tetano
Editor, Senior Moderator
Emerg Infect Dis
. 2021 Sep;27(9):2251-2260.
doi: 10.3201/eid2709.204596.
Epidemiology of Coronavirus Disease Outbreak among Crewmembers on Cruise Ship, Nagasaki City, Japan, April 2020
Haruka Maeda, Eiichiro Sando, Michiko Toizumi, Yuzo Arima, Tomoe Shimada, Takeshi Tanaka, Masato Tashiro, Ayumi Fujita, Katsunori Yanagihara, Hayato Takayama, Ikkoh Yasuda, Nobuyuki Kawachi, Yoshitaka Kohayagawa, Maiko Hasegawa, Katsuaki Motomura, Rie Fujita, Katsumi Nakata, Jiro Yasuda, Koichi Morita, Shigeru Kohno, Koichi Izumikawa, Motoi Suzuki, Konosuke Morimoto
Abstract
In April 2020, a coronavirus disease (COVID-19) outbreak occurred on the cruise ship Costa Atlantica in Nagasaki, Japan. Our outbreak investigation included 623 multinational crewmembers onboard on April 20. Median age was 31 years; 84% were men. Each crewmember was isolated or quarantined in a single room inside the ship, and monitoring of health status was supported by a remote health monitoring system. Crewmembers with more severe illness were hospitalized. The investigation found that the outbreak started in late March and peaked in late April, resulting in 149 laboratory-confirmed and 107 probable cases of infection with severe acute respiratory syndrome coronavirus 2. Six case-patients were hospitalized for COVID-19 pneumonia, including 1 in severe condition and 2 who required oxygen administration, but no deaths occurred. Although the virus can spread rapidly on a cruise ship, we describe how prompt isolation and quarantine combined with a sensitive syndromic surveillance system can control a COVID-19 outbreak.
Keywords: COVID-19; Japan; SARS-CoV-2; coronavirus disease; cruise ship; epidemiology; outbreak; respiratory infections; severe acute respiratory syndrome coronavirus 2; viruses; zoonoses.
. 2021 Sep;27(9):2251-2260.
doi: 10.3201/eid2709.204596.
Epidemiology of Coronavirus Disease Outbreak among Crewmembers on Cruise Ship, Nagasaki City, Japan, April 2020
Haruka Maeda, Eiichiro Sando, Michiko Toizumi, Yuzo Arima, Tomoe Shimada, Takeshi Tanaka, Masato Tashiro, Ayumi Fujita, Katsunori Yanagihara, Hayato Takayama, Ikkoh Yasuda, Nobuyuki Kawachi, Yoshitaka Kohayagawa, Maiko Hasegawa, Katsuaki Motomura, Rie Fujita, Katsumi Nakata, Jiro Yasuda, Koichi Morita, Shigeru Kohno, Koichi Izumikawa, Motoi Suzuki, Konosuke Morimoto
- PMID: 34423761
- DOI: 10.3201/eid2709.204596
Abstract
In April 2020, a coronavirus disease (COVID-19) outbreak occurred on the cruise ship Costa Atlantica in Nagasaki, Japan. Our outbreak investigation included 623 multinational crewmembers onboard on April 20. Median age was 31 years; 84% were men. Each crewmember was isolated or quarantined in a single room inside the ship, and monitoring of health status was supported by a remote health monitoring system. Crewmembers with more severe illness were hospitalized. The investigation found that the outbreak started in late March and peaked in late April, resulting in 149 laboratory-confirmed and 107 probable cases of infection with severe acute respiratory syndrome coronavirus 2. Six case-patients were hospitalized for COVID-19 pneumonia, including 1 in severe condition and 2 who required oxygen administration, but no deaths occurred. Although the virus can spread rapidly on a cruise ship, we describe how prompt isolation and quarantine combined with a sensitive syndromic surveillance system can control a COVID-19 outbreak.
Keywords: COVID-19; Japan; SARS-CoV-2; coronavirus disease; cruise ship; epidemiology; outbreak; respiratory infections; severe acute respiratory syndrome coronavirus 2; viruses; zoonoses.