MASK recommendations for CHILDREN are NOT supported by SCIENTIFIC evidence
… We performed database searches up to February 2023
… A risk-of-bias analysis was performed by two independent reviewers and adjudicated by a third reviewer
… We screened 597 studies and included 22 in the final analysis
… There were no randomised controlled trials in children
assessing the benefits of mask wearing
to reduce SARS-CoV-2 infection or transmission
… Masking recommendations appear to be entirely based on mechanistic and observational data
… a systematic review assessing the evidence has not been performed
… 16 studies found no effect of mask wearing on infection or trasmission
… sei studi che riportavano un’associazione protettiva avevano un rischio critico o grave di bias
… benefits of masking for COVID-19 have not been identified
… mask recommendations for children are not supported by scientific evidence
… COVID-19-related policy recommendations should be informed by high-quality evidence
… Because absence of harm is not established, recommending child masking does not meet the accepted practice of promulgating only medical interventions where benefits clearly outweigh harms