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

Chris Bonell ORCID logo; GJ Melendez-Torres; Russell M Viner; M Brooke Rogers; Michael Whitworth; Harry Rutter; G James Rubin; George Patton; (2020) An evidence-based theory of change for reducing SARS-CoV-2 transmission in reopened schools. Health & place, 64. 102398-. ISSN 1353-8292 DOI: 10.1016/j.healthplace.2020.102398
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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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