According to the CDC, approximately 48 million people become
ill from foodborne and waterborne diseases each year, stemming from 10 or more
commonly recurring noxious or pathophysiologic agents. The most common vector
is the unintentional consumption of contaminated food, water, or beverages. A
recent outbreak of norovirus occurred approximately 24 hours into a cruise,
while passengers were en route to a Northern destination aboard a holiday
cruise ship on a scheduled week-long journey. The symptoms of classic norovirus
including watery diarrhea, severe abdominal cramps, and nausea were quickly
recognized, and the illness causation was confirmed via on-board laboratory
testing in the ship infirmary. Appropriate treatment was prescribed by the
ship’s physician, and containment was realized within a few days. Because of
the limited number of passengers affected (12 out of over 1,000), and the
timing of the incident, it was concluded that the origin of the infection
likely occurred prior to or soon after the passengers boarded, possibly linked
to a welcoming ceremony hosted by the ship’s captain during which a variety of
h’odoerve style finger foods including some seafood items were made available
during a buffet dinner. Following the initial outbreak, no additional cases
were reported or identified, no on-board origin was confirmed, and all
passengers recovered without incident and continued the cruise. The study
concluded that the clinical case and the accompanying overview of agents linked
to food and water-borne illnesses underscore the challenges of managing
infectious outbreaks on not only cruise ships but also exercising diligence
during casual dining out at your favorite restaurant.
Author (s) Details
Orien L Tulp
Colleges of Medicine and Graduate Studies, University of Science, Arts and
Technology, Montserrat BWI, USA and The Einstein Medical Institute, NPB, FL,
USA.
Frantz Sainvil
Colleges of Medicine and Graduate Studies, University of Science, Arts and
Technology, Montserrat BWI, USA and Broward University, FL, USA.
Vorachoat
Karunyasopon
National University of Medical Sciences, Spain.
Please see the book here:- https://doi.org/10.9734/bpi/dhrni/v8/2225
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