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A Review of Available Literature on the Use of Face Mask vs Face Shield during the Pandemic

Michael Duque
Keywords: COVID-19, Coronavirus, pandemic, face mask, face shield.

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Duque, M., 2020. A Review of Available Literature on the Use of Face Mask vs Face Shield during the Pandemic. United International Journal for Research & Technology (UIJRT), 2(1), pp.27-34.


The public and healthcare personnel faced a dilemma when the COVID-19 infection became global. There are conflicting articles, guidance and policies on which type of face covering, either face mask, face shield, or both can be effectively used in a global health crisis such as this pandemic. The general public and the non-healthcare policy makers were the ones most affected by this confusion. The COVID-19 Pandemic has triggered the extensive use of face coverings both for healthcare personnel and the general public.  Previous studies were conflicting and have no definitive and conclusive findings on which is more efficient in minimizing the risk of respiratory infection during a pandemic. This study aims to extensively determine which face covering can provide more effective in diminishing the possibility of becoming infected with the virus. Building on previous research and available literature materials on face coverings, it hopes to provide an answer to which specific face covering is more able to protect and minimize the risk of the wearer from getting infected. In this context, the face covering would be either a face mask or face shield, both of which are readily available. The study critically analysed the available information based on an extensive review of the literature ranging from the 1918 Pandemic to the present. Analysis of the reviewed material demonstrated a significant lack of single conclusive result which was associated with various influencing factors. The results indicate that neither the face mask nor the face shield are effective in minimizing the risk of infection on its own, but one is more likely better than the other and that using a combination is best. The best type of face covering to use also depends on various factors and it would be beneficial to conduct further research to identify other factors and arrive at a more conclusive finding.


  1. World Health Organization. International travel and health: SARS. [Accessed 11 November 2020]. https://www.who.int/ith/diseases/sars/en.
  2. Centers for Disease Control and Prevention. Past Pandemics. August 10, 2018. [Accessed 5 November 2020]. https://www.cdc.gov/flu/pandemic-resources/basics/past-pandemics.html.
  3. Centers for Disease Control and Prevention. 1918 Pandemic (H1N1 virus). March 20, 2019. [Accessed 4 November 2020]. https://www.cdc.gov/flu/pandemic-resources/1918-pandemic-h1n1.html.
  4. When Mask-Wearing Rules in the 1918 Pandemic Faced Resistance. https://www.history.com/news/1918-spanish-flu- mask-wearing-resistance
  5. Tomes N. (2010). “Destroyer and teacher”: Managing the masses during the 1918-1919 influenza pandemic. Public health reports (Washington, D.C.: 1974), 125 Suppl 3(Suppl 3), 48–62. [Accessed 7 November 2020]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862334/. doi.org/10.1177/00333549101250S308.
  6. Kellogg, Wilfred H. Influenza, A Study of Measures Adopted for the Control of the Epidemic. California State Board of Health. (Sacramento: California State Printing Office, 1919) 22. [Accessed 4 November 2020]. https://update.lib.berkeley.edu/2020/05/23/did-masks-work-the-1918-flu-pandemic-and-the-meaning-of-layered- interventions/.
  7. William T. Vaughan, Influenza: An Epidemiologic Study, (Baltimore, MD: American Journal of Hygiene Monographic Series, No.1, 1921)241.
  8. William T. Vaughan, Influenza: An Epidemiologic Study, (Baltimore, MD: American Journal of Hygiene Monographic Series, No.1, 1921)241.
  9. Burnett. Did Masks Work? — The 1918 Flu Pandemic and the Meaning of Layered Interventions. Berkley Library. University of Califonia. May 23, 2020. [Accessed 7 November 2020]. https://update.lib.berkeley.edu/2020/05/23/did- masks-work-the-1918-flu-pandemic-and-the-meaning-of-layered-interventions/.
  10. Kellogg, Wilfred H, MacMillan, Grace. An Experimental Study of the Efficacy of Gauze Face Masks. American Journal of Public Health 10, 34_42, 1920. [Accessed 10 November 2020]. https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.10.1.34. doi.org/10.2105/AJPH.10.1.34.
  11. Markel H, Lipman HB, Navarro JA, et al. Nonpharmaceutical Interventions Implemented by US Cities During the 1918-1919 Influenza Pandemic. JAMA. 2007;298(6):644–654. [Accessed 7 November 2020]. https://jamanetwork.com/journals/jama/fullarticle/208354. doi:10.1001/jama.298.6.644.
  12. Valentyn Stadnytskyi, Christina E. Bax, Adriaan Bax, Philip Anfinrud. The airborne lifetime of small speech droplets and their potential importance in SARS-CoV-2 transmission. Proceedings of the National Academy of Sciences. Jun 2020, 117 (22) 11875-11877; [Accessed 5 November 2020]. https://www.pnas.org/content/117/22/11875. DOI: 10.1073/pnas.2006874117
  13. William G. Lindsley, John D. Noti, Francoise M. Blachere, Jonathan V. Szalajda & Donald H.
  14. Beezhold (2014) Efficacy of Face Shields Against Cough Aerosol Droplets from a Cough Simulator, Journal of Occupational and Environmental Hygiene, 11:8, 509-518, [Accessed 5 November 2020]. https://www.tandfonline.com/doi/full/10.1080/15459624.2013.877591. DOI: 10.1080/15459624.2013.877591.
  15. Haroon Siddique.Face visors may protect wearer but not other people against Covid-19. The Guardian. 18 May 2020. [Accessed 7 November 2020]. https://www.theguardian.com/world/2020/may/18/face-visors-may-protect-wearer-but- not-other-people-against-covid-19. https://institute.global/policy/role-face-shields-responding-covid-19.
  16. Interim Recommendations for Facemask and Respirator Use to Reduce 2009 Influenza A (H1N1) Virus Transmission. Center for Diseas control and Prevention. September 24, 2009.https://www.cdc.gov/h1n1flu/masks.htm
  17. Institute of Medicine (IOM) : Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases. Personal Protective Equipment for Healthcare Workers: Update 2010 . Washington, DC: National Academics Press, 2010. p. 10
  18. Occupational Health and Safety Administration (OSHA) : “Blood Borne Pathogens Standard 1910.1030.” [Accessed 4 November 2020]. https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051.18Emergency Use Authorization Letter. U.S. Food and Drug Administration. April 13, 2020. [Accessed 8 November 2020]. https://www.fda.gov/media/136842/download.
  19. Amnesty International. Global: Amnesty analysis reveals over 7,000 health workers have died from COVID-19. September 3, 2020. [Accessed 11 November 2020]. https://www.amnesty.org/en/latest/news/2020/09/amnesty-analysis- 7000-health-workers-have-died-from-covid19/.
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