The surge of patients in the pandemic of COVID-19 caused by the novel coronavirus SARS-CoV-2 may overwhelm the medical systems of many countries. Mask-wearing and handwashing can slow the spread of the virus, but currently, masks are in shortage in many countries, and timely handwashing is often impossible. In this study, the efficacy of three types of masks and instant hand wiping was evaluated using the avian influenza virus to mock the coronavirus. Virus quantification was performed using real-time reverse transcription-polymerase chain reaction. Previous studies on mask-wearing were reviewed. The results showed that instant hand wiping using a wet towel soaked in water containing 1.00% soap powder, 0.05% active chlorine, or 0.25% active chlorine from sodium hypochlorite removed 98.36%, 96.62%, and 99.98% of the virus from hands, respectively. N95 masks, medical masks, and homemade masks made of four-layer kitchen paper and one-layer cloth could block 99.98%, 97.14%, and 95.15% of the virus in aerosols. Medical maskwearing which was supported by many studies was opposed by other studies possibly due to erroneous judgment. With these data, we propose the approach of mask-wearing plus instant hand hygiene (MIH) to slow the exponential spread of the virus. This MIH approach has been supported by the experiences of seven countries in fighting against COVID-19. Collectively, a simple approach to slow the exponential spread of SARS-CoV-2 was proposed with the support of experiments, literature review, and control experiences. K E Y W O R D S coronavirus, COVID-19, hand hygiene, mask, pandemic, soap N95 mask 12.49 ± 0.33 99.98% (99.98%-99.99%) Medical mask 5.13 ± 0.98 97.14% (94.36%-98.55%) Homemade mask 4.37 ± 0.90 95.15% (90.97%-97.39%) Abbreviations: AIV, avian influenza virus; CI, confidence interval; SD, standard deviation. MA ET AL. | 3contact, and reduce air contamination of pathogens from infected people.With the above data and discussion, we propose herein the approach of mask-wearing and instant hand hygiene (MIH), namely that common people should wear effective masks and bring an appropriate item for instant hand hygiene when needed, to slow the rapid spread of the virus worldwide. This is crucial for the world to reduce severe and fatal cases of the virus before successful marketing of the effective vaccines against the coronavirus, and avoid the tragedy of medical systems being overwhelmed by a surge of too many patients.As indicated in this study, when medical masks and disinfectants are in shortage, the homemade masks made of kitchen paper can be used to temporally surrogate medical masks, and so soap powder is used for instant hand hygiene.From the news we know that the MIH approach has been implemented in China, Republic of Korea, and Japan, where maskwearing is widely accepted and items for instant hand hygiene are usually accessible in public areas. The spread of the coronavirus in all these three countries has been well controlled. 3,6 In contrast, Iran, Italy, Spain, and the USA did not implement...