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Surgical Masks Help Block Germs But Are No Guarantee

A woman wearing a face mask looks at her phone in Chinatown in the Manhattan borough of New York City, Jan. 25, 2020.
A woman wearing a face mask looks at her phone in Chinatown in the Manhattan borough of New York City, Jan. 25, 2020.

Imagine you're riding public transport to school or work and the man across the aisle erupts in a sneeze that explodes into the air. Halfway down the car, someone else coughs uncontrollably. Neither cover their mouth or nose.

The woman next to you is wearing a surgical mask, but you are not.

Are you doomed to get sick?

Experts say yes. And no.

Viruses -- like the coronavirus outbreak that started in Wuhan, China, recently and has migrated around the globe -- typically ride on aerosolized droplets, meaning the stuff that comes out of your nose and mouth when you cough and sneeze, explained Dr. Donald Milton, who directs the Maryland Institute for Applied Environmental Health.

Milton studies airborne viruses and heads the University of Maryland response team to students returning to school from China and other international travel. While surgical masks are advised -- particularly the N95 particulate respirator mask -- they do not offer complete coverage.

The U.S. government warns that masks do not "filter or block very small particles in the air that may be transmitted by coughs, sneezes or certain medical procedures."

And masks can’t prevent droplets from getting into your eyes, Milton said.

"I like to describe [it] as getting hit with a ballistic droplet in the eye,” he said.

Social media has been sharing hashtag #coveryourmouth, admonishing people to use the crook of their arm, a handkerchief or a tissue to block the spew of aerosolized germs in public places.

And then there are the railings, seats, doors and myriad handles that people routinely touch moving in and out of subways, classrooms, shops and at home after also touching their faces, noses and mouths.

"Door knobs are a favorite suspect,” Milton said. So handwashing (include the wrists and lower arms, health officials say) and disinfecting are key.

A passenger wearing a mask boards a flight after cases of the coronavirus have been confirmed in the U.S., in Boston, Massachusetts, Jan. 24, 2020.
A passenger wearing a mask boards a flight after cases of the coronavirus have been confirmed in the U.S., in Boston, Massachusetts, Jan. 24, 2020.

Millennial Doktora (@MillennialMD) tweeted a public service announcement Jan. 21, around the time the coronavirus outbreak began to make news.

"1. Wash your hands frequently. Use rubbing alcohol if this is not possible. 2. Cover your mouth when sneezing or coughing and then wash your hands. 3. Use face mask if you have cough. 4. Stay away from the young, elderly, pregnant, & cancer patients if you have [upper respiratory tract infection] symptoms,” she tweeted. “5. Don’t kiss babies!!! Not even their hands and feet. And wash your hands before and after touching a baby. 6. Teach young kids coughing and sneezing etiquette and handwashing technique especially when they go to school. 7. Drink your water, eat your fruits and veggies."

While surgical masks are not so unusual in Asian countries, they are conspicuous in Western ones where people might be reticent to use them, reported Japan Today in a story about surgical masks in 2017. “

In the UK, nobody would wear a mask like this unless they were very, very sick, or there was otherwise something terribly wrong afoot,” Japan Today reported. The article also cited an incident where locals in a seaside English town thought Japanese tourists wearing masks might be terrorists.

Frequent traveler Francesca Domenella said, at her father's urging, she started wearing a surgical mask after returning from China Jan. 12. The Italian aerospace engineer, working as a risk engineer for a global commercial insurance company, found a mask in a stylish black that is washable.

In Europe, surgical masks are not common so I was expecting people to give me weird looks, which they do as soon as they realize I am not Asian,” Domenella, who was traveling through Germany on her way to London, told VOA in an email. “People sneeze, cough all the time and it’s better to have it. I am wearing it now too. … Makes me feel like wearing an accessory rather than a device.”

The populations most at risk of contracting the virus are the elderly, the very young and those with compromised immune systems.

Milton said the college-age population of healthy young adults is less likely to get sick.

Early screening and identification, isolation and treatment are key to controlling the spread of the virus, he said. Among the more than 1 million international students in the U.S., more than 300,000 are Chinese. The U.S. universities with the largest Chinese-student populations are in New York, California, Massachusetts, Illinois and Indiana.

"We can handle this. It depends on early detection,” he said from the University of Maryland, which enrolls about 2,000 Chinese students.

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Judge upholds racial considerations in US Naval Academy admissions 

FILE - U.S. Naval Academy midshipmen participate in a formal parade on the school's campus in 2010. (U.S. Navy photo)
FILE - U.S. Naval Academy midshipmen participate in a formal parade on the school's campus in 2010. (U.S. Navy photo)

Although the U.S. Supreme Court last year decided that civilian colleges and universities could not consider race or ethnicity in admissions, a judge ruled that the U.S. Naval Academy had established a national security interest in a diverse officer corps.

That means the academy – and other military service academies – can continue to consider race. A similar policy at the U.S. Military Academy at West Point has also been challenged, but that case has not yet gone to trial, according to a report in Navy Times. (December 2024)

Harvard recommends gap year as a strategic move 

FILE - In this July 16, 2019, file photo people walk past an entrance to Widener Library, behind, on the campus of Harvard University, in Cambridge, Mass.
FILE - In this July 16, 2019, file photo people walk past an entrance to Widener Library, behind, on the campus of Harvard University, in Cambridge, Mass.

While some students and parents see the gap year as a waste of time, others see the break in academic studies as valuable for developing maturity, earning money or focusing goals.

MSN.com explains some of the reasons why Harvard – and other prestigious schools in the United States – are recommending that students take a gap year. (December 2024)

Student dilemma: Financial aid applications can expose undocumented parents

FILE - New graduates line up before the start of the Bergen Community College commencement at MetLife Stadium in East Rutherford, N.J, May 17, 2018.
FILE - New graduates line up before the start of the Bergen Community College commencement at MetLife Stadium in East Rutherford, N.J, May 17, 2018.

Many students in the U.S. rely on financial aid to attend colleges and universities, but as Julia Barajas reports in LAist.com, the Free Application for Federal Student Aid could cause a dilemma for students with an undocumented parent.

If students fill out the application, they will share their parents’ financial information – and potentially raise questions about their immigration status -- with the federal government. If they don’t fill out the application, they won’t get federal financial aid. (December 2024)

FDA: College students using ‘honey packets’ to enhance sex put themselves at risk 

FILE - Signage is seen outside of the Food and Drug Administration (FDA) headquarters in White Oak, Maryland, August 29, 2020.
FILE - Signage is seen outside of the Food and Drug Administration (FDA) headquarters in White Oak, Maryland, August 29, 2020.

With TikTok videos promoting “honey packets,” the supplements marketed as sexual enhancements have become popular on college campuses.

But as Charles Trepany reports in USA Today, the Food and Drug Administration has warned that ingredients in the supplements could be potentially dangerous. (November 2024)

Some universities encourage Chinese students to return before inauguration

FILE - Visitors pose for a selfie at the Beijing Daxing International Airport near Beijing on Dec. 11, 2019.
FILE - Visitors pose for a selfie at the Beijing Daxing International Airport near Beijing on Dec. 11, 2019.

Some colleges and universities are encouraging international students to return to the United States – or stay in the country over winter break – to make sure any White House travel restrictions don’t impede their return, the South China Morning Post reports.

Chinese students in the United States have expressed concerns about being allowed back in the country after U.S. President-elect Donald Trump takes office on January 20. Trump has promised sweeping immigration reforms and mass deportations. (December 2024)

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