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How Does the Hierarchy of Controls Integrate with the Epidemiologic Triangle to Help Address and Understand Transmission of SARS-CoV-2?



Details

  • Personal Author:
  • Description:
    The current novel coronavirus pandemic has highlighted widespread shortcomings in the infrastructure of medicine, and the race to find a cure has initiated what the World Health Organization has called an "infodemic" of misinformation, misinterpretation, rumors, and myths regarding transmission and treatment of COVID-19 in both the scientific literature and popular press. Health care and other essential workers have been on the frontlines of the pandemic and need effective and reliable methods to prevent occupational transmission. The current situation is reminiscent of the HIV epidemic as it unfolded in the early 1980s. Lessons of the HIV epidemic may inform our efforts to prevent workplace transmission of COVID-19. The occupational health response to HIV unfolded over a period of years, eventually leading to a multifaceted approach including universal precautions in health care settings, safer needles, and post-exposure prophylaxis that made the goal of zero cases of occupational HIV transmission increasingly achievable. Building a similar approach to eliminate occupational transmission of SARS-CoV-2 will require going beyond what is often a reductionist approach to develop an effective combination of interventions that will stop COVID-19 transmission. Combining the traditional industrial hygiene model involving the hierarchy of controls with the predominant host-agent-environment infectious disease model can help guide efforts aimed at stopping occupational transmission. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    1076-2752
  • Document Type:
    Text
  • Funding:
    Grant
  • Genre:
    Journal Article
  • Place as Subject:
  • CIO:
    National Institute for Occupational Safety and Health (NIOSH)
  • Topic:
    Workplace Safety & Health
  • Location:
    North America
  • Volume:
    62
  • Issue:
    11
  • NIOSHTIC Number:
    nn:20060756
  • Citation:
    J Occup Environ Med 2020 Nov; 62(11):e665-e668
  • Contact Point Address:
    Rabeea Feroz Khan, MD, One Gustave L. Levy Place, Box 1057, New York, NY 10029
  • Email:
    Rabeea.khan@mssm.edu
  • Federal Fiscal Year:
    2021
  • Performing Organization:
    Mount Sinai School of Medicine
  • Peer Reviewed:
    True
  • Start Date:
    20050701
  • Source Full Name:
    Journal of Occupational and Environmental Medicine
  • End Date:
    20270630
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:ded73dfc8b084a1f736531c88d2e668173f7c26f0cdb1ce0bf6efefa048230733782784e522caf432318355aef54bb747a871930122548430d468e16eeba6c0b
  • Download URL:
  • File Type:
    Filetype[PDF - 286.78 KB ]
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