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