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

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    Author
    Bonell, C; Melendez-Torres, GJ; Viner, RM; Rogers, MB; Whitworth, M; Rutter, H; Rubin, GJ; Patton, G
    Date
    2020-07-01
    Source Title
    Health and Place
    Publisher
    ELSEVIER SCI LTD
    University of Melbourne Author/s
    Patton, George
    Affiliation
    Paediatrics (RCH)
    Metadata
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    Document Type
    Journal Article
    Citations
    Bonell, C., Melendez-Torres, G. J., Viner, R. M., Rogers, M. B., Whitworth, M., Rutter, H., Rubin, G. J. & Patton, G. (2020). An evidence-based theory of change for reducing SARS-CoV-2 transmission in reopened schools. HEALTH & PLACE, 64, https://doi.org/10.1016/j.healthplace.2020.102398.
    Access Status
    Access this item via the Open Access location
    URI
    http://hdl.handle.net/11343/254100
    DOI
    10.1016/j.healthplace.2020.102398
    Open Access URL
    Published version
    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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