July 29, 2021

Why the Delta Variant Impacted the CDC’s COVID-19 Mask Guidelines

What to know about masks and the delta variant

covid masking social distancing vaccine

As COVID-19 cases have once again exploded across the country — fueled by the highly contagious delta variant — the CDC is rolling out new guidance about the need for everyone, including vaccinated individuals, to wear masks.


Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

To get a clear idea of where we currently stand and the best path forward, we talked with infectious disease expert Kristin Englund, MD, about the new mask guidelines, breakthrough cases and the best approach to staying safe and protected.

What are the current CDC mask guidelines?

Right now, according to Dr. Englund, the CDC recommends that everyone wear a mask indoors – regardless of vaccination status – in “areas of substantial and high transmission” of COVID-19.

Based on the current rapid rate new cases are spreading fueled by the delta variant, the guidelines could soon expand to a much wider area, if not the entire country. “New data indicates that we could soon go back to much broader guidelines that might be similar to 2020 when universal masking was ongoing in every situation,” Dr. Englund says.

Even if you don’t currently live in a high-risk area, she says, it’s still important to be vigilant and consider your personal risk. “Have you been vaccinated? Are you vaccinated but immunocompromised or live with someone who is? Do you have children who are too young to be vaccinated? These are the questions you have to ask yourself so you can assess the risk not just for you but for your loved ones.”

“Everyone should assume that their county will be an area of substantial and high transmission sooner rather than later,” she adds.


What is the new CDC data and what does it mean?

A new CDC report released on July 30 examined an outbreak in a Massachusetts community over the course of several public events throughout the month in July. The data showed that 90% of those cases were from the delta variant and that viral loads were similar in both infected vaccinated and unvaccinated individuals.

In other words, says Dr. Englund, vaccinated people who still become infected (breakthrough cases) are just as likely to spread the virus as unvaccinated people. “With the original strain of COVID-19, we saw a replication quotient of R2. That means every person infected with the virus could infect two people,” she notes. “The replication quotient for the delta variant is R8, meaning an infected person could spread the virus to as many as eight other people.”

Still, she adds, the risk of severe illness from breakthrough cases for vaccinated people remains low. “If you’re vaccinated, your risk of severe illness, hospitalization or death is at least 10 times lower than if you’re unvaccinated and become infected.”

Will masks protect against the delta variant?

“Masks are absolutely still an effective way to protect yourself from COVID-19, even with the delta variant,” says Dr. Englund. “We have learned over the last 18 months how beneficial masking is and there’s no reason to think it won’t be effective in at least slowing down the spread of the delta variant.”

But the best way to protect yourself, she adds, is to use multiple approaches. “Based on everything we know right now, no intervention is 100% effective. The best we can do is use multiple, different ways to prevent acquiring and spreading this very deadly disease,” she says.


“Masks, social distancing and, most importantly, getting fully vaccinated are all key to not just keeping yourself safe but your community safe, too,” she points out. “We need to employ every tool in our toolbox.”

What are the dangers of not masking up?

Again, current CDC data suggests that vaccinated people are capable of spreading the delta variant even if they remain asymptomatic. That makes it even more important for everyone not to just get vaccinated but to do everything they can to curb this spread.

“We’ve seen over the last number of months what happens in a community when not everyone gets vaccinated: there’s enough virus in our community to allow it to mutate and become a much more transmittable and contagious form,” says Dr. Englund. “It can certainly mutate again so we need to do something about it. Everybody needs to get on board and do everything they can to stop this disease from spreading.”

Related Articles

crowd of people at music concert
February 5, 2024
What Constitutes a ‘Superspreader Event’?

Any large social gathering — from a family birthday party to an indoor music concert — has the potential to spread serious infection

Male with eyes closed sitting hunched over, pinching area between their eyes
January 29, 2024
Headache and Fatigue: 11 Possible Causes That Can Trigger Both

Many factors, like dehydration, a cold or even your medication, can result in these common symptoms

Female wrapped in blanket laying on sofa looking fatigued or unwell
January 23, 2024
How To Manage COVID Fatigue and Regain Your Energy

It’s important to connect with a healthcare provider, get quality sleep and balance your activities with your energy levels

Sick person on couch using tissue on nose with medication bottles on coffee table
January 19, 2024
How To Know if It’s COVID-19, a Cold or Allergies

Symptoms can overlap and be hard to distinguish, but there are some telltale differences

Close-up of hands in lab gloves sorting vials and covid-19 blood sample
January 17, 2024
Everything You Need To Know About COVID-19 Variants

Just like the flu, COVID-19 will continue to evolve every year

Adult female on couch, coughing into crook of arm, holding thermometer
January 15, 2024
Prepping for Flurona: When COVID-19 and the Flu Strike at the Same Time

It’s best to treat flu-like symptoms as if you have COVID-19

positive COVID test with COVID virus molecules floating around it
December 20, 2023
How Long Does COVID-19 Last if You’re Vaccinated?

The duration varies, but symptoms can linger for a few days up to a couple weeks or more

Baby receiving a shot in their leg by healthcare worker in pink
December 6, 2023
COVID-19 Vaccines for Kids: What To Know and Why It’s Important

Children as young as 6 months should get vaccinated

Trending Topics

close up of keto gummies
Do Keto Gummies Work for Weight Loss? Are They Safe?

Research is inconclusive whether or not these supplements are helpful

Person in yellow tshirt and blue jeans relaxing on green couch in living room reading texts on their phone.
Here’s How Many Calories You Naturally Burn in a Day

Your metabolism may torch 1,300 to 2,000 calories daily with no activity

Older person postioned sideways showing dowager hump.
Dowager’s Hump: What It Is and How To Get Rid of It

The hump at the base of your neck may be caused by osteoporosis or poor posture