COVID-19 prevention and control measures in workplace settings: a rapid review and meta-analysis
| Autor: | Mark Roe, Mary Archibald, Alejandro Rojas-Chaves, Carla Perrotta, Yanbing Chen, Peter Naughton, Shiraz Syed, Cyril Onwuelaza Uteh, Conor J. Buggy, Vicky Downey, Jaspal Kumar, Fionn Büttner, Kadri-Ann Kallas, Carolyn Ingram, Shibu Shrestha |
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| Rok vydání: | 2021 |
| Předmět: |
Isolation (health care)
Health Personnel Health Toxicology and Mutagenesis Control measures review MEDLINE Review Cochrane Library Occupational safety and health 03 medical and health sciences 0302 clinical medicine Infection prevention Environmental health Health care Occupational health and safety Humans Medicine 030212 general & internal medicine Workplace Personal Protective Equipment Personal protective equipment Workers 0303 health sciences occupational health and safety control measures SARS-CoV-2 030306 microbiology business.industry Public Health Environmental and Occupational Health infection prevention COVID-19 Meta-analysis workers Contact Tracing business Contact tracing |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 7847, p 7847 (2021) International Journal of Environmental Research and Public Health |
| DOI: | 10.31219/osf.io/vn7x6 |
| Popis: | 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. Science Foundation Ireland |
| Databáze: | OpenAIRE |
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