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dc.contributor.authorFernández-Marín, Hermógenes
dc.contributor.authorBruner-Montero, Gaspar
dc.contributor.authorPortugal-Loayza, Ana
dc.contributor.authorMiranda, Virginia
dc.contributor.authorVillarreal Dominguez, Alcibiades Elias
dc.contributor.authorOrtega-Barría, Eduardo
dc.contributor.authorNúñez-Samudio, Virginia
dc.contributor.authorLandires, Iván
dc.contributor.authorMejía, Luis C
dc.contributor.authorLópez-Vergès, Sandra
dc.contributor.authorWcislo, William T
dc.contributor.authorKosagisharaf, Jagannatha Rao
dc.date.accessioned2022-01-04T13:29:40Z
dc.date.available2022-01-04T13:29:40Z
dc.date.issued2021-12-09
dc.identifier.issn1661-7827
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/331882
dc.description.abstractEarly in the SARS-CoV-2 pandemic, many national public health authorities implemented non-pharmaceutical interventions to mitigate disease outbreaks. Panamá established mandatory mask use two months after its first documented case. Initial compliance was high, but diverse masks were used in public areas. We studied behavioral dynamics of mask use through the first two COVID-19 waves in Panama, to improve the implementation of effective, low-cost public health containment measures when populations are exposed to novel air-borne pathogens. Mask use behavior was recorded from pedestrians in four Panamanian populations (August to December 2020). We recorded facial coverings and if used, the type of mask, and gender and estimated age of the wearer. Our results showed that people were highly compliant (>95%) with mask mandates and demonstrated important population-level behaviors: (1) decreasing use of cloth masks over time, and increasing use of surgical masks; (2) mask use was 3-fold lower in suburban neighborhoods than other public areas and (3) young people were least likely to wear masks. Results help focus on highly effective, low-cost, public health interventions for managing and controlling a pandemic. Considerations of behavioral preferences for different masks, relative to pricing and availability, are essential for optimizing public health policies. Policies to increase the availability of effective masks, and behavioral nudges to increase acceptance, and to facilitate mask usage, during the ongoing SARS-CoV-2 pandemic, and for future pandemics of respiratory pathogens, are key tools, especially for nations lagging in access to expensive vaccines and pharmacological approaches.
dc.languageen
dc.publisherMDPI AG
dc.subjectsurgical mask
dc.subjectcloth mask
dc.subjectpopulation response
dc.subjectbehavioral modifications
dc.subjectpublic health
dc.titleDynamics of Mask Use as a Prevention Strategy against SARS-CoV-2 in Panama.
dc.typeArticle
dc.date.updated2022-01-04T13:29:39Z
prism.issueIdentifier24
prism.publicationNameInt J Environ Res Public Health
prism.volume18
dc.identifier.doi10.17863/CAM.79332
dcterms.dateAccepted2021-10-26
rioxxterms.versionofrecord10.3390/ijerph182412982
rioxxterms.versionVoR
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidBruner-Montero, Gaspar [0000-0002-4614-0338]
dc.contributor.orcidVillarreal Dominguez, Alcibiades Elias [0000-0002-6684-0593]
dc.contributor.orcidLandires, Iván [0000-0001-6323-1170]
dc.contributor.orcidMejía, Luis C [0000-0003-2135-5241]
dc.contributor.orcidLópez-Vergès, Sandra [0000-0002-1106-8479]
dc.contributor.orcidKosagisharaf, Jagannatha Rao [0000-0002-4801-3535]
dc.identifier.eissn1660-4601
cam.issuedOnline2021-12-09


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