Here's the precise, summarized, Conclusion: "The recommendation to wear surgical masks
to supplement other public health measures did not reduce the SARS-CoV-2 infection rate among wearers by more than 50% in a community with modest infection rates, some degree of social distancing, and uncommon general mask use.
The data were compatible with lesser degrees of self-protection."
ALSO
"
a recommendation to wear a surgical mask when outside the home among others did not reduce, at conventional levels of statistical significance, incident SARS-CoV-2 infection compared with no mask recommendation."
AND "Masks have been hypothesized to reduce inoculum size (
34) and could increase the likelihood that infected mask users are asymptomatic, but this hypothesis has been challenged (
35)"
AND "The face masks provided to participants were high-quality surgical masks with a filtration rate of 98% (
37). A published meta-analysis found no statistically significant difference in preventing influenza in health care workers between respirators (N95 [American standard] or FFP2 [European standard]) and surgical face masks (
38)"
AND
"Thus, spread of SARS-CoV-2 via aerosols would
at least partially explain the present findings.
Lack of eye protection may also have been of importance, and use of face shields also covering the eyes (rather than face masks only) has been advocated to halt the conjunctival route of transmission (
40,
41).
We observed no statistically significant interaction between wearers and nonwearers of eyeglasses (Supplement Figure 2). Recent reports indicate that transmission of SARS-CoV-2 via fomites is unusual (42), but masks may alter behavior (@ChicagoTiger85
)and potentially affect fomite transmission."
AND
"Recent observational studies that indicate a protective association between mandated mask use in the community and SARS-CoV-2 transmission are limited by study design and simultaneous introduction of other public health interventions (14, 43)."
The last sentence, in large font, is what I've been harping on ITT and it applies to the specific Lancet data that you linked, to some degree. Here is some exact verbiage from the link you provided:
"From database inception to May 3, 2020, we searched for studies of any design and in any setting that included patients with WHO-defined confirmed or probable COVID-19, SARS, or MERS, and people in close contact with them, comparing distances between people and COVID-19 infected patients of 1 m or larger with smaller distances, with or without a face mask on the patient, or with or without a face mask, eye protection, or both on the exposed individual."
In the concluding tables, re: each of the 3 major items researched, face masks receive a "low certainty" designation, meaning: "low certainty (our confidence in the effect estimate is limited; the true effect could be substantially different from the estimate of the effect)". Every single one of the face masks studies are in health care settings and they (nearly) all do not isolate face masks because they include other mitigation efforts in addition to the face masks. IOW, if they're going to pop a face mask on someone (whichever kind), they are almost always going to provide for additional mitigation techniques; of which, are mentioned within just the title of the linked articles. IMO, that's the main reasons why they designate it as "low certainty".