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Community Use Of Face Masks And COVID-19: Evidence From A Natural Experiment Of State Mandates In The US

Health Affairs · 2020 · Vol. 39(8) · pp. 1419–1425
Wei LyuGeorge L. Wehby

Abstract

State policies mandating public or community use of face masks or covers in mitigating the spread of coronavirus disease 2019 (COVID-19) are hotly contested. This study provides evidence from a natural experiment on the effects of state government mandates for face mask use in public issued by fifteen states plus Washington, D.C., between April 8 and May 15, 2020. The research design is an event study examining changes in the daily county-level COVID-19 growth rates between March 31 and May 22, 2020. Mandating face mask use in public is associated with a decline in the daily COVID-19 growth rate by 0.9, 1.1, 1.4, 1.7, and 2.0 percentage points in 1-5, 6-10, 11-15, 16-20, and 21 or more days after state face mask orders were signed, respectively. Estimates suggest that as a result of the implementation of these mandates, more than 200,000 COVID-19 cases were averted by May 22, 2020. The findings suggest that requiring face mask use in public could help in mitigating the spread of COVID-19.

COVID-19 epidemiological studiesCOVID-19 Pandemic ImpactsVaccine Coverage and HesitancyCoronavirus disease 2019 (COVID-19)2019-20 coronavirus outbreakNatural experimentFace masksSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Face (sociological concept)Natural (archaeology)State (computer science)MedicineVirology

MeSH terms

COVID-19Communicable Disease ControlFemaleHumansMaleMasksPneumonia, ViralPublic HealthUnited StatesCoronavirus InfectionsNeeds AssessmentMandatory ProgramsPandemics
Citations
759
FWCI
24.66
field-weighted impact
References
10
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100%
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Citations per year
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Community Use Of Face Masks And COVID-19: Evidence From A Natural Experiment Of State Mandates In The US · Scinovex