Infants and toddlers should never wear facemasks. Learn more.

On April 3, 2020, the Centers for Disease Control and Prevention (CDC) announced new facemask recommendations to contain the spread of COVID-19 in the United States.

The CDC now recommends most Americans wear cloth facemasks in public, especially in crowded places like grocery stores and pharmacies.

However, the CDC says children under the age of 2 years old should not wear facemasks. Parents should avoid taking their children out right now, unless it’s to a doctor’s appointment. Many doctor appointments can be conducted via video visit. UPMC Magee-Womens Hospital and UPMC Children’s Hospital of Pittsburgh both stand behind the CDC’s guidance on facemasks for young children.

Read on to see why infants and children under 2 shouldn’t wear facemasks, and what you can do to protect them from COVID-19.

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Why Infants Shouldn’t Wear Facemasks

The CDC doesn’t specifically say why children under 2 shouldn’t wear facemasks. But there are several potential reasons:

  • Infants and toddlers have smaller airways than adults. Any sort of restriction over their nose or mouth could make it more difficult for them to breathe.
  • They might not be able to tell you if they’re having trouble breathing.
  • They might not be able to get the mask off if they’re having trouble breathing. The CDC warns against facemasks for people who are “unconscious, incapacitated, or otherwise unable to remove the mask without assistance.”
  • There’s a risk of choking. Some no-sew cloth facemasks include items like hair ties or rubber bands that could be a choking hazard for infants and toddlers.

Preventing COVID-19 in Babies and Toddlers

SARS-CoV-2, the coronavirus that causes COVID-19, spreads mainly through airborne droplets.

If an infected person coughs, sneezes, or talks, the action releases droplets into the air. Those droplets then can land in the nose, mouth, or eyes of someone nearby (within 6 feet), potentially infecting that person.

The droplets also can land on a nearby object or surface. If someone touches an infected surface and then his or her nose, mouth, or eyes, that also could cause COVID-19 infection.

Children get COVID-19 at a lower rate than other ages, and their symptoms (fever, cough, and shortness of breath) are usually milder. However, they still can get infected. And even if they don’t get COVID-19 or don’t have symptoms, they still can spread the disease to others.

Even if you can’t use a facemask on infants and toddlers, you still can help keep them from spreading COVID-19 with other methods:

  • Wash their hands often. Use soap and water and scrub for 20 seconds before rinsing. Or use a hand sanitizer that contains at least 60 percent alcohol. Bring hand sanitizer with you when you go out in public to make sure you can keep their hands clean.
  • Keep your hands clean, too. You may be carrying your infant or toddler. Make sure your own hands are clean by washing them regularly.
  • Sanitize high-contact areas regularly. In your house, this could include tabletops, counters, doorknobs, light switches, and more.
  • Wash clothes and plush toys as needed. If you can, use the warmest water setting and completely dry them.
  • Practice social distancing. Limit interactions with other children. If you do go out in the public, keep the length of time you’re out short. Make sure you keep to social distancing guidelines by staying at least 6 feet away from others when out.
  • Stay away from people who are sick. If someone is showing symptoms of COVID-19, or other respiratory illnesses, keep infants and toddlers away.
  • Limit time with high-risk groups. That includes older adults, people with health conditions like heart or lung disease, and immunocompromised people. Even if infants or toddlers aren’t showing symptoms, there’s still a chance they could spread COVID-19 to others.
Sources
Asthma and Allergy Foundation of America. Asthma in Infants . Centers for Disease Control and Prevention. Caring for Children . Centers for Disease Control and Prevention. Use of Cloth Face Coverings to Help Slow the Spread of COVID-19 . Nationwide Children’s. Mask Safety 101: Why You Shouldn’t Mask a Baby .

About Pediatrics

From nutrition to illnesses, from athletics to school, children will face many challenges growing up. Parents often will make important health care decisions for them. We hope to help guide both of you in that journey. UPMC Children’s Hospital of Pittsburgh ranks No. 8 on U.S. News & World Report’s Best Children’s Hospitals Honor Roll. All 10 of our specialties rank nationally. UPMC Magee-Womens Hospital is a longtime national leader for women and their newborns. We aim to provide the best care for your children, from birth to adulthood and beyond.