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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  • http://pulse.yahoo.com/_MJFJZQXVZJQFDXMU4IN5FG5SOA Rich S

    Jonadab does not now what he/she is talking about.
    While there are several types of masks, N95 masks will trap nearly all (about 95%) of particulates, including mucous and saliva droplets that contain bacteria and viruses.
    “Airbourne” viruses/bacteria don’t actually float around in the air all by their lonesome. They are carried by aeosolized droplets out of a person’s respiratory tract into the air around them.
    While a mask may not trap ALL pathogens that a person is breathing out, it will trap most….which greatly reduces the transmission rate of the disease. It’s not about maintaining a sterile environment….it’s about creating a barrier that is difficult for the pathogen to get thru.
    If a sick person is wearing a mask, they are preventing a significant percentage of respiratory pathogens from spreading into the air around them…..and if a healthy person near them is also wearing a mask, then the healthy person is significantly reducing the percentage of the reduced number of respiratory pathogens that DID make it “into the open” from entering his/her body.

  • ガル

    i wear a mask in japan because i am too ashamed of my acne . Can you help me with my problem? i really need your help .

  • Emily Howell

    I live in Michigan, but totally plan on getting some come this winter semester at college. It never fails that I get sick due to others hacking on their hands and then touching the doorknobs. At least if I get sick again, I can set an example that people ought to be considerate. Hell, I might wear one even if I am not sick If I see someone coughing. I don’t want to be delirious during an exam ever again.

  • pink

    You’re just a pseudo-intellectual trying to be popular. As the guest said, do research before you attempt to sound intelligent.

  • pink

    Well done. Jonadab or whatever is just a pseudo-intellectual overcompensating for his lack of an education.

  • Rei

    wow stop with the greentext. What are you? From Reddit?

  • romea

    i really wish more people in the western hemisphere would be this sensible!!

    as to the effectiveness of n95 masks: for some years now, my husband & i will not enter a plane without them. before this, at least one of us would come home with a flu each time & every time… miraculously (or not… ;-)), this has stopped since we are wearing said masks.

    and, btw: WE COULDN’T CARE LESS ABOUT THE STRANGE LOOKS WE ARE GETTING!

    people get real! stop worrying about what others might think and put your health first. besides washing your hands frequently: protect yourself (and others – in case you are sick) by wearing n95 masks.
    flu-prevention really can be this simple!

  • Jed Hunsaker

    I wore a mask to work today. I got a lot of stares and people asking why I was wearing one, but when I told them it was so I don’t make them sick, they were very grateful and appreciated what I was doing. I’m in the Los Angeles area, BTW.

  • http://www.facebook.com/profile.php?id=100000511548857 Hobbid Hobbin

    For people tiring to make sense of this conversation

    Jonadab wasn’t exactly wrong as guest points out. If you haven’t got a high quality chemical grade mask then the chance of you getting infection is still theoretically* high because it wont stop water droplets from entering the mask. Guest is also right that if you breath out into something it does stop the air from spreading out.

    I would however question Heisenberg calling quotes from nytimes and wikipedia “actual facts”

    What Rich S says about N95 masks is not helpful but the rest is. Firstly the face masks worn are not ussually N95 masks since they are more expensive. Rich S says nearly what they say on the website fda.gov “when subjected to careful testing, the respirator blocks at least 95% of very small test particles” This means nothing since it fails it elaborate on what “careful testing” is and also fails to give the size of the particulates (which can vary greatly in size) some it could definitely not block while larger particulates could be blocked by a kitchen sieve.

    *Interestingly enough the masks can help stop you getting infection. A large (it’s difficult to place an exact value) amount of bacteria and viruses are passed to you by your hands not the air. A recent study (last year I think) showed that people in cities touched their faces on average between 3 and 4 times per hour. The mask helps prevent you from touching your face so helps prevent infection.

    I think the far more interesting question this raise is, is a reduction in disease transmission a good thing. If you live in a country where infection rates are lower does it mean you immune system is significantly lower so you will suffer more when you get an infection?

    probably wrote too much…….

    [someone correct me if I got something wrong, this is very unscientific since I didn't source anything]

  • http://www.facebook.com/LegendaryShoujoA Louise Igmen

    I think in some schools, if a student shows their face online, they get expelled. Please correct me if I’m wrong

  • Hib

    It helps a lot if everyone does it. Of course it wouldn’t help if only you do it. When everyone who is sick is wearing a mask, they are no longer covering their mouth with their hands, so they do not contaminate things as much when they touch things, and because everyone is doing this everything is less contaminated, so when you touch something you are not picking up as much bacteria on your hands, and you are not going to spread as much when you touch something else. Everything suddenly becomes cleaner. Of course you will still get sick, but I can see this making a significant difference. Also there will be less illness spread in the air. The only argument against this should be that when there is less bacteria being spread, and less people are being infected, our immune systems are not trained as well to fight against it. When we get the illness it might be more serious, if we don’t get it as often.

  • aliaster

    wish more sick kunts would do this and stop spreading their pathogens and viruses around the filthy phuckers…

  • http://www.facebook.com/sirdeadlock Scott James

    I wore a mask to work during flu season maybe a year or two ago. My boss told me to stop because customers were complaining about an employee having to come into work when they’re sick. Admittedly at first I WAS sick and I kept wearing it because I didn’t want to get sick from others.

    I was told the masks are only effective for maybe a half hour, then they’re used up.

    I personally think it’s better than nothing. I suppose everybody around me says they’re not very effective and just make others uncomfortable, but the question isn’t “are they a key element in preventing the spread of illness” the question is “are they better than absolutely no barrier at all?”

  • Jenann80

    This doesn’t account for why it is primarily young females who wear these masks in Japan. Other people get sick too right?

  • Sanjay Tyagi

    Only way to assess the effectiveness of the masks is to do a controlled social experiment – an entire city should not use them for a season. This should be accompanied by city-wide measurements of incidence of cold, before, during and after the experimental stoppage. After repeating the experiment a number of times we may find if the practice helps. Does anyone have a sense of origin of this practice as to when and how it began?

  • Shayne O

    The mask will stop bacteria, but not virus (Well ,maybe a tiny bit). Unfortunately, most colds are viruses. As was sars.

  • http://www.facebook.com/elizabeth.smith.180072 Elizabeth Smith

    Stupidity. To give or get protection they would have to wear a hazmat suit.

  • Meeplogic

    No why most japanese youtubers wear masks is because in japan
    It is ilegal to post a vide of yourself under the age of 18

  • http://Shiftgaming.net/ Matt

    It all makes sense now

  • steve

    You have missed 2 other reasons. 1. Fashion. You have a pic of one girl wearing it for fashion but don’t list it as a reason and 2. Girls sometimes wear them because they can’t be bothered doing make up on their face and/or have a spot on nose or around the mouth.

  • I don’t care

    Wow. This is crazy! Are you all immunodeficient? I don’t care if you have a cold, take off your mask when talking to me or I will call the police!

  • bvn

    Thank you that was really helpful : )

  • sterls

    Bioaerosols—tiny airborne fluid droplets generated by coughing or sneezing—are a major concern for the spread of contagions like influenza

  • Chris A Hooymans

    The most likely reason is to avoid inhaling airborne pollutants, viruses and radioactive particles floating all around the country since the Fukushima disaster.

  • dijobu

    Japanese are so considerate

  • poldavo

    Just for clarification: It was called Spanish Influenza just because contrary to Spain, France and the other Euro countries were engaged in WWI, and thus censorship was a rule in media/the press. So when the plague unleashed in devastated Europe and reached Spain, the local media reported about it and it was very convenient, globally, to call it “Spanish” influenza. But we Spaniards didn’t have anything to do with the surge! :)

  • sitkakona

    Hi. I’m a psuedo intellect wannabe :) I’m also a registered nurse. I can tell you this – if a person does not have the appropriate mask, fitted as completely as is physically possible to the skin, sealing all respirations and inspirations, and uses lots of soap and water to wash hands followed by Purell, and has not sneezed onto their clothes, and so on and on, then wearing any old mask any old way is just for psuedo politeness.

  • Alex

    so much is so different, it’s crazy.

  • Shelby

    I just can’t wear those damned masks because they fog up my glasses. I once had to wear a mask at the doctor’s office because of a bad cough but my glasses would fog up every time i breathed.

  • mrkaos

    Here is

    the science:

    http://www.ncbi.nlm.nih.gov/pubmed/17828691

    The salient line “The addition of a mask to the surgical scrubs and

    gown did not reduce the airborne dispersal significantly (IRR, 0.92;

    P>.05)”.

    Surgical masks are for healthy people operating on people. They are

    not for sick people to go outside and carry on as if they are well.

    Using them this way increases the surface area by

    introducing a second vector (i.e. two airways out the side of the

    mouth instead of one from the front).

    I do note that there are new types of masks that wrap the face up to

    the ears however my understanding is that the viruses are especially

    contagious in the express and shed stages especially by touching

    something that an infected person has touched.

    This is why it is one of my pet hates because it is false politeness disguising ignorance that makes

    people sick because our culture is so arranged that people feel the

    *have* to come to work when they are sick.

    This is the real reason people *have* to wear them. So if you are sick…

    STAY HOME

    Thanks

  • sivie

    they also wear it out of fashion has well.

    which is also why u can get them in different colors and all.

    Alot of actors/singers use it by the trend and not just sickness. Some is special made with spikes to look more cool. Also, they wear it thanks to cosplaying, when their favorite anime characters has it on themself and they dress up has their favorite characters.

    For the singers at least, they have their band/group names or the logo designed and the fans can wear the mask by buying it to show their love towards their idols.

  • Rachel

    I wear a mask when I am sick and I live in the United States. At first, people would ask why I wore it (besides my Japanese friends) and after I explained it was because I was sick, they thought it was very considerate and were thankful.

  • gaijin kaere

    In regards to your friend who did not wear mask when she had a cold is kind of rude; You have to respect and honor the culture, why the heck did she come to Japan to study if she won’t honor our culture? That is why gaijin are not appreciated…

  • Helder Pinto

    Here’s a TL;DR

    because: Japan

  • Tuskiko Ian

    That would be awesome if I could wear a mask when I’m sick or give one to a friend when there ill, but at school it be another thing for people to pick on me.

  • Fyxe Hexyz

    Unless… its actually a guy under the mask XD You’ll never know :P

  • Etsuko

    I think the youtube mask use isn’t so much shyness as to protect their identity; they seem much more protective of that than other nationalities. Also, if they were wearing it to prevent judgement based on looks, they wouldn’t wear cutesey/sexy outfits, especially that last girl *////* in that case, probably to prevent a)creepers form tracking them down and b)being recognized by friends/family, which could be embarrassing given the outfit and dance. I don’t know about that last one for sure though, just my speculation.

  • Piobair

    Every time I have to shake hands with someone this time of year I cringe; can’t we just gassho and bow instead?

  • TEXAN

    MY COWORKER, WHO SITS IN CUBICLE NEXT TO ME WAS VERY SICK LAST YEAR & STILL CAME TO WORK. REFUSED TO WEAR A MASK. I CAUGHT WHAT SHE HAD & ENDED UP WITH BRONCITIS, EAR INFECTION, ASTHMA & A TERRIBLE COUGH THAT LASTED 6 MONTHS. THIS YEAR SHE IS OVER IN HER CUBICLE COUGHING AGAIN. SAID YESTERDAY HAD FEVER & FELT HORRIBLE. (CAN’T STAY HOME GOING ON VACATION NEXT WEEK. PTO LOW). SO AS SOON AS SHE SAID THAT I HAVE PUT ON A SURGICAL MASK! SHE TOOK IT AS AN INSULT & EVERYONE IS LOOKING AT ME LIKE I AM A GERMOPHOBIC OR SOMETHING. I FIGURE IT CAN’T HURT & WILL WEAR IT UNTIL SHE GOES ON VACATION NEXT WEEK!!!

  • Coda C.

    I actually think its kinda hot on girls

  • Coda C.

    I think all of them are beautiful

  • Kari

    i wore a mask when i went into school sometimes during high school, mostly because i had to walk up the street EARLY in the morning for the bus, and it was freezing! (being in the US but on par with Hokkaido will do that.) i still do it sometimes when it’s cold or windy, it’s a great way to keep your face warm! ^^

  • puppyperson

    I once had to wear a mask while in the hospital visiting my grandmother. I wasn’t sick at the time, but having to breathe through the mask made me feel ill and lightheaded, and I actually vomited and nearly passed out. I won’t be wearing a mask in the US. If I’m someplace where it’s considered polite, I guess I’ll have to stay in.

  • Snooks

    I don’t really get sick. I may get a slight cold every few years for a day or two so I think they are possibly creating a problem in society. Being exposed to a variety of germs helps to build up the immune system. I have heard elsewhere that the Japanese people are constantly getting sick because they are too concerned with hygiene. The people there all carry hand sanitizer and wash their hands all the time. They also had the H1N1 flu pandemic there in 2009. So being healthy all the time may not stop the spread of diseases. From my own experiences when travelling is that Japanese people get sick all the time as soon as they are exposed to foreign germs and they don’t have a natural defence against such things.

  • Sara

    I tried but, sadly, stopped as people became overly concerned by it. In fact, my manager at the time told me I could not wear it because it would “alarm customers”…so, I took it off and hacked all over their things. :( I’m going to get a more fashionable one and try again in the hopes that it will be less alarming. It helps that I now work at a university with a large asian population. -fingers crossed- :)

  • Samantha

    I went to the doctor yesterday and wore a mask the whole time. I’m a 42yo healthy female with a bad cold virus and did not want to risk having coughing fits around so many people at Kaiser nor get the germs of others having coughing fits with different viruses being as how my immune system already in the state of fighting…only two other people out of 100 or more including employees had a mask on, one of which who appeared to be Japanese. People totally stared at me and I felt uncomfortable for about 10 minutes…until I had a bunch of coughing fits and was near little kids sneezing and coughing without covering …I also got the feeling that once people saw me coughing in at the Pharmacy and heard how nasty and relentless it was, they maybe ‘got it’…from now on I will always wear a mask in a place like that -sick or not sick…and use hand sanitizer and wash my hands before and after…

  • Samantha

    I think people who continue to go to work and social engagements while they are sick are very inconsiderate–you know the type – ones who take tremendous pride in and go to great lengths never to cancel anything come hell or high water …then they get everyone at the dinner engagement or whatever sick…or people who try to guilt trip you into attending a function you previously committed to when you are sick –can’t stand it. My friends know that I will cancel when I’m sick and to not even try guilt trip and they know that if they are sick I have given them full permission to CANCEL – its OK people to cancel your damn plans!!! You show up at my house sick, I’m sending you home with some tissues broth and cough drops whether you like it or not! Bottom line–stay home when you are sick people!!!!!

  • lumiina

    I have a really hard time wearing masks. I can’t breath in them. Maybe it’s my asthma. But people in Japan have athsma too. I’m sick in Japan now and feel so disrespectful for not wearing one. I can’t wear one when not sick, how can I wear one when my nose is stuffed up and I can hardly breath? If this wasn’t a problem for me, I would wear one.

  • lumiina

    I understand your anger. But asthma is something you’re born with, not something you catch.

  • lumiina

    Reminds me of キノの旅 for some reason.