Monday, January 3, 2022

With the new Covid-19 variant surging, doctors advise doubling up or trying N95 masks (WSJ)

Doctors and healthcare systems say it might be time to change your face masks. With infections surging due to the fast-spreading Omicron variant, including among the vaccinated, physicians are now urging people to ditch cloth face masks, which they say may not provide enough protection against the virus. Instead, they recommend pairing cloth masks with surgical models or moving on to stronger respirator masks.

The Mayo Clinic began on Thursday requiring all patients and visitors to wear surgical masks or N95 or KN95 masks. Anyone wearing a single-layer, homemade cloth mask, gaiter or bandanna, or a mask with a vent, will be provided a medical-grade mask to wear over it.

Single-layer cloth masks, which many people prefer for comfort and style, can block larger droplets carrying the virus, but aren’t as effective in blocking smaller aerosols or particles carrying the virus, according to infectious-disease specialists.

The Centers for Disease Control and Prevention’s most recent guidance recommends that people wear masks, including cloth ones that are multilayered and tightly woven, that fit snugly and have an adjustable wire nose bridge. It also suggests layering masks, using a disposable mask underneath a cloth mask and reserving N95 masks for healthcare workers.

But many professionals in the field say certain masks are more effective than others in protecting people from the Omicron variant and that cloth masks alone aren’t. “If you really want no exposure, you have to wear the right type of mask,” says Monica Gandhi, an infectious disease specialist at the University of California, San Francisco. Dr. Gandhi recommends N95 masks, which are certified in the U.S., or the KN95, KF94 and FFP2 masks, which are certified in China, South Korea and Europe respectively.

If those aren’t available, she recommends double masking—a multilayered cloth mask tightly on top of a surgical mask. Surgical masks are made of polypropylene, which has electrostatic charge characteristics that block the virus. “If everyone is just wearing a cloth mask or just a surgical mask, it won’t make any difference” with this highly-transmissible variant, she says. Others in the field say high-quality surgical masks, worn properly, offer protection, but they would also like more data and research on how they stand up against Omicron.

N95 masks, which are certified by the U.S. National Institute of Occupational Safety and Health, have a denser network of fibers than surgical or cloth masks. That tighter mesh, together with an electrostatic charge in the material, generally makes such masks the most efficient at trapping larger droplets and aerosols that are exhaled by the wearer. They also better block such particles from being inhaled.

Properly fitted, certified N95 masks can filter up to 95% of particles in the air. “Any mask is better than no mask. But cloth masks and then surgical masks are not as good as N95-caliber masks,” says Ranu Dhillon, a physician at Brigham and Women’s Hospital.

Megan Srinivas, a clinician and infectious disease specialist at the University of North Carolina at Chapel Hill, says she and other family members wear KN95 masks, which have five layers of overlapping material and a tighter fit to reduce droplets from escaping or entering. She would recommend those same masks, which come in children’s sizes, to parents getting ready to send their children to school in the new year. If those aren’t available, she suggests disposable authorized surgical masks. “We need to educate the public and say that different quality masks offer different protection,” she says.

Graham Snyder, medical director of infection prevention and hospital epidemiology at the University of Pittsburgh Medical Center , says any quality mask that offers an effective seal and is worn correctly—covering the nose and mouth—offers protection. Dr. Synder says he would like data from the CDC on how Omicron spreads and whether the transmission is related to the types of masks. He is concerned about the number of people in the community who don’t wear masks of any type. “Masking works. Period,” he says.

Write to Clare Ansberry at and Nidhi Subbaraman at


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