Population-wide use of face masks could push COVID-19 transmission down to controllable levels and could prevent further waves of the pandemic when combined with lockdowns, according to a UK study published Wednesday.
The research, led by scientists at Britain's Cambridge and Greenwich Universities, suggests lockdowns alone will not stop the resurgence of SARS-CoV-2, but even homemade masks can dramatically reduce transmission rates if enough people wear them in public.
"Our analyses support the immediate and universal adoption of face masks by the public," said Richard Stutt, who co-led the study at Cambridge.
He said the findings showed that if widespread mask use were combined with social distancing and some lockdown measures, this could be "an acceptable way of managing the pandemic and re-opening economic activity" long before the development and public availability of an effective vaccine against COVID-19.
The study's findings were published in the "Proceedings of the Royal Society A" scientific journal.
The World Health Organization updated its guidance on Friday to recommend that governments ask everyone to wear fabric face masks in public areas to reduce the spread of the coronavirus.
In this study, researchers linked the dynamics of spread between people with population-level models to assess the effect on the disease's reproduction rate – also known as the R value – in different mask adoption scenarios and periods of lockdown.
The R value measures the average number of people that one infected person will pass the disease on to. An R value above one can lead to exponential growth.
The study found that if people wear masks whenever they are in public, it is twice as effective at reducing the R value than if masks are only worn after symptoms appear.
In all scenarios the study looked at, face mask use by 50 percent or more of the population reduced COVID-19 spread to an R value of less than 1.0, flattening future disease waves and allowing for less stringent lockdowns.
"We have little to lose from the widespread adoption of face masks, but the gains could be significant," said Renata Retkute, who co-led the study.