COVID-19 prevention and control measures in workplace settings: a rapid review and meta-analysis
|Title:||COVID-19 prevention and control measures in workplace settings: a rapid review and meta-analysis||Authors:||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||Permanent link:||http://hdl.handle.net/10197/12363||Date:||24-Jul-2021||Online since:||2021-07-30T10:43:47Z||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.||Funding Details:||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 and safety; Infection prevention; COVID-19; Control measures; Workers; Review||DOI:||10.3390/ijerph18157847||Language:||en||Status of Item:||Peer reviewed||This item is made available under a Creative Commons License:||https://creativecommons.org/licenses/by/3.0/ie/|
|Appears in Collections:||Public Health, Physiotherapy and Sports Science Research Collection|
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