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3 DEALINGWITHEPIDEMICONSHIP
Dealing with an epidemic on ship is a challenging
task,but withproperplanningand execution, it can
be managed effectively [5, 11]. The following steps
canhelpincontrollingthespreadofepidemic:
Early Detection: The first step in dealing with
an
epidemic on a ship is to identify the disease as
earlyaspossible.Thiscanbedonebymonitoring
the health of passengers and crew members, and
reportinganysignsofillnesstotheship’smedical
team.Theship’smedicalteamshouldbeequipped
with diagnostic tools and medications to
quickly
identifyandtreatanycasesofillness.
Isolation: Once a case of illness is identified, the
affected person should be isolated to prevent the
disease from spreading to others. The ship’s
medical team should have a plan in place for
isolating and treating sick passengers and crew
members.
Isolationareasshouldbewell‐ventilated
andequippedwithmedicalsupplies.
Sanitation: Maintaining good hygiene and
sanitation practices is critical in preventing the
spread of disease on a ship. All common areas,
cabins,andrestroomsshouldberegularlycleaned
anddisinfected.Handhygienepracticesshouldbe
emphasized, and passengers and
crew members
should be encouraged to wash their hands
frequently.
Contact Tracing: In the event of an outbreak,
contact tracing can help to identify individuals
who may have been exposed to the disease. The
ship’smedicalteamshouldhaveaplaninplacefor
contact tracing and should work
closely with
public health officials on shore to identify any
potentialsourcesofinfection.
Communication: Open and transparent
communication is essential in managing an
epidemiconaship.Passengersandcrewmembers
should be informed of any cases of illness and
what measures are being taken to control the
outbreak.
Regular updatesshould be provided to
all individuals on board, and clear instructions
shouldbe givenon howto preventthespreadof
thedisease.
By following these steps, an epidemic on a ship
canbemanagedeffectively,andthehealthandsafety
ofallindividualsonboardcanbe
maintained.
In additionto the mentionedsteps, thereare few
other factors to consider when dealing with an
epidemiconaship:
Evacuation:Insomecases,itmaybenecessaryto
evacuate passengers and crew members from the
shiptoprevent the spreadofdisease. Evacuation
plansshouldbein
place,andproceduresforsafely
transferring individuals to shore should be
established.
Personal Protective Equipment (PPE): The ship’s
medical team and crew members who are in
contactwithpotentiallyinfectedindividualshould
beprovidedwithappropriatePPE,suchasmasks,
glovesandgowns.PPEshouldbeusedaccording
to
established guidelines and should be properly
disposedofafteruse.
Quarantine: If the ship is in a port, it may be
necessary to implement a quarantine to prevent
thediseasefromspreadingtothelocalcommunity.
Theship’smedicalteamshouldworkcloselywith
local health authorities to determine the
best
courseofaction.
Testing: Diagnostic testing can help to identify
individuals who have been infected with the
disease. The ship’s medical team should follow
establishedguidelinesfortestingandreporting.
MentalHealth:Dealingwithanepidemiconaship
canbestressfulforpassengers.
TheInternationalMaritime
Organizationprovides
guidanceonprotectingthehealthofseafarersduring
theCOVID‐19pandemic[8].TheEuropeanCentrefor
Disease Prevention and Control offers guidance on
COVID‐19preventionandcontrolonboardships[7].
TheAmericanSocietyofTravelAdvisorshascreated
aCOVID‐19CruiseShipResourceCenterwith
helpful
informationfortravelersandtraveladvisors[1].
4 EXAMPLESOFHISTORICALANDMOST
RECENTEPIDEMICONSHIPANDTHE
RESULTS
Oneexampleofahistoricalepidemiconashipisthe
outbreak of smallpox on the HMS Britannia in 1805
whichledtothedeathsofseveralcrewmembers
and
quarantiningoftheship[2]. Anotherexample is the
Spanish flu outbreak on the troopship Leviathan in
1918,whichresultedinover2000casesand80deaths
[9].Athirdexampleistheoutbreakofcholeraonthe
steamshipMoraviain1887,whichledtothedeathsof
over60
passengersandcrewmembers[3].
One recent example of an epidemic on as ship is
the COVID‐19 outbreak on the Diamond Princess
cruiseshipin2020,whichresultedinover700 cases
and14 deaths[10].Anotherexampleistheoutbreak
of norovirus on the Royal Caribbean’s Oasis of
the
Seas in 2019, which resulted in over 500 cases of
gastrointestinalillness[4].
Oneofthedeadliestepidemicsonaship wasthe
outbreak of the Black Death (bubonic plague) on
boardtheGenoesefleetin1347.Thefleetwascarrying
soldiers and supplies from the Crimea to Italy, and
the disease spread rapidly among the crew and
passengers. According to historical accounts, the
diseasewassoseverethatthesailorsandsoldierson
boardtheshipsdiedsoquicklythatthefleetwasleft
withoutenoughcrewtosailthevessels,andmanyof
theshipsdriftedaimlesslyuntil
theyranagroundor
sank.Itisestimatedthatupto90%ofthepeopleon
board the Genoeses fleet died from the Black Death
duringtheoutbreak[12]
5 REPOSITORYPROPOSAL
Thepre‐developedversionoftherepositorycontains
55documentsrelatingdirectlytoepidemicsituations
onboard.Therepository
includes,amongothers,IMO
recommendations, WHO recommendations, Centers
for Disease Control and Prevention guides, case
reportsandanumberofscientificarticlesrelatingin
their subject matter primarily to the most recent
COVID‐19 outbreak. Summary statistics relative to