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Kids, Masks and Mental Health: Navigating the Myths

This information was accurate at the time of publication. Due to the changing nature of the COVID-19 pandemic, some information may have changed since the original publication date.

Addressing the misinformation about the mental and physical barriers that wearing a mask in school may bring - 91麻豆天美直播 experts weigh in.

Face masks have been identified as one of the crucial tools to help stop the spread of COVID-19 yet the debate over whether they work or are necessary has been ongoing since the beginning of the COVID-19 pandemic. The Center for Disease Control and Prevention (CDC) strongly recommends universal indoor masking for all teachers, staff, students, and visitors to K-12 schools, regardless of vaccination status.

Are masks effective for children at school?

The short answer is, 鈥淵es.鈥 鈥淚n settings of very high mask use, in-school transmission of the coronavirus is less than 1%,鈥 says Adam Hersh, MD, a pediatric infectious disease specialist at 91麻豆天美直播 and Intermountain Primary Children鈥檚 Hospital. 鈥淭he best way to protect health and safety鈥攑articularly of those that are not vaccinated鈥攊s to wear a mask.鈥

Children under the age of 5 are currently not eligible for the COVID-19 vaccine; most schools will be offering in-person learning this school year and right now, intensive care units (ICUs) across the country are filling up. With many families and caregivers grappling with the decision of whether or not to send their children to school with a mask, the evidence clearly shows that wearing a mask is the right decision.

Despite that, some people think children don鈥檛 need to wear masks because of a misconception that they can鈥檛 spread the COVID-19 virus to adults. , this is untrue. 鈥淐hildren and adolescents can spread SARS-CoV-2 to others when they do not have symptoms or have mild, non-specific symptoms and thus might not know that they are infected and infectious.鈥

Children can become infected with Sars-CoV-2 and transmit the virus to their parents, caregivers, grandparents and so on. With limited space in hospitals to care for COVID-19 patients, this becomes an issue.

鈥淲e don鈥檛 have the same number of healthcare workers as we did last year to do the same amount of testing. We have a significant workforce issue. The best thing we as a community can do for our healthcare workers, is to get vaccinated and wear masks,鈥 says Richard Orlandi, MD, associate chief medical officer of ambulatory health at U of U Health.

"The best thing we as a community can do for our healthcare workers, is to get vaccinated and wear masks." - Richard Orlandi, MD

Does wearing a mask affect your mental health?

鈥淭he evidence that we have does not point us to any concern that masks affect mental health negatively,鈥 says Jeremy Kendrick, MD, assistant professor of psychiatry, Huntsman Mental Health Institute.

We are experiencing a mental health crisis on top of a pandemic, and for children, this can be even harder. 鈥淚t is a fact that kids are more anxious and depressed right now. Parents want to do everything possible to reduce that anxiety and depression. However, lets fall back on data,鈥 Kendrick says. 鈥淭here is no evidence that a child wearing a mask causes depression or anxiety.鈥

When it comes to anxiety, school children do not like to feel different from their friends. 鈥淥ne of my concerns about an environment with one child doing something different than the other, is it could lead to some kids feeling anxious. One of the benefits of all kids wearing masks, is everyone is on a level playing field.鈥 Kendrick says.

"There is no evidence that a child wearing a mask causes depression or anxiety." - Jeremy Kendrick, MD

Masking in children

Masks can be worn safely by children all day. However, fit and material matters. Look for masks with multiple layers, something that is comfortable and that fits your child鈥檚 face. If there are gaps on the sides, choose a different size. If a KN95 mask is available for your child, that is the best option. 

There is misinformation circulating that children breathe in carbon dioxide when they wear masks. 鈥淲hen you exhale, you exhale carbon dioxide molecules. Fortunately, carbon dioxide molecules are tiny, and they are smaller than the pores in our mask,鈥 Hersh explains. 鈥淪o, the concerns that have been raised about carbon dioxide building up in a mask and leading to carbon dioxide retention in children, or others, are fortunately unfounded.鈥

Research done by the found that children are very successful at wearing masks all day while participating in normal school activities and in an environment where mask use is promoted, children succeed.