1m Physical Distancing Associated with a Large Reduction in COVID-19 Infection

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The findings of this systematic review of 172 studies (44 comparative studies; n=25 697 patients) on COVID-19, SARS, and MERS provide the best available evidence that current policies of at least 1m (3 feet) physical distancing are associated with a large reduction in infection, and distances of 2m (6 feet) might be more effective.

These data also suggest that wearing face masks protects people (both health-care workers and the general public) against infection by these coronaviruses, and that eye protection could confer additional benefit.

However, none of these interventions afforded complete protection from infection, and their optimum role might need risk assessment and several contextual considerations.

No randomised trials were identified for these interventions in COVID-19, SARS, or MERS.

Previous reviews are limited in that they either have not provided any evidence from COVID-19 or did not use direct evidence from other related emerging epidemic betacoronaviruses (eg, SARS and MERS) to inform the effects of interventions to curtail the current COVID-19 pandemic

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