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

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  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
• Description:
  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.
• Subjects:
  Adult Coronavirus Infections Covid-19 Disease Outbreaks Humans Male Sars-Cov-2 Ships
• Source:
  Emerg Infect Dis. 27(9):2251-2260
• Pubmed ID:
  34423761
• Pubmed Central ID:
  PMC8386778
• Document Type:
  Journal Article
• Place as Subject:
  Japan
• Location:
  Asia
• Volume:
  27
• Issue:
  9
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:ff3e5c51305b02e3ffa1398a92f375457c585a073069b13e2de1c918e77e3f64
• Download URL:
  https://stacks.cdc.gov/view/cdc/109702/cdc_109702_DS1.pdf
• File Type:
  [PDF - 2.68 MB ]