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. 2009 Sep 9;1:RRN1037. [Version 1] doi: 10.1371/currents.RRN1037
Measure Recom.
Yes/No
Evidence-base Commentaries/
Advice
Problems
Hand hygiene Yes Widely supported by literature Antimicrobials have not been shown to be better than soap Compliance: washing must be rigorous and routine throughout all phases of pandemic
Supply and cost
Habit of handshaking
Respiratory etiquette Yes Widely supported by literature Need for public education Need to sneeze into sleeve or tissue and not hand; no spitting.
Surgical masks for HCWs Yes Probably offers less protection than N95 respirators Both surgical masks and N95 respirators should be available for HCWs  
N95 respirators for HCWs Yes Designed to stop up to 95% of small airborne particles Both surgical masks and N95 respirators should be available for HCWs  
Isolation Yes Efficacy unsure given that viral shedding begins before symptoms Probably useful if outbreak is short. Voluntary, home self-isolation recommended for all phases of pandemic. Disagreement as to mandatory isolation.
Masks and respirators for general public No Relative roles of droplet vs aerosol transmission not established   Supply
Competency and adherence
Social distancing measures, school closure No Efficacy not demonstrated   Legal and ethical problems
Screening of travelers Yes/No Efficacy not demonstrated   Disagreement regarding usefulness and justification.