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Peer reviewedOpen accessGastroenteritis

Norovirus Transmission on Cruise Ship

Emerging Infectious Diseases·

Elmira T. Isakbaeva, Marc-Alain Widdowson, R. Suzanne Beard, Sandra N. Bulens, James Mullins, Stephan S. Monroe, Joseph Bresee, Patricia Sassano, Elaine H. Cramer, Roger I. Glass

DOI
10.3201/eid1101.040434
PMID
15705344
PMCID
PMC3294347
OpenAlex
W2148513404
Study type
Journal article
Publisher
Centers for Disease Control and Prevention (CDC)
Article type
journal-article
Integrity
current

Why this research matters now

The findings demonstrate challenges in controlling norovirus in closed travel settings and the potential for cruise-associated outbreaks to seed transmission in shoreside communities.

01

Structured evidence summary

Research question

The investigation examined norovirus transmission dynamics and persistence during consecutive cruise ship outbreaks.

Study design

Outbreak investigation documenting transmission patterns across multiple consecutive cruises following a sanitization intervention.

Population and setting

Passengers aboard cruise ship X over at least six consecutive voyages.

Main findings

The investigation identified foodborne and person-to-person transmission routes. Virus persisted onboard following a one-week sanitization period, with introduction of new strains documented. An associated land-based outbreak was seeded from the ship.

Public-health relevance

The findings demonstrate challenges in controlling norovirus in closed travel settings and the potential for cruise-associated outbreaks to seed transmission in shoreside communities.

Important limitations

This summary relies on the supplied single-article abstract and bibliographic metadata. The original paper is required for decision-grade interpretation of methods, sample sizes, strain characterization approaches, and sanitization protocols.

GIDS interpretation

This article would be discoverable through queries on cruise ship outbreaks, norovirus environmental persistence, or travel-associated gastroenteritis. The classifier links to outbreak investigation and transmission dynamics support retrieval in surveillance contexts examining waterborne or foodborne disease patterns in congregate travel settings.

02

Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 8 auditable classifier relationships to diseases, places, topics, and study design.

about diseaseaddresses topicaddresses topicaddresses topicaddresses topichas pathogen typestudied population settinguses study design