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

Chris Bonell, G.J. Melendez-Torres, Russell M. Viner, M. Brooke Rogers, Michael Whitworth, Harry Rutter, G. James Rubin, George Patton

Research output: Contribution to journalArticle

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.
Original languageEnglish
JournalHealth & Place
DOIs
Publication statusPublished - 21 Jul 2020

Keywords

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

Cite this

Bonell, C., Melendez-Torres, G. J., Viner, R. M., Rogers, M. B., Whitworth, M., Rutter, H., Rubin, G. J., & Patton, G. (2020). An evidence-based theory of change for reducing SARS-CoV-2 transmission in reopened schools. Health & Place. https://doi.org/10.1016/j.healthplace.2020.102398