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 › Article › peer-review

2 Citations (Scopus)

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
Journal	Health & Place
DOIs	https://doi.org/10.1016/j.healthplace.2020.102398
Publication status	Published - 21 Jul 2020

Keywords

COVID-19
SARSCoV2
Schools
Environment
Disease control
Prevention

Access to Document

10.1016/j.healthplace.2020.102398

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

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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 - Whitworth, Michael

AU - Rutter, Harry

AU - Rubin, G. James

AU - Patton, George

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