Researchers in China have suggested that wearing face masks at home is 79 per cent effective at preventing coronavirus spread among family members in the same household.
This practice was effective at curbing transmission before symptoms emerged in the first person infected, but it wasnโt protective once symptoms had developed, the study, published in the BMJ Global Health shows.
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To explore whether face masks might make a difference, the researchers took 460 peopleโs interview from 124 families in Beijing, China, on their household hygiene and behaviors during the pandemic.
Each family had at least one laboratory-confirmed case of COVID-19 infection between late February and late March 2020.
Average family size was four but ranged from two to 9, and usually comprised three generations.
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Family members were defined as those who had lived with the infected person for four days before and more than 24 hours after that personโs symptoms first appeared.
The researchers wanted to know what factors might heighten or lessen the risk of subsequently catching the virus within the incubation periodโ14 days from the start of that personโs symptoms.
During this time, secondary transmissionโspread from the first infected person to other family membersโoccurred in 41 out of the 124 families.
A total of 77 adults and children were infected in this way, giving an โattack rateโ of 23 per cent or around one in four.
Around a third of the study, children caught the virus (36 per cent) compared with more than two-thirds of the adults (just over 69.5 per cent).
Twelve of the children had mild symptoms; one had none. Most (83 per cent) of the adults had mild symptoms; in around one in 10, symptoms were severe, and one person became critically ill.
Daily use of disinfectants, window opening, and keeping at least one metre apart were associated with a lower risk of passing on the virus, even in more crowded households.
But daily contact and the number of family members wearing a face mask after the start of symptoms in the first person to develop them were associated with a heightened risk.
The findings showed that a face mask worn before symptoms started was 79 per cent effective, and disinfection 77 per cent effective, at stopping the virus from being passed on.