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Widespread use of face masks in public may slow the spread of SARS CoV-2: an ecological study
Chris Kenyon
Acceso Abierto
Atribución-NoComercial-SinDerivadas
https://doi.org/10.1101/2020.03.31.20048652
https://www.medrxiv.org/content/10.1101/2020.03.31.20048652v1
Background The reasons for the large differences between countries in the sizes of their SARS CoV-2 epidemics is unknown. Individual level studies have found that the use of face masks was protective for the acquisition and transmission of a range of respiratory viruses including SARS CoV-1. We hypothesized that population level usage of face masks may be negatively associated SARS CoV-2 spread. Methods At a country level, linear regression was used to assess the association between COVID-19 diagnoses per inhabitant and the national promotion of face masks in public (coded as a binary variable), controlling for the age of the COVID-19 epidemic and testing intensity. Results Eight of the 49 countries with available data advocated wearing face masks in public – China, Czechia, Hong Kong, Japan, Singapore, South Korea, Thailand and Malaysia. In multivariate analysis face mask use was negatively associated with number of COVID-19 cases/inhabitant (coef. −326, 95% CI −601- −51, P=0.021). Testing intensity was positively associated with COVID-19 cases (coef. 0.07, 95% CI 0.05-0.08, P<0.001). Conclusion Whilst these results are susceptible to residual confounding, they do provide ecological level support to the individual level studies that found face mask usage to reduce the transmission and acquisition of respiratory viral infections.
bioRxiv
06-04-2020
Preimpreso
Inglés
Público en general
VIRUS RESPIRATORIOS
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