Estimating the risk of communicable diseases aboard cargo ships.
Identifieur interne : 000360 ( Main/Exploration ); précédent : 000359; suivant : 000361Estimating the risk of communicable diseases aboard cargo ships.
Auteurs : Clara C. Schlaich [Allemagne] ; Marcus Oldenburg ; Maike M. LamshöftSource :
- Journal of travel medicine [ 1708-8305 ]
Descripteurs français
- KwdFr :
- Allemagne (épidémiologie), Dossiers médicaux (MeSH), Facteurs de risque (MeSH), Humains (MeSH), Incidence (MeSH), Infections de l'appareil respiratoire (épidémiologie), Maladies gastro-intestinales (épidémiologie), Maladies transmissibles (épidémiologie), Navires (MeSH), Voyage (MeSH), Épidémies de maladies (statistiques et données numériques), Études rétrospectives (MeSH).
- MESH :
- statistiques et données numériques : Épidémies de maladies.
- épidémiologie : Allemagne, Infections de l'appareil respiratoire, Maladies gastro-intestinales, Maladies transmissibles.
- Dossiers médicaux, Facteurs de risque, Humains, Incidence, Navires, Voyage, Études rétrospectives.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Communicable Diseases (epidemiology), Disease Outbreaks (statistics & numerical data), Gastrointestinal Diseases (epidemiology), Germany (epidemiology), Humans (MeSH), Incidence (MeSH), Medical Records (MeSH), Respiratory Tract Infections (epidemiology), Retrospective Studies (MeSH), Risk Factors (MeSH), Ships (MeSH), Travel (MeSH).
- MESH :
- geographic , epidemiology : Germany.
- epidemiology : Communicable Diseases, Gastrointestinal Diseases, Respiratory Tract Infections.
- statistics & numerical data : Disease Outbreaks.
- Humans, Incidence, Medical Records, Retrospective Studies, Risk Factors, Ships, Travel.
Abstract
BACKGROUND
International travel and trade are known to be associated with the risk of spreading communicable diseases across borders. No international surveillance system for infectious diseases on ships exists. Outbreak reports and systematic studies mainly focus on disease activity on cruise ships. The study aims to assess the relevance of communicable disease occurrence on cargo ships.
METHODS
Retrospective analysis of all documented entries to 49 medical log books from seagoing cargo ships under German flag between 2000 and 2008. Incidence rates were calculated per 100 person-years at sea. Case series of acute respiratory illness, influenza-like illness, and infectious gastrointestinal illness affecting more than two persons within 1 successive week were classified as an outbreak. Attack rates were calculated based on number of entries to the medical log book in comparison to the average shipboard population during outbreak periods.
RESULTS
During more than 1.5 million person-days of observation, 21% of the visits to the ship's infirmary were due to presumably communicable diseases (45.8 consultations per 100 person-years). As many as 33.9 patients per 100 person-years sought medical attention for acute respiratory symptoms. Of the 68 outbreaks that met predefined criteria, 66 were caused by acute respiratory illness with a subset of 12 outbreaks caused by influenza-like illness. Attack rates ranged between 3 and 10 affected seafarers per ship (12.5&-41.6% of the crew). Two outbreaks of gastrointestinal illness were detected.
DISCUSSION
Respiratory illness is the most common cause of presumably communicable diseases aboard cargo ships and may cause outbreaks of considerable morbidity. Although the validity of the data is limited due to the use of nonprofessional diagnoses, missing or illegible entries, and restriction of the study population to German ships, the results provide guidance to ship owners and to Port Health Authorities to allocate resources and build capacities under International Health Regulations 2005.
DOI: 10.1111/j.1708-8305.2009.00343.x
PubMed: 19930380
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Schlaich</name><affiliation wicri:level="3"><nlm:affiliation>Hamburg Port Health Center, Institute for Occupational and Maritime Medicine, Hamburg, Germany. clara.schlaich@bsg.hamburg.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Hamburg Port Health Center, Institute for Occupational and Maritime Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Oldenburg, Marcus" sort="Oldenburg, Marcus" uniqKey="Oldenburg M" first="Marcus" last="Oldenburg">Marcus Oldenburg</name></author><author><name sortKey="Lamshoft, Maike M" sort="Lamshoft, Maike M" uniqKey="Lamshoft M" first="Maike M" last="Lamshöft">Maike M. Lamshöft</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009 Nov-Dec</date><idno type="RBID">pubmed:19930380</idno><idno type="pmid">19930380</idno><idno type="doi">10.1111/j.1708-8305.2009.00343.x</idno><idno type="wicri:Area/Main/Corpus">000372</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000372</idno><idno type="wicri:Area/Main/Curation">000372</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000372</idno><idno type="wicri:Area/Main/Exploration">000372</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Estimating the risk of communicable diseases aboard cargo ships.</title><author><name sortKey="Schlaich, Clara C" sort="Schlaich, Clara C" uniqKey="Schlaich C" first="Clara C" last="Schlaich">Clara C. Schlaich</name><affiliation wicri:level="3"><nlm:affiliation>Hamburg Port Health Center, Institute for Occupational and Maritime Medicine, Hamburg, Germany. clara.schlaich@bsg.hamburg.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Hamburg Port Health Center, Institute for Occupational and Maritime Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Oldenburg, Marcus" sort="Oldenburg, Marcus" uniqKey="Oldenburg M" first="Marcus" last="Oldenburg">Marcus Oldenburg</name></author><author><name sortKey="Lamshoft, Maike M" sort="Lamshoft, Maike M" uniqKey="Lamshoft M" first="Maike M" last="Lamshöft">Maike M. Lamshöft</name></author></analytic><series><title level="j">Journal of travel medicine</title><idno type="eISSN">1708-8305</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Communicable Diseases (epidemiology)</term><term>Disease Outbreaks (statistics & numerical data)</term><term>Gastrointestinal Diseases (epidemiology)</term><term>Germany (epidemiology)</term><term>Humans (MeSH)</term><term>Incidence (MeSH)</term><term>Medical Records (MeSH)</term><term>Respiratory Tract Infections (epidemiology)</term><term>Retrospective Studies (MeSH)</term><term>Risk Factors (MeSH)</term><term>Ships (MeSH)</term><term>Travel (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Allemagne (épidémiologie)</term><term>Dossiers médicaux (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Humains (MeSH)</term><term>Incidence (MeSH)</term><term>Infections de l'appareil respiratoire (épidémiologie)</term><term>Maladies gastro-intestinales (épidémiologie)</term><term>Maladies transmissibles (épidémiologie)</term><term>Navires (MeSH)</term><term>Voyage (MeSH)</term><term>Épidémies de maladies (statistiques et données numériques)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Communicable Diseases</term><term>Gastrointestinal Diseases</term><term>Respiratory Tract Infections</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Disease Outbreaks</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Épidémies de maladies</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Allemagne</term><term>Infections de l'appareil respiratoire</term><term>Maladies gastro-intestinales</term><term>Maladies transmissibles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Incidence</term><term>Medical Records</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Ships</term><term>Travel</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Dossiers médicaux</term><term>Facteurs de risque</term><term>Humains</term><term>Incidence</term><term>Navires</term><term>Voyage</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>International travel and trade are known to be associated with the risk of spreading communicable diseases across borders. No international surveillance system for infectious diseases on ships exists. Outbreak reports and systematic studies mainly focus on disease activity on cruise ships. The study aims to assess the relevance of communicable disease occurrence on cargo ships.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Retrospective analysis of all documented entries to 49 medical log books from seagoing cargo ships under German flag between 2000 and 2008. Incidence rates were calculated per 100 person-years at sea. Case series of acute respiratory illness, influenza-like illness, and infectious gastrointestinal illness affecting more than two persons within 1 successive week were classified as an outbreak. Attack rates were calculated based on number of entries to the medical log book in comparison to the average shipboard population during outbreak periods.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>During more than 1.5 million person-days of observation, 21% of the visits to the ship's infirmary were due to presumably communicable diseases (45.8 consultations per 100 person-years). As many as 33.9 patients per 100 person-years sought medical attention for acute respiratory symptoms. Of the 68 outbreaks that met predefined criteria, 66 were caused by acute respiratory illness with a subset of 12 outbreaks caused by influenza-like illness. Attack rates ranged between 3 and 10 affected seafarers per ship (12.5&-41.6% of the crew). Two outbreaks of gastrointestinal illness were detected.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>Respiratory illness is the most common cause of presumably communicable diseases aboard cargo ships and may cause outbreaks of considerable morbidity. Although the validity of the data is limited due to the use of nonprofessional diagnoses, missing or illegible entries, and restriction of the study population to German ships, the results provide guidance to ship owners and to Port Health Authorities to allocate resources and build capacities under International Health Regulations 2005.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19930380</PMID><DateCompleted><Year>2010</Year><Month>04</Month><Day>02</Day></DateCompleted><DateRevised><Year>2009</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1708-8305</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><Issue>6</Issue><PubDate><MedlineDate>2009 Nov-Dec</MedlineDate></PubDate></JournalIssue><Title>Journal of travel medicine</Title><ISOAbbreviation>J Travel Med</ISOAbbreviation></Journal><ArticleTitle>Estimating the risk of communicable diseases aboard cargo ships.</ArticleTitle><Pagination><MedlinePgn>402-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1708-8305.2009.00343.x</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">International travel and trade are known to be associated with the risk of spreading communicable diseases across borders. No international surveillance system for infectious diseases on ships exists. Outbreak reports and systematic studies mainly focus on disease activity on cruise ships. The study aims to assess the relevance of communicable disease occurrence on cargo ships.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective analysis of all documented entries to 49 medical log books from seagoing cargo ships under German flag between 2000 and 2008. Incidence rates were calculated per 100 person-years at sea. Case series of acute respiratory illness, influenza-like illness, and infectious gastrointestinal illness affecting more than two persons within 1 successive week were classified as an outbreak. Attack rates were calculated based on number of entries to the medical log book in comparison to the average shipboard population during outbreak periods.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">During more than 1.5 million person-days of observation, 21% of the visits to the ship's infirmary were due to presumably communicable diseases (45.8 consultations per 100 person-years). As many as 33.9 patients per 100 person-years sought medical attention for acute respiratory symptoms. Of the 68 outbreaks that met predefined criteria, 66 were caused by acute respiratory illness with a subset of 12 outbreaks caused by influenza-like illness. Attack rates ranged between 3 and 10 affected seafarers per ship (12.5&-41.6% of the crew). Two outbreaks of gastrointestinal illness were detected.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Respiratory illness is the most common cause of presumably communicable diseases aboard cargo ships and may cause outbreaks of considerable morbidity. Although the validity of the data is limited due to the use of nonprofessional diagnoses, missing or illegible entries, and restriction of the study population to German ships, the results provide guidance to ship owners and to Port Health Authorities to allocate resources and build capacities under International Health Regulations 2005.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schlaich</LastName><ForeName>Clara C</ForeName><Initials>CC</Initials><AffiliationInfo><Affiliation>Hamburg Port Health Center, Institute for Occupational and Maritime Medicine, Hamburg, Germany. clara.schlaich@bsg.hamburg.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Oldenburg</LastName><ForeName>Marcus</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Lamshöft</LastName><ForeName>Maike M</ForeName><Initials>MM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Travel Med</MedlineTA><NlmUniqueID>9434456</NlmUniqueID><ISSNLinking>1195-1982</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003141" MajorTopicYN="N">Communicable Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="N">Disease Outbreaks</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005767" MajorTopicYN="N">Gastrointestinal Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008499" MajorTopicYN="N">Medical Records</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012141" MajorTopicYN="N">Respiratory Tract Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012767" MajorTopicYN="Y">Ships</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014195" MajorTopicYN="N">Travel</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>11</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>11</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>4</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19930380</ArticleId><ArticleId IdType="pii">JTM343</ArticleId><ArticleId IdType="doi">10.1111/j.1708-8305.2009.00343.x</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Hambourg</li></region><settlement><li>Hambourg</li></settlement></list><tree><noCountry><name sortKey="Lamshoft, Maike M" sort="Lamshoft, Maike M" uniqKey="Lamshoft M" first="Maike M" last="Lamshöft">Maike M. Lamshöft</name><name sortKey="Oldenburg, Marcus" sort="Oldenburg, Marcus" uniqKey="Oldenburg M" first="Marcus" last="Oldenburg">Marcus Oldenburg</name></noCountry><country name="Allemagne"><region name="Hambourg"><name sortKey="Schlaich, Clara C" sort="Schlaich, Clara C" uniqKey="Schlaich C" first="Clara C" last="Schlaich">Clara C. Schlaich</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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