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Measles outbreak on a cruise ship in the western Mediterranean, February 2014, preliminary report
S Lanini1, M R Capobianchi, V Puro
1National Institute for Infectious Diseases (INMI) Lazzaro Spallanzani Rome, Italy.
Abstract:
A measles outbreak occurred in February 2014 on a ship cruising the western Mediterranean Sea. Overall 27 cases were reported: 21 crew members, four passengers.For two cases the status crew or passenger was unknown. Genotype B3 was identified. Because of different nationalities of cases and persons on board,the event qualified as a cross-border health threat. The Italian Ministry of Health coordinated rapid response.Alerts were posted through the Early Warning and Response System.
Insights
A measles outbreak on a Mediterranean cruise ship in 2014 infected 27 people, including crew and passengers. Genotype B3 measles was identified, prompting a cross-border health alert and rapid response coordinated by Italy.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- Measles outbreaks pose significant public health risks, especially in closed environments like cruise ships.
- International travel can facilitate the rapid spread of infectious diseases across borders.
Purpose of the Study:
- To report on a measles outbreak occurring on a cruise ship in the Mediterranean Sea.
- To describe the epidemiological characteristics and response to a cross-border health threat.
Main Methods:
- Case ascertainment and reporting of measles cases on board.
- Viral genotyping to identify the measles strain.
- Coordination of a rapid public health response through established alert systems.
Main Results:
- A total of 27 measles cases were identified among crew members and passengers.
- The identified measles genotype was B3.
- The outbreak was declared a cross-border health threat due to the diverse nationalities involved.
Conclusions:
- Cruise ship environments can facilitate measles transmission among diverse populations.
- Effective international collaboration and rapid response systems are crucial for managing cross-border health threats.
- Genotype B3 measles requires vigilant monitoring and control measures during international voyages.
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