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Traveler's diarrhea at sea: two multi-pathogen outbreaks caused by food eaten on shore visits.

Traveler's diarrhea at sea: two multi-pathogen outbreaks caused by food eaten on shore visits. Traveler's diarrhea at sea: two multi-pathogen outbreaks caused by food eaten on shore visits. R L Berkelman , M L Cohen , J Yashuk , T Barrett , J G Wells and P A Blake In 1976 and 1981, two outbreaks of gastrointestinal illness aboard cruise ships occurred within 24 hours following onshore visits to Haiti and Mexico, respectively. Three hundred eighty-six of 600 (64 per cent) and 98 of 260 (38 per cent) passengers became ill following luncheons in Port-au-Prince, Haiti, and Cozumel, Mexico. No increase in illness was observed among those passengers who did not attend the onshore luncheons. In both outbreaks, unrefrigerated seafood dishes served at outdoor buffets were epidemiologically incriminated as the vehicles of transmission. Several species of Vibrion, Salmonella, and toxigenic Escherichia coli were recovered from stool specimens of ill passengers in both outbreaks. In addition, invasive Escherichia coli and Shigella were isolated from stool specimens of ill passengers who ate at the Haitian buffet. Previous investigations of outbreaks of gastrointestinal illness aboard cruise ships have implicated exposures on board as the source and have involved only a single pathogen. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Public Health American Public Health Association

Traveler's diarrhea at sea: two multi-pathogen outbreaks caused by food eaten on shore visits.

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References (12)

Publisher
American Public Health Association
Copyright
Copyright © 1983 by the American Public Health Association
ISSN
0090-0036
eISSN
1541-0048
DOI
10.2105/AJPH.73.7.770
Publisher site
See Article on Publisher Site

Abstract

Traveler's diarrhea at sea: two multi-pathogen outbreaks caused by food eaten on shore visits. R L Berkelman , M L Cohen , J Yashuk , T Barrett , J G Wells and P A Blake In 1976 and 1981, two outbreaks of gastrointestinal illness aboard cruise ships occurred within 24 hours following onshore visits to Haiti and Mexico, respectively. Three hundred eighty-six of 600 (64 per cent) and 98 of 260 (38 per cent) passengers became ill following luncheons in Port-au-Prince, Haiti, and Cozumel, Mexico. No increase in illness was observed among those passengers who did not attend the onshore luncheons. In both outbreaks, unrefrigerated seafood dishes served at outdoor buffets were epidemiologically incriminated as the vehicles of transmission. Several species of Vibrion, Salmonella, and toxigenic Escherichia coli were recovered from stool specimens of ill passengers in both outbreaks. In addition, invasive Escherichia coli and Shigella were isolated from stool specimens of ill passengers who ate at the Haitian buffet. Previous investigations of outbreaks of gastrointestinal illness aboard cruise ships have implicated exposures on board as the source and have involved only a single pathogen.

Journal

American Journal of Public HealthAmerican Public Health Association

Published: Jul 1, 1983

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