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Harlan Krumholz

👤 Person
313 total appearances

Appearances Over Time

Podcast Appearances

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

So it's interesting.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

I mean, the evidence in this area is right, is it tends to be a dearth.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

There's been a few randomised trials recently, but the Cochrane review here on physical interventions to interrupt or reduce the spread of respiratory viruses is, first to say, quite old.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

It's not been updated since 2011.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

But in there, there are a mixture of case control and cohort studies.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

And in there, there are case control studies that have looked at mask wearing.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

And they looked at two types of masks, surgical masks and these N95 respirators, which cost more money.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

And you can find them available at the moment on the web, but the price is going up.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

But what's interesting about them is both of them, across eight studies, generally led to about a two-thirds reduction in infectivity.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

But also to say that most of them studies were combined with frequent, the word is frequent, hand washing.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

And so teasing the different bits out can be difficult sometimes.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

So I think if you're going to wear a mask, you've also got to do the frequent hand washing.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

Well, generally in the studies, it's at least five times a day.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

And one of the things is...

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

No, but one of the things is some people with soap, and that is reported in some of the studies, might find that an irritant because of certain allergies and eczema.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

So some people do report them irritants.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

Also, the thing about the N95 respirator masks is...

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

Although I said they were more expensive, people reported them as more uncomfortable and they were more irritated to the skin.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

And so that comes back to this point about what she said.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

A really important point is this intention to treat analysis.