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dc.creatorHadjichristodoulou, C.en
dc.creatorMouchtouri, V. A.en
dc.creatorMartinez, C. V.en
dc.creatorNichols, G.en
dc.creatorRiemer, T.en
dc.creatorRabinina, J.en
dc.creatorSwan, C.en
dc.creatorPirnat, N.en
dc.creatorSokolova, O.en
dc.creatorKostara, E.en
dc.creatorRachiotis, G.en
dc.creatorMeilicke, R.en
dc.creatorSchlaich, C.en
dc.creatorBartlett, C. L.en
dc.creatorKremastinou, J.en
dc.creatorPartnership, T. S.en
dc.date.accessioned2015-11-23T10:29:19Z
dc.date.available2015-11-23T10:29:19Z
dc.date.issued2011
dc.identifier.issn20813252
dc.identifier.urihttp://hdl.handle.net/11615/28262
dc.description.abstractThis study was conducted within the European SHIPSAN (ship sanitation) project and aims at exploring the legislative framework and current practices related to surveillance of communicable diseases and response aboard passenger ships in Europe. A detailed questionnaire was disseminated and completed by 59 competent authorities in 27 European countries. The majority of competent authorities used national legislation without special provisions for passenger ships. Only 20% had specific provisions for ships regarding quarantine, while a smaller proportion of new Member States (MS) have specific legislation in comparison with old MS (p = 0.01). The Maritime Declaration of Health (MDH) was the main reporting tool used. About 30.5% of the competent authorities declared that they require submission of MDH by all arriving ships, but 28.8% only from affected areas, and 11.9% never require MDH. A total of 45 outbreaks or incidents (36 gastrointestinal, 1 incident of legionellosis, 3 respiratory, and 1 influenza-like illness outbreak, occupational tuberculosis, varicella, scabies, and meningitis) were reported to EU competent authorities during 2006. About 75% of the responders stated that there are gaps in the surveillance and control of communicable diseases. A diversity of approaches in EU countries, and gaps regarding surveillance and response and training needs of personnel were identified.en
dc.source.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-84856135642&partnerID=40&md5=48ccf576debfead0e60b9acabb985aeb
dc.subjectarticleen
dc.subjectepidemicen
dc.subjectEuropeen
dc.subjectgastrointestinal diseaseen
dc.subjecthumanen
dc.subjectinfection controlen
dc.subjectinternational cooperationen
dc.subjectleisureen
dc.subjectmethodologyen
dc.subjectorganization and managementen
dc.subjectrespiratory tract infectionen
dc.subjectrisk factoren
dc.subjectrisk managementen
dc.subjectsanitationen
dc.subjectshipen
dc.subjectstatisticsen
dc.subjecttravelen
dc.subjectCommunicable Disease Controlen
dc.subjectDisease Outbreaksen
dc.subjectGastrointestinal Diseasesen
dc.subjectHumansen
dc.subjectLeisure Activitiesen
dc.subjectRespiratory Tract Infectionsen
dc.subjectRisk Factorsen
dc.subjectShipsen
dc.titleSurveillance and control of communicable diseases related to passenger ships in Europeen
dc.typejournalArticleen


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