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One death and one severe case of meningitis on Msc Orchestra cruise ship, 2800 passengers under prophylaxis (Il Fatto Quotidiano, October 8 2012, edit

Giuseppe

Emeritus
[Source: Il Fatto Quotidiano, full article in Italian: (LINK). Portion extracted and translated.]


Two severe cases of meningitis on Msc Orchestra cruise ship, 2800 passengers under prophylaxis

‎7 October ‎2012


Two meningitis cases confirmed and two additional suspected cases under investigation on the Msc Orchestra cruise ship; the four cases are part of the ship?s crew. They have been hospitalized under isolation in a Livorno hospital. Two are in critical conditions in the intensive care unit. ??2800 doses of antibiotics for prophylaxis have been administered to the passengers on the Msc Orchestra ship? a local health agency press statement said. ??A massive intervention like this is unprecendented in a such short time,?? the agency said. The 2800 antibiotics prophylaxis doses have been administered to the crew members and to all passengers on the ship. An epidemiological investigation has been initiated among the patients? close contacts??.

(?)



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Re: Two severe cases of meningitis on Msc Orchestra cruise ship, 2800 passengers under prophylaxis (Il Fatto Quotidiano, October 8 2012, edited)

Re: Two severe cases of meningitis on Msc Orchestra cruise ship, 2800 passengers under prophylaxis (Il Fatto Quotidiano, October 8 2012, edited)

According an update released through Twitter by Livorno daily newspaper 'il Tirreno' (http://twitter.com/iltirreno ), the health conditions of one of the four crew members with meninigits are now critical. Another patient, a cook from Sorrento, has developed a severe form of meningitis.

(IOH)
 
Re: Two severe cases of meningitis on Msc Orchestra cruise ship, 2800 passengers under prophylaxis (Il Fatto Quotidiano, October 8 2012, edited)

Re: Two severe cases of meningitis on Msc Orchestra cruise ship, 2800 passengers under prophylaxis (Il Fatto Quotidiano, October 8 2012, edited)

[Source: UPI, full text: (LINK).]

Meningitis strikes 4 on cruise liner



‎8 October ‎2012

LIVORNO, Italy, Oct. 8 (UPI) -- A bacterial meningitis outbreak on an Italian cruise liner left four crew members hospitalized, one in critical condition, officials said.
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Re: Two severe cases of meningitis on Msc Orchestra cruise ship, 2800 passengers under prophylaxis (Il Fatto Quotidiano, October 8 2012, edited)

Re: Two severe cases of meningitis on Msc Orchestra cruise ship, 2800 passengers under prophylaxis (Il Fatto Quotidiano, October 8 2012, edited)

[Source: Italy Ministry of Health, full page in Italian: (LINK). Edited and translated.]

Meningococcal Meningitis on MSC Orchestra: situation update

Press Release n. 199 ? 08 October 2012



The Italian Ministry of Health has notified to French Focal Point yesterday, October 7 2012, at 7.55 pm, under International Health Regulations about the situation on board the cruise liner MSC ORCHESTRA, where four cases of meningococcal meningitis have been discovered.

Since then, the two countries health agencies are working in close contact.

The cases have been notified by the ship at around 4 pm to the Air and Maritime Health Office (USMAF) at Livorno.

A doctor from USMAF has been dispatched to the ship after two crew members fell ill; the two have been disembarked and immediately hospitalized in a Livorno Hospital.

Subsequently, USMAF ordered the isolation and the antibiotics prophylaxis for the close contacts of the cases, and for all the passenger on board, with exclusion of those embarked during the day; prophylaxis was offered to all the crew members.

The drugs needed for the prophylaxis (2.800 doses) have been quickly mobilized and administered by the Local Health Agency (ASL). Two antibiotics were used: rifampicin and ciprofloxacin.

The USMAF has also put under surveillance for seven days all crew members e the passengers, suggesting to MSC to contact all passengers disembarked during the last seven days at Catania, Naples in order to administer them the prophylaxis.

Two additional crew members developed symptoms of the illness and were hospitalized during the day.

The Livorno USMAF has informed about the situation the Catania and Naples USMAFs, ports were the ship stopped in the previous days.

Today, October 8 2012, the four cases have been confirmed and in two of them the causative agent is N. Meningitidis serogroup C.

The cases were in kitchen workers and thus, the likelihood they were in close contacts with other passengers is considered low.

However, since it is not possible to ascertain at the moment the virulence of the pathogen behind the ship outbreak, the Ministry of Health informed all Italian Regions about the outbreak and that the passengers, advised through the Ship Owner Company, could turn to the local health agency for receiving the prophylaxis or counseling.


Ministry of Health sent advices to the International Health Authorities for the implementation of all surveillance measures needed in such cases.
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Cruisers treated after meningitis outbreak among crew on ship

Cruisers treated after meningitis outbreak among crew on ship

Source: http://www.usatoday.com/story/cruiselog/2012/10/09/cruise-ship-meningitis-outbreak/1622063/

Cruisers treated after meningitis outbreak on ship
Cruise Log
Gene Sloan

1:07PM EST October 9. 2012 - More than 2,500 passengers on a cruise ship sailing in Europe have received antibiotics in the wake of an outbreak of bacterial meningitis on the vessel, industry watcher Seatrade Insider reports.

Seatrade Insider says four crew members of the MSC Orchestra were diagnosed with the illness and hospitalized after the ship's arrival in Livorno, Italy on Sunday. One of the crew members is in serious condition, the news outlet says...
 
Re: Two severe cases of meningitis on Msc Orchestra cruise ship, 2800 passengers under prophylaxis (Il Fatto Quotidiano, October 8 2012, edited)

Re: Two severe cases of meningitis on Msc Orchestra cruise ship, 2800 passengers under prophylaxis (Il Fatto Quotidiano, October 8 2012, edited)

Indonesian crew member infected with meningitis dies

16/10/2012

Another in critical condition

Livorno, October 16 - ...Indonesian crew member Ermandiasa I Gede, 32, died from septic shock, despite numerous attempts by doctors to resuscitate him.

...A 26-year-old Brazilian crew member was released Tuesday and will return with his wife to his home country in the upcoming days. Doctors said that the prognosis for a 32-year-old Filipino crew member is positive and that he should be released in the next several days. A 47-year-old Italian from Sorrento remains in serious condition in the intensive care department of the Livorno hospital.

Full text:
http://www.gazzettadelsud.it/news/e...rew-member-infected-with-meningitis-dies.html
 
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