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Dealing with gastrointestinal illness on a cruise ship--Part 1: Description of sanitation measures. Part 2: An isolation study.
Int Marit Health. 2004; 55(1-4):19-29.IM

Abstract

BACKGROUND

Recent outbreaks of gastrointestinal illness (GI) on passenger ships have caused cruise companies to expand their sanitation programs.

OBJECTIVES

To describe sanitation procedures and measures involving the medical staff of one cruise ship (Part 1), and to show how one of the new measures, isolation, influenced medical practice (Part 2).

METHODS

Consecutive GI logs were reviewed from 17 cruises of a ship with an average of 590 passengers and 611 crew per day.

RESULTS

During a 250-day period 207 persons were isolated for a total of 419 days: 113 passengers (75 with GI, 38 asymptomatic contacts) and 94 crew (57 with GI, 37 contacts). The percentage of GI cases per 7 days varied between 0.10% and 0.43% among passengers and between 0 and 0.39% among crew, except for one cruise when the percentage per 7 days reached 2.16% among passengers and 0.61% among crew.

CONCLUSIONS

A detailed operational directive for all aspects of sanitation is helpful for prevention and control of GI outbreaks on ships. A strict isolation policy is an expensive, but critical measure, which in particular challenges the medical staff.

Authors+Show Affiliations

Professor Dahls Gate 50A, 0260 Oslo, Norway. eilifdahl@hotmail.com

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15881540

Citation

Dahl, Eilif. "Dealing With Gastrointestinal Illness On a Cruise ship--Part 1: Description of Sanitation Measures. Part 2: an Isolation Study." International Maritime Health, vol. 55, no. 1-4, 2004, pp. 19-29.
Dahl E. Dealing with gastrointestinal illness on a cruise ship--Part 1: Description of sanitation measures. Part 2: An isolation study. Int Marit Health. 2004;55(1-4):19-29.
Dahl, E. (2004). Dealing with gastrointestinal illness on a cruise ship--Part 1: Description of sanitation measures. Part 2: An isolation study. International Maritime Health, 55(1-4), 19-29.
Dahl E. Dealing With Gastrointestinal Illness On a Cruise ship--Part 1: Description of Sanitation Measures. Part 2: an Isolation Study. Int Marit Health. 2004;55(1-4):19-29. PubMed PMID: 15881540.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dealing with gastrointestinal illness on a cruise ship--Part 1: Description of sanitation measures. Part 2: An isolation study. A1 - Dahl,Eilif, PY - 2005/5/11/pubmed PY - 2005/7/28/medline PY - 2005/5/11/entrez SP - 19 EP - 29 JF - International maritime health JO - Int Marit Health VL - 55 IS - 1-4 N2 - BACKGROUND: Recent outbreaks of gastrointestinal illness (GI) on passenger ships have caused cruise companies to expand their sanitation programs. OBJECTIVES: To describe sanitation procedures and measures involving the medical staff of one cruise ship (Part 1), and to show how one of the new measures, isolation, influenced medical practice (Part 2). METHODS: Consecutive GI logs were reviewed from 17 cruises of a ship with an average of 590 passengers and 611 crew per day. RESULTS: During a 250-day period 207 persons were isolated for a total of 419 days: 113 passengers (75 with GI, 38 asymptomatic contacts) and 94 crew (57 with GI, 37 contacts). The percentage of GI cases per 7 days varied between 0.10% and 0.43% among passengers and between 0 and 0.39% among crew, except for one cruise when the percentage per 7 days reached 2.16% among passengers and 0.61% among crew. CONCLUSIONS: A detailed operational directive for all aspects of sanitation is helpful for prevention and control of GI outbreaks on ships. A strict isolation policy is an expensive, but critical measure, which in particular challenges the medical staff. SN - 1641-9251 UR - https://www.unboundmedicine.com/medline/citation/15881540/Dealing_with_gastrointestinal_illness_on_a_cruise_ship__Part_1:_Description_of_sanitation_measures__Part_2:_An_isolation_study_ L2 - https://medlineplus.gov/diarrhea.html DB - PRIME DP - Unbound Medicine ER -