Why Do Japanese People Wear Surgical Masks?

For first time visitors to Japan, seeing people out and about in surgical masks can be a bit confusing. Are they germaphobes? Do they have really bad allergies? Do they have some sort of awful incurable disease that requires them to wear a mask to prevent the spread of infection? Oh, God! Should I be wearing one too!?

Okay, so maybe that’s a bit of exaggeration. But for those unfamiliar with the way things are done in Japan, the whole surgical masks being worn in public thing can be kind of strange and unfamiliar. So why do they do it, anyway?

They’re Sick

By far the most common reason people in Japan wear surgical masks out in public is because they’re sick. Chances are it’s not some life threatening, dangerous and debilitating illness – they’re just wearing the mask to be considerate of others and to help contain the spread of germs. Just think about how many people cough or sneeze into their hands and then go on to touch the things we use every day. Door handles, guard rails, the poles and rings you hold onto on the subway. People touch a lot of stuff.

These surgical masks really help as far as containing germs and preventing the spread of contagious colds and illnesses. And people aren’t going to avoid you like the plague if you happen to be in a mask either. They’ll be more likely to avoid you if you aren’t wearing one (if you’re coughing up a storm that is). In most cases, you’ll be treated just like anyone else not wearing a mask.

When I was in Japan, one of our friends got sick on the trip but was still coming out with us and going to the local college and everything. The Japanese girls encouraged her to get a mask and wear it when she was socializing. She didn’t seem too keen on the idea and saw it as an inconvenience, and the Japanese girls seemed kind of disappointed in her when she wasn’t wearing it. They thought it was inconsiderate.

So if you’re in Japan and you get a cold or a bad cough, don’t be surprised if one of your Japanese friends asks you to get a mask to wear and definitely don’t be afraid to do so. I wish more people in the United States did this, especially those in schools (those illnesses spread like crazy).

Occasionally you’ll have somebody who’s pretty into Japanese culture wear a mask like this when they get sick, but because it’s not the social convention here in America, they usually (and unfortunately) end up looking kind of silly, even if their mask is quite fashionable.

Everyone Around them is Sick

Another reason you’ll see Japanese people wearing masks out in public is because they’re afraid of getting whatever illness that happens to be going around. Maybe it’s flu season or something and they’re just trying to avoid getting sick for the third year in a row because the hand sanitizer alone just isn’t cutting it.

It makes sense when you think about it. I mean, I usually come down with something near the start of summer (I’m actually getting over a cold right now) and I usually get sick again near the start of winter. Maybe if I wore a mask around these times I would be less likely to fall under the weather or avoid the illness altogether.

But like I said before, it’s not the social convention here in America and I’d look kind of silly coming into the office in the morning wearing a surgical mask. Oh well, NyQuil and Sudafed to the rescue once again.

They Have Bad Allergies

On the whole, wearing masks because of allergies isn’t as common as wearing one because of illness, but around hay fever season in Japan mask wearing out in public becomes a much more common sight. I touched on it in a post I wrote a while back about Hay Fever Hell in Japan, but along with masks, the Japanese have a lot of things around to combat allergies and you’ll definitely see a surge of mask wearers out in public during allergy season.

They’re a Bosozoku Bike Gang Member

If you see a bike gang member in Japan I’m sure that their surgical mask is not going to be what gives them away. But it is not unusual for a bosozoku member to wear a mask like this for no other reason than concealing their face. Most likely they aren’t wearing it for allergies or germ prevention (unless of course they are a very kind, caring, and socially considerate bosozoku).

And if you want to learn more about these folks, you can read all about ‘em in a post I did a while back entitled Violent Japanese Biker Gangs Just Not What They Used To Be.

They’re Too Embarrassed to Show Their Face on YouTube

Okay, so this isn’t technically in public, but you still see it a lot (if you’re on YouTube a lot and wander to the stranger corners of it like I tend to do sometimes). This one mostly applies to the ladies from what I’ve seen, but there are a lot of videos of Japanese gals doing some sort of choreographed dance or playing an instrument on YouTube/Nico Nico Douga. A lot of these girls are shy and will wear a mask like these to hide their face/identity.

Since I can’t actually ask them why they choose to do it, I can only guess. Perhaps they are shy. Perhaps they think they are unattractive. Or perhaps they think they are too attractive and want their dancing/instrumental skills to be judged honestly, not wanting to be complimented just because the audience thinks they’re hawt. See examples below.

[yframe url='http://www.youtube.com/watch?v=7Rk-wHjzPco&feature=related']

[yframe url='http://www.youtube.com/watch?v=9h7DmJeOS3s&feature=plcp']

[yframe url='http://www.youtube.com/watch?v=RqphfvR4jcw&feature=related']

[yframe url='http://www.youtube.com/watch?v=ZLcqh1s3bDQ&feature=related']


And now you know pretty much all the reasons why you might see someone in Japan wearing a surgical mask. It’s not a weird or strange thing to do and most often they’re just looking out for the well being of others or trying to protect themselves from a seasonal illness or pollen invasion.

But what do you guys think about the wearing of masks like this? Wish you could wear one in your home country but are afraid of the social stigma? Have you ever done it in a Western country and got strange looks from others? Let us know in the comments!


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  • nagz

    i always thought it’s because they are paralyzed in fear of famous viruses, but turns out, they are just considerate towards others. well played, Japan, well played.

  • nagz

    besides, no one told them these coughy-sorethroaty-sneezy illnesses are contagious only for 2-3 days, in the incubation session (days before the symptoms start)? considering this, the masks are pretty much raincoat-after-storm.

  • Guest

    so instead of dispelling the germs from your body (which is what coughing and sneezing are for) you are forced to walk around in it longer, prolonging your own ailment? Those masks don’t really help in my experience. I lived in Japan for 2 years, and I wore one to be polite around other people, but I saw absolutely no benefit. people still get sick with or without them, they don’t seem to make any significant dent in curbing illness.

  • Indre

    hey, that “30 days speed shred” girl is definitely a DUDE. Look at “her” hands. I think this is the main reason why he’s wearing a mask ;-)

  • otakutears

    yeah im a germaphobe and really wish i could wear a mask when i go to work or on the bus..  i’m super aware of how dirty things are and will make an effort to not touch hand rails at all.  it sucks that its not socially acceptable to hide your face like that in north america… PEOPLE JUST DON’T UNDERSTAND HOW DIRTY THE WORLD IS IT IS DISGUSTING COME ON 

  • http://www.goodmorninglovely.net/ HelloNamie

    So, in order to not “prolong” your own ailment, you have to go around spraying it on others? The masks probably work for the same reason that we tell people to turn their face away and cover their mouth when they cough or sneeze. It also helps with people not spreading germs and dirt all over public surfaces like door knobs, payphones, etc.

    Manners! They are nice things to have!

  • nakiami

    I actually took some when I was in the hospital one time. Where I wore one to school and my classmates thought it was cool. Where I brought extras with me I was being considerate by giving some to them.

  • Anon

    It’s definitely a fashion thing as well..  Especially with hot girls…  It makes them look kawaii.

  • http://twitter.com/heavenly__star マリ

    me and my friend were wearing face masks in Austria when we went to University together by bus. We just came back from Japan at this time and we were kinda sick too. We did it for fun but also had a bit of a reason :) the effect we got was almost a whole bus only for us and a lot of weird stares. They avoided us like we had a uncurable disease hahahaa and we were just laughing our ass off. That’s probably what they thought what our problem was, some crazy psychological problem :D

  • niyoels

    I really wish it wasn’t so strange to wear masks in the west. In the winter I was constantly sick but I’m not going to stay home all winter! Even if I was sure I wasn’t contagious any more, the symptoms would make people wary. If I could wear a mask during those times (and it was accepted) not only is it considerate of others but also allows one to go about their usual business without being crippled by that gosh darn cold that just won’t go away!

  • http://www.facebook.com/asianbeat.fukuoka Asianbeat Fukuoka

    I enjoy wearing masks when I wear no make-up! So convenient :D
    Hope I can do it in other countries.

  • Kamizushi Akinari

    I wear a mask when I’m sick and I live in Canada. I’m not gonna make others sick just because they think being considerate to others make me a weirdo. Furthermore, the more people decide to do it, the more normal it’s going to become.

  • Axel Eriksson

    Nice, Maximum the Hormone! :D

  • John

    Haha, yeah, definitely.

  • http://www.tofugu.com/ Hashi

    I’m glad that you finally answered the call of teachers everywhere and brought enough for everybody.

  • Leliel

    Unfortunately, even though it’s considerate to others — it’s not good for you. Germs breed within the mask and you can end up getting even sicker or staying sick for longer. So better in one respect, bad in another :/

  • Spritz05

    Unfortunately, the masks don’t work nearly as well (or at all) when they get wet, which can be after only a short time of wearing them (sneezing, breathing on them for extended periods, etc). After they get wet they need to be changed. Also you need to get the special respirator masks to be effective against small particles like viruses.

  • Aya

    I wish people in America would wear masks too, especially in school settings! I think in the first and third video they’re actually men. I think it’s a fetish trend. Makeup does wonders but the hands are too masculine. This is one of the few men that actually doesn’t care to show his face: 
    http://tinyurl.com/73y69b9

  • Wyhodujmy Motyle

    I’m more in to bandanas, cause it looks a little less strange in Poland, I’m from beach city where winter is very strong so few people use to hide their faces behind scarfs and bandanas, I moved in to the middle Poland and in here I haven’t seen anyone wearing bandana or mask.

  • C Dalton123

    What spritz said. This this this.

    Unless you’re buying the 5 dollar a pop surgical theater type mask they’re ineffective at either task-preventing spread or contraction. I don’t know of you’ve seen the flimsy things they usually wear, but germs are NOT directional and their face coverage leaves much to be desired. And viruses would generally be too small to be caught on such flimsy paper.

    Also-many people (especially but not limited to) kids feel its free reign to hack and cough and not cover their mouth/turn their head/do anything. The mask thing, alongside gargling, are two “health” practices with no demonstratable health benefits.

  • ジョサイア
  • C Dalton123

    But…this is why we have an immune system. To protect us against the “dirty” world!!

  • ですこ

    I think the people on YouTube just don’t want anyone’s computer to catch a virus.

  • ジョサイア

    So that’s why my computer never gets viruses or crashes when I’m in japan…

  • ジョサイア

    As I was saying…Russian gas masks…

  • Sandra03

    I’ve seen it in the walk-in clinic, which used to be inside the mall so now and then you’d see someone wandering through the mall with a mask but not too often. I wish it was more acceptable/normal here (Canada), I’ve been getting colds like crazy the last few months because customers come in to the store sick and touching everything. bleh. and then in turn I pass it along to other customers and my staff. if people wore masks out in public when they were sick maybe we’d all get sick a little less often. That’d be nice

  • mmmfruit

    Yup, when I’ve asked my co-workers and students why they are wearing a mask, it tends to be because they don’t want to get sick – especially if they have something important coming up, like competing in a sports tournament. But it’s so normal here, that some people have told me they’re just wearing them because they are fashionable. I actually wear them now too – they’re pretty nice when you’re sick, and you don’t want to show off your red, snot-filled nose.

  • http://twitter.com/NeoRyu Cory

    Supposedly surgical masks really don’t stop you from getting sick or getting others sick. Very polite they do this for each other but in the end the masks don’t do much.

  • ye

    I was visiting Sensoji Temple and I decided to wear a mask as I was becoming sick, I wasn’t urged to wear one by friends either and I think they thought I was a bit strange wearing one too. Being white with curly, almost dyed ginger hair wearing a mask and a Christmas jumper in 25 (C) degree heat, I got a lot of stares. 

  • http://profile.yahoo.com/EB3YYFO7HQ7JFUTUBSECONHGKI ta0paipai

    Also a reason, they didn’t put on make-up that day and don;t want people to see their real face.

  • shiro

    I was gonna say – that’s the worst. They (especially the kids who haven’t been taught otherwise yet) wear masks so often that it doesn’t even occur to them to turn their head or cough into their elbow when they aren’t wearing one.

  • simplyshiny

    It would be so much better if people would do this here…I don’t ride public transportation anymore, but when I did, there was ALWAYS someone sick on the bus/trolly…coughing then grabbing the support bars…yuck.

  • simplyshiny

    ahhh that would make everything so much easier! 

  • SaraWyatt

    That little Japanese girl in lavender looks just like my mom when she was little! LMAO I wish I had a photo of her at that exact angle.. it’s uncanny.

  • http://www.facebook.com/profile.php?id=607790802 Alex Napoli

    The guitarist from Melt Banana apparently wears one because his nose bleed easily when he plays and he doesn’t want people to see bloody cotton balls sticking out of his nose.

  • Maki

    Maybe some of them wear surgical masks because they a have tattoo on their face? I heard it’s taboo and somewhat offensive to show tattoos in Japan because it could mean your part of the yakuza. I’m just saying dragon face tattoos are awesome ;)

  • http://www.tofugu.com/ Hashi

    Why stop at Russian gas masks? I want to go full Bubble Boy.

  • http://www.tofugu.com/ Hashi

    I figure every ride on the bus is just strengthening my immune system even more!

  • sora_1326

    Actually, they don’t want to show their faces not just in YouTube, but neither in NicoNico Douga. They don’t want to be discovered by anyone (like a friend, a teacher or a classmate) nor have a stalker. Actually, a few years ago, I think two Utaites had a “stalker problem” and stopped their activities and erased all of their photos though recently some Utaites, Ensoushites and Odoites aren’t covering their faces.
    I hope this can help to understand a bit about the last fact you mentioned 888833d

  • Alex

    I’ve hosted a few Japanese students and they occasionally wore a mask while at my house. I asked them why they wore it and they told me that it was because the air here (Minnesota.. during the winter season) and in the airplane, was too dry for them. However, I’m not sure if they were telling the truth or just worried about admitting that they were sick (or any other reasons for that matter). Thought I’d share. 

  • ジョサイア

    Whatever…but if there is an Apocalypse I will survive for longer! :b

  • ジョサイア
  • ジョサイア

    This is who you need to talk too.
    After you watch this you will be like…O_ohttp://www.youtube.com/watch?v=frVQEgsAXHo&feature=related

  • John

    Nope, still a guy – haha.

  • John

    And yes, definitely a guy, lol.

  • John

    Haha, that’s crazy.

  • John

    Yeah, that’s an interesting point too. Thanks for sharing!

  • David Hunt

     I can’t speak for the efficacy of the mask in stopping germs from escaping when you sneeze, or when you breathe.  But they certainly let people around you know you are sick and they’re more likely to do common sense things like wash their hands and not touch their eyes or mouth after interacting with you.

    Like a lot of other things Japanese, this one looks to be about being considerate to others.  Every little bit helps.

  • linguarum

    I remember during the H1N1 scare, health experts were saying that masks are ineffective at stopping the flu, unless you get a serious respirator that looks like something out of WWII. Best practice is to wash your hands frequently.

  • simplyshiny

    that, or you’re gonna get the plague….sorry, Hashi