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Face masks effectively limit the probability of SARS-CoV-2 transmission

Yafang Cheng, Nan Ma, Christian Witt, Steffen Rapp, Philipp S. Wild, Meinrat O. Andreae, Ulrich Pöschl, Hang Su

2021Science370 citationsDOIOpen Access PDF

Abstract

Airborne transmission by droplets and aerosols is important for the spread of viruses. Face masks are a well-established preventive measure, but their effectiveness for mitigating SARS-CoV-2 transmission is still under debate. We show that variations in mask efficacy can be explained by different regimes of virus abundance and related to population-average infection probability and reproduction number. For SARS-CoV-2, the viral load of infectious individuals can vary by orders of magnitude. We find that most environments and contacts are under conditions of low virus abundance (virus-limited) where surgical masks are effective at preventing virus spread. More advanced masks and other protective equipment are required in potentially virus-rich indoor environments including medical centers and hospitals. Masks are particularly effective in combination with other preventive measures like ventilation and distancing.

Topics & Concepts

Face masksCoronavirus disease 2019 (COVID-19)Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Masking (illustration)Transmission (telecommunications)Airborne transmissionPandemic2019-20 coronavirus outbreakMedicineSocial distanceLimit (mathematics)CoronavirusVirologyComputer scienceMedical emergencyOutbreakMathematicsTelecommunicationsDiseasePathologyInfectious disease (medical specialty)Visual artsMathematical analysisArtInfection Control and VentilationCOVID-19 and healthcare impactsCOVID-19 epidemiological studies
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