School Health Services

TABLE OF CONTENTS

Basic Concepts of Infection Control: Swiss Cheese Model

A conceptual explainer of the Swiss Cheese model; an introduction to a minimally invasive statistical method of risk mitigation

Virological & Epidemiological Attributes of SARS-CoV-2

An accurate description of the physical attributes of SARS-CoV-2, the means by which it spreads, the means by which it does not, survivability, longevity and course of infection

Shortcomings Of Current Public Health Measures

A critical assessment of currently accepted public health measures, their positive impact (if any) on detection, infection and transmission, shortcomings, overreaches and contrast to practical, reality-based measures

Hierarchy of Controls

The familiar conceptual hierarchy of controls pyramid, modifications and eliminations as applies to infection control concerns

Personal Protective Measures

Respiratory

A critical recommendation on whether masking is appropriate, helpful or necessary, to what degree, and the relevant science and experience

Handwashing

A critical recommendation on whether handwashing is appropriate, helpful or necessary, to what degree, and the relevant science and experience

Eye

A critical recommendation on whether eye protection is appropriate, helpful or necessary, to what degree, and the relevant science and experience

Therapeutic Prophylactic Measures

A detailed exploration of available effective therapeutic prophylaxis measures; a critical recommendation on utilization

Staff & Parent Consent

A discussion of consent and consequences of partial uptake

Vaccination Prophylactic Measures

A detailed exploration of available effective vaccination prophylaxis measures; a critical recommendation on utilization

Special Vaccine Considerations

Consideration of virological and epidemiological concerns regarding vaccination and vaccinated persons; critical recommendations regarding access control measures

Administrative Measures

Social Distancing

A critical recommendation on whether social distancing is appropriate, helpful or necessary, to what degree, and the relevant science and experience

Track And Trace

A recommendation on implementation of an area-based, unintrusive and minimally burdensome track-and-trace capability

Engineering Measures

Airflow

Recommendations on appropriate airflow design to minimize airborne transmission, and the relevant science and experience

Direct Sunlight

Recommendations on appropriate use of natural sunlight for risk reduction, and the relevant science and experience

Surface & Area Disinfection

Recommendations on unintrusive, reliable disinfection measures including UV-C light

Area Access Control

Recommendations regarding visitor logs

Characteristics Of and Controls For Specific Purpose Areas

Dining Areas
Exercise Areas
Classroom Areas
Indoor Hallways
Bathrooms
Outdoor Areas
Auditoriums and Theaters

Infection Detection & Response

Testing

Currently available testing methods; benefits and shortcomings of each; critical recommendations on testing measures within the Swiss Cheese Model

Track And Trace

Recommendations on utilization of facility track-and-trace capabilities

Community Notification

Recommendations on appropriate times for notification, methods, community response and responsibility

Therapeutic Post-Exposure Prophylaxis

Recommendations on treatment options for community stakeholders with potential exposure to SARS-CoV-2, and the relevant science and experience

Quarantines

Critical recommendations on the use of quarantines, absences, removal or isolation in response to a positive indication of infection or exposure

Compliance & Regulation

Overview of Government-Imposed Measures

Discerning recommendation from mandate, detailing of current government instructions at federal, state and local levels

Minimum Necessary Compliance Measures

Community Outreach
Stakeholder Buy-In

Recommendations on community outreach and explanation of new procedures and controls to be adopted

Community Eradication

An ambitious concept to effect complete eradication of SARS-CoV-2 from your local community.

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