Research Review on "Mask That Covers the Mouth and Nose" from International Journal of Environmental Research and Public Health 2021
Every doctor vows to put the health and dignity of his patient first and, even under threat, not to use his medical knowledge to violate human rights and civil liberties.
Journal: International Journal of Environmental Research and Public Health
Date of publication: 20 April 2021 (ie, >6 months without retraction or censorship)
Permalink: doi.org/10.3390/ijerph18084344
Aim: The aim was to find, test, evaluate and compile scientifically proven related side effects of wearing masks.
Methods: For a quantitative evaluation, 44 mostly experimental studies were referenced, and for a substantive evaluation, 65 publications were found. The literature revealed relevant adverse effects of masks in numerous disciplines. In this paper, we refer to the psychological and physical deterioration as well as multiple symptoms described because of their consistent, recurrent and uniform presentation from different disciplines as a Mask-Induced Exhaustion Syndrome (MIES).
Findings: “We objectified evaluation evidenced changes in respiratory physiology of mask wearers with significant correlation of O2 drop and fatigue (p < 0.05), a clustered co-occurrence of respiratory impairment and O2 drop (67%), N95 mask and CO2 rise (82%), N95 mask and O2 drop (72%), N95 mask and headache (60%), respiratory impairment and temperature rise (88%), but also temperature rise and moisture (100%) under the masks. Extended mask-wearing by the general population could lead to relevant effects and consequences in many medical fields. … Our review of the literature shows that both healthy and sick people can experience Mask-Induced Exhaustion Syndrome (MIES), with typical changes and symptoms that are often observed in combination, such as an increase in breathing dead space volume [22,24,58,59], increase in breathing resistance [31,35,60,61],
increase in blood carbon dioxide [13,15,17,19,21,22,23,24,25,26,27,28,29,30,35],
decrease in blood oxygen saturation [18,19,21,23,28,29,30,31,32,33,34],
decrease in cardiopulmonary capacity [31],
shortness of breath and difficulty breathing [15,17,19,21,23,25,29,31,34,35,60,71,85,101,133],
decreased ability to concentrate [29],
decrease in empathy perception [99],
overall perceived fatigue and exhaustion [15,19,21,29,31,32,34,35,69]
“In addition to protecting the health of their patients, doctors should also base their actions on the guiding principle of the 1948 Geneva Declaration, as revised in 2017.
According to this, every doctor vows to put the health and dignity of his patient first and, even under threat, not to use his medical knowledge to violate human rights and civil liberties.
Ethical considerations: “In addition to protecting the health of their patients, doctors should also base their actions on the guiding principle of the 1948 Geneva Declaration, as revised in 2017. According to this, every doctor vows to put the health and dignity of his patient first and, even under threat, not to use his medical knowledge to violate human rights and civil liberties. Within the framework of these findings, we, therefore, propagate an explicitly medically judicious, legally compliant action in consideration of scientific factual reality against a predominantly assumption-led claim to a general effectiveness of masks, always taking into account possible unwanted individual effects for the patient and mask wearer concerned, entirely in accordance with the principles of evidence-based medicine and the ethical guidelines of a physician.
Context: The results of this study are entirely consistent with a recent study in children showing respiratory impairment, exposure to hazardous levels of CO2, etc.