Division of Global Migration and Quarantine (DGMQ), Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, Atlanta, GA 30329-4018, USA; Council of State and Territorial Epidemiologists, Atlanta, GA, USA.
Division of Global Migration and Quarantine (DGMQ), Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, Atlanta, GA 30329-4018, USA; Emory University, Rollins School of Public Health, USA.
Travel Med Infect Dis. 2017 Sep;19:16-21. doi: 10.1016/j.tmaid.2017.10.008. Epub 2017 Oct 14.
Deaths and certain illnesses onboard ships arriving at US ports are required to be reported to the US Centers for Disease Control and Prevention (CDC), and notifications of certain illnesses are requested.
We performed a descriptive analysis of required maritime illness and death reports of presumptive diagnoses and requested notifications to CDC's Division of Global Migration and Quarantine, which manages CDC's Quarantine Stations, from January 2010 to December 2014.
CDC Quarantine Stations received 2891 individual maritime case reports: 76.8% (2221/2891) illness reports, and 23.2% (670/2891) death reports. The most frequent individual illness reported was varicella (35.9%, 797/2221) and the most frequently reported causes of death were cardiovascular- or pulmonary-related conditions (79.6%, 533/670). There were 7695 cases of influenza-like illness received within aggregate notifications. CDC coordinated 63 contact investigations with partners to identify 972 contacts; 88.0% (855/972) were notified. There was documentation of 6.5% (19/293) receiving post-exposure prophylaxis. Three pertussis contacts were identified as secondary cases; and one tuberculosis contact was diagnosed with active tuberculosis.
These data provide a picture of US maritime illness and death reporting and response. Varicella reports are the most frequent individual disease reports received. Contact investigations identified few cases of disease transmission.
抵达美国港口的船舶上的死亡和某些疾病必须向美国疾病控制与预防中心（CDC）报告，并要求通报某些疾病。
我们对 2010 年 1 月至 2014 年 12 月期间，向管理 CDC 检疫站的全球移徙和检疫司报告的假定诊断的法定船舶疾病和死亡报告以及 CDC 的法定通知进行了描述性分析。
CDC 检疫站收到了 2891 例个人航海病例报告：76.8%（2221/2891）为疾病报告，23.2%（670/2891）为死亡报告。报告的最常见的单个疾病是水痘（35.9%，797/2221），最常报告的死亡原因是与心血管或肺部相关的疾病（79.6%，533/670）。在综合通知中收到了 7695 例流感样疾病病例。CDC 与合作伙伴协调了 63 次接触调查，以确定 972 名接触者；其中 88.0%（855/972）被通知。有记录显示有 6.5%（19/293）接受了暴露后预防。确定了 3 例百日咳接触者为继发性病例；1 例肺结核接触者被诊断患有活动性肺结核。
这些数据提供了美国航海疾病报告和应对情况的图片。水痘报告是收到的最常见的单个疾病报告。接触者调查确定了少数疾病传播病例。
