| Dealing with gastrointestinal illness on a cruise ship--Part 1: Description of sanitation measures. Part 2: An isolation study. | |
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MedLine Citation:
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PMID: 15881540 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Eilif Dahl |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International maritime health Volume: 55 ISSN: 1641-9251 ISO Abbreviation: Int Marit Health Publication Date: 2004 |
Date Detail:
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Created Date: 2005-05-09 Completed Date: 2005-07-27 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 100958373 Medline TA: Int Marit Health Country: Poland |
Other Details:
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Languages: eng Pagination: 19-29 Citation Subset: IM |
Affiliation:
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Professor Dahls Gate 50A, 0260 Oslo, Norway. eilifdahl@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diarrhea
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epidemiology*,
etiology,
prevention & control* Disease Outbreaks / prevention & control* Food Contamination / prevention & control Humans Practice Guidelines as Topic Recreation Sanitation* Ships / statistics & numerical data* World Health |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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