Abstract
This paper responds to one by Graham Martin and colleagues, who offered
a critique of my previous publications on masks for the lay public in
the Covid-19 pandemic. I address their charges that my co-authors and I
had misapplied the precautionary principle; drawn conclusions that were
not supported by empirical research; and failed to take account of
potential harms. But before that, I remind Martin et al that the
evidence on mask wearing goes beyond the contested trials and
observational studies they place centre stage. I set out some key
findings from basic science, epidemiology, mathematical modelling, case
studies and natural experiments, and use this rich and diverse body of
evidence as the backdrop for my rebuttal of their narrowly-framed
objections. I challenge my critics’ apparent assumption that a
particular kind of systematic review should be valorised over narrative
and real-world evidence, since stories are crucial to both our
scientific understanding and our moral imagination. I conclude by
thanking my academic adversaries for the intellectual sparring match,
but exhort them to remember our professional accountability to a society
in crisis. It is time to lay straw men to rest and engage,
scientifically and morally, with the dreadful tragedy that is unfolding
across the world.