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Formative research on the feasibility of hygiene interventions for influenza control in UK primary schools.

BMC Public Health, 2009; 9:390
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Centre for Maternal, Reproductive and Child Health (MARCH)

pub_id
19832971
pubmedid
19832971
ISI
271330400001
reference_type
author
Schmidt, W.P.; Wloch, C.; Biran, A.; Curtis, V.; Mangtani, P.;
title
Formative research on the feasibility of hygiene interventions for influenza control in UK primary schools.
secondary_title
BMC Public Health
ISBNISSN
1471-2458
volume
9
number
pages
390
year
2009
abstract
BACKGROUND: Interventions to increase hand washing in schools have been advocated as a means to reduce the transmission of pandemic influenza and other infections. However, the feasibility and acceptability of effective school-based hygiene interventions is not clear. METHODS: A pilot study in four primary schools in East London was conducted to establish the current need for enhanced hand hygiene interventions, identify barriers to their implementation and to test their acceptability and feasibility. The pilot study included key informant interviews with teachers and school nurses, interviews, group discussions and essay questions with the children, and testing of organised classroom hand hygiene activities. RESULTS: In all schools, basic issues of personal hygiene were taught especially in the younger age groups. However, we identified many barriers to implementing intensive hygiene interventions, in particular time constraints and competing health issues. Teachers' motivation to teach hygiene and enforce hygienic behaviour was primarily educational rather than immediate infection control. Children of all age groups had good knowledge of hygiene practices and germ transmission. CONCLUSION: The pilot study showed that intensive hand hygiene interventions are feasible and acceptable but only temporarily during a period of a particular health threat such as an influenza pandemic, and only if rinse-free hand sanitisers are used. However, in many settings there may be logistical issues in providing all schools with an adequate supply. In the absence of evidence on effectiveness, the scope for enhanced hygiene interventions in schools in high income countries aiming at infection control appears to be limited in the absence of a severe public health threat.
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secondary_author
place_published
publisher
number_of_volumes
tertiary_author
tertiary_title
edition
date
type_of_work
subsidiary_author
alternate_title
call_number
accession_number
custom_1
WOS OK
custom_2
Unknown
custom_3
custom_4
10.1186/1471-2458-9-390
custom_5
DOAJ
custom_6
10
label
2016-10-18
notes
Journal Article
url
author_address
Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, UK. Wolf-Peter.Schmidt@lshtm.ac.uk
library
1471-2458-9-390 10.1186/1471-2458-9-390 19832971 PMC2770489
date_accepted
date_online
created
2009-11-09 13:08:38
modified
2016-07-08 00:00:00
library

<ArticleId IdType="pii">1471-2458-9-390</ArticleId>
<ArticleId IdType="doi">10.1186/1471-2458-9-390</ArticleId>
<ArticleId IdType="pubmed">19832971</ArticleId>
<ArticleId IdType="pmc">PMC2770489</ArticleId>