Paper: Effectiveness of workplace social distancing measures in reducing influenza transmission: a systematic review.

Referensi:

Ahmed, F., Zviedrite, N., & Uzicanin, A. (2018). Effectiveness of workplace social distancing measures in reducing influenza transmission: a systematic review. BMC public health, 18(1), 518.

We conducted a systematic review to assess the evidence that social distancing in non-healthcare workplaces reduces or slows influenza transmission.

Electronic searches were conducted using MEDLINE, Embase, Scopus, Cochrane Library, PsycINFO, CINAHL, NIOSHTIC-2, and EconLit to identify studies published in English from January 1, 2000, through May 3, 2017. Data extraction was done by two reviewers independently. A narrative synthesis was performed.

The modeling studies estimated that workplace social distancing measures alone produced a median reduction of 23% in the cumulative influenza attack rate in the general population.

The reduction in the cumulative attack rate was more pronounced when workplace social distancing was combined with other non-pharmaceutical or pharmaceutical interventions.

Workplace social distancing measures combined with other nonpharmaceutical interventions showed a median

reduction of 75% in the general population. Adding antiviral treatment and prophylaxis further reduced the influenza attack rate (median reduction = 90)

However, the effectiveness was estimated to decline with higher basic reproduction number values, delayed triggering of workplace social distancing, or lower compliance.

Social distancing was estimated to be less effective for higher R0 values.

Lower compliance increases the opportunity for person-to-person transmission.

The findings of our evidence synthesis may not be generalizable to lower-income countries that differ in demography and contact patterns.

The findings underscore the importance for coordination between employers and state/local health departments to potentially enhance impact using a combination of measures