title: Feasibility of elementary school children's use of hand gel and facemasks during influenza season.
abstract: BACKGROUND
  The feasibility of non-pharmacologic interventions to prevent influenza's spread in schools is not well known.
  
  
  OBJECTIVE
  To determine the acceptability of, adherence with, and barriers to the use of hand gel and facemasks in elementary schools.
  
  
  METHODS
  
  
  
  METHODS
  We provided hand gel and facemasks to 20 teachers and their students over 4 weeks. Gel use was promoted for the first 2 weeks; mask use was promoted for the second 2 weeks.
  
  
  RESULTS
  Acceptability, adherence, and barriers were measured by teachers' responses on weekly surveys. Mask use was also measured by observation.
  
  
  RESULTS
  The weekly survey response rate ranged from 70% to 100%. Averaged over 2 weeks, 89% of teachers thought gel use was not disruptive (week 1--17/20, week 2--16/17), 95% would use gel next winter (week 1--19/20, week 2--16/17), and 97% would use gel in a pandemic (week 1--20/20, week 2--16/17). Averaged over 2 weeks, 39% thought mask use was not disruptive (week 1--6/17, week 2--6/14), 35% would use masks next winter (week 1--5/17, week 2--6/14), and 97% would use masks in a pandemic (week 1--16/17, week 2--14/14). About 70% estimated that their students used hand gel ≥ 4 x/day for both weeks (week 1--14/20, week 2--13/17). Students' mask use declined over time with 59% of teachers (10/17) estimating regular mask use during week 1 and 29% (4/14) during week 2. By observation, 30% of students wore masks in week 1, while 15% wore masks in week 2. Few barriers to gel use were identified; barriers to mask use were difficulty reading facial expressions and physical discomfort.
  
  
  CONCLUSIONS
  Hand gel use is a feasible strategy in elementary schools. Acceptability and adherence with facemasks was low, but some students and teachers did use facemasks for 2 weeks, and most teachers would use masks in their classroom in a pandemic.
authors.affiliation: Division of General Pediatrics, University of Utah, Salt Lake City, UT 84158, USA. mandy.allison@hsc.utah.edu
authors.forename: Mandy A
authors.initials: MA
authors.lastname: Allison
authors.forename: Ginger
authors.initials: G
authors.lastname: Guest-Warnick
authors.forename: Douglas
authors.initials: D
authors.lastname: Nelson
authors.forename: Andrew T
authors.initials: AT
authors.lastname: Pavia
authors.forename: Rajendu
authors.initials: R
authors.lastname: Srivastava
authors.forename: Per H
authors.initials: PH
authors.lastname: Gesteland
authors.forename: Robert T
authors.initials: RT
authors.lastname: Rolfs
authors.forename: Shannon
authors.initials: S
authors.lastname: Andersen
authors.forename: Lynne
authors.initials: L
authors.lastname: Calame
authors.forename: Paul
authors.initials: P
authors.lastname: Young
authors.forename: Carrie L
authors.initials: CL
authors.lastname: Byington
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks / Q000517:prevention & control; D005178:Faculty; D005240:Feasibility Studies; D005782:Gels; D006235:Hand Disinfection / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017053:Infection Control / Q000379:methods; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission*; D008397:Masks / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care; D010349:Patient Compliance; D010353:Patient Education as Topic; D012572:School Health Services; D014589:Utah
chemical_list: D005782:Gels