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Cruise ships: high-risk passengers and the global spread of new influenza viruses.
Clin Infect Dis. 2000 Aug; 31(2):433-8.CI

Abstract

In 1997, passengers on North American cruises developed acute respiratory illnesses (ARIs); influenza was suspected. We reviewed 1 ship's medical records for 3 cruises: cruise 1 (31 August to 10 September 1997), cruise 2 (11-20 September 1997), and cruise 3 (20-30 September 1997). Medically attended ARI was defined as any 2 of the following symptoms: fever (temperature, > or =37.8 degrees C) or feverishness, sore throat, cough, nasal congestion, chills, myalgia, and arthralgia. During cruise 2, we collected nasopharyngeal swabs for viral culture from people with ARI and surveyed passengers for self-reported ARI (defined as above except feverishness was substituted for fever). The outbreak probably began among Australian passengers on cruise 1 (relative risk, 3.3; 95% confidence interval, 1.89-5.77). Of 1284 passengers on cruise 2, 215 (17%) reported ARI, 994 (77%) were aged > or =65 years, and 336 (26%) had other risk factors for respiratory complications. An influenza strain not previously identified in North America was isolated. We concluded that an "off-season" influenza outbreak occurred among international travelers and crew on board this cruise ship.

Authors+Show Affiliations

Divisions of Quarantine, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10987701

Citation

Miller, J M., et al. "Cruise Ships: High-risk Passengers and the Global Spread of New Influenza Viruses." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, vol. 31, no. 2, 2000, pp. 433-8.
Miller JM, Tam TW, Maloney S, et al. Cruise ships: high-risk passengers and the global spread of new influenza viruses. Clin Infect Dis. 2000;31(2):433-8.
Miller, J. M., Tam, T. W., Maloney, S., Fukuda, K., Cox, N., Hockin, J., Kertesz, D., Klimov, A., & Cetron, M. (2000). Cruise ships: high-risk passengers and the global spread of new influenza viruses. Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, 31(2), 433-8.
Miller JM, et al. Cruise Ships: High-risk Passengers and the Global Spread of New Influenza Viruses. Clin Infect Dis. 2000;31(2):433-8. PubMed PMID: 10987701.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cruise ships: high-risk passengers and the global spread of new influenza viruses. AU - Miller,J M, AU - Tam,T W, AU - Maloney,S, AU - Fukuda,K, AU - Cox,N, AU - Hockin,J, AU - Kertesz,D, AU - Klimov,A, AU - Cetron,M, Y1 - 2000/09/07/ PY - 1999/09/13/received PY - 1999/12/30/revised PY - 2000/9/15/pubmed PY - 2001/2/28/medline PY - 2000/9/15/entrez SP - 433 EP - 8 JF - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JO - Clin Infect Dis VL - 31 IS - 2 N2 - In 1997, passengers on North American cruises developed acute respiratory illnesses (ARIs); influenza was suspected. We reviewed 1 ship's medical records for 3 cruises: cruise 1 (31 August to 10 September 1997), cruise 2 (11-20 September 1997), and cruise 3 (20-30 September 1997). Medically attended ARI was defined as any 2 of the following symptoms: fever (temperature, > or =37.8 degrees C) or feverishness, sore throat, cough, nasal congestion, chills, myalgia, and arthralgia. During cruise 2, we collected nasopharyngeal swabs for viral culture from people with ARI and surveyed passengers for self-reported ARI (defined as above except feverishness was substituted for fever). The outbreak probably began among Australian passengers on cruise 1 (relative risk, 3.3; 95% confidence interval, 1.89-5.77). Of 1284 passengers on cruise 2, 215 (17%) reported ARI, 994 (77%) were aged > or =65 years, and 336 (26%) had other risk factors for respiratory complications. An influenza strain not previously identified in North America was isolated. We concluded that an "off-season" influenza outbreak occurred among international travelers and crew on board this cruise ship. SN - 1058-4838 UR - https://www.unboundmedicine.com/medline/citation/10987701/Cruise_ships:_high_risk_passengers_and_the_global_spread_of_new_influenza_viruses_ L2 - https://academic.oup.com/cid/article-lookup/doi/10.1086/313974 DB - PRIME DP - Unbound Medicine ER -