open access
Gastroenteritis outbreaks on cruise ships: are sanitation inspection scores a true index of risk?
Affiliations- Cruise Ship Physician, Woodborough, Nottinghamshire, United Kingdom
open access
Abstract
Background: The utility of cruise ship sanitation scores as indicators of future gastroenteritis outbreak was
investigated by means of a 5-year review of inspection scores and outbreaks of gastroenteritis as reported
under the Vessel Sanitation Programme of the United States Public Health Centers for Disease Control.
Materials and methods: Between 2012 and 2017 a total of 1197 inspections were published online, with
a mean score of 95.7 out of 100. During the same interval there were 50 separate outbreaks of acute
gastroenteritis.
Results: No significant difference was found between pre-outbreak inspection scores, mean 96.4, and
inspections that were not followed by an outbreak, mean 95.1 (z = 0.81, p = 0.42).
Conclusions: This study shows that the current format of the inspection audits carried out under the Vessel
Sanitation Programme generates scores that have no prognostic value with regard to future outbreaks of
gastroenteritis on board cruise ships.
Abstract
Background: The utility of cruise ship sanitation scores as indicators of future gastroenteritis outbreak was
investigated by means of a 5-year review of inspection scores and outbreaks of gastroenteritis as reported
under the Vessel Sanitation Programme of the United States Public Health Centers for Disease Control.
Materials and methods: Between 2012 and 2017 a total of 1197 inspections were published online, with
a mean score of 95.7 out of 100. During the same interval there were 50 separate outbreaks of acute
gastroenteritis.
Results: No significant difference was found between pre-outbreak inspection scores, mean 96.4, and
inspections that were not followed by an outbreak, mean 95.1 (z = 0.81, p = 0.42).
Conclusions: This study shows that the current format of the inspection audits carried out under the Vessel
Sanitation Programme generates scores that have no prognostic value with regard to future outbreaks of
gastroenteritis on board cruise ships.
Keywords
acute gastroenteritis; outbreak; Vessel Sanitation Programme; United States Centres for Disease Control and Prevention; cruise ships; norovirus
About this articleTitle
Gastroenteritis outbreaks on cruise ships: are sanitation inspection scores a true index of risk?
Journal
Issue
Article type
Original article
Pages
225-232
Published online
2018-12-19
Page views
1660
Article views/downloads
1125
DOI
Pubmed
Bibliographic record
IMH 2018;69(4):225-232.
Keywords
acute gastroenteritis
outbreak
Vessel Sanitation Programme
United States Centres for Disease Control and Prevention
cruise ships
norovirus
Authors
Christopher James Taylor
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