Regarding COVID-19 specifically, I actually doubt there is any evidence.
Neither coronaviruses or viruses in general are a blank slate, there is evidence.
Whenever presented with a novel situation, we don't forget everything we know about similar situations and start saying "technically we have no specific evidence for
this situation therefore we need to start from scratch. As we have never tried mass use of masks during a novel virus pandemic before, the best assumption is that most people will not benefit from them until proven otherwise."
The assumption is that they do work unless proven otherwise.
If someone you loved was highly vulnerable but insisted on going about their life as normal, you would try to make them wear a mask if you had one, wouldn't you?
Regardless, that isn't the statement we're talking about. It was "we're not aware of any specific evidence supporting the mass use of masks".
No, again; "no evidence supporting the mass use of masks". Who is misrepresenting the facts now?
The evidence that the mass use of masks is effective is the same as the evidence that the individual use of masks is effective.
So, the question is "Given what we know about viruses and PPE, is there strong evidence that wearing a mask
does not reduce the likelihood of an individual catching or spreading coronavirus?"
Unless the answer to that question is yes, the rational assumption is that individuals should wear masks. This is because:
A) The best interpretation of available evidence is that mask do indeed work.
B) The payoff is massively asymmetric: the upside of being right, is much more than the downside of being wrong.
I won't quote the statement yet again, you can just scroll up. Nobody said there is evidence against there being benefit.
I said evidence of being worse off, because that is what he said: "In fact, there's some evidence to suggest the opposite..."
You can take it as an irrelevant question. Would you prefer I had a supply of masks or my doctor friend working in the local A&E having a supply of masks? We can play silly games all we want, it doesn't make any difference to the big picture.
It is not the job of the WHO to make sophistic claims that people in general wouldn't benefit from wearing masks just to avoid a massive increase in demand. Their job is to save lives, and government needs to commandeer all stocks of medical grade PPE and ban its sale to the public if necessary.
There are all kinds of masks that would not be suitable for medical professionals yet could provide protection for average people. Millions of people have masks sitting around at home for DIY and the like, and companies could quickly produce masks for the public that are below medical grade. People could even make them at home and gain some protection.
When we are told that, in fact, masks do actually work, how do you think people will view expert medical and scientific advice? Even beyond coronavirus, this will be a disaster for public trust in such institutions.
The bottom line is that nobody can know for certain and the people making the decisions had to collate a whole mess of incomplete and mixed evidence and information to come up with a viable policy. Even with the second guessing happening now, based on additional information (and a whole load of speculation), that doesn't mean their decisions at the time were wrong. It certainly doesn't justify condemning or insulting them now.
It's not exactly rocket science that masks designed to protect people from infection do just that, and that people who wear them are less likely to catch or spread infection.
To start from the assumption that this works on the individual level, but not on the mass level so we are better off without them very much justifies harsh criticism because it costs many, many lives.
In complex situations, with lack of definitive evidence and fast changing events, you should err towards precaution because the cost of being wrong is
much lower. Had everyone done this, we wouldn't have been in this position in the first place and we still are making the same mistake now.