based on provincial reports, regional health information and CBC’s reporting stood at 12,407.

In Quebec, the premier has officially told the public that all Christmas gatherings need to be cancelled this year.

Federal officials released their own details Thursday about the plans for a vaccine, cautioning that the initial supply will be limited — just three million Canadians are expected to get a shot in the first three months of 2021.

What are the symptoms of COVID-19?

Common symptoms include:

  • Fever.
  • Cough.
  • Tiredness.
  • Shortness of breath.
  • Loss of taste or smell.
  • Headache.

But more serious symptoms can develop, including difficulty breathing and pneumonia.

What should I do if I feel sick?

Use the B.C. Centre for Disease Control’s COVID-19 self-assessment tool. Testing is recommended for anyone with symptoms of cold or flu, even if they’re mild. People with severe difficulty breathing, severe chest pain, difficulty waking up or o​​​​​​ther extreme symptoms should call 911.

What can I do to protect myself?

  • Wash your hands frequently and thoroughly. Keep them clean.
  • Keep your distance from people who are sick.
  • Avoid touching your eyes, nose and mouth.
  • Wear a mask in indoor public spaces.
  • Be aware of evolving travel advisories to different regions.

More detailed information on the outbreak is available on the federal government’s website.

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Nurse texts dad, asking for ventilators, and a prototype is together in six days – Estevan Mercury

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A few days after the global pandemic was declared, Jim Boire got a text from his daughter. Rebecca Erker, a Royal University Hospital intensive care unit nurse.

She is working on her PhD with the respiratory research centre in Saskatoon. As a result, she had a good understanding of what was at stake with COVID-19, and reason to be concerned.

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Thankfully, Boire is president of RMD Engineering, a Saskatoon firm whose expertise ranges from beamlines for the Canada Light Source Synchrotron to industrial processes in potash mining, and a whole lot in between.

They’ve worked in uranium, agriculture, and a lot of research and development. His company (which Boire owns with four other partners, all employees) had the expertise and capacity to do something about it. And so they did.

“I got my text from my daughter on March 18. March 24, we had our first prototype built,” Boire said. Now the Saskatchewan Health Authority (SHA) announced Wednesday it would be taking delivery of 100 new ventilators, known as the EUV-SK1, in short order. The first 20 are ready to go out the door, and the company has most of the parts in place to build as many as 1,000 units.”

RMD Engineering Inc.’s subsidiary, One Health Medical Technologies, recently received COVID-19 Medical Device Authorization from Health Canada for an in-house designed, developed and manufactured ventilator. Collaborating with the University of Saskatchewan and SHA subject matter experts, RMD Engineering was able to successfully prototype an emergency use ventilator for Health Canada certification.

According to a Ministry of Health press release, there are currently approximately 650 ventilators available in Saskatchewan’s health system, enough to meet the need. They range from high-end critical care type ventilators to more basic sub-acute ventilators. The SHA’s purchase from RMD will increase that number to about 750.

But getting from a text to a prototype for an approved ventilator wasn’t easy, nor was it a quick process.

Very early on, the deans of both the University of Saskatchewan College of Engineering and College of Medicine got involved. Top respiratory technologies, respirologists, and ICU nurses were brought in within short order to develop this totally new product.

Boire said, “As soon as we asked for them to help, they helped with open arms. And you have a team like that, that knows exactly what something is supposed to do. And the capability to build something that can do that, then all you need are the codes and standards and validation equipment to make sure it meets the required level of quality.”

Asked if it was like converting to war production in 1940, Boire said, “I’ll tell you, that’s exactly the way it started.

“It felt like a military operation, if I was ever involved in a military operation, but I wasn’t. However, as soon as we got through the point where this is going to work, this design is going to work, here’s what we have to do now, a group of people said, ‘You know what? We get it. This is like a military operation, everybody’s doing this, let’s just go, go, go.’

“They stopped and said, ‘You know what, it’s probably time now that everybody starts looking at this as the biggest humanitarian effort this company has ever done.’ And it was just an awesome way to get out of that firefighting mode. And then one of our instrumentation leads said, ‘This is not a sprint. You guys can’t keep working 18 hours a day. This is going to be a marathon.’

“And it really helped pull the whole team back down to the ground, and get them out of that adrenaline mode, and really start focusing on the work breakdown, structure in the tasks at hand, and who’s responsible for what and what’s this timing going look like and when is this going in.”

His references to firefighting are authentic, as the company has built support equipment for water bombers.

They soon realized that the whole world was looking for critical parts, which almost immediately went into short supply and were being hoarded. Some items, like wire, saw huge price spikes. So RMD quickly realized it had to work on this project quietly, and develop a product that avoided critical path component shortages.

Boire said, “Instead of using the newer, more conventional turbine method, we knew those would be a hot commodity, when the world proclaimed they needed over a million of these. As you can imagine, that turbine is a complicated piece of equipment. We went the other way. We went back to being simple,” Boire said. “We have very, very few moving parts in our machine. There’s four moving parts.”

He explained, “This is an emergency use ventilator, so it needs to be used in the hospital or in an emergency hospital situation where they have line medical air and line oxygen so that’ll be running at 50 PSI. And then we control everything with proportional solenoids.”

There are two tubes coming into the device, which is in a large Pelican case, and two tubes coming out. They had them on hand because of another government project they’re working on. The lid includes an IBM screen.

“They’re all high reliability components,” he said. It runs off 110 volt AC power.

You set it up beside the bed, hook up the lines, hook up the power and put in the appropriate prescription.

They had previously made the biomedical imaging line for the Canadian Light Source, but they weren’t a medical device manufacturer. The list of specifications, protocols and standards was extensive.

And those standards, in some ways, simplify things. Boire said, “We don’t have any proprietary stuff on there, so all of the circuits, all the nebulizers everything fits on there. All that is covered off in standards. And I think that’s one of the biggest things to understand is when you go down this path, it is very prescriptive on everything. The machine has to do all of the standards it has to meet, including operational standards.”

He added, “It’s probably a foot tall, the stack of standards, when you put them together. You have to meet the electrical requirements, the operational requirements, the safety requirements. You don’t get to just build something in your backyard, and then tell everybody you have it. When you go and look at the requirements, when you submit to Health Canada, it is an armful. And I think we’ve spent just about $30,000 on standards. There is a lot of standards that you have to meet.”

 

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