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Outbreaks of diarrhoeal illness on passenger cruise ships, 1975–85

Published online by Cambridge University Press:  15 May 2009

D. G. Addiss ,
J. C. Yashuk ,
D. E. Clapp  and
P. A. Blake
D. G. Addiss
Affiliation:
The Enteric Diseases Branch, Division of Bacterial Diseases, Center for Infectious Diseases
J. C. Yashuk
Affiliation:
and the Special Programs Group, Office of the Director, Center for Environmental Health and Injury Control,Centers for Disease Control, Atlanta, Georgia 30333, USA
D. E. Clapp
Affiliation:
and the Special Programs Group, Office of the Director, Center for Environmental Health and Injury Control,Centers for Disease Control, Atlanta, Georgia 30333, USA
P. A. Blake
Affiliation:
The Enteric Diseases Branch, Division of Bacterial Diseases, Center for Infectious Diseases
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Summary

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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.

Type
Special Article
Information
Epidemiology & Infection , Volume 103 , Issue 1 , August 1989 , pp. 63 - 72
Copyright
Copyright © Cambridge University Press 1989

References

REFERENCES

Aiso, K. (1967). Generation time of Vibrio parahaemolyticus and the growth in contaminated foods. In Vibrio parahaemolyticus, vol 2 (ed. Fujino, T. and Fukimi, H.), pp. 345–350. Tokyo, Japan: Naya Shoten.Google Scholar
Berkelman, R. L., Cohen, M. L., Yashuk, J., Barrett, T., Wells, J. G. & Blake, P. A. (1983). Traveler's diarrhea at sea: two multi-pathogen outbreaks caused by food eaten on shore visits. American Journal of Public Health 73, 770–772.CrossRefGoogle ScholarPubMed
Blake, P. A., Weaver, R. E. & Hollis, D. G. (1980). Diseases of humans (other than cholera) caused by Vibrios. Annual Review of Microbiology 34, 341–367.CrossRefGoogle ScholarPubMed
Centers for Disease Control (1983). Water-related disease outbreaks, annual summary 1982, pp. 1–15. Atlanta, Georgia: US Department of Health and Human Services.Google Scholar
Centers for Disease Control (1985). Foodborne disease outbreaks, annual summary 1982, pp. 1–38. Atlanta, Georgia: US Department of Health and Human Services.Google Scholar
Centers for Disease Control (1988). Vessel sanitation scores. Morbidity and Mortality Weekly Reports 37, 114–117.Google Scholar
Dannenberg, A. L., Yashuk, J. C. & Feldman, R. A. (1982). Gastrointestinal illness on passenger cruise ships, 1975—78. American Journal of Public Health 72, 484–488.CrossRefGoogle Scholar
Davies, J. W., Cox, K. G., Simon, W. R., Bowmer, E. J. & Mallory, A. (1977). Typhoid at sea: epidemic aboard an oceanliner. Canadian Medical Association Journal 106, 877–883.Google Scholar
Merson, M. H., Tenney, J. H., Meyers, J. D., Wood, B. T., Wells, J. G., Rymzo, W., Cline, B., DeWitt, W. E., Skaliy, P. & Mallison, G. F. (1975a). Shigellosis at sea: an outbreak aboard a passenger cruise ship. American Journal of Epidemiology 101, 165–175.CrossRefGoogle Scholar
Merson, M. H., Hughes, J. M., Wood, B. T., Yashuk, J. C. & Wells, J. G. (1975b). Gastrointestinal illness on passenger cruise ships. Journal of the American Medical Association 231, 723–727.CrossRefGoogle ScholarPubMed
Monto, A. S. & Koopman, J. S. (1980). The Tecumseh study. XI. Occurrence of acute enteric illness in the community. American Journal of Epidemiology 112, 323–333.CrossRefGoogle ScholarPubMed
US Public Health Service (1987). Vessel Sanitation Program Operations Manual, pp. 1–73. Atlanta, Georgia: US Department of Health and Human Services.Google Scholar
Zen-Yoji, H., Sakai, S., Terayama, T., Kudo, Y., Ito, T., Benoki, M. & Nagasaki, M. (1965). Epidemiology, enteropathogenicity, and classification of Vibrio parahaemolyticus. Journal of Infectious Diseases 115, 436–444.CrossRefGoogle Scholar