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Telling public to wear masks ‘could put NHS supplies at risk’, health boss warns

Coronavirus could be ‘wiped out’ if 80 to 90 per cent of Britons wear DIY masks, an Oxford University expert has claimed today. 

The homemade masks, which have become the focus of intense debate during the pandemic, would only have to be 80 to 90 per cent effective and would mean we could ‘all get on with our lives’, according to Professor Trish Greenhalgh. 

From vacuum cleaner bags to cut-up T-shirts, multiple layers of tightly woven fabric can work as a mask because they can protect against airborne particles, which could turn the tide on COVID-19 in the UK, she said. 

The professor of primary healthcare at Oxford backed the Government’s view that making facemasks compulsory for everyone once lockdown eases would ‘put NHS supplies at risk’ for people on the frontline.  

NHS bosses have warned ministers that making masks compulsory when lockdown eases could be dangerous for healthcare staff amid current shortages of personal protective equipment (PPE).  

The UK’s top scientific advisers are meeting today to review evidence on whether masks halt the spread of coronavirus, with a formal announcement expected at this evening’s Downing Street press conference.

Coronavirus could be effectively ‘wiped out’ if 80 to 90 per cent of the UK population wears DIY facemasks, amid warnings medical grade masks must be reserved for frontline NHS workers (pictured in Lincoln this weekend) to protect supplies  

How to make your own coronavirus face mask: Online DIY tutorials detail method for vacuum cleaner bag or T-shirt to create protection that leading scientists say is effective against bug

Speaking during a web briefing for the Royal Society of Medicine, Professor Greenhalgh said: ‘If 80 to 90 per cent of us do it, and if the masks were say 80-90 per cent effective, that would probably – the modellers say – be enough to reduce the effective R0 down to wipe out this disease and we can all get on with our lives,’ she said.

THE TRUTH ABOUT FACE MASKS: WHAT STUDIES HAVE SHOWN 

Research on how well various types of masks and face coverings varies but, recently, and in light of the pandemic of COVID-19, experts are increasingly leaning toward the notion that something is better than nothing.

A review of scientific literature by the University of East Anglia found the masks have a ‘small protective effect’ that could shield elderly and vulnerable people from contracting the virus in crowded places. 

The researchers advise they people wear one on public transport, at the supermarket or in hospitals.

But they say the evidence is not strong enough to recommend widespread use of masks in the general population.  

A University of Oxford study published on March 30 concluded that surgical masks are just as effective at preventing respiratory infections as N95 masks for doctors, nurses and other health care workers.

It’s too early for their to be reliable data on how well they prevent infection with COVID-19, but the study found the thinner, cheaper masks do work in flu outbreaks.

The difference between surgical or face masks and N95 masks lies in the size of particles that can – and more importantly, can’t – get though the materials.

N95 respirators are made of thick, tightly woven and molded material that fits tightly over the face and can stop 95 percent of all airborne particles, while surgical masks are thinner, fit more loosely, and more porous.

This makes surgical masks much more comfortable to breathe and work in, but less effective at stopping small particles from entering your mouth and nose.

Droplets of saliva and mucous from coughs and sneezes are very small, and viral particles themselves are particularly tiny – in fact, they’re about 20-times smaller than bacteria.

For this reason, a JAMA study published this month still contended that people without symptoms should not wear surgical masks, because there is not proof the gear will protect them from infection – although they may keep people who are coughing and sneezing from infecting others.

But the Oxford analysis of past studies- which has not yet been peer reviewed – found that surgical masks were worth wearing and didn’t provide statistically less protection than N95 for health care workers around flu patients.

However, any face mask is only as good as other health and hygiene practices. Experts universally agree that there’s simply no replacement for thorough, frequent hand-washing for preventing disease transmission.

Some think the masks may also help to ‘train’ people not to touch their faces, while others argue that the unfamiliar garment will just make people do it more, actually raising infection risks.

If the CDC does instruct Americans to wear masks, it could create a second issue: Hospitals already face shortages of masks and other PPE.

R0 refers to the average number of people who will catch the disease from a single infected person.

She said that she wasn’t in favour of the compulsory use of masks but said that she thought many people would be supportive of the use of homemade ones for a temporary measure.

The academic added: ‘How do you make your own mask? You take two pieces of cotton, or a piece of cotton folded over, and you take a pantyliner or something like that [with] waterproof backing, you stick it between those. And then you hook it around the back of your ears.

At present the public are getting mixed messages about masks, she said.

‘I think once you get a clear message. I suspect more and more people are going to be taking this up,’ Prof Greenhalgh added.

‘I’m not the kind of person that wants the Government, knocking on my door, you know, as if they’re issuing gas masks or something like that and telling me I’ve got to wear it. 

‘I would much prefer this to be a voluntary thing for 80-90 per cent of the population saying ‘I’ve got no particular reason why I shouldn’t wear one of these’.’

There would be exceptions such as people with facial allergies, those who object for other reasons and children under two.

She added: ‘This is a terrible, terrible disease, and anything we can do to stamp it out is a good thing as far as I’m concerned.’

But she agreed with Government experts that medical grade masks must be reserved for frontline workers. 

While the Government reviews the evidence on facemasks,the World Health Organisation (WHO) recommends that the only people who need masks in the general public are those who are sick, or caring for someone who is sick. 

Most countries which were originally against mass mask-wearing have now shifted stances, with the US, Germany, Italy and Spain all recommending their use.

Even WHO could soon pivot towards advising people wear them in shops, on public transport and in other crowded spaces.  

This latest farce comes amid a series of Government short-fallings on PPE, including: 

  • Private companies have sold PPE overseas after attempts to equip the NHS was met with an ‘impenetrable wall of bureaucracy’
  • The UK missed three chances to participate in an EU scheme to buy huge quantities of PPE
  • UK government paid British Airways to fly to China to collect 2.5 million face masks
  • Istanbul claims UK only asked for vital PPE on Sunday as flight carrying equipment leaves Turkey
  • Nurses on the coronavirus front line are given ‘cagoules’ to wear while they wait for proper medical gowns to arrive 

Chris Hopson, chief executive of NHS Providers, which represents hospitals and NHS trusts in England, urged the Government to ‘fully assess’ the impact any new mask-wearing advice could have on health service supplies.

In a statement on Monday, he said: ‘Fluid repellent masks for health and care staff are key to safety and to avoid the spread of coronavirus.

‘Securing the supply of masks, when there is huge global demand, is crucial. This must be a key consideration for Government.

‘There needs to be clear evidence that wearing masks, along with other measures, will deliver significant enough benefits to take us out of lockdown to potentially jeopardise NHS mask supply.’

Sir Patrick Vallance yesterday signalled the government could change its mind on the use of masks if the evidence showed they worked in halting the spread of the virus.

How the UK compares to other mask wearing countries: Austria made it mandatory to wear one to supermarkets or shops on April 6, following a spike in infections in late March. In the fortnight since the rule was introduced, the nation's daily increase in cases has plummeted by 90 per cent

How the UK compares to other mask wearing countries: Austria made it mandatory to wear one to supermarkets or shops on April 6, following a spike in infections in late March. In the fortnight since the rule was introduced, the nation’s daily increase in cases has plummeted by 90 per cent

The UK's death rate is four times as high as second-place Austria's. More infections directly leads to more deaths

The UK’s death rate is four times as high as second-place Austria’s. More infections directly leads to more deaths

Data from countries which enforced mandatory mask-wearing suggests they have helped curb the spread of the virus and keep death rates low. 

Austria seemingly managed to reverse its crisis by making masks compulsory on April 6, following a spike in infections in late March.

More pressure on PPE supplies as teaching union threatens to keep schools CLOSED staff they don’t get masks 

By Lara Keay for MailOnline

Union bosses have urged new rules need to be put in place if schools are to re-open amid the coronavirus pandemic.

Dr Patrick Roach, general secretary of the National Association of Schoolmasters Union of Women Teachers (NASUWT) warned that staff concerns must be ‘fully addressed’  before staff returned.

In a letter to Education Secretary Gavin Williamson, Dr Roach demands personal protective equipment (PPE) for all staff, anti-viral cleaning measures and guidelines on how social distancing would be enforced in schools.

He also says teachers will not return to their jobs unless the Government affords them the same employment rights as other key workers and acknowledges the workforce is depleted because many are self-isolating, reports the Daily Telegraph.

Dr Patrick Roach (pictured), general secretary of the National Association of Schoolmasters Union of Women Teachers (NASUWT) warned that staff concerns must be 'fully addressed' before teachers would be willing to come back

Dr Patrick Roach (pictured), general secretary of the National Association of Schoolmasters Union of Women Teachers (NASUWT) warned that staff concerns must be ‘fully addressed’ before teachers would be willing to come back

 Dr Roach told the newspaper: ‘The NASUWT would not expect teachers to be asked to undertake cleaning tasks or to be expected to undertake them to the necessary standards to protect the health of pupils and the workforce.’

The Department for Education has already said teachers ‘do not need PPE’ and that their focus should be on ‘social distancing, handwashing, hygiene measures and cleaning surfaces’ to stop the virus spreading when they return.

The Government has been repeatedly slammed for its lack of PPE provision for frontline medical staff, with carers, supermarket cashiers and transport drivers also expressing concerns. 

 Although the Education Secretary has refused to commit to a timeline on schools re-opening, ministers are under pressure to ease parents’ concerns.

But Dr Roach and and Mr Williamson have both stressed that schools will not re-open until other lockdown measures have been eased. 

In the fortnight since the rule was introduced, the nation’s daily rise in positive cases dropped from 90 per million people every day to less than 10.

The Czech Republic and Slovakia were the first two countries in Europe to issue decrees making masks compulsory – and both have tiny infection rates per capita.

Just 63 Czechs per 100,000 has been infected and less than two per 100,000 have died from the virus. 

In Slovakia, 21 per 100,000 people have caught it and just 0.2 per 100,000 have succumbed to the illness.

By comparison, 182 out of every 100,000 Britons has been infected and 25 per 100,000 have fallen victim to the virus.

Similar patterns can be seen for mask-wearing countries outside of Europe, with South Korea and Japan halting major outbreaks without imposing lockdowns. 

Fewer than eight out of every 100,000 Japanese people have contracted the virus and 0.1 per 100,000 have been killed by it. In South Korea, that number is 20 and 0.5, respectively.

It comes after more than 100 top UK doctors backed calls for the public to wear homemade face masks to protect themselves and others from contracting the virus. 

They signed a letter saying they were ‘increasingly alarmed at official inaction over the need for the public to wear face masks’.  

The doctors spoke out ahead of a meeting of the Government’s scientific advisers today.

They are backing the Masks4All campaign which is calling for ‘ordinary homemade masks’ to be worn by the public to help stop those with the disease spreading it to others. 

Signatories of the letter include John Ashton, a former president of the Faculty of Public Health, and Martin McKee, a professor of European public health at the London School of Hygiene and Tropical Medicine. 

Their missive to The Times said: ‘Official UK policy is illogical… The latest guidance on PPE [personal protective equipment] says that people should wear masks in hospital waiting rooms ‘to reduce both direct transmission and environmental contamination’. Why not elsewhere? 

‘The thousands of coronavirus mutual aid groups could make enough homemade masks for everyone, so it would cost next to nothing. Instructions are easily available, for example, at masks4all.org.uk.’ 

A petition has also been started by Masks4All urging the Government to make masks mandatory in the UK. 

The group advises making ‘reusable cotton masks from simple items you can find in your house’, such as scarves or towels. 

The campaigners stress that surgical masks and respirators should be reserved for health professionals.  

London Mayor Sadiq Khan has urged the Government to change its advice on masks to combat the spread of the virus. 

He was supported by former Health Secretary Jeremy Hunt, who said such a move would be ‘sensible’ given how social distancing can be impossible on trains and buses. 

How lack of PPE for dentists is keeping clinics shut and forcing patients to pull out their own teeth 

Dentists have today warned that patients are being left untreated as urgent treatment centres face a shortage of personal protective equipment (PPE).

Patients with urgent matters such as infections are being forced to take matters into their own hands, as dentists are unable to see them as they do not have the adequate supplies.

The British Dental Association said that 54 per cent of dentists in England have been unable to treat patients at urgent dental care (UDC) hubs, that have been set up across the country after surgeries closed due to the coronavirus pandemic.

One patient, Billy Taylor from Devon, pulled his own tooth out after he could no longer handle the pain.

Billy Taylor is pictured with his tooth

Billy Taylor is pictured with his tooth 

The 33-year-old this morning told BBC’s Radio 4 that the NHS 111 service told him that unless he was struggling to breathe, then there was nothing they could do to help.

‘I phoned my dentist and they said they were closed and would put me on an emergency waiting list but I didn’t know how long that would take so I phoned 111 and they basically said that unless it was stopping me from breathing they couldn’t do anything. 

‘This wasn’t the case but the pain was excruciating, so I got an ice pack put it on my face until I couldn’t feel it anymore and the final tug, me and my son just went for it and it came out, it was quite tricky, I thought maybe 20 minutes but it took an hour and a half’. 

 Billy had to take drastic measure due to the shortage of urgent care centres open, and even some centres that are open are unable to perform some treatments due to a lack of PPE.

Labour leader Sir Keir Starmer said it was ‘inevitable’ the Government would have to change its advice, which at present states that masks are only needed in hospitals. 

It comes after US health regulators last week warned parents not to put face masks on babies during the coronavirus pandemic as it may suffocate them.

While the wider public have been advised to wear a mask or face covering when they go out in order to prevent the infection spreading, pediatricians say it may be harmful for babies.

The Centers for Disease Control (CDC) said infants have such small airways that a mask could do more harm than good and doctors have warned of suffocation.

It comes as a shipment of personal protective equipment (PPE) bound for the UK has been delayed in Turkey as those working in hospitals say the shortage is continuing.

This is while those working on coronavirus wards have been told they need to reuse PPE. 

New guidelines revealed this week suggest that disposable gowns can be re-used and masks should not be binned between patients – but gloves and aprons should still be disposed of as usual. 

It was today revealed that British companies had been in touch with the UK government to supply the NHS with surplus PPE, but that the government had been ‘unresponsive’ to their requests, forcing them to sell the stock to other European countries.  

Teaching union bosses have threatened to keep schools closed if they don’t receive face masks.

They have set out a list of five conditions they claim must be observed to protect teachers if schools open. 

In a letter to Education Secretary Gavin Williamson, Dr Patrick Roach, general secretary of the National Association of Schoolmaster Unions of Women Teachers (NASUWT) demands personal protective equipment (PPE) for all staff, anti-viral cleaning measures and guidelines on how social distancing would be enforced in schools. 

He also says teachers will not return to their jobs unless the Government affords them the same employment rights as other key workers and acknowledges the workforce is depleted because many are self-isolating.

The WHO said people who are not in health and care facilities should only wear masks if they are sick or caring for those who are ill.

Dr Helen Davison told the Daily Telegraph the group is ‘advocating the use of cloth masks as a precautionary principle’ and that it had been inspired by action taken in other countries ‘that have introduced face masks at population level’.

WHO guidance issued earlier this month acknowledged that the virus could be passed on by people who are not yet symptomatic, but it said: ‘Current evidence suggests that most disease is transmitted by symptomatic, laboratory confirmed cases.

A 'traffic light' plan for easing the crippling lockdown curbs is being pushed by some ministers - although Downing Street is flatly denying it has a fixed plan yet

A ‘traffic light’ plan for easing the crippling lockdown curbs is being pushed by some ministers – although Downing Street is flatly denying it has a fixed plan yet

‘There is currently no evidence that wearing a mask (whether medical or other types) by healthy persons in the wider community setting, including universal community masking, can prevent them from infection with respiratory viruses.’

It warned that the use of masks by the public can create a ‘false sense of security’ and lead to people ignoring other protective measures, such as hand hygiene and physical distancing.

Masks can even be a source of infection when not used correctly, the WHO added.

Professor Babak Javid, consultant in infectious diseases at Cambridge University Hospitals, said ‘population mask wearing should be an important part of the response to COVID-19’.

He added: ‘Once coronavirus cases are largely suppressed, we can stop wearing masks, their incremental gain will be low. But now, to really benefit from masks, the majority of us need to wear masks.’

The differing advice on wearing masks could hamper the traffic light system which was revealed to have been in place to get the UK out of lockdown.

Schools could start returning within three weeks under the plan being pushed by senior ministers to ease lockdown misery – amid Cabinet splits over whether the government should risk more deaths from the disease to save the plunging economy.

The fledgling ‘exit strategy’ would see the country get back up in running in stages after May 11, with primary, GCSE pupils, and nurseries potentially going back part-time, despite concerns of protective equipment for such workers.

Meanwhile, clothes shops and garden centres could be among the ‘non-essential’ stores given a ‘green light’ to reopen with precautions to protect customers. Rail services would be brought up to normal levels, with commuters probably urged to wear facemasks, and the NHS would resume carrying out non-urgent procedures. 

A second ‘amber’ stage later in the summer would see more of the economy revived, with all employees told to go back to work and some social gatherings allowed. 

However, it might not be until later in the year that pubs and restaurants can reopen and sporting events get up and running. And over-70s face a ‘red light’ for many months more, potentially having to wait for a vaccine before going back to normal life.

Prime Minister Boris Johnson, who fought the virus in hospital had been apprehensive to ease the lockdown.

He has been issuing orders to First Secretary of State Dominic Raab, who is deputising for him in public, as well as senior Downing Street advisors through a series of calls.

As it is not yet clear whether the traffic light plan will include compulsory use of face masks, other countries have been hailed for their response.

Already it is compulsory to wear masks while shopping or using public transport in Austria and parts of Italy, and those living in the Czech Republic and neighbouring Slovakia must wear masks whenever they go out.

So, which face masks will actually keep you safe?

HOMEMADE MASK

Homemade mask (Stock image)

Homemade mask (Stock image)

WHAT IS IT? From vacuum cleaner bags to sanitary towels and scarves, look online and you will discover that just about anything can be turned into a mask.

COVID-19 EFFECTIVE? A 2013 Public Health England study looked at the suitability of various household materials that could be used as masks to filter bacterial and viral aerosols — and vacuum bags came out well.

Aim for multiple layers — U.S. researchers found that a double layer of tightly-woven cotton with a thread count of at least 180 was one of the best barriers.

WHERE CAN I GET ONE? Search your house and see what’s already there.

SURGICAL MASK

The surgical mask (stock image)

The surgical mask (stock image)

WHAT IS IT? The disposable mask that you see surgical staff wearing. These 3-ply masks are fluid-resistant and prevent infected droplets from the surgical staff entering the respiratory system of the patient.

COVID-19 EFFECTIVE? Thin surgical masks protect from large airborne droplets, but won’t block very small particles that may carry the virus. Once wet their efficacy is reduced, which is why they are disposable. But they are considered to offer better protection than a cloth mask.

WHERE CAN I GET ONE? In short supply. The advice is that medical masks should be saved for medical professionals. We found a box of 50 for £65.99 on medisave.co.uk.

DIY STORE DUST MASKS

DIY store mask (stock image)

DIY store mask (stock image)

WHAT IS IT? Dust masks and other disposable face masks all look similar, but levels of protection against particles that can pass through vary. If it says FFP1 then it’s a basic kind of dust mask (picture left).

COVID-19 EFFECTIVE? More protection than a surgical mask (only if it fits well). But with the lowest level of filtration for this kind of respirator mask (to meet European standards, they have to be able to filter at least 80 per cent of particles) it can’t filter out tiny particles associated with viruses and bacteria.

WHERE CAN I GET ONE? Normally at DIY stores from £1 a mask. Your best option is seeing if a local independent DIY store has stock and delivers.

CYCLING MASKS

Cycling mask (stock image)

Cycling mask (stock image)

WHAT IS IT? Neoprene anti-pollution masks. They contain an air filter to stop cyclists breathing in pollution in heavy traffic. But they are not regulated to the same standard as medical masks so protection levels can vary.

COVID-19 EFFECTIVE? While they are untested regarding coronavirus, they are intended to provide a layer of protection from airborne particles. Some are marketed as N95 or N99 grade (the U.S. equivalent to the European regulation rating: Filtering Face Piece, or FFP), which refers to airborne particles filtered — 95 or 99 per cent.

WHERE CAN I GET ONE? UK brand Cambridge Mask Company is taking pre-orders (pictured). Cycling masks are available from Amazon.

THE FFP3 mask

Medical-grade FFP3 mask (Stock image)

Medical-grade FFP3 mask (Stock image)

WHAT IS IT? Another respirator mask that eliminates even more small airborne particles than the N95/FFP2. FFP3 masks draw air through a filter embedded in the fabric that catches almost all airborne particles.

COVID-19 EFFECTIVE? Short of being a full-on gas mask affair, this is the best protection as long as it fits correctly. The mask blocks out 99 per cent of airborne particles.

WHERE CAN I GET ONE? In short supply, you can normally buy one at Wickes for under £3. The next step up is a heavy-duty reusable respirator used when spraying paint or chemicals — but not comfortable to wear all day.

Report by BETH HALE

Read more at DailyMail.co.uk