However, back in the Spring and Summer of 2020 it seems to me a RCT could have been conducted
Actually we have that data on the efficacy of face masks for the seasonal flu. So are you suggesting the evidence-based practitioners are ignoring the evidence? Is there any evidence that face masks work better for preventing CoVID-19 that the seasonal flu? It has been killing tens of thousands Americans every year for many decades.
Should we ban driving as we see tens of thousands of people dying each year in traffic accidents? Life requires taking risks.
Wow..that was fast for the " but but rct's"
I guess you are doubling down
Well let's start with the fact that you just ignored the plethora of evidence I just gave you.
By the way which included systematic reviews. Know what's higher on the evidence hierarchy ? Oh yeah systematic review and meta analysis.
But let's address your ..." but but they COULD of done an rtc on face masks in early 2020."
Okay..lets think about the design of a randomized controlled trial on the use of masks for SOURCE CONTROL. In other words does a face mask reduce the chance of an infected person giving another person the virus.
So..you need subjects who THAT YOU KNOW ARE INFECTED WITH COVID AND ARE IN THE INFECTIOUS STAGE.
hmmm. So do you get some people and purposely infect them? Hmmm that seems unethical.
So what then.. sample thousands and thousands of people hoping to find a subject that tests positive for the virus..doesn't know they are sick.. and is in the infectious stage..
Wow..seems a bit difficult huh?
But it gets better.. you can't tell the subject that they are infectious ( blinded) because if they know they are infectious they might change behavior. And perhaps not go see grandma as planned thus skewing the results.. ( gosh seems a but unethical to knowingly let an infectious person go visit grandma.)
So you then don't tell these individuals that they are infectious and you randomly assign them to wear masks or not.
Then you send these infectious people out into the world and you have to TEST EVERY SINGLE PERSON THEY COME IN CONTACT WITH FOR THREE TO FIVE DAYS AFTER CONTACT TO DETERMINE IF THEY WERE INFECTED..
OF COURSE WHILE DOING THIS YOU HAVE TO QUARANTINE EVERY SINGLE ONE OF THEM TO MAKE SURE THAT IF THEY GOT INFECTED IT WAS FROM THE TEST SUBJECT!
oh wait..but then these folks could have been infected earlier since the incubation period is 3 to five days.. so..the way around this is to quarantine these individuals..and then purposely expose them to the infected people...
Oh wait..we are back to purposely exposing people to infection
This is why your insistence on rtcs for source control doesn't fly. And it illustrates why other research designs are better.
Why are there not mask mandates for influenza?
Risk vs benefits.
Risk of flu..lets see..deaths per year us...38000 to 61000 estimated.
Risk of covid? 600,000 plus deaths in one year.
Then we talk hospitalizations..the overrunning of hospital systems....etc.
Pretty clear it's a different risk benefit ratio.
Should we ban driving? No we shouldn't and we don't. Instead we mandate seatbelts.aibags child car seats .traffic control devices..traffic laws..no drinking and driving..etc to mitigate the risk
.
Just like we don't demand everyone stay in their home wearing masks and social distancing..
But merely ask you to wear a mask in indoor public places.
Boo hoo
Should we get rid of traffic control devices in the name of freedom? " by God I don't think the gubment should tell me I have to stop on red! Red is for communists and by God..I ain't no commie"
Hey why not right..we all got to live with risk.,?
Think about it for more than a minute