An evidence-based theory of change for reducing SARS-CoV-2 transmission in reopened schools

被引：21

作者：

Bonell, Chris ^{[1
]}

Melendez-Torres, G. J. ^{[2
]}

Viner, Russell M. ^{[3
]}

Rogers, M. Brooke ^{[4
]}

Whitworth, Michael ^{[5
]}

Rutter, Harry ^{[6
]}

Rubin, G. James ^{[4
]}

Patton, George ^{[7
]}

机构：

[1] London Sch Hyg & Trop Med, Dept Publ Hlth Environments & Soc, 15-17 Tavistock Pl, London WC1H 9SH, England

[2] Univ Exeter, Coll Med & Hlth, Peninsula Technol Assessment Grp, Exeter, Devon, England

[3] UCL, Inst Child Hlth, London, England

[4] Kings Coll London, London, England

[5] Chobham Acad, London, England

[6] Univ Bath, Dept Social & Policy Sci, Bath, Avon, England

[7] Murdoch Childrens Res Inst, Melbourne, Vic, Australia

来源：

HEALTH & PLACE | 2020年 / 64卷

关键词：

COVID-19; SARSCoV2; Schools; Environment; Disease control; Prevention;

D O I：

10.1016/j.healthplace.2020.102398

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

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