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Review

COVID-19 Prevention and Control Measures in Workplace Settings: A Rapid Review and Meta-Analysis

School of Public Health, Physiotherapy, and Sports Science, University College Dublin, D04 V1W8 Dublin, Ireland
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Academic Editors: Evangelia Demou, Maria Karanika-Murray, Vaughan Parsons and Elaine Wainwright
Int. J. Environ. Res. Public Health 2021, 18(15), 7847; https://doi.org/10.3390/ijerph18157847
Received: 28 May 2021 / Revised: 15 July 2021 / Accepted: 19 July 2021 / Published: 24 July 2021
(This article belongs to the Special Issue The Development and Evaluation of Workplace Interventions)
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. View Full-Text
Keywords: occupational health and safety; infection prevention; COVID-19; control measures; workers; review occupational health and safety; infection prevention; COVID-19; control measures; workers; review
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    Doi: 10.5281/zenodo.4837107
    Link: https://doi.org/10.5281/zenodo.4837107
    Description: Table S1: Quality assessment checklist for included longitudinal studies, Table S2: CHARMS Quality Assessment of Modelling Studies, Sheet S1: Meta-analysis data
MDPI and ACS Style

Ingram, C.; Downey, V.; Roe, M.; Chen, Y.; Archibald, M.; Kallas, K.-A.; Kumar, J.; Naughton, P.; Uteh, C.O.; Rojas-Chaves, A.; Shrestha, S.; Syed, S.; Cléirigh Büttner, F.; Buggy, C.; Perrotta, C. COVID-19 Prevention and Control Measures in Workplace Settings: A Rapid Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2021, 18, 7847. https://doi.org/10.3390/ijerph18157847

AMA Style

Ingram C, Downey V, Roe M, Chen Y, Archibald M, Kallas K-A, Kumar J, Naughton P, Uteh CO, Rojas-Chaves A, Shrestha S, Syed S, Cléirigh Büttner F, Buggy C, Perrotta C. COVID-19 Prevention and Control Measures in Workplace Settings: A Rapid Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2021; 18(15):7847. https://doi.org/10.3390/ijerph18157847

Chicago/Turabian Style

Ingram, Carolyn, Vicky Downey, Mark Roe, Yanbing Chen, Mary Archibald, Kadri-Ann Kallas, Jaspal Kumar, Peter Naughton, Cyril O. Uteh, Alejandro Rojas-Chaves, Shibu Shrestha, Shiraz Syed, Fionn Cléirigh Büttner, Conor Buggy, and Carla Perrotta. 2021. "COVID-19 Prevention and Control Measures in Workplace Settings: A Rapid Review and Meta-Analysis" International Journal of Environmental Research and Public Health 18, no. 15: 7847. https://doi.org/10.3390/ijerph18157847

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