Protection, freedom, stigma: a critical discourse analysis of face masks in the first wave of the COVID-19 pandemic and implications for medical education
DOI:
https://doi.org/10.36834/cmej.73155Abstract
Background: The COVID-19 pandemic has spotlighted the face mask as an intricate object constructed through the uptake of varied and sometimes competing discourses. We investigated how the concept of face mask was discursively deployed during the first phase of the COVID-19 pandemic. By examining the different discourses surrounding the use of face masks in public domain texts, we comment on important educational opportunities for medical education.
Method: We applied critical discourse methodology to look for key phrases related to face masks that can be linked to specific socio-economic and educational practices. We created an archive of 171 English and Mandarin texts spanning the period of February to July 2020 to explore how discourses in Canada related to discourses of mask use in China, where the pandemic was first observed. We analyzed how the uptake of discourses related to masks was rationalized during the first phase of the pandemic and identified practices/processes that were made possible.
Results: While the face mask was initially constructed as personal protective equipment, it quickly became a discursive object for rights and freedoms, an icon for personal expression of political views and social identities, and a symbol of stigma that reinforced illness, deviance, anonymity, or fear.
Conclusion: Discourses related to face masks have been observed in public and institutional responses to the pandemic in the first wave. Finding from this research reinforce the need for medical schools to incorporate a broader socio-political appreciation of the role of masks in healthcare when training for pandemic responses.
Metrics
References
Postrel V. Pandemics come and go but medical masks are eternal. Bloomberg. 2020;1-10.
Feng S, Shen C, Xia N, Song W, Fan M, Cowling BJ. Rational use of face masks in the COVID-19 pandemic. Lancet Respir Med. 2020 May;8(5):434-6. https://doi.org/10.1016/S2213-2600(20)30134-X
World Health Organization. Shortage of personal protective equipment endangering health workers worldwide. 2020. Available from: https://www.who.int/news/item/03-03-2020-shortage-of-personal-protective-equipment-endangering-health-workers-worldwide. [Accessed on May 1, 2022].
Sand J. Essay: a short cultural history of mask-wearing. The TLS. 2020. Available from: https://www.the-tls.co.uk/articles/a-short-cultural-history-of-mask-wearing-essay-jordan-sand/ [Accessed on Aug 13, 2022].
Lynteris C. Why do people really wear face masks during an epidemic? The New York Times. 2020. Available from: https://www.nytimes.com/2020/02/13/opinion/coronavirus-face-mask-effective.html [Accessed on Aug 13, 2022].
Zhang M. View of writing against "mask culture": orientalism and covid-19 responses in the west. Anthropologica. 2021 Apr;63(1). https://doi.org/10.18357/anthropologica6312021327
Timpka T, Nyce JM. Face mask use during the COVID-19 pandemic-the significance of culture and the symbolic meaning of behavior. Ann Epidemiol. 2021 Jul 1;59:1-4. https://doi.org/10.1016/j.annepidem.2021.03.012
Hauser C. The 1918 flu, masks and lessons for the coronavirus pandemic. The New York Times. 2020. Available from: https://www.nytimes.com/2020/08/03/us/mask-protests-1918.html [Accessed on 2022 Aug 12]
Tso R v., Cowling BJ. Importance of Face Masks for COVID-19: A Call for Effective Public Education. Clinical Infectious Diseases. 2020 Nov 19;71(16):2195-8. https://doi.org/10.1093/cid/ciaa593
Marsh C. The face mask has become COVID-19 ' s most unlikely controversy. National Post. 2020. Available from: https://nationalpost.com/life/covid-19-face-masks [Accessed on 2022 Aug 12]
Canada.ca. About COVID-19 non-medical masks. 2021. Available from: https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/prevention-risks/about-non-medical-masks-face-coverings.html [Accessed on 2021 May 3].
MacIntyre CR, Chughtai AA. A rapid systematic review of the efficacy of face masks and respirators against coronaviruses and other respiratory transmissible viruses for the community, healthcare workers and sick patients. Int J Nurs Stud. 2020 Apr 30;103629. https://doi.org/10.1016/j.ijnurstu.2020.103629
Tateo L. Face masks as layers of meaning in times of COVID-19. Culture & Psychology. 2020 Sep 9;27(1):131-51. https://doi.org/10.1177/1354067X20957549
Zhang YSD, Noels KA, Young-Leslie H, Lou NM. "responsible" or "strange?" differences in face mask attitudes and use between Chinese and non-east Asian Canadians during covid-19's first wave. Front Psychol. 2022 Mar 17;13:1061. https://doi.org/10.3389/fpsyg.2022.853830
Stergiopoulos E, Fernando O, Martimianakis MA. "Being on Both Sides": Canadian medical students' experiences with disability, the hidden curriculum, and professional identity construction. Acad Med. 2018;93(10):1550-9. https://doi.org/10.1097/ACM.0000000000002300
Association of American Medical Colleges. Important guidance for medical students on clinical rotations during the coronavirus (covid-19) outbreak. Available from: https://www.aamc.org/news-insights/press-releases/important-guidance-medical-students-clinical-rotations-during-coronavirus-covid-19-outbreak [Accessed on 2020 Aug 24].
Murphy B. How medical students, doctors are hustling to get PPE. American Medical Association. 2020. Available from: https://www.ama-assn.org/residents-students/medical-school-life/how-medical-students-doctors-are-hustling-get-ppe [Accessed on 2020 Aug 22].
Martimianakis M, Naughton N. Discourse, governmentality, biopower, and the hidden curriculum. 2015. p. 96-105.
Fraser N. The uses and abuses of French discourse theories for feminist politics. Theory Cult Soc. 1992 Feb 1;9(1):51-71. https://doi.org/10.1177/026327692009001004
Foucault M. The Archaeology of Knowledge. London: Routledge; 2002.
Tamboukou M. Writing Genealogies: an exploration of Foucault's strategies for doing research. Discourse: studies in the cultural politics of education. 1999 Apr 1;20:201-17. https://doi.org/10.1080/0159630990200202
Kuper A, Whitehead C, Hodges BD. Looking back to move forward: using history, discourse and text in medical education research: AMEE Guide No. 73. Med Teach. 2013;35:85-96. https://doi.org/10.3109/0142159X.2012.748887
Fairclough N. Critical discourse analysis: The critical study of language. London: Routledge; 2018.
McNaughton N. Discourse(s) of emotion within medical education: the ever-present absence. Med Educ. 2013 Jan;47(1):71-9. https://doi.org/10.1111/j.1365-2923.2012.04329.x
Swanson A. White house airlifts medical supplies from China in coronavirus fight. The New York Times. 2020. Available from: https://www.nytimes.com/2020/03/29/business/economy/coronavirus-china-supplies.html?action=click&module=RelatedLinks&pgtype=Article [Accessed on 2020 Aug 23].
Bradley J. In scramble for coronavirus supplies, rich countries push poor aside - The New York Times. 2020. Available from: https://www.nytimes.com/2020/04/09/world/coronavirus-equipment-rich-poor.html?action=click&module=Well&pgtype=Homepage§ion=World%20News [Accessed on 2020 Aug 23].
Embassy of the People’s Republic of China in Canada. Behind masks: the world's best production line. 2020. Available from: http://ca.china-embassy.org/chn/zt/zzccfkyq200129/t1756589.html [Accessed on 2020 Sep 13].
Taplin N. Why the richest country on earth can't get you a face mask. The Wall Street Journal. 2020. Available from: https://www.wsj.com/articles/why-the-richest-country-on-earth-cant-get-you-a-face-mask-11585741254 [Accessed on 2020 Sep 13].
Bradsher K. Coronavirus battle creates a global 'free-for-all' to find masks. The New York Times. 2020. Available from: https://www.nytimes.com/2020/04/01/business/coronavirus-china-masks.html?action=click&module=RelatedLinks&pgtype=Article [Accessed on 2020 Aug 23].
Butler D, Eilperin J, Hamburger T. No offense, but is this a joke?' Inside the underground market for face masks. The Washington Post. 2020. vailable from: https://www.washingtonpost.com/health/2020/05/18/sea-sleaze-inside-underground-market-coronavirus-masks/ [Accessed on 2020 Aug 23].
Vigdor N. Home Depot halts sales of n95 masks amid shortage, company says. The New York Times. 2020. Available from: https://www.nytimes.com/2020/04/01/business/n95-face-masks-home-depot-virus.html?action=click&module=RelatedLinks&pgtype=Article [Accessed on 2020 Aug 23].
Mason G. Opinion: The moral obligations of our health care workers in a pandemic. The Globe and Mail. Available from: https://www.theglobeandmail.com/opinion/article-we-should-never-expect-health-care-workers-to-treat-patients-without/ [Accessed on 2020 Aug 23].
Scheiber N, Rosenthal M. Nurses and doctors speaking out on safety now risk their job. The New York Times. 2020. Available from: https://www.nytimes.com/2020/04/09/business/coronavirus-health-workers-speak-out.html?action=click&module=Top%20Stories&pgtype=Homepage [Accessed on 2020 Aug 23].
Harris K. Doctors, nurses demand government fill "unacceptable" gaps in protective gear on front lines. CBC News. 2020. Available from: https://www.cbc.ca/news/politics/covid19-health-care-ppe-protective-doctors-nurses-1.5525273 [Accessed on 2020 Aug 23].
Gay M. Opinion: New York's paramedics: fighting coronavirus and forgotten.The New York Times. 2020. Available from: https://www.nytimes.com/2020/04/08/opinion/coronavirus-paramedics-emt.html?action=click&module=Opinion&pgtype=Homepage [Accessed on 2020 Aug 23].
St. Joseph's Healthcare Hamilton. Healthcare Worker Personal Protection Decision Framework. 2020. Available from: https://pgme.mcmaster.ca/app/uploads/2020/04/Apr-8-SJHH-PPE-Policy.pdf [Accessed on 2020 May 1]
University of Washington. Guidelines for personal protective equipment. 2020. Available from: https://www.ehs.washington.edu/system/files/resources/ppe-conservation.pdf [Accessed on 2020 May 1]
University of Guelph. Measures to Prevent COVID-19 in the Workplace. Available from: https://www.uoguelph.ca/hr/about-hr/environmental-health-safety-ehs/ehs-programs-policies-guidelines-and-forms/ehs-5 [Accessed on 2020 Nov 1]
Urback R. Opinion: Dr. Tam's about-face on masks damages trust at a crucial time. The Globe and Mail. 2020. Available from: https://www.theglobeandmail.com/opinion/article-dr-tams-about-face-on-masks-damages-trust-at-a-crucial-time/ [Accessed on 2020 Aug 20].
Ngabo G. Canadians trust public health system to respond to coronavirus, poll finds. The Hamilton Spectator. 2020. Available from: Canadians trust public health system to respond to coronavirus, poll finds | TheSpec.com [Accessed on 2020 Aug 20].
Gong S, Poggioli S, Peralta E. Why guidelines for face masks are so varied during the coronavirus crisis. National Public Radio. 2020. Available from: https://www.npr.org/sections/goatsandsoda/2020/04/10/829890635/why-there-so-many-different-guidelines-for-face-masks-for-the-public [Accessed on 2020 Sep 14].
Kluger J. The ethics of wearing (or not wearing) a face mask during the coronavirus pandemic. The Time Magazine. 2020. Available from: The Ethics of Mask-Wearing During the Coronavirus Pandemic | Time [Accessed on 2020 Sep 14]
Zheng S. Face masks and coronavirus: how culture affects your decision to wear one. South China Morning Post. 2020. Available from: https://www.scmp.com/news/china/society/article/3075211/face-masks-and-coronavirus-how-culture-affects-your-decision [Accessed on 2021 May 2]
China.org.cn. Spotlight: Mask-wearing remains controversial in U.S. as COVID-19 death toll exceeds 100,000. 2020. Available from: http://www.china.org.cn/world/Off_the_Wire/2020-05/29/content_76104912.htm [Accessed on 2020 Aug 23].
Crispin J. Corona rage is boiling over. To ease tensions, masks should be mandatory. The Guardian. 2020. Available from: https://www.theguardian.com/commentisfree/2020/may/25/corona-rage-covid-19-masks-jessa-crispin [Accessed on 2020 Aug 22].
Rubin J. The revenge of mask-wearing Americans. The Washington Post. 2020. Available from: https://www.washingtonpost.com/opinions/2020/05/26/revenge-mask-wearing-americans/ [Accessed on 2020 Aug 22].
Garcia J. "I don't trust anything:" Personal beliefs, confusing guidelines spark mask debate for Houstonians. Houston Chronicle. 2020. Available from: https://www.houstonchronicle.com/lifestyle/renew-houston/health/article/face-mask-debate-houston-beliefs-guidelines-15288606.php [Accessed on 2020 Aug 20].
Rojas R. Masks become a flash point in the virus culture wars. The New York Times. 2020. Available from: https://www.nytimes.com/2020/05/03/us/coronavirus-masks-protests.html [Accessed on 2020 Aug 23].
Shribman D. Give me liberty, and give me death? The enduring legacy of America's penchant for freedom. The Globe and Mail. 2020. Available from: https://www.theglobeandmail.com/opinion/article-give-me-liberty-and-give-me-death-the-enduring-legacy-of-americas/ [Accessed on 2020 Sep 13].
MacFarquhar N. Who's enforcing mask rules? Often retail workers, and they're getting hurt. The New York Times. 2020. Available from: https://www.nytimes.com/2020/05/15/us/coronavirus-masks-violence.html [Accessed on 2020 Aug 23].
Ontario Newsroom. Ontario takes further action to stop the spread of covid-19. 2020. Available from: https://news.ontario.ca/en/release/56642/ontario-takes-further-action-to-stop-the-spread-of-covid-19 [Accessed on 2020 Sep 13]
Jeffrey A. Alberta recommending face masks, but not enforcing their use as economy relaunches. CBC News. 2020. Available from: https://www.cbc.ca/news/canada/edmonton/alberta-recommending-face-masks-but-not-enforcing-their-use-as-economy-relaunches-1.5582892 [Accessed on 2020 Aug 23].
What face masks mean and why they matter | Prince George Citizen. Available from: https://www.princegeorgecitizen.com/opinion/editorial/what-face-masks-mean-and-why-they-matter-1.24142249 [Accessed on 2021 May 2].
Godbout N. Face masks now define a divided America and its politics. The Globe and Mail. 2020. Available from: https://www.theglobeandmail.com/world/us-politics/article-face-masks-now-define-a-divided-america-and-its-politics/ [Accessed on 2020 Aug 22].
Jabr F. It's time to face facts, America: masks work. WIRED. 2020. Available from: https://www.wired.com/story/its-time-to-face-facts-america-masks-work/ [Accessed on 2020 Aug 23].
Yang J. A quick history of why Asians wear surgical masks in public. Quartz. 2014. Available from: https://qz.com/299003/a-quick-history-of-why-asians-wear-surgical-masks-in-public/ [Accessed on 2020 Aug 20].
Wilson M. The N95 mask: The untold origin story. Fast Company. 2020. Available from: https://www.fastcompany.com/90479846/the-untold-origin-story-of-the-n95-mask. [Accessed on 2020 Aug 24].
Davidson H. First Covid-19 case happened in November, China government records show. The Guardian. 2020. Available from: https://www.theguardian.com/world/2020/mar/13/first-covid-19-case-happened-in-november-china-government-records-show-report [Accessed on 2020 Sep 13].
Xu X. Cultures clash over wearing masks amid virus. The Globe and Mail. 2020. Available from: https://www.theglobeandmail.com/canada/british-columbia/article-cultures-clash-over-wearing-masks-amid-virus/ [Accessed on 2021 May 2].
Taylor D. For black men, fear that masks to protect from covid-19 will invite racial profiling. The New York Times. 2020. Available from: https://www.nytimes.com/2020/04/14/us/coronavirus-masks-racism-african-americans.html [Accessed on 2020 Aug 20].
Deese K. Black Americans raising concerns about being profiled for wearing masks amid coronavirus. The Hill. 2020. Available from: https://thehill.com/homenews/news/491986-black-americans-raise-concerns-about-being-profiled-for-wearing-masks-amid [Accessed on 2020 Aug 20].
Aviles G. Black men fear homemade coronavirus masks could exacerbate racial profiling. NBC News. 2020. Available from: https://www.nbcnews.com/news/nbcblk/black-men-fear-homemade-masks-could-exacerbate-racial-profiling-n1179236 [Accessed on 2020 Aug 20].
Armstrong J. Black men can't wear face masks and not expect negative reactions. The Inquirer. 2020. Available from: https://www.inquirer.com/opinion/coronavirus-homemade-mask-black-man-philly-jenice-armstrong-20200414.html [Accessed on 2020 Aug 20].
Prince George Citizen Staff. Behind the mask. Prince George Citizen. 2002. Available from: https://www.princegeorgecitizen.com/opinion/columnists/behind-the-mask-1.24118829?utm_campaign=magnet&utm_source=article_page&utm_medium=related_articles [Accessed on 2020 Aug 23].
Merali F. "Invisible disability": Masks making it harder to communicate, deaf and hard of hearing say. CBC News. 2020. Available from: https://www.cbc.ca/news/canada/toronto/masks-and-barriers-communicating-deaf-and-hard-of-hearing-1.5579166 [Accessed on 2020 Aug 23].
McAndrew F. Why face masks give us the creeps. Psychology Today Canada. 2020. Available from: https://www.psychologytoday.com/ca/blog/out-the-ooze/202006/why-face-masks-give-us-the-creeps [Accessed on 2020 Aug 23].
Baseel C. Why do Japanese people wear surgical masks? It's not always for health reasons. Japan Today. 2014. Available from: https://japantoday.com/category/features/lifestyle/why-do-japanese-people-wear-surgical-masks-its-not-always-for-health-reasons [Accessed on 2020 Aug 20].
Jack RE, Garrod OGB, Yu H, Caldara R, Schyns PG. Facial expressions of emotion are not culturally universal. Proceedings of the National Academy of Sciences. 2012 May 8;109(19):7241 LP - 7244. https://doi.org/10.1073/pnas.1200155109
The Japan Times. South Korean fashion evolves in the time of coronavirus and face masks. 2020. Available from: https://www.japantimes.co.jp/news/2020/03/21/asia-pacific/south-korean-fashion-face-masks/ [Accessed on 2020 Sep 13].
Joung M. Face mask culture common in east, new to west. Voice of America. 2020. Available from: https://www.voanews.com/science-health/coronavirus-outbreak/face-mask-culture-common-east-new-west [Accessed on 2020 Sep 13].
Bufano M. Facemasks through the ages, from medical aid to fashion statement. CBS News. 2020. Available from: https://www.cbsnews.com/news/facemasks-through-the-ages-from-medical-aid-to-fashion-statement/ [Accessed on 2020 Aug 23].
Gollom M. Why attitudes toward mask wearing are quickly changing in Canada and the U.S. CBC News. 2020. Available from: https://www.cbc.ca/news/canada/mask-wearing-attitudes-coronavirus-1.5569515 [Accessed on 2020 Aug 23].
Keenan E. Dangerous to be Black in Trump's US. Toronto Star. 2020. Available from: https://www.thestar.com/news/world/2020/05/29/from-police-or-pandemic-its-dangerous-to-be-black-in-donald-trumps-america.html [Accessed on 2020 May 31].
The Denver Channel. As cities increase mask regulations, what drives people not to wear them? 2020. Available from: https://www.thedenverchannel.com/news/360/as-cities-increase-mask-regulations-what-drives-people-not-to-wear-them [Accessed on 2020 Aug 23].
Tian L, Li X, Qi F, Tang Q, Tang V, Liu J, Li Z, Cheng X, Li X, Shi Y, Liu H, Tang L. Calibrated intervention and containment of the covid-19 pandemic. ArXiv. 2020 Nov; https://doi.org/10.48550/arXiv.2003.07353
Greenhalgh T, Schmid M, Czypionka T, Bassler D, Gruer L. Face masks for the public during the covid-19 crisis. The BMJ. 2020 Apr 9;369. https://doi.org/10.1136/bmj.m1435
Kwok KO, Li K-K, Hin Chan HH, Yi YY, Tang A, Wei WI, et al. Community responses during the early phase of the covid-19 epidemic in Hong Kong: Risk perception, information exposure and preventive measures. medRxiv. 2020 Jan; https://doi.org/10.1101/2020.02.26.20028217
Cowling B, Ali S, Ng T, et al. Impact assessment of non-pharmaceutical interventions against COVID-19 and influenza in Hong Kong: an observational study. medRxiv. 2020 Jan 1;2020.03.12.20034660. https://doi.org/10.1101/2020.03.12.20034660
DeClerq K. Ontario long-term care nurses make shocking allegations about access to PPE during pandemic. CTV News. 2020. Available from: https://toronto.ctvnews.ca/ontario-long-term-care-nurses-make-shocking-allegations-about-access-to-ppe-during-pandemic-1.4907563 [Accessed on 2020 Aug 20].
Said E. Orientalism. London: Penguin Modern Classics; 2003.
Onishi N, Méheut C. Mask-wearing is a very new fashion in paris (and a lot of other places). The New York Times. 2020. Available from: https://www.nytimes.com/2020/04/09/world/europe/virus-mask-wearing.html?action=click&module=RelatedLinks&pgtype=Article [Accessed on 2020 Aug 23].
Henry ES. Reconstituting China in a Time of Pandemic. Anthropology Now. 2020 Jan 2; 12(1):50-4. https://doi.org/10.1080/19428200.2020.1761210
Courtney EP, Felig RN, Goldenberg JL. Together we can slow the spread of COVID-19: The interactive effects of priming collectivism and mortality salience on virus-related health behaviour intentions. British Journal of Social Psychology. 2022;61(1):410-31. https://doi.org/10.1111/bjso.12487
Food and Drug Administration. FAQs on shortages of surgical masks and gowns during the covid-19 pandemic. 2021. Available from: https://www.fda.gov/medical-devices/personal-protective-equipment-infection-control/faqs-shortages-surgical-masks-and-gowns-during-covid-19-pandemic [Accessed on 2021 May 2].
Parshley L. Remember the N95 mask shortage? It’s still a problem. Vox. 2020. Available from: https://www.vox.com/2020/6/17/21293021/coronavirus-n95-masks-prevent-covid-19-gloves-face-shields [Accessed on 2021 May 2].
Vendeville G. Medical students collect personal protective gear for front line health-care workers, donate through U of T. U of T News. 2020. Available from: https://www.utoronto.ca/news/medical-students-collect-personal-protective-gear-front-line-health-care-workers-donate-through [Accessed on 2020 Aug 24].
Davis D. Coronavirus: Queen's medical students make protective equipment for front-line health-care workers. Globalnews. 2020. Available from: https://globalnews.ca/news/6727155/coronavirus-queens-medical-students-personal-protective-equipment/ [Accessed on 2020 Aug 24].
Azepiri J, Ke G.UBC med students organize protective-gear donations for front-line COVID-19 workers. Globalnews. 2020. Available from: https://globalnews.ca/news/6768315/coronavirus-ubc-students-ppe-donations/ [Accessed on 2020 Aug 24].
Weiner S. Excited, scared, ready: Medical students head back to clerkships. AAMC. 2020. Available from: https://www.aamc.org/news-insights/excited-scared-ready-medical-students-head-back-clerkships [Accessed on 2020 Sep 14].
The Royal College of Physicians and Surgeons of Canada. CanMEDS guide. 2021. Available from: http://canmeds.royalcollege.ca/guide [Accessed on 2021 Aug 1].
Brusie C. Medical student creates first disposable hijab - hospital now offers them to Muslim staff. Nurse. 2020. Available from: https://nurse.org/articles/hospital-to-use-disposable-hijabs-for-muslim-staff/ [Accessed on 2020 Aug 20].
Scoville C, McCumber A, Amironesei R, Jeon J. Mask refusal backlash: the politicization of face masks in the American public sphere during the early stages of the covid-19 pandemic. Socius. 2022;8:23780231221093160. https://doi.org/10.1177/23780231221093158
Al-Ramahi Mohammad and Elnoshokaty A and EGO and NT and WA. Public discourse against masks in the covid-19 era: infodemiology study of twitter data. JMIR Public Health Surveill [Internet]. 2021 Apr;7(4):e26780. https://doi.org/10.2196/26780
Karatepe C. Rodney H. Jones (ed.), Viral discourse. Cambridge: Cambridge University Press, 2021. Pp. vi, 95. Pb. Language in Society. 2022; 51(4):728-9. https://doi.org/10.1017/S0047404522000306
Wong CKM, Yip BHK, Mercer S, Griffiths S, Kung K, Wong MCS, et al. Effect of facemasks on empathy and relational continuity: A randomised controlled trial in primary care. BMC Fam Pract. 2013;14. https://doi.org/10.1186/1471-2296-14-200
John A, Tomas ME, Hari A, Wilson BM, Donskey CJ. Do medical students receive training in correct use of personal protective equipment? Med Educ Online. 2017;22(1):1264125. https://doi.org/10.1080/10872981.2017.126412
Fauci AS, Lane HC, Redfield RR. Covid-19 - navigating the uncharted. New England Journal of Medicine. 2020;382(13):1268-9. https://doi.org/10.1056/NEJMe2002387
Nisen M. Masks are here to stay, even after COVID-19 goes away. Gulf News. 2020. Available from: https://gulfnews.com/opinion/op-eds/masks-are-here-to-stay-even-after-covid-19-goes-away-1.71781074 [Accessed on 2020 Aug 23].
Alfonso III F. Why some people of color say they won't wear homemade masks. CNN. 2020. Available from: https://www.cnn.com/2020/04/07/us/face-masks-ethnicity-coronavirus-cdc-trnd/index.html [Accessed on 2020 Aug 20].
Healy M. Debate: How community members feel about wearing face masks in public. KSBY. 2020. Available from: https://www.ksby.com/news/coronavirus/debate-how-community-members-feel-about-wearing-face-masks-in-public [Accessed on 2020 Aug 20].
Halon Y. Ben Shapiro on debate over wearing masks: "The desire to virtue signal on both sides is truly insane." Fox News. 2020. Available from: https://www.foxnews.com/media/shapiro-trump-biden-mask-debate-virtue-signaling [Accessed on 2020 Aug 23].
Weissert W, Lemire J. Face masks make a political statement in era of coronavirus. CTV News. 2020. Available from: https://www.ctvnews.ca/health/coronavirus/face-masks-make-a-political-statement-in-era-of-coronavirus-1.4928586 [Accessed on 2020 Aug 23].
Palacios J. Homemade or designer, face masks are becoming chic. Reform Austin. 2020. Available from: https://www.reformaustin.org/coronavirus/homemade-or-designer-face-masks-are-becoming-chic/ [Accessed on 2020 Aug 23].
Edsall T. When the mask you're wearing 'tastes like socialism' . The New York Times. 2020. Available from: https://www.nytimes.com/2020/05/20/opinion/coronavirus-trump-partisanship.html [Accessed on 2020 Aug 23].
Thomas A. Why I don ' t feel safe wearing a face mask. Boston Globe. 2020. Available from: https://www.bostonglobe.com/2020/04/05/opinion/why-i-dont-feel-safe-wearing-face-mask/ [Accessed on 2020 Aug 24].
Wong T. Coronavirus: Why some countries wear face masks and others don't. BBC News. 2020. Available from: https://www.bbc.com/news/world-52015486 [Accessed on 2020 Aug 24].
Martin C. Makeup and the mask. It's about the eyes. The New York Times. 2020. Available from: https://www.nytimes.com/2020/05/26/style/makeup-and-the-mask-its-about-the-eyes.html [Accessed on 2020 Aug 23].
MacLeod M. New normal: will face shields replace masks? CTV News. 2020. Available from: https://www.ctvnews.ca/health/coronavirus/new-normal-will-face-shields-replace-masks-1.4959028 [Accessed on 2020 Aug 23].
DiManno R. Seems like we've been talking about the need for masks forever. So why are they still in short supply? The Star. 2020. Available from: https://www.thestar.com/opinion/star-columnists/2020/05/24/seems-like-weve-been-talking-about-the-need-for-masks-forever-so-why-are-they-still-in-short-supply.html [Accessed on 2020 Sep 13].
Collinson S, Hu C. America's mask resistance is just the latest example of a perennial struggle. CNN. 2020. Available from: https://www.cnn.com/2020/06/23/world/meanwhile-in-america-june-23-intl/index.html [Accessed on 2021 May 2].
Katz L. Protect yourself from coronavirus with a mask that looks like your face. CNET. 2020. Available from: https://www.cnet.com/news/protect-yourself-from-coronavirus-with-a-mask-that-looks-like-your-actual-face/ [Accessed on 2021 May 4].
Adder M. Murder hornets. The Star. 2020. Available from: https://www.thestar.com/opinion/editorial_cartoon/2020/05/11/michael-de-adder-murder-hornets.html [Accessed on 2021 May 3].
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