O'Mahony M, Noah N D, Evans B, Harper D, Rowe B, Lowes J A, Pearson A, Goode B
J Hyg (Lond). 1986 Oct;97(2):229-36. doi: 10.1017/s0022172400065311.
In an outbreak of gastroenteritis on board a cruise ship 251 passengers and 51 crew were affected and consulted the ship's surgeon during a 14-day period. There was a significant association between consumption of cabin tap water and reported illness in passengers. Enterotoxigenic Escherichia coli were isolated from passengers and crew and coliforms were found in the main water storage tank. Contamination of inadequately chlorinated water by sewage was the most likely source of infection. A low level of reported illness and late recognition of the outbreak delayed investigation of what was probably the latest in a series of outbreaks of gastrointestinal illness on board this ship. There is a need for a national surveillance programme which would monitor the extent of illness on board passenger cruise ships as well as a standard approach to the action taken when levels of reported illness rise above a defined level.
在一艘游轮上爆发的肠胃炎疫情中，251名乘客和51名船员受到影响，并在14天内咨询了船上的外科医生。乘客饮用舱内自来水与报告的疾病之间存在显著关联。从乘客和船员中分离出了产肠毒素大肠杆菌，并且在主储水箱中发现了大肠菌群。污水对氯化不足的水造成污染很可能是感染源。报告的疾病水平较低以及疫情发现较晚，延误了对这艘船上可能是一系列胃肠道疾病疫情中最新一次疫情的调查。有必要建立一个国家监测计划，以监测乘客游轮上的疾病程度，以及当报告的疾病水平超过规定水平时采取行动的标准方法。
