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. |