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

Bonell, C; Melendez-Torres, GJ; Viner, RM; Rogers, MB; Whitworth, M; Rutter, H; Rubin, GJ; (2020) An evidence-based theory of change for reducing SARS-CoV-2 transmission in reopened schools. Health Place , 64 , Article 102398. 10.1016/j.healthplace.2020.102398. Green open access

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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.

Type: Article
Title: An evidence-based theory of change for reducing SARS-CoV-2 transmission in reopened schools
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.healthplace.2020.102398
Publisher version: http://dx.doi.org/10.1016/j.healthplace.2020.10239...
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: COVID-19, Disease control, Environment, Prevention, SARSCoV2, Schools
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10108069
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