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At The Heart Of An Outbreak, One Town Grapples With Requiring Masks

Courtesy of Seth Thompson
Local businesses line the main square of Carthage, Missouri.

Seth Thompson learned about COVID-19 early.  He’s an engineer in Carthage, Missouri, a town of just under 15,000 that sits along historic route 66 in the southwest corner of the state. The virus first came to Thompson’s attention in February, when the global firm he works for shut down its offices in China. Back then, the danger seemed remote.

“We were seeing the news; it looked terrible, and it was but it just wasn’t here yet," Thompson said. 

When Missouri shut down in early April, his county - Jasper - had fewer than 10 confirmed cases. But in June, cases increased dramatically. Now the county has nearly 1,000, with dozens more reported every day.

Thompson’s own daughter is in quarantine after being exposed to the virus at summer school. “It’s scary," he said. "I have older parents, I have friends, people who have medical conditions.”

The CDC believes the spike in cases was initially driven by outbreaks at poultry processing plants in this part of the state and across the border in northern Arkansas. It pushed Thompson, a city councilman, to take action.

Credit Courtesy of Seth Thompson
Seth Thompson has served on the Carthage city council since the end of June and proposed the mask requirement.

“I just said, the community needs an answer yes or no, we needed an answer on masks," Thompson explained. "People wanted to know how we stood, so I wrote up a bill — I thought it was extremely moderate.”

Thompson says because of his background as an engineer, he's been following the science on masks. the CDC now recommendsthe use of face coverings in public, and an increasing body of research has linked widespread use of masks with reduced transmission of COVID-19. Thompson’s bill didn’t require people to wear masks outside or if they had health conditions that would complicate mask-wearing.

But masks have become a polarizing issue, and people in town have reported being harassed for wearing them. Autumn Lawrence-Palmer, a local high school chemistry teacher whose daughter has cystic fibrosis, shared her experience in a Facebook video.

“I came into contact with somebody, I didn’t know who they were and they didn’t have a mask on," she recounted. "And they called me a pretty hateful name, and then what they followed up with is that I was what was wrong with society.”

Thompson’s bill faced opposition from some Carthage residents and city council members, who believe the government shouldn’t force people to wear masks.

Craig Diggs works in IT at the local poultry processing plant and, like Thompson, has served on the council since June. He has a friend who tested positive for COVID-19. But He says government regulations should reflect social norms, and he isn’t comfortable forcing people to wear masks.

“I believe that as long as we produce the communication and the education, then it’s the right of the public to wear or not wear a mask," Diggs said.

Diggs opposed the mask ordinance, which was voted down 5 to 4. Thompson thinks a lot of the opposition comes down to one thing: people in this part of the state don’t like being told what to do.

Credit Courtesy of Revel Boutique
Heather Orscheln posted this sign on the door of her clothing boutique on the south side of Carthage.

But at least one business owner is taking action on her own. Heather Orscheln owns Revel Boutique, a modern clothing shop on the south side of town. She started requiring masks in her shop at the end of June.

“Asking people to wear a mask, it’s not about you’re taking away somebody’s right to do something. It’s just a respect issue," Orscheln said.

University of Georgia Public Relations professor Glen Nowak says laws are often necessary to change behavior. He’s a former director of media relations for the CDC and points to school immunization requirements as one example.

“Voluntary compliance with the childhood immunization schedule typically got you to like 75 or 80 percent of parents complying," Nowak explained. "Many of the others weren’t necessarily opposed to vaccination but they just found it to be inconvenient.”

Now Nowak says there’s no unified messaging from the federal government on masks. He cites President Trump’s refusal to wear a mask in public as a major factor.

“I think that quickly turned into wearing a mask or not wearing a mask indicates your support for the president," Nowak said.

Missouri’s Republican governor Mike Parson also has resisted wearing a mask in public.

In Carthage, Thompson thinks some residents would be swayed if the president regularly wore a mask. But for now, the council is focused on educating the public.

After voting down the mask bill, the council created a community taskforce on the issue. No meetings have been scheduled yet.

Sebastián Martínez Valdivia was a health reporter at KBIA and is documentary filmmaker who focuses on access to care in rural and immigrant communities. A native Spanish speaker and lifelong Missouri resident, Sebastián is interested in the often overlooked and under-covered world of immigrant life in the rural midwest. He has a bachelor's degree in broadcast journalism from the University of Missouri and a master's degree in documentary journalism at the same institution. Aside from public health, his other interests include conservation, climate change and ecology.
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