The COVID University Challenge: a Hazard Analysis of Critical Control Points Assessment of the Return of Students to Higher Education Establishments

The COVID-19 pandemic disrupted economies and societies throughout the world in 2020. Education was especially affected, with schools and universities widely closed for long periods. People under 25 years have the lowest risk of severe disease but their activities can be key to persistent ongoing community transmission. A challenge arose for how to provide education, including university level, without the activities of students increasing wider community SARSCoV2 infections. We used a Hazard Analysis of Critical Control Points HACCP framework to assess the risks associated with university student activity and recommend how to mitigate these risks. This tool appealed because it relies on multi-agency collaboration and interdisciplinary expertise and yet is low cost, allowing rapid generation of evidence-based recommendations. We identified key critical control points associated with university student activities, lifestyle and interaction patterns both on-and-off campus. Unacceptable contact thresholds and the most up-to-date guidance were used to identify levels of risk for potential SARSCoV2 transmission, as well as recommendations based on existing research and emerging evidence for strategies that can reduce the risks of transmission. Employing the preventative measures we suggest can reduce the risks of SARSCoV2 transmission among and from university students. Reduction of infectious disease transmission in this demographic will reduce overall community transmission, lower demands on health services and reduce risk of harm to clinically vulnerable individuals while allowing vital education activity to continue.