site banner

Cochrane review is out and masks have weak evidence that they are not effective

vinayprasadmdmph.substack.com

This one is against rationalists because when Scott wrote his review that masks could be effective many of us trusted it.

I don't blame Scott for failing this one because doing review of hundreds of studies is hard and one person can hardly do it. But this clearly shows that rationalist way of thinking has no special formula, they can be easily mistaken and fall by accepting general consensus just like any other person.

I was impressed when Scott did his review about masks. I trusted it because there was no other clear evidence available. Cochrane hadn't done its review yet and NICE guidelines were silent on the issue. We vaguely knew from previous studies that masks are not effective, The WHO had said so. Suddenly everyone flipped and it was not because the evidence had changed. We simply wanted to believe that masks work and we mocked those who said “no evidence that masks help”.

Even with the belief that masks work, I never wanted mask mandates. I preferred recommendations only, so that no one was penalized or prohibited entry, travel etc if one doesn't want to wear mask. Scott unwillingly had been a catalyst for governments to introduce mask mandates and all this heavy handed approach has been for nothing.

Now we are back to square one, the evidence about masks is weak and it does not support their use even in hospital settings. We can all reflect now what happened in between during these 2 or 3 years. When I realized that Scott's review is clearly insufficient as evidence, I asked some doctors if they have any better evidence that masks work. Instead of getting answer I was told not to be silly, parachutes don't need RCTs and accused me of being covid denier for nor reason. Many so-called experts were making the same mistake as Scott by looking at the issue too emotionally. It is time to get back to reality and admit that it was a mistake and we should have judged the issue with more rational mind.

14
Jump in the discussion.

No email address required.

Why should we limit ourselves to the conversation that is happening here?

but lots of people are absolutely making the M&B argument I'm citing.

Again, they can defend themselves, but I think you're misinterpreting people.

Is this supposed to be a serious question?

Yes.

Because yelling about what some people who aren't here did isn't productive or interesting

Neither is discussing the effectiveness of a policy that was never implemented, and which would arguably be unenforceable, but this is exactly what you seem to want to do for some reason.

and often veers into "Boo outgroup!" which the rules of this place explicitly prohibit.

Pointing out a policy did not work, isn't "boo outgroup".

Cool. My interest is as a dude who was forced to wear an ineffective surgical / FFP2 mask for 2 years, and who would get censored for expressing the sentiment that they are ineffective. Like I said, I maintain it is obvious that the statement "masks don't work" refers to the masks that were mandated by the aforementioned policy. I'm not making anything up. This stuff happened.

surgical / FFP2 mask

Those are very different things. Wikipedia defines an FFP2 mask as the European equivalent of an N95, i.e. what it normally used for repository pathogens like SARS-CoV-2. I'm used to surgical mask being used to refer to the masks you see on surgeons in medical shows which are intended to block exhalations/spit/sneezes and do not have a seal so they have limited to no expectation of preventing breathing in airborne pathogens.

Oh lol, in that case I take back every cautiously positive thing I said about N95s. If these things worked we'd have undeniable population level data ftom Europe showing it.