Alliance for Pandemic Preparedness

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Topic: Non-Pharmaceutical Interventions


May 4, 2021

Increasing Facemask Compliance among Healthcare Personnel during the COVID-19 Pandemic

In a quality improvement study, median weekly face mask compliance among healthcare personnel (HCP) in a tertiary care center in Connecticut was higher (93% vs 82%) after implementation of a multimodal intervention developed from semi-structured interviews of HCP. No difference in face mask compliance was observed between COVID-19 and non-COVID-19 units. The intervention consisted of…


May 3, 2021

Individually Optimal Choices Can Be Collectively Disastrous in COVID-19 Disease Control

A modeling study of noncompliance with measures aimed at limiting SARS-CoV-2 transmission found that a portion of the population that is noncompliant can result in extensive endemic disease in the long-term after a return to pre-pandemic activity. Using game theory to assess whether noncompliance is perceived as beneficial to individuals, the authors found that for…


Young Adults Underestimate How Well Peers Adhere to COVID-19 Preventive Behavioral Guidelines

Young adult college students at the University of Washington (n = 539) reported strong adherence to most CDC COVID-19 preventive behavioral guidelines, including mask-wearing in public (97.5%) and cleaning high-touch surfaces (61.7%), but perceived significantly lower adherence among their peers for all 14 behaviors assessed, according to a survey conducted in September 2020. Participants perceived…


April 30, 2021

Household COVID-19 Risk and in-Person Schooling

A large, national survey of US adults in all 50 states and Washington, DC (N=2,142,887) found an association between living with a child who attended in-person school and the risk of COVID-19-associated outcomes, including reporting COVID-like illness (OR=1.4) or testing positive for SARS-CoV-2 (OR=1.3), although this association did not persist when ≥7 in-school mitigation measures…


April 29, 2021

COVID-19 Among Workers in the Seafood Processing Industry: Implications for Prevention Measures — Alaska, March–October 2020

A review of COVID-19 cases and outbreaks in the Alaska fishing industry found that entry quarantine and testing might have reduced introduction of the virus to seafood processing facilities and vessels. A CDC field review found that among 132 non-outbreak associated cases of SARS-CoV-2 infection in seafood processing industry workers in Alaska from March to…


Public Compliance With Social Distancing Measures and SARS-CoV-2 Spread

Based on mobility data, public compliance with physical distancing mandates implemented in March 2020 was found to be initially high in 5 US states that accounted for half of all COVID-19 cases during the first wave of the pandemic. However, compliance began to decrease by mid-April 2020. Greater compliance, indicated by a higher social distancing…


April 22, 2021

COVID-19 Mitigation With Appropriate Safety Measures in an Essential Workplace: Lessons for Opening Work Settings in the United States During COVID-19

99% of SARS-CoV-2 infections identified by testing campaigns were asymptomatic among employees of a US manufacturing company that remained open during the COVID-19 pandemic. A total of 105 positive PCR results were identified among 586 employees across three sites from March to August 2020. Employee positivity rates were consistent with community prevalence. In addition to…


April 16, 2021

Evaluating the Impact of Keeping Indoor Dining Closed on COVID-19 Rates among Large US Cities a Quasi-Experimental Design

[Pre-print, not peer-reviewed] Closure of indoor dining venues was associated with approximately 43% lower COVID-19 incidence over 4 weeks in an ecological study comparing 11 US cities from March to October 2020. The study included 4 “treatment” cities in which restaurants were allowed to reopen but indoor dining remained closed and 7 “comparison” cities in…


April 9, 2021

Use of Stay-at-Home Orders and Mask Mandates to Control COVID-19 Transmission — Blackfeet Tribal Reservation, Montana, June–December 2020

In the Blackfeet Tribal Reservation (Montana), enforcement of stay-at-home orders and mandated use of face coverings in public, with potential fines and jail for noncompliance, were associated with a 33-fold reduction in COVID-19 incidence from its peak of 6.4 cases per 1,000 residents per day on October 5 to 0.2 cases per 1,000 residents per…


April 7, 2021

Effects of Worldwide Interventions and Vaccination on COVID-19 between Waves and Countries

[Pre-print, not peer-reviewed] The non-pharmaceutical interventions (NPIs) that had the greatest contributions to the decay ratio of SARS-CoV-2 infections in the first wave were restrictions on gatherings (27.8% contribution), use of face masks (16.8%), and school closures (10.1%), while in the second wave face masks (30%), restrictions on gatherings (17.5%), and international travel restrictions (9.2%)…



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