Saturday, July 5, 2025

On masking in an ongoing airborne pandemic

I have a friend with some debilitating disabilities who I have been giving as pass on mask wearing to because they already have a lot to manage & masking is actually difficult for them.  But even after their last round with Covid had them throwing up and shitting themselves for 2 solid weeks, they recently made some crack about masking and I went a little mask off in my reply.

Here it is so I can reference it later:

I don’t insist you mask around me because you have a slew of disabilities that make for harder for you than most, & I think people with fewer barriers should be doing more of the work to protect you and not place all the burden on you — not because it’s safe for me to be around you when you don’t wear a mask. 

You may not even know if you give me a life ruining virus but I care that I don’t give one to you and prefer to not get sick. The only reason I’m resigned about your attitude and not incandescently angry all the time is that public health and the medical establishment told you you could vax & relax. And you should be able to trust the public health authorities on stuff like this. 

But right now we can’t. I know better so I do better. You ask when we can eat inside. I haven’t eaten inside with you, not once, for five long years, because it’s not safe enough. I don’t do this because it’s fun for me. I do it so you don’t hurt me & I don’t hurt you. I will continue to have to be on guard even around people who claim to like me until viral transmission is *orders of magnitude* lower or we get sterilizing vaccines. If that never happens, then I will be eating alone or outside forever. 

Because the alternative is a faster, more painful disability that leads to my early death. And as much as my disability and not being able to eat comfortably are a giant pain in my ass that I would give up tomorrow if I could, I prefer them to being in a nursing home or dead. 

It’s particularly not safe for me now that you routinely _lie_ to me about whether or not you are ill, whether or not someone in your household is ill, whether or not other people are in your house at the time I plan to be there, and whether or not they are ill. Add in asymptomatic spread and it doesn’t matter if people think they’re ill or not because they can still be infectious. So I mask around everyone. Then when I show up to help you shower, and you casually drop that you’ve been sick with covid all week, I have some protection already in place. 

It’s not safe but it’s a bit safer now that many people are vaccinated so I can briefly remove my mask in public if outdoors, (preferably in direct sun to reduce viral exposure). I do understand that it’s limiting but my choice isn’t “eat with friends indoors” or “eat outdoors”. It’s “eat with friends outdoors” or “eat alone”. My goal is limiting viral exposure because fewer virions means less for my immune system to fight off and less virus means less damage to my vasculature. Which is what covid damages. Wearing a mask means I can limit my risk of heart attack, aneurysm, and stroke. I can limit my risk of losing even more energy. I do not understand why my wanting to prevent illness and debility is controversial. It’s not popular but it’s not wrong.

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