I never said only RCTs can establish a causal relationship. There are no RCT on tobacco smoking causing more lung CA, COPD, and heart disease but there is more than sufficient evidence to convince me smoking promotes all these ills.
What?.. but but but there hasn;t been an RCT where they forced one group to smoke cigarettes for 30 years and prevented another group from smoking cigarettes for 40 years...
They used OBSERVATIONAL STUDIES.. which according to you.. are unable to find any causal relationship.
THAT is your argument when it comes to the masks and covid studies. Your statement has always been.. "there have been no RCT's".. and thus in your words. "no credible research". because no RCT's.
The only real difference here Realitychecker here is... you BELIEVE.. that smoking causes lung cancer.. (cause I really doubt you have read any of the actual research).
And you don;t "believe".. that masks work for source control..
It has nothing to do with research.. or research methodology.. thats just your excuse to try and justify your erroneous belief.
When you know what the confounding variables are and can get a reasonable estimate of their impact you can adjust for them. But with new drugs and medical equipment you really need well designed and carefully controlled RCT before promoting them as safe and effective.
Actually no. When possible.. they use RCT's.. AND use observational studies.... (because an RCT doesn;t include enough variables.. How do you know if a medication is safe to take with other medication.. unless you have an observational study where you have a general population.. which has all sorts of medications.. and see if there are any reactions. You cannot have an RCT on each and every medication to see if there is a reaction. )
When an RCT is not logistically or ethically possible.. you use an observational study.
I think we can agree that it is certain that not all face masks provide exactly the same level of protection. So any observational study that looks at reports from people as to whether or not they wear face masks do not gather data on the type of masks being worn.
Exactly.. and YET.. they still find that there is a significant effect on source control.
Don't you think it would be useful to do a RCT on different types of face masks to determine which ones are effective and which ones do little or nothing to protect the wearer from being infected with the Wuhan virus?
Okay.. at this point.. you need to stop lying. I mean something is really really really wrong with you because you continue to talk about masks "protecting the wearer".. and yet.. THATS NOT WHAT THE STUDIES ARE LOOKING AT.
Its not about protecting the wearer.. its about masks as source control.. in other words.. someone being sick.. and wearing a masks.. reducing the chance they spread it to other people.
YOU have had this explained so many times to you.. yet you continue to persist.. honestly.. the only conclusion I can come to.. is that EITHER.. you are deliberately trying to deceive people.
OR you intellectually cannot understand what source control is.