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Epidemiology of Coronavirus Disease Outbreak among Crewmembers on Cruise Ship, Nagasaki City, Japan, April 2020

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 sing...

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Detalles Bibliográficos
Autores principales: Maeda, Haruka, Sando, Eiichiro, Toizumi, Michiko, Arima, Yuzo, Shimada, Tomoe, Tanaka, Takeshi, Tashiro, Masato, Fujita, Ayumi, Yanagihara, Katsunori, Takayama, Hayato, Yasuda, Ikkoh, Kawachi, Nobuyuki, Kohayagawa, Yoshitaka, Hasegawa, Maiko, Motomura, Katsuaki, Fujita, Rie, Nakata, Katsumi, Yasuda, Jiro, Morita, Koichi, Kohno, Shigeru, Izumikawa, Koichi, Suzuki, Motoi, Morimoto, Konosuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8386778/
https://www.ncbi.nlm.nih.gov/pubmed/34423761
http://dx.doi.org/10.3201/eid2709.204596
Descripción
Sumario: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.