Assessing awareness and practice towards Surgical Mask Regulations among the Population of Chandigarh: A Cross-Sectional Analysis
Introduction: During the COVID-19 pandemic, surgical masks have become a crucial protective measure to prevent the spread of the virus. While they are regulated as medical devices to ensure their effectiveness, the high demand for masks has led to an increase in counterfeit products that pose a threat to public health.
Materials and methods: In Chandigarh, India, a cross-sectional study was conducted with 350 individuals aged 15 and above who had access to social networks. An online questionnaire consisting of 20 questions on knowledge, practice, and demographics was used to collect data through convenience sampling with a chain-sampling method. Descriptive statistics and correlation and linear regression analysis were performed using SPSS version 29.0 to find a statistically significant relationship between knowledge, practice, and demographic variables.
Result: Of 350 participants in the survey 26.0% were aged 15-29, 32.6% were aged 30-39, 13.4% were aged 40-49, and 28.0% were aged 50-80. In terms of gender, 49.1% were male and 50.9% were female. The majority had a master's degree (45.7%) and were employed in the private sector (49.4%). Education had a significant impact on knowledge (t-value of 11.375, significance level < .001), but job type did not (t-value of -1.740, significance level .083). Participants' knowledge and practice had a strong positive correlation (Pearson Correlation coefficient of 1.000, significance level < .001). The constant (intercept) was significant in predicting practice, while age, gender, and job were not (significance levels > .05).
Conclusion: The study found that the community had satisfactory awareness and practice of using certified and licensed surgical masks. However, there is a need for reinforced education on the topic. The researchers recommend mass media campaigns and strict government regulation to ensure the use of certified masks and prevent the use of counterfeit ones. Continuous education is also necessary to help the public understand the importance of using certified and licensed masks for maximum protection.
2. Kähler CJ, Hain R. Fundamental protective mechanisms of face masks against droplet infections. J Aerosol Sci [Internet]. 2020 Oct [cited 2023 Feb 26];148:105617. Available from:
3. Matuschek C, Moll F, Fangerau H, Fischer JC, Zänker K, van Griensven M, Schneider M, Kindgen-Milles D, Knoefel WT, Lichtenberg A, Tamaskovics BJ, Djiepmo-Njanang FJ, Budach W, Corradini S, Häussinger D, Feldt T, Jensen B, Pelka R, Orth K, Peiper M. The history and value of face masks. Eur J Med Res [Internet]. 2020 Jun 09 [cited 2023 Feb 26];25(1):23. Available from:
4. Chua MH, Cheng W, Goh SS, Kong J, Li B, Lim JYC, Mao L, Wang S, Xue K, Yang L, Ye E, Zhang K, Cheong WCD, Tan BH, Li Z, Tan BH, Loh XJ. Face masks in the new COVID-19 normal: materials, testing, and perspectives. Research [Internet]. 2020 Aug 25 [cited 2023 Feb 26];2020:7286735. Available from:
5. Greenhalgh T, Schmid MB, Czypionka T, Bassler D, Gruer L. Face masks for the public during the covid-19 crisis. BMJ [Internet]. 2020 Apr 9 [cited 2023 Feb 26];369:m1435. Available from:
6. WHO. Advice on the use of masks in the community, during home care and in healthcare settings in the context of the novel coronavirus (2019-nCoV) outbreak [Internet]. Geneva: World Health Organization [cited 2023 Feb 26]. Available from:
7. Conger K. Surgical masks reduce COVID-19 spread, large-scale study shows [Internet]. Stanford: Stanford Medicine News Center; 2021 [cited 2023 Feb 26]. Available from:
8. Solia E, Angelis S, Maglara E, Tsakotos G, Filippou DK. The Role of Surgical Masks during the COVID-19 Pandemic. A Mini-Review. J Long Term Eff Med Implants. 2020;30(4):241-246.
9. CDC. Coronavirus Disease 2019 (COVID-19) [Internet]. Atlanta: Centers for Disease Control and Prevention; 2020 [cited 2023 Feb 26]. Available from:
10. CDC. Considerations for Wearing Masks [Internet]. Atlanta: Centers for Disease Control and Prevention; 2021 [cited 2023 Feb 26]. Available from:
11. Howard J, Huang A, Li Z, Tufekci Z, Zdimal V, Westhuizen H-M van der, Delft A von, Price A, Fridman L, Tang L-H, Tang V, Watson GL, Bax CE, Shaikh R, Questier F, Hernandez D, Chu LF, Ramirez CM, Rimoin AW. An evidence review of face masks against COVID-19. Proc Natl Acad Sci. 2021;118(4):e2014564118.
12. Ayers JW, Chu B, Zhu Z, Leas EC, Smith DM, Dredze M, Broniatowski DA. Spread of Misinformation About Face Masks and COVID-19 by Automated Software on Facebook. JAMA Intern Med. 2021;181(9):1251-1255.
13. Lam SC, Suen LKP, Cheung TCC. Global risk to the community and clinical setting: Flocking of fake masks and protective gears during the COVID-19 pandemic. Am J Infect Control. 2020;48(8):964-965.
14. National Post. COVID-19: From counterfeit medical masks to fake treatments, criminals cashing in on pandemic panic [Internet]. Canada: National Post [cited 21 Feb 2023]. Available from:
15. Interpol. Global operation sees a rise in fake medical products related to COVID-19 [Internet]. France: Interpol [cited 21 Feb 2023]. Available from:
16. US Customs and Border Protection. 108,000 Counterfeit 3M Surgical Masks Stopped by Cincinnati CBP [Internet]. United States: US Customs and Border Protection [cited 21 Feb 2023]. Available from:
17. Proffitt E. The dangers of fake PPE. BDJ Team [Internet]. 2020 [cited 21 Feb 2023];7(8):20-21.
18. Sra HK, Sandhu A, Singh M. Use of Face Masks in COVID-19. The Indian Journal of Pediatrics [Internet]. 2020 [cited 21 Feb 2023].
19. Tso RV, Cowling BJ. Importance of face masks for COVID-19 - a call for effective public education. Clinical Infectious Diseases [Internet]. 2020 [cited 21 Feb 2023];71(16).
20. Product IP. New published face mask recalls [Internet]. Netherlands: ProductIP [cited 21 Feb 2023]. Available from:
21. NIH News in Health. Face Masks and COVID-19 [Internet]. United States: National Institutes of Health; 2021 [cited 21 Feb 2023]. Available from:
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