Why Everyone Should Still Be Wearing Masks


I’ve been hesitating on posting on the blog until I have my straight-to-blog book about running for city council last year ready to hit the publish button. But this topic is just too important, and while the debate is gaining a fever-pitch for another critical moment in this ongoing pandemic… well, I just had to throw in my two cents.

We all have felt the whiplash of the back-and-forth recommendations from public health over the last year and a half; many of us as parents even moreso since the CDC announced that masks could be burned in the fire in almost all situations for anyone fully vaccinated. Our states quickly followed suit, along with individual businesses and enterprises everywhere making big announcements – as if such a thing was even necessary. Now I’m not saying that people always wore masks perfectly everywhere, but there is something to be said for just quietly changing rules instead of making such a hoopla over it.

Even local journalists were hosting Twitter threads announcing what locations immediately took off the masks; a shocking admission of their position on the matter, and moreover not equally covered now – weeks later – as cases have risen, neighboring counties have reinstated mask recommendations, and failing today to report on the actual quiet changes the CDC has made, such as reinstating mask mandates in homeless shelters for vaccinated people experiencing homelessness. To put it simply: the pressure on politicians and public health officials was strong from the press to take the masks off, but to back off on that? Not so much.

Now, a bit after the mask guidance dropped, and as coronavirus infections (for some) and variants (all over) have risen in number and prevalence all over the country, the mask debate goes on. I see doctors taking selfies unmasked, because – as they say – the vaccines do work. But I also hear wet coughs and comments about “freedom from face diapers” by people wearing t-shirts that say things like I will not be your medical experiment while I’m at the pharmacy picking up my unvaccinated four year old’s medication. As has been the case for the vast majority of this pandemic, when public policy has not intervened, the honor system has been asked of people. And while before public policy was effective enough to at least deter some of the negative effects, now – so it seems – people of all political persuasions have donned the Trumpian MO of staunch, and at time narcissistic, individualism. I got mine (vaccine), so you get yours and you’ll be fine. No more public policy needed.

Except every human being alive today under the age of 12 is not eligible for vaccination just yet.

In my own city in Southern California, the city decided they would encourage masks for everyone, but also make them entirely optional even for the unvaccinated. They (masks), thus, largely no longer exist. Anywhere, and for anyone – this being a total and direct defiance of county, state, and federal public health guidance. If immune compromised kids or adults want to go visit our local public library without at least some level of worry, they can – essentially – go blow.

(I wrote my city council on this, by the way, and not a single one of them could be bothered to respond… including, and most notably, the nurse.)

Masks, at this point more than at any other in the pandemic, have become so deeply political and incredibly controversial – both keeping them on and taking them off, and what each means in so many different situations – that I find myself spiraling down a hole that can best be described as Reverend Lovejoy’s wife on The Simpsons, just screaming over and over again in abject horror: “think of the children!” in hopes that some part of this will at some point settle down, and make sense. Pretty much 24/7.

Yes. Think of the children.

Please. Think of the children.

Severe COVID in children is exceptionally rare, though as more transmissible variants crop up, this may not remain to be the case. As with all new diseases and science – they just don’t know. As it stands, the American Academy of Pediatrics reports that in the week ending July 1st, 1.3% – 3.6% of COVID cases in children required hospitalization, with an all time figure since COVID appeared ranging between 0.1% AND 1.9% of all children infected in the entirety of the pandemic (to this point). A concerning increase? Maybe. I’m not a doctor. But the real issue is that the more people in need of acute care in a hospitalized setting, the less people and supplies there are available to care for them (resulting in more severe outcomes).

Death from COVID in children is even more rare, with somewhere just above 300 children in the entire United States having succumbed to the disease, most with underlying health conditions. A child in my own county died earlier this year of it, and the most disgusting, and common, reaction was to normalize it by saying “but he had other health conditions.”

Nothing about having other health conditions changes the fact that without COVID, they would still be alive today. If there is more we could have done to save that child’s life – any of those children’s lives – we have failed them by not doing so. Which is exactly what we are running the risk of doing now as virtually all mitigation measures are being stripped systematically by hacks in local government who care more about being re-elected than doing the right thing.

Children Need To Be In School In Person Next Month

The same thing that happened last summer is playing out again this year: the debate about how schools should open in the fall are ramping up. At the same time, we’re seeing viral Twitter posts, alarmist doctors, and legitimate news sources with clickbait-headlines about debated studies (from Israel) on vaccine efficacy, and disastrous accounts of more and more breakthrough cases cropping up. Mask guidance has again become nuanced – because we apparently don’t learn our lesson about how the general public deals with complexity and nuance.

The CDC has not even put out its guidance for schools in the fall yet, while some school boards have already made their decisions about what – if any – protections they will be putting into place. And at the same time, cases are rising in some areas of the country, even in my own heavily vaccinated state of California.

And yet the facts remain about school and children in the time of COVID: distance learning has profoundly affected children on an educational, as well as social and mental health, level. It’s also become a socio-economic hardship for families to have one parent staying home, with extended unemployment benefits expiring in the fall as COVID still ravages parts of the country, and other teacher’s unions signal they will not come to reasonable agreements over fears about breakthrough cases and variant transmission.

And yet still, I personally know of a handful of mom friends all over the country who are looking at rising cases in their communities, feeling uncomfortable with what safety measures their individual schools have planned, and are planning to keep their kids home, and in many cases strapping themselves even more financially, simply because so many people in their communities are now clinging for dear life to this rugged individualism that is killing people in real time.

There have been several studies proving without a doubt that children in school faired better with COVID. That is to say that in school with proper protocols being followed (ventilation, masking in some scenarios, etc), kids got sick less and had far better outcomes. With teachers and staff being protected now through vaccination, it seems to make sense that if we properly protect kids with other mitigation measures until kids can be protected through vaccination as well, getting them back into school is the right choice.

But…

As all things pandemic have been politicized to this point, what has become increasingly clear is that more than simply the educators and scientists will be making the decisions on this. Politicians, interested parties, and the parents with the loudest voices (though both sides are pretty loud and backed into their corners at this point), are already making school reopening policy with their rhetoric, and the virus and the media with their headlines.

To me, the logical thing to do to make sure we get kids into schools in person this fall in a safe environment is to universally mask back up until there is much more certainty about the variants, as well as the vaccines; until the headlines about the breakthrough infections subside, and the schools are at the point of no return to get kids back in their desks and in school.

It will put an end to headlines like we saw here in California yesterday, about the news that staffers at the Capitol had an outbreak with an unusually high number of post-vaccination breakthroughs, and only after the Capitol had slightly relaxed its masking guidance for vaccinated employees. It will slow workplace outbreaks, in particular in low wage service industry jobs that are public facing, where we rely on the public to be honest about who is in the store without a mask or a vax.

Because people can make their personal choices all they want. When you operate on the honor system, unvaccinated people by choice are violating this honor system, and in turn getting sick. Mask mandates in indoor public spaces showed they worked. Even with people continuing to gather in homes, at gatherings, and with capacity limits being lifted. By toning down the news cycle (which the media clearly cannot see any sort of moral imperative to do), we can make sure the ammunition in the school reopening debate is eliminated.

Won’t Somebody Think Of The Children?!

There are some other key points here that make sense to even someone like me – just a mom who pays attention:

People under 12 years old are not eligible for vaccination yet. Full stop. To say that it’s on the unvaccinated to protect themselves is a pretty dicey proposition to so many people literally cannot. They rely on the goodness of everyone else, and right now everyone else is not showing themselves to be very good. And while we already established that severe outcomes from COVID for children, including death, are exceptionally rare, long COVID (coronavirus symptoms more than 120 after testing positive) remains a persistant issue for children, just as: well, they’re kids.

Not a single child on this planet brought this pandemic on themselves, and to look at them and suggest that their risks are low, so we’ll now do nothing is… well, I can’t even think of a word to describe how awful that is.

Kids are also not as dumb as adults seem to consider them now. For the last year and half, we’ve asked them to make enormous sacrifices to protect the adults, in particular the elderly ones. We’ve taken away school, sports, aid for kids with special needs, consistency, they’ve watched families die, sacrificed much of their future, decimated their mental health; we’ve isolated them from friends, subjected them to greater food insecurities, pushed some into abject poverty and homelessness. Not everyone agreed with that proposition, and the science in the end has shown that some measures went too far.

But I continue to find not a single child that had a problem wearing a mask. And more so, including when I ran for city council, over the last year and a half, I have found that the kids were the most adaptable; the most willing to do what they had to do, no matter how hard it was, for the sake of caring for the adults. Will it hurt them in some way in the end? Probably. But they were willing to do it, because kids are like that – they have empathy and compassion that the rest of us seem to have, sadly, lost.

I have three kids, you guys know this. One is 17, one 13, and one 4. My 4 year old was the hardest to convince to deal with the discomfort of wearing a mask, but when it came down to him understanding that we were doing this to protect others, he immediately complied. This was the theme of the mask debate in the earliest of days, including after the Biden Administration took over the pandemic response, and he issued that 100 days to wear a mask and protect our communities in doing so. Masks work if they are worn universally. They provide some protection for the wearer alone, but if everyone does it they work remarkably well. This, like all of the other things we’ve discussed, is proven.

So what does it say to kids that know they still aren’t protected that suddenly no one is wearing a mask? Kids under 12 know they haven’t gotten the COVID shot, some (like mine) were there when siblings got it. They know COVID is still out there, they know some places still require masks or some of their parents are still working from home. Many still have family dying of the disease, wondering if they or another loved one is next.

After a year and a half of asking them to wear masks to protect everyone, what does it tell them now that the adults won’t wear masks to protect them?

The pandemic did require sacrifice, and it still does. From everyone. And while we can debate on whether or not some was just or went too far: at least some lives were saved in the process. We may never know if it could have been more, we may not know what will be required of us in the future. Today, we find ourselves in a new stage of the pandemic: one that is about controlling the virus, and preventing the variants from causing more large scale catastrophe until everyone has had an opportunity to be protected. It is a fact that everyone hasn’t, and another one that a lot of people do not care. It is a stage that the CDC and Dr. Fauci argue should be based on each person’s individual risk assessment. But is that a realistic and grounded expectation of the average American? To assess their own risk and act accordingly? Arguably, based on the behavior of a lot of people over the last year, in addition to just the reality of the different paths and struggles we all walk every day in this modern American life, I would argue not. People barely have time to sleep more than a few hours a night, let alone take the time to read studies, follow community transmission, and consider personal risk assessments. Many also just trust the government to do what is right, and as a mom it seems right now like they are doing anything but.

When all is said and done, I would argue that everyone should still be wearing masks as we continue to think of the children. On the precipice of kids getting back to some sort of a normalcy this fall – with school, sports, friends, and good health – is it really so hard to just put the cloth back over your face sometimes? Personally, to me, it says more about you as a person if you won’t.


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