Dannenberg A L, Yashuk J C, Feldman R A
Am J Public Health. 1982 May;72(5):484-8. doi: 10.2105/ajph.72.5.484.
Following investigations in 1972-1973 of outbreaks of enteric disease on cruise ships using American ports, a surveillance system was established which required that 24 hours before arrival in port, each ship report the number of persons with diarrheal illness seen by the ship's physician during the cruise. The reported data were found to be reliable; they established a baseline incidence for diarrhea on cruise ships. A significantly high portion of enteric disease outbreaks occurred on vessels that did not pass routine annual or semiannual sanitation inspections. The cruise ship sanitation program, developed with the cooperation of the cruise ship industry and the Centers for Disease Control, appears to have been successful in reducing the overall rate of cruise ship associated outbreaks of enteric illness.
在1972年至1973年对使用美国港口的游轮上的肠道疾病爆发情况进行调查之后，建立了一个监测系统，该系统要求每艘船在抵达港口前24小时报告船上医生在航行期间见到的腹泻病患者人数。报告的数据被发现是可靠的；它们确定了游轮上腹泻病的基线发病率。相当大比例的肠道疾病爆发发生在未通过例行年度或半年卫生检查的船只上。与游轮行业和疾病控制中心合作制定的游轮卫生计划，似乎成功降低了与游轮相关的肠道疾病爆发的总体发生率。
