A man wears two masks as he visits Times Square...

A man wears two masks as he visits Times Square in December. Credit: AFP via Getty Images/Kena Betancur

Eleven months after the World Health Organization, on March 11, 2020, designated the coronavirus as a global pandemic, and after nearly 500,000 Americans have died of the virus, mask-wearing — together with physical distancing and hand-washing — remains key in slowing the virus’ spread.

Now with new research out, the U.S. Centers for Disease Control and Prevention on Feb. 10 added to its face-masking recommendation: consider doubling up on masks. Here's what you need to know about the new advice:

Why should I now wear two masks and not just one?

Lab tests with dummies showed a decrease of 95% in exposure to aerosols when either a cloth mask was worn over a surgical mask or a surgical mask was worn with knotted ear loops and tucked-in sides, with the extra material close to the face, according to advice issued Feb. 10 by the CDC.

Am I now required to wear two masks?

No. Executive orders signed last month by President Joe Biden mandate covering one's face on federal property and while on transportation such as trains, planes, buses and rails. The orders do not specify the number or masks or layers, only that the face be covered.

Meanwhile, New York State’s masking mandate, which began in April, applies to public places where physical distance is not possible. That mandate says the mask must be cloth and cover the nose and mouth.

What if I wear an N95 mask?

The N95 mask — the "N" signifies "non-oil" and the "95" means that it's 95% efficient in filtering particulates that are not oil-based — is still the gold standard of protection from pathogens like the coronavirus, as the coverings prevent liquid and airborne particles from contaminating the face. But, the CDC doesn’t want them to be used by the general population because it says they are "critical supplies that should be reserved for healthcare workers and other medical first responders to prevent supply shortages."

What about a KN95 mask?

KN95 masks employ similar technology as N95 masks. The difference is that an N95 mask is certified in the United States and a KN95 mask is certified in China.

Are there some people for whom double masks aren’t a good idea and who should stick to wearing just one?

Yes, says John T. Brooks, medical officer for the CDC’s COVID-19 response. Brooks told the Washington Post: "It may not be the right solution for everybody," adding that for some people, wearing two masks can impede breathing or obstruct peripheral vision that could lead to a fall and result in injury.

Do masks protect me or just other people?

When masks and other face coverings first began to be recommended, the CDC and other public health authorities said that masks protect only other people, not the people covering their faces. But now, the consensus is that covering your face protects both parties.

Wait, didn’t the CDC actually used to recommend against masking?

Yes, until spring 2020, when the scientific consensus began to change over how the coronavirus is spread. Initially, research had not yet established that the virus could be spread by people who did not have symptoms. Once it was clear that asymptomatic spread was helping to drive the pandemic, the advice changed and universal masking was recommended.

On July 14, the CDC affirmed that face coverings were a "critical tool in the fight against COVID-19 that could reduce the spread of the disease." The CDC affirmation, in an editorial, pointed to two studies — one of a Boston hospital system, and another showing that masks worn by infected hair stylists in Missouri prevented transmission of the virus to their customers.

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