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Updated Mask Guidance as Delta Variant Spreads – Cleveland Clinic

As COVID-19 cases have once again exploded across the country — fueled by the highly contagious delta variant — the CDC is rolling out new guidance about the need for everyone, including vaccinated individuals, to wear masks.

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As the CDC has continued to adjust its guidance to more data, though, there’s been some confusion about who exactly needs to mask up, especially in the context of what we know about the delta virus and breakthrough cases.

To get a clear idea of where we currently stand and the best path forward, we talked with infectious disease expert Kristin Englund, MD, about the new mask guidelines, breakthrough cases and the best approach to staying safe and protected.

What are the current CDC mask guidelines?

Right now, says Dr. Englund, the CDC is recommending that everyone should wear a mask indoors – regardless of your vaccination status – in “areas of substantial and high transmission” of COVID-19.

Based on the current rapid rate new cases are spreading, fueled by the delta variant, though, the guidelines could soon be expanded to a much wider area, if not the entire country. “New data indicates that we could soon go back to much broader guidelines that might be similar to 2020 when universal masking was ongoing in every situation,” Dr. Englund says.

Even if you don’t currently live in a high-risk area, she says, it’s still important to be vigilant and consider your personal risk. “Have you been vaccinated? Are you vaccinated but immunocompromised or live with someone who is? Do you have children who are too young to be vaccinated? These are the questions you have to ask yourself so you can assess the risk not just for you but for your loved ones.”

“Everyone should assume that their county will be an area of substantial and high transmission sooner rather than later,” she adds.

What is the new CDC data and what does it mean?

A new CDC report released on July 30 examined an outbreak in a Massachusetts community over the course of several public events throughout the month in July. The data showed that 90% of those cases were from the delta variant and that viral loads were similar in both vaccinated and unvaccinated individuals.

In other words, says Dr. Englund, vaccinated people are just as likely to spread the virus as unvaccinated people. “With the original strain of COVID-19, we saw a replication quotient of R2. That means every person infected with the virus could infect two people,” she notes. “The replication quotient for the delta variant is R8, meaning an infected person could spread the virus to as many as eight other people.”

Still, she adds, the risk of severe breakthrough cases for vaccinated people remains low. “If you’re vaccinated, your risk of severe illness, hospitalization or death is at least 10 times lower than if you’re unvaccinated.”

Will masks protect against the delta variant?

“Masks are absolutely still an effective way to protect yourself from COVID-19, even with the delta variant,” says Dr. Englund. “We have learned over the last 18 months how beneficial masking is and there’s no reason to think it won’t be effective in at least slowing down the spread of the delta variant.”

But the best way to protect yourself, she adds, is to use multiple approaches. “Based on everything we know right now, no intervention is 100% effective. The best we can do is use multiple, different ways to prevent acquiring and spreading this very deadly disease,” she says.

“Masks, social distancing and, most importantly, getting fully vaccinated are all key to not just keeping yourself safe but your community safe, too,” she points out. “We need to employ every tool in our toolbox.”

What are the dangers of not masking up?

Again, current CDC data suggests that vaccinated people are capable of spreading the delta variant even if they remain asymptomatic. That makes it even more important for everyone not to just get vaccinated but to do everything they can to curb this spread.

“We’ve seen over the last number of months what happens in a community when not everyone gets vaccinated: there’s enough virus in our community to allow it to mutate and become a much more transmittable and contagious form,” says Dr. Englund. “It can certainly mutate again so we need to do something about it. Everybody needs to get on board and do everything they can to stop this disease from spreading.”

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