Optimizing Layered Control Strategies for Reducing Exposure to SARS-CoV-2

Abstract

While there is growing understanding of the predominance of the airborne mode of transmission of the SARS-CoV-2 virus, there is a lack of guidance on how to build an effective system of controls to mitigate transmission in enclosed spaces. Such a system integrates multiple hazard-specific control measures to both eliminate or replace a hazard, and safeguard individuals against potential exposure and infection. Controls are defined by the US Occupational Safety and Health Association (OSHA) as the use of engineering methods to reduce the level of hazard inside a confined space. The Hierarchy of Controls provides a framework through which a system of controls can be examined; identifying those which directly remove or replace a hazard as the most effective, and individual behavioral measures (e.g., masking or shielding) as least effective. Use of such a framework to quantify control effectiveness might allow for the promotion of spaces as meeting a certain threshold of safety, likely adding to the confidence of space users resulting in increases in various metrics such as sales, visits, or likes.