*From Dick Atlee:*



































*Hello, Superintendent McMillan,I heard about the strep outbreak in your
schools
fromhttps://www.abc12.com/app/2020/10/02/health-department-investigating-after-high-number-of-strep-throat-cases-at-shepherd-schools/
<https://www.abc12.com/app/2020/10/02/health-department-investigating-after-high-number-of-strep-throat-cases-at-shepherd-schools/>in
which Dr. Morse of the state Health Department referred to the situationas
"strange" and "under investigation."I understand that the current
school-mask situation mandated by thegovernor makes the situation
difficult, but I'm wondering if considerationis being given to those masks
as a driver of the growing strep problem. Thefact that the problem seems to
be more prevalent in the elementary schoolwould tend to support that
possibility, given the clear evidence that youngchildren don't know how to
— and can't reasonably be expected to — safelyuse masks.The research
literature on masks with respect to viral particles (primarilyinfluenza) is
quite mixed on their efficacy. The literature on medicalmasks in an
operating room environment seems fairly clear that masks don'thave a
statistically significant effect on post-clean-surgery woundinfection. But
to the extent that bacteria are orders of magnitude largerthan viruses, it
seems likely that any that come to contaminate the insideof a mask would
create a serious rebreathing accelerant for the childwearing the mask,
whereas otherwise the bacteria would be dispersed anddiluted in the
environment.In terms of relative health risk, SARS-Cov-2 has over many
months beenshown to be of little health significance to young kids, whereas
strep is aknown significant danger.Has any thought been given to masks as a
vector in this situation?Dick AtleeSouthwest Harbor, ME*
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