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

doi:10.1016/j.healthplace.2020.102398

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 journal › Review article › peer-review

26 Citations (SciVal)

63 Downloads (Pure)

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 language	English
Article number	102398
Journal	Health & Place
Volume	64
DOIs	https://doi.org/10.1016/j.healthplace.2020.102398
Publication status	Published - 21 Jul 2020

Bibliographical note

Funding Information:
Rogers and Rubin are affiliated to the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Emergency Preparedness and Response at King's College London in partnership with Public Health England (PHE), in collaboration with the University of East Anglia. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, the Department of Health and Social Care or Public Health England.

Publisher Copyright:
© 2020 Elsevier Ltd

Keywords

COVID-19
Disease control
Environment
Prevention
SARSCoV2
Schools

ASJC Scopus subject areas

Health(social science)
Sociology and Political Science
Life-span and Life-course Studies

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10.1016/j.healthplace.2020.102398

An evidence-based theory of change for reducing SARS-CoV-2 transmission inreopened schools Bonell et al Health and Place 2020.PDFAccepted author manuscript, 891 KBLicence: CC BY-NC-ND

http://www.sciencedirect.com/science/article/pii/S1353829220308807

Cite this

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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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AU - Bonell, Chris

AU - Melendez-Torres, G.J.

AU - Viner, Russell M.

AU - Rogers, M. Brooke

AU - Whitworth, Michael

AU - Rutter, Harry

AU - Rubin, G. James

AU - Patton, George

N1 - Funding Information: Rogers and Rubin are affiliated to the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Emergency Preparedness and Response at King's College London in partnership with Public Health England (PHE), in collaboration with the University of East Anglia. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, the Department of Health and Social Care or Public Health England. Publisher Copyright: © 2020 Elsevier Ltd

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N2 - 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.

AB - 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.

KW - COVID-19

KW - Disease control

KW - Environment

KW - Prevention

KW - SARSCoV2

KW - Schools

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DO - 10.1016/j.healthplace.2020.102398

M3 - Review article

SN - 1353-8292

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JO - Health & Place

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ER -

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

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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