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An epidemiological study of rates of illness in passengers and crew at a busy Caribbean cruise port

机译:流行的加勒比海游轮港口乘客和机组人员患病率的流行病学研究

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Background The Caribbean has one of the largest cruise ship industries in the world, with close to 20 million visitors per year. The potential for communicable disease outbreaks on vessels and the transmission by ship between countries is high. Barbados has one of the busiest ports in the Caribbean. Our aim was to describe and analyse the epidemiology of illnesses experienced by passengers and crew arriving at the Bridgetown Port, Barbados between 2009 and 2013. Methods Data on the illnesses recorded were extracted from the passenger and crew arrival registers and passenger and crew illness logs for all ships and maritime vessels arriving at Barbados’ Ports and passing through its territorial waters between January 2009 and December 2013. Data were entered into an Epi Info database and most of the analysis undertaken using Epi Info Version 7. Rates per 100,000 visits were calculated, and confidence intervals on these were derived using the software Openepi. Results There were 1031 cases of illness from over 3 million passenger visits and 1 million crew visits during this period. The overall event rate for communicable illnesses was 15.7 (95?% CI 14.4–17.1) per 100,000 passengers, and for crew was 24.0 (21.6–26.6) per 100, 000 crew. Gastroenteritis was the predominant illness experienced by passengers and crew followed by influenza. The event rate for gastroenteritis among passengers was 13.7 (12.5–15.0) per 100,000 and 14.4 (12.6, 16.5) for crew. The event rate for non-communicable illnesses was 3.4 per 100,000 passengers with myocardial infarction being the main diagnosis. The event rate for non-communicable illnesses among crew was 2.1 per 100,000, the leading cause being injuries. Conclusions The predominant illnesses reported were gastroenteritis and influenza similar to previous published reports from around the world. This study is the first of its type in the Caribbean and the data provide a baseline for future surveillance and for comparison with other countries and regions.
机译:背景技术加勒比海地区是世界上最大的游轮业之一,每年有近2000万游客。在国家之间,船只上的传染病暴发和轮船传播的可能性很高。巴巴多斯拥有加勒比海最繁忙的港口之一。我们的目的是描述和分析2009年至2013年间到达巴巴多斯布里奇敦港的乘客和机组人员所患疾病的流行病学。方法记录的疾病数据摘自乘客和机组人员到达登记簿以及乘客和机组人员的病历。在2009年1月至2013年12月之间到达巴巴多斯港口并经过其领海的所有船舶和海船。将数据输入Epi信息数据库,并使用Epi Info版本7进行大部分分析,计算出每100,000次访问的比率,并使用软件Openepi推导出其置信区间。结果在此期间,超过300万人次的旅客就诊和100万机组人员的就诊共有1031例疾病。传染病的总发生率是每100,000名乘客15.7(95%CI 14.4–17.1),乘务员是每100,000名乘员24.0(21.6–26.6)。胃肠炎是乘客和机组人员的主要疾病,其次是流感。乘客胃肠炎的发生率是每100,000人13.7(12.5-15.0)和乘员组是14.4(12.6,16.5)。非传染性疾病的事件发生率为每10万人次3.4,主要诊断为心肌梗塞。机组人员非传染性疾病的发生率为每十万人中2.1发生,主要原因是受伤。结论报告的主要疾病是肠胃炎和流感,与世界各地以前发表的报告相似。这项研究是加勒比地区首例此类研究,其数据为将来的监测以及与其他国家和地区的比较提供了基准。

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