The science around the use of masks by the general public to impede COVID-19 transmission is advancing rapidly. Policymakers need guidance on how
masks should be used by the general population to combat the COVID-19 pandemic. Here, we synthesize the relevant literature to inform multiple areas:
1) transmission characteristics of COVID-19, 2) filtering characteristics and efficacy of masks, 3) estimated population impacts of widespread
community mask use, and 4) sociological considerations for policies concerning mask-wearing. A primary route of transmission of COVID-19 is likely via
small respiratory droplets, and is known to be transmissible from presymptomatic and asymptomatic individuals. Reducing disease spread requires two
things: first, limit contacts of infected individuals via physical distancing and contact tracing with appropriate quarantine, and second, reduce the
transmission probability per contact by wearing masks in public, among other measures. The preponderance of evidence indicates that mask wearing
reduces the transmissibility per contact by reducing transmission of infected droplets in both laboratory and clinical contexts. Public mask wearing
is most effective at stopping spread of the virus when compliance is high. The decreased transmissibility could substantially reduce the death toll
and economic impact while the cost of the intervention is low. Thus we recommend the adoption of public cloth mask wearing, as an effective
form of source control, in conjunction with existing hygiene, distancing, and contact tracing strategies. We recommend that public officials and
governments strongly encourage the use of widespread face masks in public, including the use of appropriate regulation.
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