The global community has struggled with COVID-19 for a year. However, the ability to comply with strict preventive measures for many more months to come should be strictly monitored. The study aimed to assess COVID-19 preventive practices and knowledge among the Malaysian public after a year of the COVID-19 pandemic. This was a questionnaire-based study performed on adults in Malaysia, assessing both practices and knowledge of COVID-19 preventive measures. A total of 2558 respondents were included. The average practice score was 7.9±0.99 (maximum possible score=9). Overall, when leaving the house, the most common type of mask used were medical masks (n=1792, 70.1%). A majority admitted that they always wore masks (n=2284, 89.3%), approximately half (n=1325, 51.8%) only sometimes sanitized their hands, whilst 1456 (56.9%) always complied with the one-meter social distancing rule. The average mask knowledge score was 11.1±1.9 (maximum possible score=15). The average score for other preventive measures was 5.7±0.7 (maximum possible score=6). There was a significant positive association between practice and overall total knowledge of prevention measures (ρ=0.1, 95% CI=0.02-0.01, p=0.03), in which an increase in prevention practices was observed with an increase in overall knowledge score. This study demonstrates that even after a year of struggling with the new norms of COVID-19, there is still a need to continuously educate the public on COVID-19 preventive measures among Malaysians. In addition, further steps must be taken to improve the current practice of preventive measures, which includes targeting behavioral changes.
1. Damanhouri ZA, Alkreathy HM, Ali AS, Karim S. The potential role of Fluoroquinolones in the management of Covid-19 a rapid review. J Adv Pharm Educ Res. 2021;11(1):128-34.
2. Meconcelli G, Bazzoni G, Casu C. Auriculotherapy for Stress Management as Self-Help in Isolation Situations (COVID 19). Int J Pharm Phytopharmacol Res. 2020;10(3):1-2.
3. Mahase E. China coronavirus: WHO declares international emergency as death toll exceeds 200. BMJ. 2020;368. doi:10.1136/bmj.m408.
4. World Health Organization (WHO). WHO Coronavirus Disease (COVID-19) Dashboard. 2020. Available: https://covid19.who.int/ Accessed 25 December 2020.
5. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. doi:10.1016/S0140-6736(20)30183-5
6. World Health Organization. Non-pharmaceutical public health measures for mitigating the risk and impact of epidemic and pandemic influenza: annex: report of systematic literature reviews. World Health Organization; 2019. Available: https://www. who.int/ influenza/publications/publichealthmeasures/publication/en/ Accessed 25 December 2020.
7. National Security Council (NSC). Movement Control Standard Operating Procedures. 2020. Available: https://www.mkn.gov.my/web /ms/sop-pkp-pemulihan/ Accessed 30 December 2020.
8. World Health Organization (WHO). Shortage of personal protective equipment endangering health workers worldwide. 2020. Available: https://www.who.int/news-room/detail/03-03-2020-shortage-of-personal-protective-equipment-endangering-health-workers-worldwide. Accessed 17 March 2020.
9. Feng S, Shen C, Xia N, Song W, Fan M, Cowling BJ. Rational use of face masks in the COVID-19 pandemic. Lancet Respir Med. 2020;8(5):434-6. doi:10.1016/S2213-2600(20)30134-X
10. MacIntyre CR, Seale H, Dung TC, Hien NT, Nga PT, Chughtai AA, et al. A cluster randomised trial of cloth masks compared with medical masks in healthcare workers. BMJ Open. 2015;5(4):e006577. doi:10.1136/bmjopen-2014-006577.
11. Konda A, Prakash A, Moss GA, Schmoldt M, Grant GD, Guha S. Aerosol filtration efficiency of common fabrics used in respiratory cloth masks. ACS Nano. 2020;14(5):6339-47. doi:10.1021/acsnano.0c03252
12. World Health Organization. Advice on the use of masks in the context of COVID-19: interim guidance, 5 June 2020. World Health Organization; 2020. Available: https://www. who.int/publications- Accessed: 5 May 2020
13. World Health Organization. Advice on the use of masks in the context of COVID-19: interim guidance, 5 June 2020. World Health Organization; 2020. Available: https://apps.who.int/iris/handle/10665/332293. Accessed: 11 August 2020.
14. World Health Organization (WHO). Coronavirus disease 7(COVID-19) advice for the public. 2020. Available: https://www.who. int/emergencies/diseases/novel-coronavirus-2019/advice-for-public. Accessed: 11 August 2020
15. Chiu NC, Chi H, Tai YL, Peng CC, Tseng CY, Chen CC, et al. Impact of wearing masks, hand hygiene, and social distancing on influenza, enterovirus, and all-cause pneumonia during the coronavirus pandemic: Retrospective national epidemiological surveillance study. J Med Internet Res. 2020;22(8):e21257.
16. Głąbska D, Skolmowska D, Guzek D. Population-based study of the influence of the COVID-19 pandemic on hand hygiene behaviors—Polish adolescents’ COVID-19 experience (PLACE-19) study. Sustainability. 2020;12(12):4930. doi:10.3390/su12124930
17. Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. Plos One. 2020;15(5):e0233668. doi:10.1371/journal.pone.0233668
18. Smereka J, Szarpak L, Filipiak KJ. Modern medicine in COVID-19 era. Disaster Emerg Med J. 2020;5(2):103-5. doi:10.5603/DEMJ.a2020.0012
19. Park SR, Han J, Yeon YM, Kang NY, Kim E. Effect of face mask on skin characteristics changes during the COVID‐19 pandemic. Skin Res Tech. 2021;27(4):554-9. doi:10.1111/srt.12983
20. Block Jr R, Berg A, Lennon RP, Miller EL, Nunez-Smith M. African American adherence to COVID-19 public health recommendations. Health Lit Res Pract. 2020;4(3):e166-70. doi:10.3928/24748307-20200707-01
21. Weiss BD, Paasche-Orlow MK. Disparities in adherence to COVID-19 public health recommendations. Health Lit Res Pract. 2020;4(3):e171-3. doi:10.3928/24748307-20200723-01
22. Shokrani A, Loukaides EG, Elias E, Lunt AJ. Exploration of alternative supply chains and distributed manufacturing in response to COVID-19; a case study of medical face shields. Mater Des. 2020;192:108749. doi:10.1016/j.matdes.2020.108749
23. Kamming D, Gardam M, Chung F. I. Anaesthesia and SARS. British Br J Anaesth. 2003;90(6):715-8. doi:10.1093/bja/aeg173
24. Ijaz MK, Whitehead K, Srinivasan V, McKinney J, Rubino JR, Ripley M, et al. Microbicidal actives with virucidal efficacy against SARS-CoV-2. Am J Infect Control. 2020;48(8):972-3. doi:10.1016/j.ajic.2020.05.015
25. World Health Organization (WHO). World Health Organization Guidelines on hand hygiene in health care. First global patient safety challenge clean care is safer care. 2020. Available: https://apps.who.int/iris/bitstream/handle/10665/44102/9789241597906_eng.pdf?sequence=1 Accessed 20 November 2020.
26. Papineni RS, Rosenthal FS. The size distribution of droplets in the exhaled breath of healthy human subjects. J Aerosol Med. 1997;10(2):105-16. doi:10.1089/jam.1997.10.105.
27. Jones NR, Qureshi ZU, Temple RJ, Larwood JP, Greenhalgh T, Bourouiba L. Two metres or one: what is the evidence for physical distancing in covid-19?. BMJ. 2020;370. doi:10.1136/bmj.m3223
28. Tomar A, Gupta N. Prediction for the spread of COVID-19 in India and effectiveness of preventive measures. Sci Total Environ. 2020;728:138762
29. Hirotsu Y, Maejima M, Shibusawa M, Amemiya K, Nagakubo Y, Hosaka K, et al. Analysis of Covid-19 and non-Covid-19 viruses, including influenza viruses, to determine the influence of intensive preventive measures in Japan. J Clin Virol. 2020;129:104543.