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An evidence-based theory of change for reducing SARS-CoV-2 transmission in reopened schools.
Bonell, Chris; Melendez-Torres, G J; Viner, Russell M; Rogers, M Brooke; Whitworth, Michael; Rutter, Harry; Rubin, G James; Patton, George.
  • Bonell C; Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. Electronic address: chris.bonell@lshtm.ac.uk.
  • Melendez-Torres GJ; Peninsula Technology Assessment Group, College of Medicine and Health, University of Exeter, Exeter, UK. Electronic address: g.j.melendez-torres@exeter.ac.uk.
  • Viner RM; Institute of Child Health, University College London, London, UK. Electronic address: r.viner@ucl.ac.uk.
  • Rogers MB; King's College London, London, UK. Electronic address: brooke.rogers@kcl.ac.uk.
  • Whitworth M; Chobham Academy, London, UK. Electronic address: m.whitworth@chobhamacademy.org.uk.
  • Rutter H; Department of Social and Policy Sciences, Bath University, Bath, UK. Electronic address: h.r.rutter@bath.ac.uk.
  • Rubin GJ; King's College London, London, UK. Electronic address: gideon.rubin@kcl.ac.uk.
  • Patton G; Murdoch Children's Research Institute, Melbourne, Australia. Electronic address: george.patton@rch.org.au.
Health Place ; 64: 102398, 2020 07.
Article in English | MEDLINE | ID: covidwho-1023585
ABSTRACT
Schools have closed worldwide as part of measures to prevent SARS-CoV-2 transmission but are beginning to reopen in some countries. Various measures are being pursued to minimise transmission but existing guidance has not developed a comprehensive framework or theory of change. We present a framework informed by the occupational health hierarchy of control and a theory of change informed by realist approaches. We present measures focused on elimination, substitution, engineering, administration, education and personal protective equipment. We theorise that such measures offer a means of disrupting SARS-CoV-2 transmission via routes involving fomites, faeco-oral routes, droplets and aerosols.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Schools / Infection Control / Coronavirus Infections / Evidence-Based Practice / Pandemics Limits: Humans Language: English Journal: Health Place Journal subject: Epidemiology / Public Health Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Schools / Infection Control / Coronavirus Infections / Evidence-Based Practice / Pandemics Limits: Humans Language: English Journal: Health Place Journal subject: Epidemiology / Public Health Year: 2020 Document Type: Article