Health measures to travellers and cruise ships in response to COVID-19

Mouchtouri, Varvara A.; Dirksen-Fischer, Martin; Hadjichristodoulou, Christos

doi:10.1093/jtm/taaa043

Cited by 13 publications

(11 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example: evacuation of high-risk contacts has challenging issues such as visa-issues, arrangement of a suitable quarantine location, and rules for crossing borders. It is also unclear who is responsible for costs [8]. It is helpful to describe beforehand who is responsible when an outbreak on a ship occurs for which actions, including measures taken on board, measures taken on shore, and communication.…”

Section: Discussion Coordination Of Outbreak Measuresmentioning

confidence: 99%

“…Since the beginning of the pandemic, several outbreaks on ships have been described worldwide [1][2][3][4][5][6]. Once SARS-CoV-2 is introduced, ships are at high risk for an outbreak due to crew working closely together in confined spaces [2,7,8]. Here we describe an outbreak among the crew of an industrial ship, from a public health point of view.…”

Section: Introductionmentioning

confidence: 95%

See 1 more Smart Citation

Outbreak of COVID-19 on an industrial ship

Fanoy¹,

Ummels²,

Schokkenbroek³

et al. 2021

International Maritime Health

View full text Add to dashboard Cite

show abstract

Section: Discussion Coordination Of Outbreak Measuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

Outbreak of COVID-19 on an industrial ship

Fanoy¹,

Ummels²,

Schokkenbroek³

et al. 2021

International Maritime Health

View full text Add to dashboard Cite

show abstract

“…Because of the large proportion of travelers who tested positive in this outbreak, the relevant authorities decided that COVID-19 case-patients would be isolated onboard the ship, whereas travelers who tested negative would disembark and quarantine individually in hotels. Individual quarantine and isolation in separate facilities was effective in preventing further spread (2,6,(8)(9)(10)(11). These measures contributed to preventing intra-cabin transmission, which was documented in other COVID-19 outbreaks onboard passenger ships (12,13).…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Outbreak on a Passenger Ship and Assessment of Response Measures, Greece, 2020

Hatzianastasiou¹,

Mouchtouri²,

Pavli³

et al. 2021

Emerg. Infect. Dis.

Self Cite

View full text Add to dashboard Cite

ger and 1,606-bed capacity) with 33 crew members sailed from Piraeus, Greece, to Cesme, Turkey, where an additional 350 crew members embarked on March 8, 2020 (1). For 21 days, the ship sailed without any disembarkations or embarkations until the fi rst suspected coronavirus disease (COVID-19) case was reported to the health authority of the Piraeus port on March 28, 2020. We describe results of the outbreak investigation, including risk factors for transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The StudyWe collected data by completing standardized forms through interviews and medical examination of all travelers onboard and by reviewing the ship records and logs. We used descriptive statistics to analyze the study variables and performed univariate and multivariate analyses.In conducting clinical management of cases, we followed guidelines from the Hellenic National Public Health Organization (NPHO) for health measures on travelers and repatriation, which were based on the European Union Healthy Gateways Joint Action advice for management of COVID-19 cases onboard ships (2) (Appendix Table 1, https:// wwwnc.cdc.gov/EID/article/27/7/21-0398-App1. pdf). NPHO and the Piraeus Port Health Authority provided passengers with information about using medical facemasks at all times when outside of their cabins, as well as handwashing, physical distancing, and cleaning and disinfecting cabins; ship offi cers supervised.Food preparation and laundry and cleaning services were halted; travelers were instructed to clean their own cabins and store used linens in plastic bags. Cleaning and disinfection of the terminal was done by a private company under supervision of the Piraeus Port Health Authority, after all travelers disembarked the ship at the port of Piraeus. A catering company provided packaged meals; personal hygiene supplies were also provided (including facemasks and hand sanitizer). Methods and results of the environmental sampling have been published elsewhere (3).We collected oropharyngeal specimens from all travelers onboard. Molecular tests for SARS-CoV-2 detection were performed by using the Cobas SARS-CoV-2 test qualitative assay and the Cobas 6800/8800 System (La Roche, https://www.roche. com). Serologic tests were performed on blood

show abstract

“…Asymptomatic patients could be a source of infection to these people and airline crew who themselves asymptomatic carriers are a risk to passengers. Airline companies should reflect on how to protect the crew and minimise the risk of dissemination (Mouchtouri, Dirksen-Fischer, & Hadjichristodoulou, 2020), probably by routine testing and use of personal protective equipment.…”

Section: Implications For Immigration Restrictionsmentioning

confidence: 99%

Can people with asymptomatic or pre-symptomatic COVID-19 infect others: a systematic review of primary data

Aguirre-Duarte

2020

Preprint

View full text Add to dashboard Cite

Asymptomatic but infectious people have been reported in many infectious diseases. Asymptomatic and pre-symptomatic carriers would be a hidden reservoir of COVID-19. AimThis review identifies primary empirical evidence about the ability of asymptomatic carriers to infect others with COVID-19 pandemic and reflects on the implications for control measures. MethodsA systematic review is followed by a narrative report and commentary inclusion criteria were: studies reporting primary data on asymptomatic or presymptomatic patients, who were considered to have passed on COVID-19 infection; and published in indexed journals or in peer review between January 1 and March 31, 2020. ResultsNine articles reported on 83 asymptomatic or pre-symptomatic persons. ConclusionsThe evidence confirms COVID-19 transmission from people who were asymptomatic at the time. A series of implications for health service response are laid out.

show abstract

Health measures to travellers and cruise ships in response to COVID-19

Cited by 13 publications

References 2 publications

Outbreak of COVID-19 on an industrial ship

Outbreak of COVID-19 on an industrial ship

COVID-19 Outbreak on a Passenger Ship and Assessment of Response Measures, Greece, 2020

Can people with asymptomatic or pre-symptomatic COVID-19 infect others: a systematic review of primary data

Contact Info

Product

Resources

About