Preliminary Guidelines for the Prevention and Control of Influenza-Like Illness Among Passengers and Crew Members on Cruise Ships August 1999

By Bodnar, Ulana R.

Book Id: WPLBN0000072207
Format Type: PDF eBook:
File Size: 1.00 MB
Reproduction Date: 2005

Title:	Preliminary Guidelines for the Prevention and Control of Influenza-Like Illness Among Passengers and Crew Members on Cruise Ships August 1999
Author:	Bodnar, Ulana R.
Volume:
Language:	English
Subject:	Health., Medical research, Medical reports
Collections:	Medical Library Collection
Historic Publication Date:
Publisher:	Centers for Disease Control and Prevention


Citation APA MLA Chicago R. Bodna, B. U. (n.d.). Preliminary Guidelines for the Prevention and Control of Influenza-Like Illness Among Passengers and Crew Members on Cruise Ships August 1999. Retrieved from http://gutenberg.cc/

Excerpt
Background: During the 1972 through 1993 influenza seasons in the United States, an average of 20,000 deaths and more than 100,000 hospitalizations each year resulted from complications of influenza infection. 1 Control of influenza in the general population is based on annual fall vaccination programs, along with education about disease risk reduction, and on administration of antiviral agents for treatment or prophylaxis. Special vaccination programs traditionally have targeted certain groups of individuals (e.g., those most likely to experience complications or to transmit influenza to persons at high risk for complications). However, influenza vaccination also may have substantial health-related and economic benefits for healthy, working adults. In institutional settings or other semi-enclosed environments, these control measures are supplemented with surveillance activities, outbreak investigations, and monitoring the results of interventions.

Table of Contents
Table of Contents Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Surveillance, Prevention and Control of Influenza-Like Illness on Cruise Ships . . . . . . . . . . . . . 3 General Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Surveillance Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Potential Outbreak of Influenza A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Recommendations for Interrupting Influenza Outbreaks on Cruise Ships . . . . . . . . . . . . . . . . . . 9 Keys to Successful Management and Control of Influenza Outbreaks . . . . . . . . . . . . . . . 9 Confirming an Influenza Outbreak . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Recommendations for Passengers and Crew Members . . . . . . . . . . . . . . . . . . . . . . . . . 10 Additional Recommendations Specific for Crew Members . . . . . . . . . . . . . . . . . . . . . . 11 Additional Recommendations Specific for Passengers . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Selected Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Appendices Appendix A. Sample Influenza-Like Illness Data Form (Passengers) Appendix B. Sample Influenza-Like Illness Data Form (Crew Members) Appendix C. Preliminary ARI Threshold Levels by Day of Cruise – Alaska Region Appendix D. Preliminary ILI Threshold Levels by Day of Cruise – Alaska Region Appendix E. Example: Use of ARI Threshold Levels by Day of Cruise