Abstract
Background: Coronavirus disease 2019 (COVID-19) is now recognized as a multi-system disease. The CDC recommends multiple preventive methods, including social distancing, hand hygiene, and wearing masks. In addition, some states imposed stay-at-home (SAH) and mandatory face mask (MFM) orders, to reduce the spread of COVID-19. The purpose of this study was to characterize the relationship between SAH and MFM approaches with the incidence rate and fatality-case-ratios (CFR).Methods: The research design is a cross-sectional study examining changes in incidence rate and CFR between states with and without SAH and MFM using available database from CDC during the pandemic periods of the date of the first positive case of each state to the date of 2020-08-23.Findings: The new daily cases curve of the nation was bent or flattened under the order of SAH and increased following the end of SAH and several nation-wide social gathering events. SAH+MFM states (n=34) and SAH+no-MFM states (n=9) have similar incidence rates, but significantly higher averages in daily new cases and daily fatality, and CFR than no-SAH+no-MFM states (n=7 states. P Interpretation: Our results were inconsistent with the intent of public health strategies in lowering transmission and fatality. From the policy making level, we suggested that following the CDC recommendation may be efficient for general public prevention during the pandemic.Funding: Not applicable.Declaration of Interests: The authors declare no competing financial interests.
Published Version
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