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Yes, we do need to bring back masks in medical settings
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Yes, we do need to bring back masks in medical settings
By Iris Gorfinkel
Iris Gorfinkel is a family physician and clinical researcher in Toronto.
“Take a seat. The wait to see the doctor is about an hour.”
The waiting room is packed…few if any, are masked
Imagine you — or a vulnerable loved one — needs urgent medical care. If you’re lucky enough to have a family doctor, you head to their clinic. Like most, yours is housed in a building with low ceilings and little air filtration. You enter the waiting room where several patients sit shoulder-to-shoulder waiting.
You have no choice but to sit alongside people sneezing, coughing and blowing their noses. Few if any, patients and health care workers are wearing a mask. While grateful for the hand sanitizer on offer, you begin to wonder if that will be enough to prevent your picking up an infection you hadn’t anticipated.
It’s an all-too-familiar scenario.
The most common reason people see a GP is to assess an upper respiratory infection. They most frequently start after inhaling infected droplets or aerosols or from having touched an infected surface.
An N95 or KN95 mask helps block transmission, whether it’s SARS CoV-2, influenza or a common cold virus like RSV. They’re not perfect, but they reduce viral transmission by 30 per cent. Yet in spite of their benefits, most health-care workers and patients no longer routinely mask, even during assessments requiring close contact with an increased risk of disease spread.
Many of my most vulnerable patients are keenly aware of the potential health risks this presents. Yet most say nothing and would never dream of asking their clinician to wear a mask.
There are sound reasons for this.
The first concerns long wait times. A visit to the specialist is a precious commodity that cannot be risked. Several months pass before patients are seen, raising the urgency for care.
This is only the first of many factors to come that can silence even the most assertive patients.
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Independent, moderated, timely, deep, gentle, clinical, global, and community conversations about things that matter. Breathe Easy, we go deep and lightly surface the big ideas.
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