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Outbreaks of diarrhoeal illness on passenger cruise ships, 1975-85.
Epidemiol Infect. 1989 Aug; 103(1):63-72.EI

Abstract

We reviewed data from the Vessel Sanitation Program (VSP), established by the US Public Health Service in 1975, to describe the epidemiology of shipboard diarrhoeal outbreaks, determine the risk of outbreak-related illness among cruise ship passengers, and evaluate changes in rates and patterns of shipboard diarrhoeal illness since the VSP was implemented. When the programme began, none of the cruise ships passed periodic VSP sanitation inspections; since 1978, more than 50% of ships have met the standard each year. On cruises lasting 3-15 days and having at least 100 passengers, diarrhoeal disease outbreaks investigated by the Centers for Disease Control decreased from 8.1 to 3.0 per 10 million passenger days between 1975-79 and 1980-85. The proportion of outbreaks due to bacterial pathogens (36%) did not change. Seafood cocktail was implicated in 8 of 13 documented food-borne outbreaks. The risk of diarrhoeal disease outbreaks on cruise ships appears to have decreased since implementation of the VSP but has not been eliminated.

Authors+Show Affiliations

Division of Bacterial Diseases, Centers for Disease Control, Atlanta, Georgia 30333.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

2776853

Citation

Addiss, D G., et al. "Outbreaks of Diarrhoeal Illness On Passenger Cruise Ships, 1975-85." Epidemiology and Infection, vol. 103, no. 1, 1989, pp. 63-72.
Addiss DG, Yashuk JC, Clapp DE, et al. Outbreaks of diarrhoeal illness on passenger cruise ships, 1975-85. Epidemiol Infect. 1989;103(1):63-72.
Addiss, D. G., Yashuk, J. C., Clapp, D. E., & Blake, P. A. (1989). Outbreaks of diarrhoeal illness on passenger cruise ships, 1975-85. Epidemiology and Infection, 103(1), 63-72.
Addiss DG, et al. Outbreaks of Diarrhoeal Illness On Passenger Cruise Ships, 1975-85. Epidemiol Infect. 1989;103(1):63-72. PubMed PMID: 2776853.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outbreaks of diarrhoeal illness on passenger cruise ships, 1975-85. AU - Addiss,D G, AU - Yashuk,J C, AU - Clapp,D E, AU - Blake,P A, PY - 1989/8/1/pubmed PY - 1989/8/1/medline PY - 1989/8/1/entrez SP - 63 EP - 72 JF - Epidemiology and infection JO - Epidemiol Infect VL - 103 IS - 1 N2 - We reviewed data from the Vessel Sanitation Program (VSP), established by the US Public Health Service in 1975, to describe the epidemiology of shipboard diarrhoeal outbreaks, determine the risk of outbreak-related illness among cruise ship passengers, and evaluate changes in rates and patterns of shipboard diarrhoeal illness since the VSP was implemented. When the programme began, none of the cruise ships passed periodic VSP sanitation inspections; since 1978, more than 50% of ships have met the standard each year. On cruises lasting 3-15 days and having at least 100 passengers, diarrhoeal disease outbreaks investigated by the Centers for Disease Control decreased from 8.1 to 3.0 per 10 million passenger days between 1975-79 and 1980-85. The proportion of outbreaks due to bacterial pathogens (36%) did not change. Seafood cocktail was implicated in 8 of 13 documented food-borne outbreaks. The risk of diarrhoeal disease outbreaks on cruise ships appears to have decreased since implementation of the VSP but has not been eliminated. SN - 0950-2688 UR - https://www.unboundmedicine.com/medline/citation/2776853/Outbreaks_of_diarrhoeal_illness_on_passenger_cruise_ships_1975_85_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/2776853/ DB - PRIME DP - Unbound Medicine ER -