Declaration of interest:Role of the funding source: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.Author contributions: YHL designed the study. YHL and CHL conducted the study and analyzed the data. YHL and YCC drafted the manuscript. All authors contributed to data analysis, drafting or revising the article, gave final approval of the version to be published, and agree to be accountable for all aspects of the work.
Highlights The increased Google searches for "wash hands", rather than "face mask", reducing the speed of COVID-19 outbreak during the following three weeks among 21 countries. Google search for "wash hands" indicated not only the promotion of hand hygiene awareness but might also reflect the extent that people proactively engaged in hand washing. Google searches for "wash hands" provide real-time indicators for transmissionreduction policies and population health literacy in the early stage of the COVID-19 outbreak.3
AbstractThis study hypothesized that national population health literacy might reflect on their keywords searching. We applied Google searches for "wash hands" and "face mask"