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“Medical Exemption” From Wearing A Mask for Coronavirus (DOCTOR EXPLAINS)

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“Medical Exemption” From Wearing A Mask for Coronavirus (DOCTOR EXPLAINS)

“Medical Exemption” From Wearing A Mask for Coronavirus (DOCTOR EXPLAINS)

Recently a woman dubbed “Karen” was kicked off a plane because she refused to wear a mask. She claimed she had a medical exemption. Here is my take on “medical exemptions” from wearing a mask for coronavirus.

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Yes, it would be nice if we did not have to hear a mask for coronavirus (COVID-19). Here’s reality though - masks reduce transmission. And there are no medical exemptions from wearing a face mask, unless someone has a severe skin condition of their face, like a second or third-degree burn. Some might make the same point as this Florida woman recently did, when she stood up at a meeting of the Palm Beach County Commissioners and said, “I don’t wear a mask for the same reason I don’t wear underwear, things gotta breathe.” I think that the point she is TRYING to make is that the mask causes there to be less circulation of air in front of her face. And yeah it's true, there is less circulation of air right in front of your nostrils and mouth when you’re wearing one of these masks or face coverings.

But does it obstruct airflow into and out of your nostrils, and mouth? This is like asking if you go to the beach, and you leave the beach with sand in between your toes, is there less sand on the beach? Technically, yeah, but it's negligible. Here’s why it doesn’t obstruct airflow in and out of your lungs. It’s because the air passes freely in the areas around your mask. As long as the mask is not too tight on your face, and as long as the mask is not too thick, it's not going to obstruct airflow in and out of your lungs. But if you’re properly wearing a proper mask, you should not get that feeling, no matter what underlying medical condition someone has.

So it's worth trying different types of masks, and/or adjusting the fit of the mask if you feel like its impacting your breathing. A mask like the one I’m holding here, has essentially 0 impacts on airflow in and out of your lungs, as long as it's not too snug on your face. And that is part of the purpose for having the wire in these masks, is so that it can conform to your face, and allow for air to flow around the mask. Yes there are different types of face masks, and some have more fabric than others, but as long as it's not so tight as to compress your nostrils or lips, it's not going to obstruct airflow. And it's well established by now that wearing these masks reduces transmission of this disease, and this has been confirmed in several studies. And there are studies that visually demonstrate the difference between wearing masks and not wearing masks, including when someone coughs and sneezes. Check out my video on the airborne transmission to see what I'm talking about if you haven’t already. And there are countries that have had such low coronavirus numbers, like South Korea, Singapore, Vietnam, New Zealand…. A big part of their success is because of masks.

Coronavirus | COVID-19 YouTube Video Playlist:


Dr. Mike Hansen, MD
Internal Medicine | Pulmonary Disease | Critical Care Medicine
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#coronavirus #covid19
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COVID-19: Doctor wears six face masks to debunk oxygen deprivation myth

A doctor based in Dublin, Ireland, made a video showing him wearing six face masks to set the record straight on masks and their impact on oxygen levels.
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Bill Nye demonstrates why wearing masks protects people from COVID-19

Scientist Bill Nye is urging everyone to wear a mask in the fight to stop the coronavirus. He says it is literally a matter of life and death. Nye joins CBS This Morning to give a live demonstration of why masks work.
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Here's What Masks Actually Do | A Doctor Explains

Our understanding of public face mask wearing for the coronavirus pandemic is evolving; here's what you need to know.

Links to more information, related videos, and transcript at

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Does Wearing a Face Covering Really Stop COVID-19?

As scientists learn more about how COVID-19 spreads, AACC President Dr. Carmen Wiley explains how the benefits of wearing a mask have become increasingly clear—not just to protect ourselves, but to proactively protect those around us.

The Best Way to Prevent Getting COVID - *NEW* Respokare® N95 Respirator Mask

The Best Way to Prevent Getting COVID - *NEW* Respokare® N95 Respirator Mask
(Personal Protective Equipment)

There is a brand new N95 respirator mask that is NOW available to the public. It’s also a lot more comfortable compared to other N95 masks, and also has the added benefit of inactivating viral and bacterial proteins.

Here is the link: (N95 Respirator Mask)


The TRUTH of How Coronavirus Spreads and How to Prevent Coronavirus:
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How can you prevent inhaling the virus? The best thing you can do to prevent inhaling the virus into your lungs…Is to wear an N95 mask or an elastomeric mask. N95 respirators are tight-fitting and filter out at least 95% of airborne particles as small as 0.3 microns. But, the CDC recommends the public not to purchase these, and not to wear these.

And there are multiple reasons for that. These n95 masks (respiratory protection) are being reserved for health care workers. And Amazon will not sell them right now. They’re also uncomfortable, and your voice gets muffled, or make you feel smothered. It partially obstructs airflow in and out of your mouth and nostrils, so if you have an underlying lung condition, like COPD emphysema, probably not something you can tolerate for very long. Also, these have to fit properly on your face to be effective, and in order to do so, you can’t have most types of facial hair, because that can disrupt a good seal of the mask. An elastomeric respirator is a reusable device with exchangeable cartridge filters. Like an N95 respirator, it also filters out at least 95% of airborne particles as small as 0.3 microns. It fits tight against the user's face but is more comfortable than an N95. Before reusing the mask, all its surfaces need to be wiped down with a disinfectant.

So although both of these are not perfect, they are very effective at preventing inhalation of the virus. So these are the best way to prevent inhaling coronavirus, as well as other viruses like influenza and measles, but wearing these is not necessarily a practical thing to do. But, then, just last week, another doctor saw my video on airborne transmission, and messaged me on Instagram, asking me if I heard about this new Respokare® NIOSH N95 mask. And so I looked it up online and did a bunch of research on it. The company that makes the mask is Innonix. At first, I thought this would be some sort of gimmicky mask, but I was wrong.

I was impressed enough to reach out to them and ask if I could review the mask and possibly make a video about it, and they sent me a few samples, and here we are. Just like a regular N95, such as this one that we use in the hospital, made by the company 3M (3M n95 mask), this mask will filter out particles as small as 0.3 microns. It’s also listed on the CDC’s website of NIOSH-Approved N95 Respirators. It’s also FDA approved. So what sets this mask apart from a regular N95 mask? Several things, actually. For one, it's much more comfortable to wear. You’ve probably seen pictures of health care workers with marks and lines and even bruising on their faces as a result of wearing N95s. And from my personal experience, they’re just not comfortable, especially for more than an hour or two of use. The company also claims that it can “inactivate up to 99.9% of particles within minutes,” So not only trapping viruses and bacteria but destroying them too.
This new KN95 Respokare mask has 4 layers, and the innermost layer is built of soft materials to ensure comfort during periods of long-wear, and is also water-resistant, which is also nice.

On top of that are 3 more layers, that serve to not only trap fine particles, but one of the layers contains copper and zinc ions which serve to destruct viruses and bacteria. Also, the outermost layer has an acidic coating, creating a low pH environment, which helps to destroy viral and bacterial proteins. Unfortunately, I was not able to find any published evidence of this in a medical journal. They also show tables of which viruses and bacteria become activated with a few minutes. So this includes not only coronavirus, but also other viruses and bacteria that can become airborne, like influenza, measles, and some bacteria like tuberculosis, and also helps to prevent inhaling allergens, and pollution. So this is something I am going to buy more of, not only for myself, my friends and family. Also, if you are around other people, don’t forget to protect your eyes with goggles, or glasses that don’t let air in. And try not to touch your face or mask without having clean hands.

Coronavirus | COVID-19 YouTube Video Playlist:


Dr. Mike Hansen, MD
Internal Medicine | Pulmonary Disease | Critical Care Medicine
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#coronavirus #covid19

COVID-19 & Mask Myths DEBUNKED!

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Bottom line: Masks work. They are safe for almost everyone to wear, and the more people that wear them along with adhering to physical distancing and other strategies, then that’s more lives we’ll save. But there’s still a lot of confusion and misinformation out there when it comes both to wearing masks and the actual risks of getting infected with COVID-19. In this video I address a few of the most common myths and misunderstandings using scientific evidence. #WearAMask

00:00 Introduction
00:46 Myth 1: Farts vs. viral particles
02:20 Myth 2: Cloth masks can't stop viruses
03:25 Myth 3: Oxygen deprivation/CO2 poisoning
05:40 Myth 4: Toxins
06:41 Myth 5: I feel healthy so I don't need a mask
07:51 Myth 6: Masks aren't 100% effective, so why wear one?
08:34 Mask-wearing history
09:25 Myth 7: Government mask exemptions
10:24 Myth 8: COVID isn't a big deal
12:09 Conclusion

Watch our previous video about masks:

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Mandatory Masks: Exemptions

Mandatory Masking: Exemptions

There may be times when wearing a mask isn't possible.
Here's what you need to know about
exemptions to mandatory masking.

Who is exempt?
*Proof of exemption not required.

Children under 2 years of age
People with medical conditions who can't safely wear a mask, including breathing difficulties or cognitive difficulties

Individuals who are unable to apply or remove a mask without assistance

Employees of an Enclosed Public Space who are in an area closed to public access, or is within or behind a physical barrier, like Plexiglass.

What’s an Enclosed Public Space?
Enclosed Public Space means indoor public spaces of businesses and organizations, accessed by the public.

When are you exempt?

Receiving services such as eating or drinking when dine-in services are allowed

While actively engaging in an athletic or fitness activity including water-based activities

Remember:
Ensure you wash your hands using soap and water or an alcohol-based hand sanitizer before
and after removing your mask or face covering.

WellSpan Physician Debunks Mask Myth

Lee Maddox, M.D., Medical Director, Pulmonary & Critical Care for WellSpan Health demonstrates how wearing face masks are safe.

From masks to immunity — a doctor's take on COVID-19

Dr. Elaine Chin answers all of YOUR submitted COVID-19 questions.

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Stars Come Out Strong in Support of Wearing a Mask

As coronavirus cases continue to rise, the stars are coming out in support of wearing masks.

Jennifer Aniston, Anne Hathaway and Patrick Dempsey are just a few celebs posting pics in their masks on social media.

“Extra’s” Billy Bush spoke with Dr. Armand Dorian, who applauded celebrities encouraging mask wearing. Watch!

Facts not Fear: What medical conditions could prevent you from wearing a face mask?

Face masks have been mandated across Colorado, except for people who are medically exempt. Dr. Payal Kohli has an example of what makes them exempt.

Doctor busts myths about masks

A Utah pulmonologist spoke with us about some of the reasons people give for not wearing masks in public, and why they're wrong.

Emory Doc's Mask Rules

Big Facts, Small Acts! Dr. Anwar Osborne shares fun facts for wearing masks properly. See what's Trending with Trent on 'Atlanta & Company'

Pandemic science, Wear a mask to protect yourself

All referenced hyperlinked below for personal perusal and verification. CDC



Masks reduce the spray of droplets when worn over the nose and mouth

Prevent people who have COVID-19 from spreading virus to others

Respiratory virus shedding in exhaled breath and efficacy of face masks (Nature Medicine)



Aerosol transmission is a potential mode of transmission for coronaviruses as well as influenza viruses and rhinoviruses

Universal use of face masks for success against COVID-19: evidence and implications for prevention policies (European Respiratory Journal)



Cloth masks are a simple, economic and sustainable alternative to surgical masks as a means of source control of SARS-CoV-2 in the general community

Mask wearers are dramatically less likely to get a severe case of Covid-19



Professor Monica Gandhi, San Francisco General Hospital.

No mask is perfect

Wearing one might not prevent you from getting infected

But it might be the difference between a case of Covid-19 that sends you to the hospital and a case so mild you don’t even realize you’re infected.

Masks Do More Than Protect Others During COVID-19: Reducing the Inoculum of SARS-CoV-2 to Protect the Wearer (Journal of General Internal Medicine)



Universal masking reduces the “inoculum”

Leading to more mild and asymptomatic infection manifestations

Masks, depending on type, filter out the majority of viral particles, but not all

Viral inoculum and severity of disease (LD50)

Rising rates of asymptomatic infection with population-level masking

Increased with mask wearing, decreased where few masks are worn

So, more asymptomatic infections

Greater community-level immunity and slower spread


Cloth Masks May Prevent Transmission of COVID-19: An Evidence-Based, Risk-Based Approach (Annals of Internal Medicine)




The point is not that some particles can penetrate but that some particles are stopped

Every virus-laden particle retained in a mask is not available to hang in the air as an aerosol or fall to a surface to be later picked up by touch.

Cloth can block droplets and aerosols, and layers add efficiency.

Immunity and immunopathology to viruses: what decides the outcome? (Nature, Reviews Immunology)



The outcome of host–viral interactions depend on

Dose and route of infection

Viral virulence properties

Several host factors that mainly involve innate and adaptive immunity

If the exposure dose is very high, the immune response can become overwhelmed.

If the initial dose of the virus is small, the immune system is able to contain the virus with less drastic measures.

If this happens, fewer symptoms, if any

A simple method of estimating fifty per cent end points, (American Journal of Hygiene, 1938)



Viral dose being related to disease severity

Validation of the Wild-type Influenza A Human Challenge Model H1N1pdMIST: An A(H1N1)pdm09 Dose-Finding Investigational New Drug Study (Clinical Infectious Diseases)



Clinical symptoms of influenza occurred at all doses (Table 1), but were most prevalent at 106 and 107 TCID (tissue culture infectious dose)

Higher viral doses, the more sick people became

Simple Respiratory Protection—Evaluation of the Filtration Performance of Cloth Masks and Common Fabric Materials Against 20–1000 nm Size Particles, (The Annals of Occupational Hygiene)



Masks increase the rate of asymptomatic cases, (Annals of Internal Medicine)







COVID-19: in the footsteps of Ernest Shackleton, (MBJ, Thorax)



Cases at seafood plant cause spike in Oregon COVID numbers (Pacific Seafoods)



Releases Covid-19 Test Results at Northwest Arkansas Facilities (Tyson)

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Coronavirus: Concerns over back-to-school plans; face masks for the hearing impaired

As the new school year quickly approaches and provinces unveil plans for getting kids back in school, many parents and students are still wondering whether it's safe. Heather Yourex-West looks at the latest research on how children carry the coronavirus, and how it has spread in schools.

Plus, Many people with hearing disabilities rely on reading lips to communicate with others. But that's not possible when people are wearing face masks. As Crystal Goomansingh explains, the deaf community is hoping the government will help advocate for the wider use of clear face coverings.

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#coronavirus #COVID19 #health #GlobalNews

Coronavirus: How will the City of Toronto enforce mandatory face masks?

As the bylaw requiring residents to wear face masks or coverings while in indoor public settings came into effect Tuesday morning, City of Toronto spokesperson Brad Ross explains how the mandate will be enforced.

According to the City of Toronto, all people in indoor settings are required to wear a mask except for children under the age of two, people with certain medical conditions and staff in certain private areas or areas shielded by a physical barrier. Residents aren’t required to show proof if they require a medical exemption.

The bylaw will apply to any public or private property allowed to open under the Ontario government’s reopening plan and are openly accessible, including retail stores, malls, grocery stores, restaurants, gyms and recreational facilities. People are allowed to temporarily remove a mask for an activity such as eating or drinking, or while participating in a sanctioned physical activity.

Other cities and regions in Ontario have followed, such as Peel, Durham regions and Canada's capital city, Ottawa. Officials say face coverings will be required while the Provincial Emergency Order remains in effect.

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Infectious disease doctor talks about why people should wear masks during the coronavirus pandemic

Dr. Juan Dumois, an infectious disease physician with Johns Hopkins All Children's Hospital, discusses the CDC's mask recommendation change, why people should continue wearing masks for the time being, and what NFL games could look like this season.

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Who do you wear a face mask for amid coronavirus pandemic?

ABC10 viewers shared who they have in mind when they wear a face mask in public amid the coronavirus pandemic.

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