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Jeff Gordon Children's Hospital

Jeff Gordon Children's Hospital
Affiliated with Levine Children's Hospital
920 Church Street N
Concord, NC 28025
(800) 575-1275


Coronavirus (COVID-19): Kids and Masks

Even as more and more people get vaccinated against COVID-19, masks are still a proven way to help stop the spread of the virus.

How Do Masks Help?

COVID-19 can spread when people breathe, talk, cough, or sneeze. A well-fitting mask keeps the virus from reaching others. It can also protect the wearer from becoming infected. Also, masks stop people from touching their mouths and faces — contaminated hands are another way for the virus to spread.

Who Should Wear a Mask?

In areas with many coronavirus infections, people should wear masks when indoors or when in crowded outdoor settings, even if they are up to date on their COVID-19 vaccines.

In all areas, people with a higher risk of getting COVID-19 or of having a serious illness if they get infected should wear a mask when indoors or in crowds outside. This includes people who:

  • are not up to date on their COVID-19 vaccines
  • have weak immune systems or some types of medical conditions

Some school districts require kids to wear masks while in school. In other school districts, wearing a mask is optional. Because studies show that masks can reduce spread of the virus, the American Academy of Pediatrics (AAP) and the CDC recommend that all kids, teachers, staff, and visitors in schools and childcare settings in the U.S. wear masks, whether they're vaccinated or not.

Anyone traveling by public transportation should wear a mask while they travel.

Who Shouldn't Wear a Mask?

The only people who should not wear a mask are children younger than 2 years old, and anyone who can't take a mask off without help. 

Many studies have shown that masks can be safely worn by children over age 2, even if they have a health condition. Concerns about masks being unsafe have been disproven. Masks will not block oxygen from getting into a child’s lungs, and they don't affect learning and development.

What Type of Masks Are Best for Kids?

Some types of masks are better than others. For masks to be most effective, they should:

  • Block germs well. A mask should have multiple layers, and it should not have a vent. Cloth masks have been popular, and they are better than nothing, but they don’t seem to block germs as well as surgical (disposable) masks. The best germ-blockers are called "respirators." These have been tested and meet high filtration standards. Look for them with names like KN95 or KF94.
  • Fit snugly. Masks should cover the nose and mouth both and have no gaps on the sides.
  • Be comfortable. Any mask worn comfortably is better than no mask at all. If a respirator is not comfortable, try a surgical mask, or a surgical mask with a cloth mask on top.

Wash cloth masks often, and throw out disposable masks after use. Respirators can usually be reused a few times, until they are dirty or damaged and no longer fit snugly. Store these in a paper bag between uses.

To help kids wear masks:

  • Teach kids how to put masks on and take them off. Remind them that masks should always cover the nose and mouth. They should handle masks by the ear loops and ties so that the mask does not get dirty.
  • Make it fun and personal. You can find fun, colorful masks in many stores. Look for ones with superhero characters, movie favorites, silly faces, or animal prints. A personal touch can help make masks a more normal part of their routine.

For more information about masks, visit the CDC's guide.

  • Wear a Mask: Help Stop the Spread

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Reviewed by: Jana L. Teagle, CTRS, CCLS, CBIS and Elana Pearl Ben-Joseph, MD
Date reviewed: January 2022