unc eshelman school of pharmacy return plan for fall 2021

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UNC Eshelman School of Pharmacy Return Plan for Fall 2021 July 8, 2021 Version 1

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UNC Eshelman School of Pharmacy Return Plan for Fall 2021

July 8, 2021

Version 1

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Contents School Priorities .......................................................................................................................................................... 3

Principles of Operation........................................................................................................................................... 3

Dean’s Priorities for Operational Return ............................................................................................................... 3

UNC Eshelman School of Pharmacy: COVID 19 Operational Return Framework .................................................. 3

General Operations Enterprise .................................................................................................................................. 4

Enterprise General Operations Subcommittee ...................................................................................................... 4

Return to the Workplace ........................................................................................................................................ 4

Health and Safety Guidance ................................................................................................................................... 4

Health and Safety Compliance and Enforcement ................................................................................................ 10

Mental Health and Well-Being ............................................................................................................................. 11

Guidance for Specific Workplace Scenarios ......................................................................................................... 12

Enter/Exit, Wayfinding, and Capacity Control ..................................................................................................... 12

Education Enterprise ................................................................................................................................................ 13

Education Enterprise Subcommittee ................................................................................................................... 13

Scheduling and Operations of Classes ................................................................................................................. 10

Scheduling and Operations of Experiential Education ......................................................................................... 11

Co-Curricular Activities ......................................................................................................................................... 12

Admissions (PharmD and PhD)............................................................................................................................. 13

Global activities .................................................................................................................................................... 13

Research Enterprise ................................................................................................................................................. 14

Research Enterprise Subcommittee ..................................................................................................................... 14

Laboratory and Human Subjects Research Guidelines ........................................................................................ 14

Appendix 1: Resources and Reference ..................................................................................................................... 15

Appendix 2: GSO COVID Guidelines ......................................................................................................................... 17

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School Priorities

Principles of Operation The UNC Eshelman School of Pharmacy will follow the principles outlined on the Carolina Together Website. Additional guidance and material are available on the School’s Return to Campus site. Our first priority is the health and safety of our faculty, staff, and students. Our strategies and interventions to return to campus safely will be based on evidence and science. Our operational principles currently center around three community standards that we are asking everyone in our buildings to abide by:

1. Screening for symptoms daily prior to coming on campus 2. Wearing a mask in all ESOP buildings (exceptions found below in “face mask” section) 3. Increasing hygiene activities (e.g., frequent hand sanitizing/washing, frequent disinfecting of

classrooms, bathrooms, and other spaces) We are focused on providing the highest quality education to our learners in a flexible way. We are dedicated to communication and transparency. This plan is a living document and will be modified and updated as the University’s Carolina Together website is modified and updated.

Dean’s Priorities for Operational Return The priorities for the UNC Eshelman School of Pharmacy are to safely return faculty, staff, and students to campus buildings to provide a robust on-site education and research experience for our PharmD, MS, and PhD programs, and to support our research enterprise.

UNC Eshelman School of Pharmacy: COVID 19 Operational Return Framework Operational Return Committee – On June 10, 2020 our School leadership shifted focus from pandemic crisis management to operational return. This committee consists of 15 members, with representation from faculty leadership, operational staff, and PharmD and PhD students. The Operational Return Committee is comprised of 3 subcommittees focusing on general operations, education, research, and health and well-being. Given the operational focus of returning to campus, the committee is managed by the ESoP COO and CFO, Scott Savage. During Fall 2020, the charge to the Operational Return Committee was to manage all operational return issues with the specific deliverables of (a) developing and delivering a plan to the Provost and (b) implementing the plan for January 2021 return to campus, with subsequent adjustments into the Spring 2021 academic year. The Operational Return Committee will continue to meet as we Return to Work on Campus during Fall 2021.

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General Operations Enterprise

Enterprise General Operations Subcommittee This subcommittee is charged with discussing and implementing operational return practices for a successful student, faculty, and staff return in Fall 2021. The team is taking the guidance developed by the University on returning to campus and determining the measures that will work best for our School (e.g., health and safety guidance, workplace signage/wayfinding/capacity, human resource support) as students, faculty, and staff return to campus. The recommendations and updates from this subcommittee are discussed with the School’s Operational Return Committee for inclusion in this Spring reopening plan. Team Members: Chris Allen, Dave Maldonado, Jason Martin, Corey Parker (UNC Housekeeping), Stan Parker, Herb Richmond (UNC Housekeeping), Matt Rivenbark, Greene Shepherd, Randy Stutts, Jason Whitley. Reports to Scott Savage.

Return to the Workplace The Eshelman School of Pharmacy will follow the University’s guidelines for the safety and well-being of our campus community that are outlined in the Carolina Together website. During this time, we will adopt the same community standards and behaviors that will help promote a healthy campus. All faculty, staff, and students are expected to honor and self-govern compliance with our standards and principles. As we plan for near normal campus operations, we request and expect that we will operate out of compassion, understanding, and concern for each other. We will work to balance individual needs with the broader needs of the UNC Eshelman School of Pharmacy and the overall University mission. The University has also approved our School’s participation in the Flexible Work Location Pilot. Human resources and/or supervisors have contacted participants with further information. This program is effective through December 2021. Employees unable to return to campus by July 19, 2021, because of a health condition that precludes a return should request an ADA accommodation through the Equal Opportunity and Compliance Office on the COVID-19 accommodations webpage. The COVID-19 accommodations process has been updated for fall 2021.

Community Standards The UNC Eshelman School of Pharmacy is closely aligned with community standards listed on the University’s Carolina Together website, with the exception of types of masks worn and distancing while eating. Please closely review our standards below.

Community standards at UNC-Chapel Hill campus:

• Get Vaccinated – Getting an FDA-authorized COVID-19 vaccination is the best way for members of the Carolina community to protect themselves and others.

• Face Masks – Masks are not required outdoors. You must wear a face mask at all times while inside any University building (ESOP-specific guidelines below). You may remove

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your face mask in personal workspaces (including in personal offices with vaccinated guests if all parties are in agreement); your residence hall room, suite or apartment and when eating, drinking or exercising. Vaccinated faculty may remove their masks while teaching as long as at least three feet of physical distancing is maintained.

• Practice Healthy Habits and Be Respectful – Monitor your health; respect those who wish to maintain social distance; do not ask others for their personal health information, such as vaccination status.

• Carolina Together Testing Program – Unvaccinated students will be required to participate in the Carolina Together Testing Program on a weekly basis. Voluntary, asymptomatic testing will remain available for all students, faculty and staff.

• Contact Tracing and Quarantine & Isolation – Quarantine and isolation requirements are in place for unvaccinated individuals and vaccinated individuals who are experiencing COVID-19 symptoms. This includes students, faculty and staff who are contacted as part of local or University contact tracing.

• Sanitizing – Within our School, offices and classrooms are cleaned and disinfected daily. Supplies of hand sanitizer and disinfecting wipes will be placed in all classrooms and common spaces to clean spaces before and after use.

Community Expectations at UNC Asheville Campus: Members of the UNC Asheville campus are asked to follow the UNC Expectations of Mutual Respect and Care for All. These expectations as members of the community include:

• Wash my hands frequently following CDC standards and to use the hand sanitizer that will be available throughout campus.

• Wear face coverings consistently and appropriately in all public spaces including classrooms, labs, academic, athletic, and student union buildings.

• Carefully follow physical distancing and room or building capacity guidelines, staying 6 feet apart at all times.

• Monitor any symptoms as outlined by the CDC, stay home if I have symptoms, get tested as needed.

• Consult with a medical professional if anyone around me shows symptoms and follow isolation and quarantine protocols as needed.

Get Vaccinated – Getting an FDA-authorized COVID-19 vaccination is the best way for members of the Carolina community to protect themselves and others, to contribute to a typical, in-person experience at UNC-Chapel Hill and to stop the spread of the virus.

All members of the Carolina community are urged to get vaccinated as soon as you can. Once you’ve been vaccinated, faculty, staff and students are encouraged to let UNC-Chapel Hill know they have received one or both doses of an FDA-authorized vaccine using the COVID-19 Vaccine Certification form.

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All members of the Carolina community are strongly encouraged (and, in some instances, may be required) to obtain immunizations that are covered by most health plans (including student health plans), especially the annual flu shot.

Members of the Carolina community are expected to refrain from asking others for their personal health information, such as vaccination status. While receiving a COVID-19 vaccination remains the very best way to protect yourself on campus, vaccination is not a University mandate.

Face Masks: You must wear a school-approved face mask at all times while inside any UNC Eshelman School of Pharmacy building. Approved masks included a University-supplied surgical mask, or University-issued sock mask.

N95 masks (N95s or KN95s) are not allowed to be worn by University students, faculty and staff under the Return to Campus Guidelines. An individual member of the ESOP Community may seek an exception in order to wear N95s from UNC Environmental Health and Safety (EHS). If the exception is granted, the individual needs to be registered with the EHS program, ensuring NIOSH certification and proper fitting. Please provide documentation of that approval to the School’s Director of Compliance, Nathan Simms, prior to coming onsite wearing an N95/KN95. Please go here for additional information.

Double masking is not required but is permitted under the University and ESOP Return to Campus Guidelines. If you choose to wear a double mask, you must have an approved University mask (surgical or sock) underneath any other outer mask of your choice. See the below quick reference guide below for clarification:

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There are limited circumstances where a face mask is not required while inside a University or ESOP building.

• In your residence hall room/suite/apartment: Students living in Carolina Housing or in Granville Towers are not required to wear a mask while in your assigned residence hall room/suite/apartment but must wear a face mask while in residence hall lobbies, hallways, elevators and other common areas.

• In your private office: University employees are not required to wear a mask while working alone in your private office. A face mask must be worn in common workspaces or when others are present in the employee’s workspace and in all common areas including elevators, hallways, restrooms and breakrooms.

• Eating or drinking on campus: When eating indoors in a School of Pharmacy facility, 6 ft. distancing between others is strongly recommended. There is a tented area outside of Kerr Hall designated for eating, as well as courtyard and patio areas with picnic tables outside of most of our facilities. Indoors, dining options include a student collaboration area on the first floor of Beard Hall, basement level seating in Beard Hall, and the second-floor lounge in Kerr Hall. In Marsico and GMB there are lobbies and breakrooms available for eating indoors.

• While exercising in certain University facilities: Comply with all facility-specific requirements. • Vaccinated Presenters (includes those who are presenting to large groups such as faculty,

students, instructors, etc.) may remove their masks while teaching as long as three feet of physical distancing is maintained.

• Accommodations: An exemption to the mask wearing community standard will not typically be considered as a reasonable accommodation. Individuals with a disability or health condition that prevents them from safely wearing a face mask may seek alternative accommodations through the Equal Opportunity and Compliance Office (faculty and staff) or Accessibility Resources and Service (students).

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• Medical attention: An individual who needs medical attention or services requiring temporary removal of the face mask.

Students, staff, and faculty are also expected to comply with any requirement to wear a face mask issued by state and municipal authorities for any off-campus location.

Practice Healthy Habits and Be Respectful – As UNC-Chapel Hill returns to a typical, in-person experience, we are committed to the well-being of our community – not just physically, but emotionally.

Each time prior to coming to campus, all members of the Carolina community should self-assess whether you are experiencing any symptoms using the COVID-19 symptom list on the Carolina Together website. If you have any of these symptoms, you should stay home. You should not enter any campus building, attend any class or report to work. Supporting each other as we return to a typical, in-person experience will assist all members of the Carolina community to do their best work whether it is in the workplace, in the classroom or in the laboratory. It is important to lead conversations and decisions with respect for fellow community members, recognizing that people have different levels of comfort depending on the circumstance.

• It is important to respect and honor members of the Carolina community who wish to maintain their personal space.

• Members of the Carolina community are expected to refrain from asking others for their personal health information, such as vaccination status. While receiving a COVID-19

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vaccination remains the very best way to protect yourself on campus, vaccination is not a University mandate.

Carolina Together Testing Program – All students currently enrolled in summer coursework or a professional school should continue participation in the Carolina Testing Program until August 1, regardless of vaccination status. After August 1, student participation in the Carolina Together Testing Program is linked to a student’s vaccination status. All students should update their vaccination status in ConnectCarolina. Students who are unvaccinated or do not provide their vaccination status will be required to participate in re-entry testing and weekly asymptomatic evaluation testing. The Carolina Together Testing Program also provides accessible, voluntary asymptomatic evaluation testing for all students, faculty and staff.

Visit the Carolina Together Testing Program webpage for more information. Contact Tracing and Quarantine & Isolation – If you have identified symptoms through regular health monitoring, you should visit a symptomatic testing center. For students, you should visit Campus Health. For faculty and staff, you should contact your health care provider.

• COVID-19 Contact Tracing: All symptomatic faculty, staff and students must participate in Contact Tracing.

• All students, staff, and faculty are required to update ConnectCarolina with current and accurate contact information, including a local address, and to update contact information in a timely manner.

• The University notifies the local health department with the current local residence information for any individual who tests positive. This residence information is determined by where the student, faculty or staff member is living at the time the positive test occurs.

• Quarantine and Isolation: Quarantine requirements apply to individuals who are not fully vaccinated and everyone who is symptomatic.

• If you are fully vaccinated with an FDA-authorized COVID-19 vaccination and you’ve been around someone who has COVID-19, you are not required to quarantine or get tested unless you have symptoms.

• If you live in a group setting (like Carolina Housing, Greek housing, or a residence with 10 or more occupants) and are around someone who has COVID-19, you should still get tested, even if you don’t have symptoms, regardless of your vaccine status.

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• Both isolation and quarantine mean staying physically apart from others to prevent the spread of infection. The Orange County Health Department sets the amount of time recommended for quarantine for students, faculty and staff.

For more information on Quarantine and Isolation, visit the Carolina Together Quarantine and Isolation page.

With these revised COVID-19 Community Standards, several restrictions will no longer be in place. These include:

• Classroom and building capacity limits will return to normal. • Wayfinding will return to normal. • Event and gathering limits will be lifted. • Building access will return to normal. • UNC Dining and Transportation and Parking will return to near normal operations. • Domestic travel restrictions have been lifted, but international restrictions are still in place.

Throughout the past 15 months the dedicated staff of Facilities Services have increased the amount of cleaning and disinfecting that occurs across campus and also upgraded air filters and performed maintenance on HVAC systems to ensure ideal building ventilation. Enhanced cleaning standards will remain in place, and HVAC systems are scheduled to run for additional time to increase airflow.

Violations Reporting: Faculty and Staff: If you notice someone not adhering to safety guidelines, politely ask the individual to comply with the community standard, report the violation to your supervisor and/or Human Resources or submit a report online. We are monitoring and addressing each concern that comes through.

Students: Please utilize the Eshelman Care Team Referral form to report violations. The Office of Curricular and Student Affairs receives these reports and will take appropriate action.

Health and Safety Compliance and Enforcement Know the Standards: Each one of us – students, faculty, and staff – must follow the Community Standards to contribute to a safe and healthy environment for us to teach, work, learn and live. We will expect everyone to know and follow our W’s – wear a mask, wait six feet apart, and wash your hands often — every day.

Hold Each Other Accountable: The School is working on creating a streamlined mechanism for reporting non-compliance with community standards. Currently, if a member of our community notices a failure to comply with our community standards, they should:

(1) Politely ask the person to comply. (2) If the person refuses to comply,

a. If a student in a classroom is non-compliant with University community standards for COVID-19, the following process should be followed:

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i. Politely ask the student to comply with the community standard (mask, social distancing) or leave the classroom.

ii. If the student refuses to comply, call the Eshelman Care Team line at 919-813-0481.

iii. OCSA staff member on call will respond in person and ask the student to leave the classroom. The OCSA staff member will remind the student that refusal to leave may result in their de-enrollment from the course or a referral to the Scholastic Achievement and Progressions Committee.

b. For students inside the building, notify OCSA by utilizing the ECT online referral form who will take appropriate action.

c. For employees and graduate students in non-classroom settings, report the violation to your supervisor and/or anonymously through the Carolina Ethics Line at 866-294-8688. Managers will respond to any complaints as a violation of University policy and work with HR to take appropriate action.

For students, compliance with this guideline is a condition of continued in-person enrollment. Failure to comply with this policy may result in administrative action, including, but not limited to, restriction of access to, or use of, University facilities, dis-enrollment from one or more in-person courses, transition to remote-only instruction and/or other interventions necessary to effect compliance and protect the well-being of the campus community. In the case of willful failure to comply with the provisions of this policy and/or repeated violations, the University may pursue additional disciplinary actions in accordance with relevant University policies. 

For UNC employees, compliance with this guideline is a condition of your employment. Failure to comply with this policy may result in disciplinary action.

Mental Health and Well-Being Anxiety, depression, fear, and other emotions are perfectly normal responses to the uncertainty we are facing with the COVID-19 outbreak. Students, faculty, and staff are urged to practice self-care and use the support of available resources. Additionally, our Well-Being and Resilience team and our Human Resources team will assist in navigating these options.

1. Campus Health appointments can be made by phone 919-966-2281, or a request for an appointment can be made on the Healthy Heels Portal. All should call 919-966-2281 prior to coming to Campus Health. Campus health is currently providing clinically appropriate telemedicine support and are assisting remotely for issues such as a cough, sore throat, fever, runny nose, ear pain, pink eye, skin concerns, mental health needs, nutrition, gynecology issues, contraception, and prescription refills. Campus health will maintain staffing to offer a limited number of in-person appointments for acute illness. Student ID and an insurance card is needed at the time of service.

2. The Eshelman Care Team provides coordinated assistance and support to students through a centralized structure and method for outreach, referrals, and case management. The Eshelman Care Team referral can be used personally or for a classmate. Students can call 919-813-0481.

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3. Counseling and psychological services (CAPS) is a 24/7 service addressing the mental health

needs of students. Students can visit Campus Health after calling (919-966-3658) and scheduling an appointment.

4. Our School’s Wellness website contains information regarding the eight dimensions of wellness, as well as key wellness contact information.

5. Other resources: a. Crisis Text Line: Text HOME to 741741 to connect with a Crisis Counselor b. Suicide Hotline: 1-800-273-8255 c. Employee Assistance Program (EAP): Includes a limited number of face-to-face visits

with a local counselor at no cost. Access via phone, 877-314-5841, or online at guidanceresources.com. Click on register and enter the Organization Web ID: TARHEELS

Guidance for Specific Workplace Scenarios

1. Travel for both personal and University-affiliated needs is supported by current state epidemiology data and state guidelines. Domestic travel restrictions have been lifted, but international restrictions are still in place.

2. Parking and Transportation health and safety standards continue to evolve. At this time, masks should be worn before entering the bus, and travelers should avoid touching services. Upon disembarking, it is recommended to wash hands or use alcohol-based hand sanitizers as soon as possible and before removing the mask. For updates, continue to monitor the Parking and Transportation website.

3. ROOM RESERVATIONS. The UNC Eshelman School of Pharmacy will resume the normal room reservation process effective July 12.

4. Using restrooms: Hands must be washed thoroughly before leaving the restroom to reduce the potential transmission of the virus. The use of masks or face coverings is required in restrooms occupied by more than one person.

5. Using elevators: Use of elevators should be limited to avoid close proximity with others in a confined space. For all elevators, a maximum occupancy of 1 will be observed.

6. Meals: Before and after eating, hands should be washed thoroughly to reduce potential transmission. If dining on campus, a mask must be worn until eating and then replaced afterward. UNC Dining will return to near normal operations, and routine updates can be found on UNC’s dining website.

Enter/Exit, Wayfinding, and Capacity Control Wayfinding will return to normal on campus. Please follow community standards listed above.

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Education Enterprise

Education Enterprise Subcommittee This subcommittee is charged with discussing and implementing strategies for successful student return in Fall 2020, Spring 2021, and Fall 2022. The team took the guidance developed by the University on returning to the learning environment and determining measures that work best for our School (e.g., numbers of students in classrooms and labs, how to implement a flexible teaching model, types of courses that can be offered in person) for return to campus. The recommendations and updates from this subcommittee are be discussed with the School’s Operational Return Committee. Team Members: Amanda Corbett (Co-Chair), Jason Martin (Co-Chair), Mike Jarstfer, Melissa Jones, Rachel Parry (PhD student), Chris Pippen, Libby Powell (PharmD student), Chris Parish (PharmD student), Greene Shepherd, Colleen Wernoski, Will Taylor. Reports to Wendy Cox. Fall 2021 Semester Plan: Consistent with the University’s guidance, the plan for the Fall 2021 semester is a normal semester and in person classes with a requirement of face coverings in the classroom. We will closely follow the University’s recommendations for courses and follow trends in COVID-19 infections transitioning to a hybrid model if necessary. If students indicate that they cannot attend classes in person, they will be referred the University’s Accessibility Resources and Service (ARS) Office to be evaluated for accommodations.

Admissions (PharmD and PhD) Due to COVID-19, our ability to travel, interact with prospective students in-person, and host and attend traditional recruitment and admissions events both on- and off-campus may be limited. As a result, we are focusing our efforts on a combination of in person and digital recruitment and enrollment strategies for this admissions cycle. Our admissions processes will remain the same except for our interview days, which will be conducted either in person or virtually through the fall or spring semester, providing the student the option of attending the interview in person or connecting via Zoom. The School was able to successfully simulate an on-campus interview day virtually via Zoom for the 2020-21 admissions cycle. Our candidates have opportunities to tour the School virtually, connect with current students, and hear from staff and faculty at the School regarding all the School has to offer. We also plan to host Admitted Student Days in the spring of 2021 either in person or virtually.

Global activities Awaiting Updates.

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Research Enterprise Consistent with the guidelines provided by the UNC Office of the Vice Chancellor for Research (https://research.unc.edu/covid-19/), our research laboratories and facilities remain open and operating, with appropriate safety measures in place. UNC researchers must follow specific guidelines while working on campus, including monitoring health and reporting onset of symptoms, wearing University-approved face masks inside facilities, and adhering to specified sanitation and hygiene practices. Occupancy restrictions have been lifted in our research laboratories and facilities and the 6’ distance requirement has been eliminated except while eating/drinking.

Laboratory and Human Subjects Research Guidelines Principal Investigators are no longer required to submit plans for operating a safe laboratory environment during COVID-19, and the Guidelines for Operating a Safe Laboratory Environment in the UNC Eshelman School of Pharmacy during COVID-19 document has been retired. Principal Investigators conducting human subjects research should follow the streamlined guidelines provided by the School of Medicine Clinical Research

Support Office (CRSO; https://www.med.unc.edu/crso/covid/som-guidelines-and-processes/), or the facility in which the human subjects research activities will be located.

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Appendix 1: Resources and Reference Resources

• Carolina Together Website - https://carolinatogether.unc.edu/

• ESOP Return to Campus Website - https://faopharmacy.unc.edu/return-to-campus/

• CDC Guidelines for Colleges, Universities and Higher Learning - https://www.cdc.gov/coronavirus/2019-ncov/community/colleges-universities/index.html

• The Science and Practice of Infection Prevention during the COVID-19 Pandemic with Dr. Sickbert-Bennett - https://www.med.unc.edu/intranet/covid-19/the-science-and-practice-of-infection-prevention-during-the-covid-19-pandemic-with-dr-sickbert-bennett/

References for the Importance of Masks:

• Leung, NHL, Chu, DKW, Shiu, EYC, et al. Respiratory virus shedding in exhaled breath and efficacy of face masks. Nat Med 26, 676–680 (2020). https://doi.org/10.10three8/s41591-020-0843-2

• Wong SCY, Kwong RT, Wu TC, et al. Risk of nosocomial transmission of coronavirus disease 2019: an experience in a general ward setting in Hong Kong. J Hosp Infect. 2020;105(2):119-127. doi:10.1016/j.jhin.2020.03.036

• https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover-guidance.html

• Radonovich LJ, Simberkoff MS, Bessesen MT, et al. N95 Respirators vs Medical Masks for Preventing Influenza Among Health Care Personnel: A Randomized Clinical Trial. JAMA. 2019;322(9):824–833. doi:10.1001/jama.2019.11645

• Offeddu V, Yung CF, Low MSF, Tam CC. Effectiveness of Masks and Respirators Against Respiratory Infections in Healthcare Workers: A Systematic Review and Meta-Analysis. Clin Infect Dis. 2017;65(11):1934-1942. doi:10.1093/cid/cix681

• Verma S, Dhanak M, Frankenfield J. Visualizing the effectiveness of face masks in obstructing respiratory jets. Phys Fluids (1994). 2020;32(6):061708. doi:10.1063/5.0016018

• Fischer EP, Fischer MC, Grass D, Henrion I, Warren WS, Westman E. Low-cost measurement of facemask efficacy for filtering expelled droplets during speech. Science Advances. 2020 Aug 7:eabd3083.

• Sickbert-Bennett EE, Samet JM, Clapp PW, et al. Filtration Efficiency of Hospital Face Mask Alternatives Available for Use During the COVID-19 Pandemic. JAMA Intern Med. Published online August 11, 2020. doi:10.1001/jamainternmed.2020.4221

References for the Importance of Physical Distancing:

• Chu DK, Akl EA, Duda S, Solo K, Yaacoub S, Schünemann HJ, El-harakeh A, Bognanni A, Lotfi T, Loeb M, Hajizadeh A. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. The Lancet. 2020 Jun 1.

• Li W, Zhang B, Lu J, et al. The characteristics of household transmission of COVID-19 [published online ahead of print, 2020 Apr 17]. Clin Infect Dis. 2020; ciaa450. doi:10.1093/cid/ciaa450

• https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-distancing.html

• https://www.aappublications.org/news/2020/06/26/schoolreopening062620 References and Guidance for Testing Guidelines

• https://www.cdc.gov/coronavirus/2019-ncov/community/colleges-universities/ihe-testing.html

• https://publichealth.indiana.edu/news-events/_news/safety-in-person-courses.html

• National Academies of Sciences, Engineering, and Medicine. 2020. Encouraging Protective COVID-19 Behaviors among College Students. Washington, DC: The National Academies Press. https://doi.org/10.17226/26004.

• National Academies of Sciences, Engineering, and Medicine 2020. COVID-19 Testing Strategies for Colleges and Universities. Washington, DC: The National Academies Press. https://doi.org/10.17226/26005.