Public Compliance with Face Mask Use in Honolulu and Regional Variation

Area of Science:

• Public Health
• Epidemiology
• Infectious Disease

Background:

• SARS-CoV-2 infections are rising in Hawai'i.
• Effective control measures like social distancing, hygiene, and face masks are crucial in the absence of a vaccine.
• Understanding public face mask use compliance is vital for transmission control.

Purpose of the Study:

• To evaluate the rate of effective face mask use among the public in Honolulu, Hawai'i.
• To compare mask compliance between a business district and a tourist area.
• To identify opportunities for improving COVID-19 prevention strategies.

Main Methods:

• An observational study was conducted at two distinct locations in Honolulu.
• Face mask use compliance was assessed in 200 individuals in outdoor settings.
• Data collection occurred simultaneously in a downtown business area and Waikiki.

Main Results:

• Overall, 77% of observed individuals used face masks correctly (covering nose and mouth).
• Downtown Honolulu exhibited significantly higher compliance (88%) compared to Waikiki (66%).
• A statistically significant difference was found between the two locations (P=.0003).

Conclusions:

• Public face mask use compliance in Honolulu presents an opportunity for improvement.
• Targeted interventions may be necessary to reduce SARS-CoV-2 transmission.
• Recommendations include reassessing exemptions, enhancing education, and improving communication on mask compliance.