- To describe the epidemiology of cruise-associated diarrheal disease outbreaks from 1986 through 1993, to determine if the incidence had changed since 1985, and to determine the preventability of outbreaks that continue to occur.
- The numerator data were collated from Centers for Disease Control and Prevention (CDC) outbreak investigation reports from 1986 through 1993.
The denominator data were summations of cruise ship data on the number of passengers and length of cruises collected during routine diarrheal illness surveillance, available only for the period 1989 through 1993.
- Cruise ships with outbreaks of diarrheal disease.
- Cruise ship passengers and crew or staff who participated in the original investigations.
- The incidence of outbreaks during the study period, pathogens isolated, and vehicles of transmission implicated in investigations.
- Among cruises of 3 to 15 days, CDC staff investigated 1.4 outbreaks per 1000 cruises, or 2.3 outbreaks per 10 million passenger-days.
An etiologic agent was implicated in 21 (68%) of 31 investigated outbreaks : bacterial in 12, viral in nine.
A specific vehicle of transmission was identified in 16.
The most common vehicles of transmission were undercooked scallops (three outbreaks caused by enterotoxigenic Escherichia coli), eggs (two outbreaks caused by Salmonella serotype Enteritidis, one by Norwalk-like virus), and food items prov...
Mots-clés Pascal : Diarrhée, Navigation, Passager, Personnel navigant, Bateau plaisance, Epidémiologie, Prévention, Etiologie, Homme, Appareil digestif pathologie, Intestin pathologie, Infection, Santé publique
Mots-clés Pascal anglais : Diarrhea, Navigation, Passenger, Crew, Pleasure boat, Epidemiology, Prevention, Etiology, Human, Digestive diseases, Intestinal disease, Infection
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0142709
Code Inist : 002B05B02F. Création : 199608.