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The Maritime Declaration of Health (MDH) as a tool to detect maritime traffic-related health risks: analysis of MDH forms submitted to Spanish ports, October 2014 to March 2015.
Euro Surveill. 2017 Jun 15; 22(24)ES

Abstract

The international maritime traffic of people and goods has often contributed to the spread of pathogens affecting public health. The Maritime Declaration of Health (MDH), according to the International Health Regulations (IHR) (2005), is a document containing data related to the state of health on board a ship during passage and on arrival at port. It is a useful tool for early detection of public health risks. The main objective of our study was to evaluate compliance with the model provided in the IHR, focusing on the format and degree of completion of MDH forms received at Spanish ports. We reviewed the content of 802 MDH forms submitted to nine Spanish ports between October 2014 and March 2015. Study results show that 22% of MDH forms presented did not comply with the recommended model and 39% were incomplete. The proportion of cargo ships with correct and complete MDH forms was lower than passenger ships; thus, the nine health questions were answered less frequently by cargo ships than passenger ships (63% vs 90%, p value < 0.001). The appropriate demand and usage of MDH forms by competent authorities should improve the quality of the document as a tool and improve risk assessment.

Authors+Show Affiliations

Medical service, Port Health Authority of Málaga, Málaga, Spain.Medical service, Port Health Authority of Málaga, Málaga, Spain.Medical service, Port Health Authority of Málaga, Málaga, Spain.Medical service, Port Health Authority of Málaga, Málaga, Spain.Medical service, Port Health Authority of Tarragona, Tarragona, Spain.Medical service, Port Health Authority of Tarragona, Tarragona, Spain.Medical service, Port Health Authority of Tenerife, Santa Cruz de Tenerife, Spain.Medical service, Port Health Authority of Tenerife, Santa Cruz de Tenerife, Spain.Medical service, Port Health Authority of A Coruña, A Coruña, Spain.Medical service, Port Health Authority of A Coruña, A Coruña, Spain.Medical service, Port Health Authority of Vigo, Vigo, Spain.Medical service, Port Health Authority of Vigo, Vigo, Spain.Medical service, Port Health Authority of Huelva, Huelva, Spain.Medical service, Port Health Authority of Huelva, Huelva, Spain.Medical service, Port Health Authority of Santander, Santander, Spain.Medical service, Port Health Authority of Algeciras, Algeciras, Spain.Medical service, Port Health Authority of Algeciras, Algeciras, Spain.Medical service, Port Health Authority of Barcelona, Barcelona, Spain.Subdirección General de Sanidad Exterior, Ministry of Health, Madrid, Spain.Subdirección General de Sanidad Exterior, Ministry of Health, Madrid, Spain.Subdirección General de Sanidad Exterior, Ministry of Health, Madrid, Spain.Department of Public Health, University of Málaga, Málaga, Spain.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28661394

Citation

López-Gigosos, Rosa M., et al. "The Maritime Declaration of Health (MDH) as a Tool to Detect Maritime Traffic-related Health Risks: Analysis of MDH Forms Submitted to Spanish Ports, October 2014 to March 2015." Euro Surveillance : Bulletin Europeen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin, vol. 22, no. 24, 2017.
López-Gigosos RM, Segura M, Díez-Díaz RM, et al. The Maritime Declaration of Health (MDH) as a tool to detect maritime traffic-related health risks: analysis of MDH forms submitted to Spanish ports, October 2014 to March 2015. Euro Surveill. 2017;22(24).
López-Gigosos, R. M., Segura, M., Díez-Díaz, R. M., Ureña, I., Urzay, D., Guillot, P., Guerra-Neira, A., Rivera, A., Pérez-Cobaleda, Á., Martín, A., Nuñez-Torrón, M., Alvarez, B., Faraco, M., Barrera, J. M., Calvo, M. J., Gallegos, J., Bermejo, A., Aramburu, C., Dávila, M., ... Mariscal, A. (2017). The Maritime Declaration of Health (MDH) as a tool to detect maritime traffic-related health risks: analysis of MDH forms submitted to Spanish ports, October 2014 to March 2015. Euro Surveillance : Bulletin Europeen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin, 22(24). https://doi.org/10.2807/1560-7917.ES.2017.22.24.30551
López-Gigosos RM, et al. The Maritime Declaration of Health (MDH) as a Tool to Detect Maritime Traffic-related Health Risks: Analysis of MDH Forms Submitted to Spanish Ports, October 2014 to March 2015. Euro Surveill. 2017 Jun 15;22(24) PubMed PMID: 28661394.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Maritime Declaration of Health (MDH) as a tool to detect maritime traffic-related health risks: analysis of MDH forms submitted to Spanish ports, October 2014 to March 2015. AU - López-Gigosos,Rosa M, AU - Segura,Marina, AU - Díez-Díaz,Rosa M, AU - Ureña,Isabel, AU - Urzay,David, AU - Guillot,Patricia, AU - Guerra-Neira,Ana, AU - Rivera,Almudena, AU - Pérez-Cobaleda,Ángeles, AU - Martín,Ascensión, AU - Nuñez-Torrón,María, AU - Alvarez,Begoña, AU - Faraco,Mar, AU - Barrera,José M, AU - Calvo,María J, AU - Gallegos,José, AU - Bermejo,Antonio, AU - Aramburu,Carmen, AU - Dávila,Miguel, AU - Carreras,Fernando, AU - Neipp,Rosemarie, AU - Mariscal,Alberto, PY - 2016/05/03/received PY - 2016/12/15/accepted PY - 2017/6/30/entrez PY - 2017/7/1/pubmed PY - 2017/12/20/medline KW - International Health Regulation 2005 KW - Maritime Declaration of Health KW - international travel KW - surveillance JF - Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin JO - Euro Surveill VL - 22 IS - 24 N2 - The international maritime traffic of people and goods has often contributed to the spread of pathogens affecting public health. The Maritime Declaration of Health (MDH), according to the International Health Regulations (IHR) (2005), is a document containing data related to the state of health on board a ship during passage and on arrival at port. It is a useful tool for early detection of public health risks. The main objective of our study was to evaluate compliance with the model provided in the IHR, focusing on the format and degree of completion of MDH forms received at Spanish ports. We reviewed the content of 802 MDH forms submitted to nine Spanish ports between October 2014 and March 2015. Study results show that 22% of MDH forms presented did not comply with the recommended model and 39% were incomplete. The proportion of cargo ships with correct and complete MDH forms was lower than passenger ships; thus, the nine health questions were answered less frequently by cargo ships than passenger ships (63% vs 90%, p value < 0.001). The appropriate demand and usage of MDH forms by competent authorities should improve the quality of the document as a tool and improve risk assessment. SN - 1560-7917 UR - https://www.unboundmedicine.com/medline/citation/28661394/The_Maritime_Declaration_of_Health__MDH__as_a_tool_to_detect_maritime_traffic_related_health_risks:_analysis_of_MDH_forms_submitted_to_Spanish_ports_October_2014_to_March_2015_ DB - PRIME DP - Unbound Medicine ER -