Coronavirus: How worried should I be about the shortage of face masks? Or can I just use a scarf?

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Coronavirus: How worried should I be about the shortage of face masks? Or can I just use a scarf? thesundaily Malaysia theConversation facemask coronavirus health

World Health Organisation has just declared the coronavirus outbreak a public health emergency of international concern.

How concerned should we be about these shortages? Or can we just wrap a scarf or piece of cloth around our face to protect against infection?For a disease with no drug or vaccine yet, non-pharmaceutical measures are the mainstay of control. This includes personal protective equipment, such as face masks.

Disposable respirators reduce the risk of respiratory infections. They are designed to fit around the face and to filter 95% of airborne particles. However, these should be reserved for health workers, who need them most.In the disease epicentre, Wuhan, or on an evacuation flight out of Wuhan, face masks are a sensible precaution. They are also needed in other Chinese cities that are affected by the outbreak and where transmission is ongoing.

The case is different for health workers, who face greater risks. It is essential we provide health workers with the best protection, because if they get sick or die, we lose our ability to fight the epidemic. During the SARS epidemic, 21% of all cases globally were health workers.This is a concern, especially if people hoard or stockpile face masks when there is no need. We saw a shortage of masks early during the 2009 influenza pandemic.

In a modelled serious epidemic in Sydney of smallpox, if health workers use two disposable respirators a day for 6 months, over 30 million respirators will be needed for 100,000 clinical health workers.

 

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