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How to use a face mask? We answer all your questions

2020-04-24T19:46:19.263Z


Knowing which one to buy and understanding who they protect, finding out if you can reuse them and how to get the little ones to use them are daunting tasks. See questions and answers here ...


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The effectiveness of mouthguards against coronavirus 2:10

(CNN) - Face masks (face masks or chinstraps) can be unexpectedly difficult to wear, especially for those who are inexperienced in wearing them.

Knowing which one to buy and understanding who they protect, finding out if you can reuse them and how to get the little ones to use them are daunting tasks.

Social distancing remains our best bet to prevent further spread of the coronavirus. But since April 3, the US Centers for Disease Control and Prevention has encouraged Americans to use "cloth covers" in places where distancing patterns are difficult to maintain.

But is your scarf really helping you? Only people who know they are infected should wear masks? And what if your kids throw a tantrum when you ask them to put it on?

We answer all the questions readers have been asking about face masks.

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Are the masks effective in protecting the coronavirus? 2:27

Should I wear a mask in public?

On April 3, the CDC changed its guidelines to recommend that we should use "cloth covers" in public places where other social distancing measures are difficult to maintain, such as supermarkets and pharmacies.

The guide was updated in light of new evidence of the high percentage of people who spread the virus asymptomatically. This means that the virus can be easily spread among people who interact very closely by coughing, sneezing, or even talking, even if those people have no symptoms.

Some states in the United States require citizens to wear masks in public spaces, such as Connecticut, Hawaii, Maryland, New Jersey, New York, Pennsylvania, and Rhode Island, beginning April 20. Some countries, including Germany, Turkey and Jamaica, and several in Latin America, have also required that people wear masks.

1 of 28 | More than 100 days after the first case of the new coronavirus was reported, the world exceeds 2 million cases and more than 128,000 deaths. Look at the gallery to see the most outstanding images that the pandemic leaves us. (Credit: STR / AFP via Getty Images)

2 of 28 | Members of the Slovak Army take evidence of coronavirus outside the Janovce settlement, Slovakia, on April 11, 2020. (Credit: JOE KLAMAR / AFP via Getty Images)

3 of 28 | Employees of the Bouvy Funeral Home in Brussels wear protective gear and take other preventive measures during a funeral for a covid-19 victim, which takes place without relatives of the deceased or an assistant for security reasons. (Credit: KENZO TRIBOUILLARD / AFP via Getty Images)

4 of 28 | Face masks are now a common garment around the world, as this photo taken in Rome, Italy, on April 13, 2020, shows, as the pandemic continues to progress, making this country one of the most affected by the coronavirus. (Credit: TIZIANA FABI / AFP via Getty Images)

5 of 28 | An official at the Brooklyn Hospital Center transfers a covid-19 fatality to a temporary morgue in Brooklyn on April 8, 2020. (Credit: BRYAN R. SMITH / AFP via Getty Images)

6 of 28 | The famous Christ the Redeemer from Rio de Janeiro, in Brazil, dressed as a doctor on April 12, 2020 in honor of medical personnel from all over the world who fight against the advance of the coronavirus. (Credit: CARL DE SOUZA / AFP via Getty Images)

7 of 28 | Italian tenor Andrea Bocelli sang on April 12, 2020 in an empty Piazza del Duomo in the center of Milan, Italy, amid the coronavirus pandemic that left much of the world confined in the middle of Easter. (Credit: PIERO CRUCIATTI / AFP via Getty Images)

8 of 28 | On the streets of Wuhan, in the central Chinese province of Hubei, where the outbreak of the new coronavirus originated, a man wears a plastic bag as a mask while riding the streets on his bicycle to prevent the spread of covid-19. On April 14, 2020, when this photo was taken, Wuhan lifted some mobility restrictions after months of mandatory confinement. (Credit: HECTOR RETAMAL / AFP via Getty Images)

9 of 28 | United States President Donald Trump during a meeting with patients who have recovered from the coronavirus on April 14, 2020. Under his leadership, the United States became the focus of the coronavirus with more than 600,000 cases. Many have criticized Trump's handling of the crisis, who initially said the news about the coronavirus was a "hoax." He has defended his management in the crisis. (Credit: MANDEL NGAN / AFP via Getty Images)

10 of 28 | Mathilde Dumont, a 27-year-old nurse, is photographed on April 11, 2020, during her night shift in the intensive care unit exclusively for covid-19 patients at Ixelles Hospital in Brussels, Belgium, amid the pandemic of coronavirus. (Credit: ARIS OIKONOMOU / AFP via Getty Images)

11 of 28 | In Chennai, a city in the Bay of Bengal in eastern India, a man uses masked puppets to alert passers-by to take the necessary steps to protect themselves from the coronavirus. (Credit: ARUN SANKAR / AFP via Getty Images)

12 of 28 | A priest with a face mask confesses to a believer in a parking lot in front of the Temple of Divine Providence in Warsaw, Poland, in preparation for Easter on April 8, 2020. The coronavirus caused most countries to issue orders for confinement and ban mass gatherings of people to prevent the spread of covid-19. (Credit: WOJTEK RADWANSKI / AFP via Getty Images)

13 of 28 | Relatives of victims of covid-19 walk near the graves of a cemetery in Jakarta, Indonesia, where those who died from this disease were buried on April 15, 2020. At that time, Indonesia recorded just over 5,100 cases of covid- 19 and 469 dead. (Credit: BAY ISMOYO / AFP via Getty Images)

14 of 28 | This aerial photo taken in Jakarta, Indonesia on April 15, 2020, shows healthcare workers moving a coffin of a victim by covid-19 to a cemetery. (Credit: BAGUS SARAGIH / AFP via Getty Images)

15 of 28 | A group of health workers prepare to enter the Retail Market in Medellín, Colombia, after the city's mayor, Daniel Quintero Calle, announced an outbreak of coronavirus there, on April 14, 2020. (Credit : JOAQUIN SARMIENTO / AFP via Getty Images)

16 of 28 | During the pandemic, around 8:00 pm, the inhabitants of many cities, confined to their homes, go out on the balconies to applaud the health personnel. In this photo, taken in Paris on April 14, 2020, the inhabitants of the French capital applaud on their 29th day of quarantine the doctors who work treating those infected by coronavirus. (Credit: MARTIN BUREAU / AFP via Getty Images)

17 of 28 | In Brasilia, Brazil, Ermando Armelino Piveta, a 99-year-old former World War II combatant, leaves the Armed Forces hospital after being treated for and recovering from covid-19. Piveta was admitted to the hospital on April 6 and was released on April 14, 2020. (Credit: EVARISTO SA / AFP via Getty Images)

18 of 28 | A protester from an organization called REOPEN NC protesting North Carolina coronavirus confinement in a parking lot adjacent to the North Carolina State Legislature in Raleigh, North Carolina, on April 14, 2020. (Credit: LOGAN CYRUS / AFP via Getty Images)

19 of 28 | In the Netherlands, a son (right) meets his mother in full quarantine at a call center in Utrecht on April 14, 2020. Despite the fact that people cannot be together due to quarantine orders due to coronaviruses, they can still be visited with a little distance. (Credit: JEROEN JUMELET / ANP / AFP via Getty Images)

20 of 28 | Health workers at the Ramón y Cajal Hospital in Madird, Spain, hold a tablet in front of a patient with covid-19 hospitalized in an intensive care unit for a video call with their relatives on April 14, 2020. Spain exceeded 18,000 deaths from coronavirus and reaches 178,000 cases of infection. (Credit: OSCAR DEL POZO / AFP via Getty Images)

21 of 28 | A Venezuelan immigrant wears a protective mask made from a cut plastic bottle to cover his face while waiting for health workers to do a test to rule out the new coronavirus as part of his repatriation process in Cali, Colombia, on Dec. 13. April 2020. The Mayor of Cali, Jorge Iván Ospina, announced that a "humanitarian corridor" was started to repatriate Venezuelan migrants to their country. (Credit: LUIS ROBAYO / AFP via Getty Images)

22 of 28 | Funeral workers in Israel prepare for the funeral of Israel's Sephardic chief ex-rabbi Eliahu Bakshi-Doron, who died of complications from coronavirus infection the previous night, at the Har HaMenuchot Cemetery in Jerusalem on April 13, 2020. (Credit: AHMAD GHARABLI / AFP) (Photo by AHMAD GHARABLI / AFP via Getty Images)

23 of 28 | In Chennai, India, a man wearing heart-shaped glasses and a face covered by a mask transports a sack of vegetables near a city market amid fear of the spread of the new coronavirus during an imposed national shutdown by the government as a preventive measure against the coronavirus on April 11, 2020. (Credit: ARUN SANKAR / AFP via Getty Images)

24 of 28 | A health worker sprays disinfectant along the streets of the French city of Cannes in southern France on April 10, 2020, the 25th day of a strict quarantine in France to curb the spread of the pandemic by covid -19, caused by the new coronavirus. (Credit: VALERY HACHE / AFP via Getty Images)

25 of 28 | Veterans of the Mulhouse Zoological Park in eastern France examine and prepare a young sedated polar bear named Nanuq, before being transferred to the CERZA zoo near Lisieu in Normandy and then to a zoo in La Flèche on April 9, 2020. Nanuq, who weighs just over 200 kilograms and was born at the end of 2016 at the Mulhouse Zoo, left her birthplace to go to the CERZA Zoo, who volunteered to receive her as work has been delayed in her previous home due to closure in France due to covid-19. (Credit: SEBASTIEN BOZON / AFP via Getty Images)

26 of 28 | Police in Bogotá dance to encourage the inhabitants of the Colombian capital to unite from their balconies and windows and to do physical activity during the mandatory quarantine to stop the spread of the new coronavirus on April 8, 2020. (Credit: RAUL ARBOLEDA / AFP via Getty Images)

27 of 28 | This photo taken through a glass window in a maternity ward shows a newborn baby wearing a face shield in an effort to stop the spread of the coronavirus at Praram 9 Hospital in Bangkok on April 9, 2020. (Credit: LILLIAN SUWANRUMPHA / AFP via Getty Images)

28 of 28 | A medical staff member kisses her daughter through a face mask after returning home in Wuhan, helping with the coronavirus recovery effort, in Bozhou, east China's Anhui Province on April 10, 2020. ( Credit: STR / AFP via Getty Images)

Who do you protect if you wear a mask?

The benefit of wearing masks in public is not protecting you from disease. It is to protect others from exposure if you are sick or are an asymptomatic carrier. But if we all wear masks, we could help each other, said Dr. Joseph Vinetz, professor of the infectious diseases section at Yale School of Medicine.

"The idea about wearing the face mask is to prevent the virus from getting out of someone's mouth and nose, mainly out of their mouth," Vinetz said. "It prevents someone, when they speak or sometimes when they sneeze or cough, from expelling viruses and causing infections in other people."

Wearing a mask doesn't totally prevent you from becoming infected, Vinetz added. The virus can live on the surface for hours, and in as little as three days, and it's easy to touch your face when you're not wearing a mask.

Even if you wear a mask, maintaining a social distance of two meters is important to stop the spread of the virus. The CDC considers face masks to be an additional voluntary public health measure, but remember to also consult your state of origin health guidelines.

What type of mask should I buy?

Although the CDC recommends that we wear masks or face masks, we should not purchase surgical masks or N95 type respirator masks. These are desperately needed for healthcare workers and healthcare workers who are in close proximity to coronavirus patients every day, and supplies in some areas are dwindling.

Fashionable chinstraps to fight coronavirus 2:49

However, you can easily make your own cloth mask made from old clothes or other common materials and household items. And you don't even have to sew. You can make one with a scarf and a coffee filter. United States Surgeon General Jerome Adams showed us how to make facial masks out of a T-shirt and elastic bands in a video from CDC.

"Ultimately, it's about having some form of multi-layered barrier," CNN Chief Medical Correspondent Dr. Sanjay Gupta said in a CNN video on why masks in addition to physical distancing are important.

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N-95 masks (Justin Chin / Bloomberg via Getty Images)

Masks made from a combination of cotton with natural silk or gauze can also effectively filter out aerosol particles, according to a new study published Friday in the journal American Chemical Society Nano. Our respiratory drops form in a variety of sizes, but small ones, called aerosol particles, can slip through the spaces between certain fabric fibers.

You can replace the gauze with natural silk or flannel, or use a cotton quilt with cotton and polyester insulation, to achieve similar results, according to the study.

There are also disposable cloth masks that you can buy at a store or online. They are not made for surgery or hospitals, but they are effective for your needs and are widely used.

What is the difference between a surgical mask and an N95 mask?

"When it comes to facial coatings, there are surgical masks that I wear in the hospital to protect patients from my own germs and prevent spatter," said Gupta, who works as a neurosurgeon.

N95 respirators are masks that must fit the faces of healthcare workers to protect them during certain procedures, Gupta added.

"It is the only one of these masks that prevents most very small particles from entering, when used correctly," he continued. "We need to keep those masks in their hands."

Doctor shows her day to day in the battle against covid-19 5:37

Are cloth masks as effective as medical masks?

Medical grade masks are more effective, but that "does not mean that we should rule out the benefit of cloth masks," said Gupta.

Due to how far our respiratory droplets travel when we speak, cough, or sneeze, face masks can help contain the range of those droplets.

The researchers in the Nano study used sodium chloride to replicate respiratory particles that vary in size, and blew the particles through samples of material at a rate similar to a person's breathing at rest. They measured the number and size of the particles in the air before and after passing through the fabric.

A layer of a well woven cotton sheet combined with two layers of polyester-spandex gauze filtered most of the air particles, between 80% to 99%. According to the study, its effectiveness was close to an N95 mask.

Well-woven fabrics, such as cotton, can be a mechanical barrier against particles, while fabrics with a static charge, such as natural silk or chiffon, act as an electrostatic barrier, according to the study.

However, a very small gap reduced the effectiveness of the mask by at least 50%, emphasizing the importance of a properly fitted mask, according to the study.

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Can you reuse them?

Homemade masks can be reused because they are washable, Vinetz said.

You should wash the masks before and after each use to clean up any germs that have been picked up in public. Hand wash the masks or put them in a mesh washing bag in the washing machine so they do not separate, and use a high temperature setting.

If you already have a disposable surgical or medical grade mask, you can also reuse them. To disinfect it, leave it in a clean, safe place in your home for a couple of days, Vinetz suggested. After that, it should no longer be infectious.

Can I put them in the microwave to kill germs?

If you're thinking you might be able to bombard your mask to kill germs, "that's not a great idea," Vinetz said.

"We have no evidence of that," he said. “If there is a piece of metal in a surgical mask or N95 and even staples, you cannot microwave them. It will explode. If you have a homemade or cloth mask or what's called a face covering, just wash it off. This [microwave] is not going to work. ”

How can I prevent my lenses from fogging up?

For those who wear glasses, wearing a mask means figuring out how to prevent fogging when we go to the supermarket.

"To prevent your glasses from fogging, you should fold the mask around your nose so that air that comes out of your mouth or nose doesn't get into your glasses," Vinetz said. How can I get my children to wear masks?

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If your child refuses to wear a mask, takes it off and throws it away, chews it or not, his actions could increase the risk of infection, said Christopher Willard, professor of psychiatry at Harvard Medical School and author of "The Breathing Book ”, A children's breathing practice book.

Children may be afraid to wear a face mask because they are more sensitive to new things than adults, Willard said.

"There is also the strange psychological aspect of not being able to see your own face or other people's faces and facial expressions," he added, "which really interferes with communication and signs that [they feel safe]."

To ease your fears of masks, shop or make covers with attractive fabrics, or draw something cool with markers to make them look more fun. Try your children's favorite superhero or ninja drawings on the masks. Show your child your own mask and how, by wearing one, it will be just like mom or dad. See if you can find images of your children's favorite celebrities with masks.

Doing so could make your kids feel like the masks are "theirs" and give them a sense of ownership, getting them excited and making them more likely to wear them, Willard said.

"I think knowing that they are protecting others can also help, and make it fun to talk about dressing up as superheroes or something."

And altruism is not just for children, but for everyone who wears a mask for the public good.

"It is part of our social contract to take care of each other," Vinetz said. "It is a social solidarity for all in a public place, when political and public health authorities tell them to cover their faces according to what is recommended."

- CNN's Holly Yan and Scottie Andrew contributed to this report.

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Source: cnnespanol

All news articles on 2020-04-24

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