All of these studies were conducted on data from the spring, when cases were declining across the northern hemisphere. How are these places doing now?
DC: up dramatically
https://covid-19.direct/metro/DC
Canada: all-time highs
https://www.worldometers.info/coronavirus/country/canada/
Germany: all-time highs
https://www.worldometers.info/coronavirus/country/germany/
US nationally: all-time highs
California: all-time highs
https://covid-19.direct/state/CA
New York: up dramatically
https://covid-19.direct/state/NY
Boston (where the "unified hospital system" was located): near all-time highs
https://covid-19.direct/metro/Boston
I could go on.
Anyone who attempted to conduct a similar analysis today would have to credibly conclude that masks have no protective effect whatsoever. But who knows...maybe they slightly alter the slope of the curve. It's impossible to tell without a controlled trial.
The german paper is particularly ironic, given that it was published approximately concurrently with a huge increase in diagnosed cases in the same city, which is now at all-time highs for the year:
Absolutely not the case. It would be just as credible, as has been noted by others in the comments here, to suggest that the major cause of spread is unmasked private gatherings.
> But who knows...maybe they slightly alter the slope of the curve. It's impossible to tell without a controlled trial.
I agree that without controlled trials, it is very difficult to tell definitively. That does not, however, translate into "there are lots of reasons to doubt ..."
https://www.acpjournals.org/doi/10.7326/M20-6817
Infection with SARS-CoV-2 occurred in 42 participants recommended masks (1.8%) and 53 control participants (2.1%). The between-group difference was −0.3 percentage point (95% CI, −1.2 to 0.4 percentage point; P = 0.38) (odds ratio, 0.82 [CI, 0.54 to 1.23]; P = 0.33). Multiple imputation accounting for loss to follow-up yielded similar results. Although the difference observed was not statistically significant, the 95% CIs are compatible with a 46% reduction to a 23% increase in infection.
---------------
Data regarding the “real-world” effectiveness of community masking are limited to observational and epidemiological studies.
Seven studies have confirmed the benefit of universal masking in community level analyses: in a unified hospital system, a German city, a U.S. state, a panel of 15 U.S. states and Washington, D.C. as well as both Canada and the U.S. nationally. Each analysis demonstrated that, following directives from organizational and political leadership for universal masking, new infections fell significantly. Two of these studies and an additional analysis of data from 200 countries that included the U.S. also demonstrated reductions in mortality. An economic analysis using U.S. data found that, given these effects, increasing universal masking by 15% could prevent the need for lockdowns and reduce associated losses of up to $1 trillion or about 5% of gross domestic product.------------
Taken from: https://www.cdc.gov/coronavirus/2019-ncov/more/masking-scien...