14 Sep 2020

Should firefighters and other first responders be exempt from requirements that they wear face masks to prevent spread of the novel coronavirus (COVID-19)?

The City Council of Portsmouth, New Hampshire, seems to think so. They are proposing an amendment to exempt first responders from complying with the city’s face mask ordinance.

Amendment to Exempt first responders from face mask rule

Specifically, the proposed amendment states, “Exempted from the requirements of the ordinance requiring wearing of face coverings include law enforcement personnel, first responders or other workers, who are actively engaged in their tasks, if wearing a face covering may hinder their performance.

The Centers for Disease Control and Prevention (CDC) recommends that everyone wear masks in public settings

The Centers for Disease Control and Prevention (CDC) recommends that everyone wear masks in public settings, especially when social distancing cannot be maintained. The CDC does not specify a need to exempt first responders.

However, there is a possibility that a mask could interfere with the work of firefighters or first responders, especially when they are performing tasks that require physical exertion.

Face masks can inhibit communication among first responders

Face masks, covering the mouth and nose, could also inhibit communication by muffling sound and obstructing facial expressions. Obviously, communication is of paramount importance for firemen working as a team in an emergency, or when a first responder is seeking to give clear directions to the public.

The issue of face masks has been inexorably entwined with the well-being of first responders, since the beginning of the COVID-19 pandemic. Early on during the infection spread, health officials dismissed face masks as a tool to avoid spread of the disease. They said that the masks were ineffective at preventing community spread and that, supplies of personal protective equipment (PPE) needed to be conserved for health professionals and first responders.

Importance of face masks in controlling spread of COVID-19

However, the early advice was completely reversed in late March 2020 and masks have been advocated ever since. A mask, worn by an infected individual, reduces the dispersion of virus-laden droplets that spread the disease. Now, experts contend that any type of mask, including cloth or paper, can help to reduce spread of the COVID-19 virus.

Expanding the use of masks to include those that are not conformant with the N-95 classification effectively eliminated any concerns about supply and helped to make the widespread use of masks the norm. To some extent, however, mask usage in the United States has been politicized and some see the requirements as an affront to liberty.

Need for wearing face masks in public

Masks are a useful preventative measure for firefighters working together in a communal area

Fire and emergency departments face the same challenges as other businesses and institutions, as they seek to remain safe in a communal workspace. Masks are a useful preventative measure for firefighters working together in a communal area or when training or resting.

Wearing masks in public also allows departments to model best practices and promote a positive perception of the department to the public. Disciplined use of face masks demonstrates unselfishness and respect for others. It communicates professionalism and concern for the greater good.

Masks go a long way in saving lives of first responders

Perception may also be an issue when it comes to the choice of masks, which become a de facto part of a uniform. Masks with political statements should be avoided, for example.

Considering that dozens of American fire and EMS members have died of COVID-19 infection, since March 2020, the use of masks is another way that firefighters can work to save lives. However, sufficient flexibility is needed so that the use of masks does not interfere with other lifesaving duties.