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

<p>Abstract</p> <p>Background</p> <p>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 inte...

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Main Authors: Curtis Val, Biran Adam, Wloch Catherine, Schmidt Wolf-Peter, Mangtani Punam
Format: Article
Language:English
Published: BMC 2009-10-01
Series:BMC Public Health
Online Access:http://www.biomedcentral.com/1471-2458/9/390
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author Curtis Val
Biran Adam
Wloch Catherine
Schmidt Wolf-Peter
Mangtani Punam
author_facet Curtis Val
Biran Adam
Wloch Catherine
Schmidt Wolf-Peter
Mangtani Punam
author_sort Curtis Val
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>
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spelling doaj.art-2326d0f503b8471bbbb4be0eb36e9b632022-12-22T00:24:47ZengBMCBMC Public Health1471-24582009-10-019139010.1186/1471-2458-9-390Formative research on the feasibility of hygiene interventions for influenza control in UK primary schoolsCurtis ValBiran AdamWloch CatherineSchmidt Wolf-PeterMangtani Punam<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>http://www.biomedcentral.com/1471-2458/9/390
spellingShingle Curtis Val
Biran Adam
Wloch Catherine
Schmidt Wolf-Peter
Mangtani Punam
Formative research on the feasibility of hygiene interventions for influenza control in UK primary schools
BMC Public Health
title Formative research on the feasibility of hygiene interventions for influenza control in UK primary schools
title_full Formative research on the feasibility of hygiene interventions for influenza control in UK primary schools
title_fullStr Formative research on the feasibility of hygiene interventions for influenza control in UK primary schools
title_full_unstemmed Formative research on the feasibility of hygiene interventions for influenza control in UK primary schools
title_short Formative research on the feasibility of hygiene interventions for influenza control in UK primary schools
title_sort formative research on the feasibility of hygiene interventions for influenza control in uk primary schools
url http://www.biomedcentral.com/1471-2458/9/390
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