I‘ve been in China from the very beginning of the Pandemic, and possibly will continue for at least one year. And for some very "prepper" accident, I personally purchased a 3M HF-52, in Dec. 2019, right before the lockdown took place.
And with quite a reasonable check frequency of the availability of the mask & replaceable filter, I can personally confirm that (at least industrial) filters have NEVER been out of stock even during Jan./Feb. 2020. A simple fact is that despite the public can retrieve knowledge from the internet that it's almost equivalent, few choose to purchase it.
In an Asian country like China where physical appearance matters most when going out to adolescents, the feeling of "standing out" might be a disaster.
When discussing it in the rationalist community, we would seldom discuss whether appearance matters in front of life risk, but this might still stand for the general public.
I can think of many reasons why elastomeric respirators haven't been widely used.
I suspect that the main reason was that most experts thought that a combination of traditional masks, contact tracing, vaccines, quarantine, and social distancing would be good enough. Old school epidemiology and naive empiricism strongly suggested this: China's lockdowns "worked," and other Asian countries (like Hong Kong, South Korea, Taiwan, and Japan) controlled covid well with masks, contact tracing, and border restrictions but without respirators, hard lockdowns, or even vaccines.
However, in the rest of the world, these solutions weren't practical (due to the rise of more contagious variants) or available (vaccines).
I used a P100 elastomeric respirator pretty much any time I left the house, for multiple months in 2020 during early COVID, and intermittently after that.
The main downside, for me personally, was that people generally found understanding my speech through it difficult or impossible. This was a big enough problem that I haven't used one in quite some time.
Requiring more efficient masks includes admitting that the previous mask mandate was suboptimal.
It turns those people, who virtuously wear a surgical mask into people who unvirtuously do not wear the required masking.
My best guess is that Xi feels that adding a P100 mandate would be too much for the Chinese people to bear, while providing little marginal benefit on top of existing measures. It would only be worthwhile if it meant a substantial reduction in movement restrictions, testing mandates, and the amount of time people spent in quarantine and that cities spent locked down.
Xi has a policy that's working to achieve his stated aims now. The benefit of switching to a P100-based approach is hypothetical.
Plausibly, he could order a P100-based experiment in a few smaller Chinese cities. It would be really hard to know if it was working, since China currently isn't getting that much COVID. If a city switches to P100s and doesn't get COVID outbreaks, is that because the P100s work just as well, or because they're benefitting from the testing-and-lockdowns regime in the rest of the country?
(This post was inspired in part by this comment by Florin, which I think makes some good related points.)
Elastomeric respirators are reusable respirators made with some elastic material such as silicone, typically with N95 or better filters attached. They are low cost (there's currently one from a reputable manufacturer on sale for $2.99[1], which may be a loss leader but even the regular price is just $10.99) and are easier to correctly use than disposable N95s (since they form a soft seal against the face and are therefore less prone to leaks), and of course are much more effective than the cloth or surgical masks that most people still wear, even now (if they wear masks at all, e.g. in Chengdu, China).
It seems easy to imagine that if everyone or most people wore such a respirator, COVID would be much easier to control and we could depend less on other measures, including draconian, extremely high cost ones like lockdowns. Yet every locality on Earth throughout the pandemic, including present day China, would apparently prefer to not mandate or even encourage using such respirators and instead incur the high costs of other control measures. I'm tempted to pass this off as typical irrationality of humans, but feel like I should check with the LW hivemind before I do. Is there some reasonable explanation that I'm missing?
(At one point I saw A Clunky Mask May Be the Answer to Airborne Disease and N95 Waste in the NY Times, which made my heart jump a little, but it was only talking about use of these respirators by medical personnel, not the general population.)
ETA: Elastomeric respirators do have some downsides, however many of them can be mitigated through better design. Here is an improved design which is currently on sale for $89.99, but can probably be made much cheaper if manufactured at scale.
The site has a $7.95 shipping fee. It also has a disposable N95 mask (which I've used and recommend) on sale for $0.19 each in quantities of 50. ↩︎