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  5. COVID-19 prevention and control measures in workplace settings: a rapid review and meta-analysis
 
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COVID-19 prevention and control measures in workplace settings: a rapid review and meta-analysis

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Author(s)
Ingram, Carolyn 
Downey, Vicky 
Roe, Mark 
Chen, Yanbing 
Archibald, Mary 
Kallas, Kadri-Ann 
Kumar, Jaspal 
Naughton, Peter 
Uteh, Cyril Onwuelaza 
Rojas-Chaves, Alejandro 
Shrestha, Shibu 
Syed, Shiraz 
Büttner, Fionn Cléirigh 
Buggy, Conor J. 
Perrotta, Carla 
Uri
http://hdl.handle.net/10197/12363
Date Issued
24 July 2021
Date Available
30T10:43:47Z July 2021
Abstract
Workplaces can be high-risk environments for SARS-CoV-2 outbreaks and subsequent community transmission. Identifying, understanding, and implementing effective workplace SARS-CoV-2 infection prevention and control (IPC) measures is critical to protect workers, their families, and communities. A rapid review and meta-analysis were conducted to synthesize evidence assessing the effectiveness of COVID-19 IPC measures implemented in global workplace settings through April 2021. Medline, Embase, PubMed, and Cochrane Library were searched for studies that quantitatively assessed the effectiveness of workplace COVID-19 IPC measures. The included studies comprised varying empirical designs and occupational settings. Measures of interest included surveillance measures, outbreak investigations, environmental adjustments, personal protective equipment (PPE), changes in work arrangements, and worker education. Sixty-one studies from healthcare, nursing home, meatpacking, manufacturing, and office settings were included, accounting for ~280,000 employees based in Europe, Asia, and North America. Meta-analyses showed that combined IPC measures resulted in lower employee COVID-19 positivity rates (0.2% positivity; 95% CI 0–0.4%) than single measures such as asymptomatic PCR testing (1.7%; 95% CI 0.9–2.9%) and universal masking (24%; 95% CI 3.4–55.5%). Modelling studies showed that combinations of (i) timely and widespread contact tracing and case isolation, (ii) facilitating smaller worker cohorts, and (iii) effective use of PPE can reduce workplace transmission. Comprehensive COVID-19 IPC measures incorporating swift contact tracing and case isolation, PPE, and facility zoning can effectively prevent workplace outbreaks. Masking alone should not be considered sufficient protection from SARS-CoV-2 outbreaks in the workplace.
Sponsorship
Science Foundation Ireland
Type of Material
Journal Article
Publisher
MDPI
Journal
International Journal of Environmental Research and Public Health
Volume
18
Issue
15
Copyright (Published Version)
2021 the Authors
Keywords
  • Occupational health a...

  • Infection prevention

  • COVID-19

  • Control measures

  • Workers

  • Review

DOI
10.3390/ijerph18157847
Language
English
Status of Item
Peer reviewed
This item is made available under a Creative Commons License
https://creativecommons.org/licenses/by/3.0/ie/
Owning collection
Public Health, Physiotherapy and Sports Science Research Collection
Scopus© citations
35
Acquisition Date
Mar 20, 2023
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Views
337
Acquisition Date
Mar 20, 2023
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Downloads
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Acquisition Date
Mar 20, 2023
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