Making masks: The women behind Ghana's nose covering mandate during the COVID-19 outbreak

In 2020, Ghanaians adopted face masks, or "nose masks," in public places to combat the spread of a novel coronavirus, SARS-CoV-2. Seamstresses and tailors quickly pivoted to manufacture nose masks by April, given the longstanding cottage sewing industry. While the country saw an influx of disposable face masks by the end of the year, cloth mask makers made a significant impact on public health at the start of the pandemic. This article considers how people were able to quickly popularize nose masks in 2020, noting the key role women seamstresses played alongside public leaders, the Ghana Standards Authority, and the police who used punitive punishments and coercive tactics to encourage sustained use as the pandemic continued. It marks one of the first studies on the history and cultural use of nose masks in an African country, comparing their use and adoption to other national mask responses, including those in the United States, Japan, and the Czech Republic.