{"title":"A cross-sectional survey of international voyage ships entering Zhoushan Port by sea, Zhoushan, 2020-2022","authors":"Yuzhe Hua, Yaxin Dai, Jingping Yi, Wenjie Wu, Peng Li, Kefeng Li, Wei Chen, An Tang","doi":"10.3389/fmars.2025.1566150","DOIUrl":null,"url":null,"abstract":"Crew members aboard international voyage ships are susceptible to imported acute respiratory infections, leading to clusters of outbreaks that pose challenges to the health of crew members. The aim of the proposed study was to optimize a plan for the quarantine process and rescue measures in response to a coronavirus disease 2019 (COVID-19) outbreak at sea to provide policy guidance for the prevention and control of severe infectious diseases on international voyage ships. Here, we described the baseline characteristics of international voyage ships and crew members entering Zhoushan Port from 2020 to 2022 and analyzed the factors influencing the incidence rate of COVID-19 among crew members. There were 161 COVID-19 cases among cargo ships entering Zhoushan Port by sea, with an average incidence rate of 16.00% (95% CI: 13.73%–18.27%). The incidence rate of COVID-19 was significantly higher among crew members with replacement, long voyage, and those who stayed at multiple anchorages or stayed for a long time. The risk of COVID-19 infection for crew members staying at more than 4 anchorage was the highest, which was 2.667 (95% CI: 1.857–3.830) times that of crew members staying at less than 4 anchorage. We developed and refined the workflow for a public health assistance plan for outbreaks at sea on the basis of our experience with several COVID-19 outbreaks on international voyage ships. The workflow includes fundamental requirements, sampling and testing methods, personnel transfer procedures, medical waste disposal guidelines, and disinfection procedures for affected ships. Our public health assistance plan can be applied to other international voyage ships for which urgent public health assistance is needed during sudden infectious disease outbreaks.","PeriodicalId":12479,"journal":{"name":"Frontiers in Marine Science","volume":"274 1","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Marine Science","FirstCategoryId":"99","ListUrlMain":"https://doi.org/10.3389/fmars.2025.1566150","RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MARINE & FRESHWATER BIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Crew members aboard international voyage ships are susceptible to imported acute respiratory infections, leading to clusters of outbreaks that pose challenges to the health of crew members. The aim of the proposed study was to optimize a plan for the quarantine process and rescue measures in response to a coronavirus disease 2019 (COVID-19) outbreak at sea to provide policy guidance for the prevention and control of severe infectious diseases on international voyage ships. Here, we described the baseline characteristics of international voyage ships and crew members entering Zhoushan Port from 2020 to 2022 and analyzed the factors influencing the incidence rate of COVID-19 among crew members. There were 161 COVID-19 cases among cargo ships entering Zhoushan Port by sea, with an average incidence rate of 16.00% (95% CI: 13.73%–18.27%). The incidence rate of COVID-19 was significantly higher among crew members with replacement, long voyage, and those who stayed at multiple anchorages or stayed for a long time. The risk of COVID-19 infection for crew members staying at more than 4 anchorage was the highest, which was 2.667 (95% CI: 1.857–3.830) times that of crew members staying at less than 4 anchorage. We developed and refined the workflow for a public health assistance plan for outbreaks at sea on the basis of our experience with several COVID-19 outbreaks on international voyage ships. The workflow includes fundamental requirements, sampling and testing methods, personnel transfer procedures, medical waste disposal guidelines, and disinfection procedures for affected ships. Our public health assistance plan can be applied to other international voyage ships for which urgent public health assistance is needed during sudden infectious disease outbreaks.
期刊介绍:
Frontiers in Marine Science publishes rigorously peer-reviewed research that advances our understanding of all aspects of the environment, biology, ecosystem functioning and human interactions with the oceans. Field Chief Editor Carlos M. Duarte at King Abdullah University of Science and Technology Thuwal is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, policy makers and the public worldwide.
With the human population predicted to reach 9 billion people by 2050, it is clear that traditional land resources will not suffice to meet the demand for food or energy, required to support high-quality livelihoods. As a result, the oceans are emerging as a source of untapped assets, with new innovative industries, such as aquaculture, marine biotechnology, marine energy and deep-sea mining growing rapidly under a new era characterized by rapid growth of a blue, ocean-based economy. The sustainability of the blue economy is closely dependent on our knowledge about how to mitigate the impacts of the multiple pressures on the ocean ecosystem associated with the increased scale and diversification of industry operations in the ocean and global human pressures on the environment. Therefore, Frontiers in Marine Science particularly welcomes the communication of research outcomes addressing ocean-based solutions for the emerging challenges, including improved forecasting and observational capacities, understanding biodiversity and ecosystem problems, locally and globally, effective management strategies to maintain ocean health, and an improved capacity to sustainably derive resources from the oceans.