The United States is now into the seventh month of a deadly plague. More than 3.9 million Americans have become infected with COVID-19 and at least 142,028 have died.

Wearing a mask and “social distancing”—keeping at least six feet between yourself and others while in public—have been the Golden Rules urged by public health officials for months.

And yet vast numbers of Americans still refuse to do either.

Surgical mask

In the early weeks and months of the pandemic, cloth face masks weren’t universally endorsed, even by public health experts.

“One, we didn’t know whether they were actually helpful, and two, there was a lot of concern that if people were using medical masks then people like myself, were not going to have access to them,” said Dr. Craig Spencer, director of global health in emergency medicine at Columbia University Medical Center.

No less an authority than Dr. Anthony Fauci,  the country’s leading infectious disease expert, said in March that “people should not be walking around with masks.”

Only in early June did the World Health Organization (WHO) urge non-healthcare workers to mask up. The WHO advised people to don masks when social distancing was not possible, such as when visiting stores and using public transportation.

According to Dr. Jeremy Faust, the change in attitudes toward masks should be seen as the nature of science, and not as a flaw.

“That is what experts, in fact, do. They don’t just have an opinion and stick to it,” said Faust, an emergency physician at Brigham and Women’s Hospital, in Boston, Massachusetts. “They actually let their opinions develop and evolve as better information becomes available.”  

Scientists have learned, for example, that COVID-19 can be spread by those who show no symptom of the disease. And mounting evidence has proven that masks are essential for protecting people from the virus. 

Coronavirus is spread by respiratory droplets when an infected person coughs, sneezes or talks—especially if large numbers of people are packed indoors. The danger goes up if the talker is shouting or singing loudly.

If not blocked by a face covering, the droplets can travel six to 13 feet.  

Researchers at Florida Atlantic University found that some masks were more effective than others. One study showed that well-fitted homemade masks with multiple layers of fabric, as well as off-the-shelf cone style masks, were the most effective in reducing droplet dispersal.

Bandannas turned out to be the least effective in reducing transmission.

Coronavirus

In cases involving SARS, MERS and COVID, the chance of transmission of an infection was significantly reduced when a mask was worn. 

So why do so many Americans refuse to wear a mask?

Start at the top: With Donald Trump, 45th President of the United States.

From the outset, Trump refused to wear a mask in public.

A colossal egotist, Trump is orange-skinned, morbidly obese and lacking a neck. (His head seems to pop right out of his shoulders.) Yet he still thinks of himself as dangerously handsome. And he fears that covering his face would diminish his power and appeal.

“Appearing to play it safe contradicts a core principle of masculinity: show no weakness,” wrote social sciences professor Peter Glick at Scientific American magazine. “Defying experts’ warnings about personal danger signals ‘I’m a tough guy, bring it on.’”

On May 21, Trump refused to wear a face mask as he toured a Ford facility in Michigan that’s manufacturing ventilators and personal protective equipment. This violated the policies of the facility, the governor’s executive order and warnings from the state’s attorney general.

Once states across the country began “reopening,” Trump scheduled his first 2020 re-election rally in Tulsa, Oklahoma. 

It was held on June 20 at the BOK Center. Scientists had learned that Coronavirus is more likely to be transmitted indoors than outdoors, when masses of people are packed together, and when people are loudly talking—or, worse, shouting.

Masks were available for those who wanted them, but Trump made it clear that his supporters shouldn’t wear masks, as a sign of support for him. Photos of the rally show men and women densely packed together, with none of them wearing masks.

A Trump rally

The Tulsa event was followed by another indoor rally in Phoenix on June 23. “Students for Trump” featured a packed crowd, with almost no one wearing masks. 

After staging COVID-spreading rallies at Tulsa, Oklahoma, and Phoenix, Arizona, Trump scheduled another one for July 3 at Mount Rushmore, in Keystone, South Dakota.

Such rallies had been put on hold since March, due to the issuing of stay-at-home orders across the country by states’ mayors and governors.

Although health experts expressed fears about a large gathering during the Coronavirus pandemic, South Dakota Governor Kristi Noem said people would “not be social distancing” during the celebration:

“In South Dakota, we’ve told people to focus on personal responsibility….Those who want to come and join us, we’ll be giving out free face masks, if they choose to wear one. But we won’t be social distancing.”