{"id":168512,"date":"2020-09-14T12:01:16","date_gmt":"2020-09-14T11:01:16","guid":{"rendered":"https:\/\/www.transcend.org\/tms\/?p=168512"},"modified":"2020-12-02T09:57:07","modified_gmt":"2020-12-02T09:57:07","slug":"who-mask-study-seriously-flawed","status":"publish","type":"post","link":"https:\/\/www.transcend.org\/tms\/2020\/09\/who-mask-study-seriously-flawed\/","title":{"rendered":"WHO Mask Study Seriously Flawed"},"content":{"rendered":"<p>9 Sep 2020 &#8211; <em>Some updates on the lacking effectiveness of facemasks:<\/em><\/p>\n<ol>\n<li><em>The much-cited <strong>WHO meta-study on facemasks<\/strong>, which claimed an 80% risk reduction and was instrumental in the global facemask policy shift, has turned out to be seriously flawed and \u201cessentially useless\u201d. The WHO meta-study fooled health authorities, \u201cexperts\u201d and the media around the world. <a target=\"_blank\" href=\"https:\/\/swprs.org\/who-mask-study-seriously-flawed\/\" >Read more about this latest health policy fiasco.<\/a><\/em><\/li>\n<li><em>In the <strong>US state of Kansas<\/strong>, the 90 counties without mask mandates had lower coronavirus infection rates than the 15 counties with mask mandates. To hide this fact, the Kansas health department <a href=\"https:\/\/sentinelksmo.org\/more-deception-kdhe-hid-data-to-justify-mask-mandate\/\"  target=\"_blank\" rel=\"noopener noreferrer\">tried to manipulate<\/a> the official statistics and data presentation.<\/em><\/li>\n<li><em><strong>Austrian professor Franz Allerberger <\/strong>found that the introduction, removal and re-introduction of mandatory facemasks in Austria <a href=\"https:\/\/corona-transition.org\/maskenpflicht-brachte-in-osterreich-keinerlei-messbaren-nutzen\"  target=\"_blank\" rel=\"noopener noreferrer\">had no influence<\/a> at all on the coronavirus infection rate.<\/em><\/li>\n<\/ol>\n<p><em>Given the rather clear evidence against the effectiveness of facemasks in the general population, health authorities should no longer assume or suggest that facemasks will reduce the rate or risk of infection.<\/em><\/p>\n<p>**********<\/p>\n<p>The WHO-commissioned meta-study on the effectiveness of facemasks, published in the medical journal <a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(20)31142-9\/fulltext\"  target=\"_blank\" rel=\"noopener noreferrer\">The Lancet<\/a> in June 2020, has been instrumental in shifting global facemask policies during the Covid-19 pandemic. However, the meta-study, which claimed a risk reduction of 80% with facemasks, is seriously flawed on several levels and should be retracted.<\/p>\n<figure id=\"attachment_35073\" class=\"wp-caption aligncenter\" aria-describedby=\"caption-attachment-35073\"><a href=\"https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study.png\"  target=\"_blank\" rel=\"noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-35073 jetpack-lazy-image jetpack-lazy-image--handled\" src=\"https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study.png\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" srcset=\"https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study.png 1800w, https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study-300x245.png 300w, https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study-1024x836.png 1024w, https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study-150x123.png 150w, https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study-768x627.png 768w, https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study-1536x1254.png 1536w, https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study-1200x980.png 1200w, https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study-1400x1143.png 1400w, https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study-600x490.png 600w\" alt=\"\" width=\"700\" height=\"572\" data-attachment-id=\"35073\" data-permalink=\"https:\/\/swprs.org\/who-mask-study-seriously-flawed\/lancet-mask-meta-study-2\/\" data-orig-file=\"https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study.png\" data-orig-size=\"1800,1470\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"lancet-mask-meta-study\" data-image-description=\"\" data-medium-file=\"https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study-300x245.png\" data-large-file=\"https:\/\/swprs.org\/wp-content\/uploads\/2020\/09\/lancet-mask-meta-study-1024x836.png\" data-lazy-loaded=\"1\" \/><\/a><figcaption id=\"caption-attachment-35073\" class=\"wp-caption-text\">Results of WHO meta-study on facemasks (<a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(20)31142-9\/fulltext\"  target=\"_blank\" rel=\"noopener noreferrer\">The Lancet<\/a>)<\/figcaption><\/figure>\n<h4>A. General flaws<\/h4>\n<ol>\n<li>Of the 29 studies analyzed by the Lancet meta-study, <strong>seven studies are unpublished and non-peer-reviewed observational studies<\/strong> that should not be used to guide clinical practice according to the medRxiv disclaimer (references 3, 4, 31, 36, 37, 40 and 70; see table above).<\/li>\n<li>Of the 29 studies considered by the meta-study, <strong>only four are about the SARS-CoV-2 virus<\/strong>; the other 25 studies are about the SARS-1 virus or the MERS virus, both of which have very different transmission characteristics: they were transmitted almost exclusively by severely ill hospitalized patients and not by community transmission.<\/li>\n<li>Of the four studies relating to the SARS-CoV-2 virus, <strong>two were misinterpreted<\/strong> by the Lancet meta-study authors (refs. 44 and 70), one is inconclusive (ref. 37), and one is about N95 (FFP2) respirators and not about medical masks or cloth masks (see detailed analysis below).<\/li>\n<li>The Lancet meta-study is used to guide global facemask policy for the general population. However, of the 29 studies considered by the meta-study, <strong>only three are classified as relating to a non-health-care (i.e. community) setting<\/strong>. Of these three studies, one is <strong>misclassified<\/strong> (ref. 50, relating to a hospital environment), one showed <strong>no benefit<\/strong> of facemasks (ref. 69), and one is a poorly designed retrospective study about SARS-1 in Beijing based on telephone interviews (ref. 74). None of these studies refer to SARS-CoV-2.<\/li>\n<li>The authors of the Lancet meta-study acknowledge that the <strong>certainty of the evidence regarding facemasks is \u201clow\u201d<\/strong> as all of the studies are observational and none is a randomized controlled trial (RCT). The WHO itself admitted that its updated facemask policy guidelines were based not on new evidence but on <a href=\"https:\/\/twitter.com\/deb_cohen\/status\/1282244773030633473\"  target=\"_blank\" rel=\"noopener noreferrer\">\u201cpolitical lobbying\u201d<\/a>.<\/li>\n<\/ol>\n<p>In view of these shortcomings, University of Toronto epidemiology professor Peter Jueni <a href=\"https:\/\/www.tagesanzeiger.ch\/man-sollte-der-oeffentlichkeit-nichts-vorgaukeln-780632651447\"  target=\"_blank\" rel=\"noopener noreferrer\">called the<\/a> WHO study \u201cmethodologically flawed\u201d and \u201cessentially useless\u201d.<\/p>\n<h4>B. Study misinterpretations<\/h4>\n<p>As mentioned above, several studies have been misinterpreted by the authors of the meta-study. All of the misinterpretations resulted in falsely claiming or exaggerating a benefit of facemasks. In the following, only the four studies relating to SARS-CoV-2 are reviewed. (HCW: health care worker)<\/p>\n<ol>\n<li><strong>Ref. 44 (Heinzerling et al.):<\/strong> The meta-study claims that 0 of 31 HCW wearing a facemask and 3 of 6 HCW not wearing a facemask got infected. This is not correct: the study showed that 0 of 3 HCW wearing a facemask and 3 of 34 HCW not wearing a facemask got infected. This result was not statistically significant (p=1.00). Moreover, of the 3 HCW who got infected, one reported wearing a facemask \u201cmost of the time\u201d, but the meta-study classified this HCW as \u201cnot wearing a facemask\u201d.<\/li>\n<li><strong>Ref. 41 (Wang et al.)<\/strong>: This study, which did show a benefit of facemasks, was about <em>N95 (FFP2) respirators<\/em> in a health-care setting, not about medical masks or cloth masks.<\/li>\n<li><strong>Ref. 70 (Wang et al.)<\/strong>: The meta-study claims that 1 of 1286 HCW wearing a facemask and 119 of 4036 wearing \u201cno facemask\u201d got infected. This is not correct: in reality, 78.3% (94\/120) of infected HCW were in fact wearing a <em>surgical mask<\/em>, and only 20.8% (25\/120) did not wear any mask when exposed to the source of infection. The \u201c1 of 1286 HCW\u201d mentioned in the meta-study refer to HCW wearing an <em>N95 (FFP2) respirator<\/em>, not a medical or cloth mask.<\/li>\n<li><strong>Ref. 37 (Burke et al.)<\/strong>: This study had no result relating to the use of facemasks.<\/li>\n<\/ol>\n<h4>C. Studies relating to \u201csocial distancing\u201d<\/h4>\n<p>In an additional section, the WHO meta-study evaluated studies on the benefit of \u201csocial distancing\u201d measures. However, several independent experts have shown that this section is seriously flawed, too, as the authors again misinterpreted several studies and made several statistical errors. As with the studies on facemasks, all of these mistakes falsely claimed or exaggerated a benefit of \u201csocial distancing\u201d measures.<\/p>\n<p>For more information on this section, see <a href=\"https:\/\/pubpeer.com\/publications\/6AF113CE946CABB0FBB811697E5E54\"  target=\"_blank\" rel=\"noopener noreferrer\">PubPeer (and links therein)<\/a> and the <a href=\"https:\/\/www.cebm.net\/covid-19\/covid-19-evidence-is-lacking-for-2-meter-distancing\/\"  target=\"_blank\" rel=\"noopener noreferrer\">CEBM review<\/a>.<\/p>\n<p>\u2217\u2217\u2217<\/p>\n<p><strong>Original study<\/strong>: Chu et al., Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis, <a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(20)31142-9\/fulltext\"  target=\"_blank\" rel=\"noopener noreferrer\">The Lancet, June 2020<\/a>.<\/p>\n<p><strong>See also:<\/strong> <a target=\"_blank\" href=\"https:\/\/swprs.org\/face-masks-evidence\/\" >Are face masks effective? The evidence<\/a><\/p>\n<p>__________________________________________<\/p>\n<p style=\"padding-left: 40px;\"><a href=\"https:\/\/www.transcend.org\/tms\/wp-content\/uploads\/2020\/05\/swiss-policy-research-logo-300.png\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-161314\" src=\"https:\/\/www.transcend.org\/tms\/wp-content\/uploads\/2020\/05\/swiss-policy-research-logo-300-150x150.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/www.transcend.org\/tms\/wp-content\/uploads\/2020\/05\/swiss-policy-research-logo-300-150x150.png 150w, https:\/\/www.transcend.org\/tms\/wp-content\/uploads\/2020\/05\/swiss-policy-research-logo-300.png 300w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>Swiss Policy Research<em>, founded in 2016, is an independent, nonpartisan and nonprofit research group investigating geopolitical propaganda in Swiss and international media. SPR is composed of independent academics that<\/em><em> for personal and professional reasons prefer to protect their identities,<\/em><em> and receives no external funding; t<\/em><em>here are no financial sponsors or backers. <\/em><em>Our articles have been published or shared by numerous independent media outlets and journalists, among them <a target=\"_blank\" href=\"https:\/\/swprs.files.wordpress.com\/2018\/01\/assange-tweet.png\" >Julian Assange<\/a>, and have been translated into more than two dozen languages.<\/em><\/p>\n<p><a target=\"_blank\" href=\"https:\/\/swprs.org\/who-mask-study-seriously-flawed\/\" >Go to Original &#8211; swprs.org<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>9 Sep 2020 &#8211; The WHO-commissioned meta-study on the effectiveness of facemasks, published in the medical journal The Lancet in June 2020, has been instrumental in shifting global facemask policies during the Covid-19 pandemic. However, the meta-study, which claimed a risk reduction of 80% with facemasks, is seriously flawed on several levels and should be retracted.<\/p>\n","protected":false},"author":4,"featured_media":154946,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2236],"tags":[1829,1868,2153,1864,1998],"class_list":["post-168512","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid19-coronavirus","tag-coronavirus","tag-covid-19","tag-facemasks","tag-pandemic","tag-swiss-policy-research"],"_links":{"self":[{"href":"https:\/\/www.transcend.org\/tms\/wp-json\/wp\/v2\/posts\/168512","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.transcend.org\/tms\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.transcend.org\/tms\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.transcend.org\/tms\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.transcend.org\/tms\/wp-json\/wp\/v2\/comments?post=168512"}],"version-history":[{"count":0,"href":"https:\/\/www.transcend.org\/tms\/wp-json\/wp\/v2\/posts\/168512\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.transcend.org\/tms\/wp-json\/wp\/v2\/media\/154946"}],"wp:attachment":[{"href":"https:\/\/www.transcend.org\/tms\/wp-json\/wp\/v2\/media?parent=168512"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.transcend.org\/tms\/wp-json\/wp\/v2\/categories?post=168512"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.transcend.org\/tms\/wp-json\/wp\/v2\/tags?post=168512"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}