Rilene A Chew Ng, Maureen Fonseca-Ford, Cindy R Friedman, Kara Tardivel, Stefanie White, Ryan Murphy, Lyle R Petersen, Kathleen Attfield, William A Bower, Erin L Murray, Seema Jain, Mariel Marlow, William Wheeler, Lauren J Stockman, Paul Mead, Nicki T Pesik, Dale Rose, Paul J Weidle, Adam Readhead, Debra A Wadford, Aimee Treffiletti, Jonathon R Bartlett, Jeanne Eckes-Roper, John T Redd, Joanna J Regan, Lisa Rotz, Joaquin Rueda, Deborah Dee, Deniz Dominguez, Tamara Hennessy-Burt, Allison Jacobsen, Martin S Cetron, Clive Brown, Leah Moriarty, Shannon M Casillas, Paige A Armstrong, Ryan T Novak
{"title":"2020年3月，从大公主号游轮下船的旅客对COVID-19的公共卫生反应。","authors":"Rilene A Chew Ng, Maureen Fonseca-Ford, Cindy R Friedman, Kara Tardivel, Stefanie White, Ryan Murphy, Lyle R Petersen, Kathleen Attfield, William A Bower, Erin L Murray, Seema Jain, Mariel Marlow, William Wheeler, Lauren J Stockman, Paul Mead, Nicki T Pesik, Dale Rose, Paul J Weidle, Adam Readhead, Debra A Wadford, Aimee Treffiletti, Jonathon R Bartlett, Jeanne Eckes-Roper, John T Redd, Joanna J Regan, Lisa Rotz, Joaquin Rueda, Deborah Dee, Deniz Dominguez, Tamara Hennessy-Burt, Allison Jacobsen, Martin S Cetron, Clive Brown, Leah Moriarty, Shannon M Casillas, Paige A Armstrong, Ryan T Novak","doi":"10.1177/00333549251321762","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Cruise ship settings can facilitate transmission of respiratory infections. In March 2020, a COVID-19 outbreak occurred on the <i>Grand Princess</i> cruise ship. We describe the public health response, including a large-scale US federal quarantine intended to limit spread to communities not yet affected by COVID-19.</p><p><strong>Methods: </strong>All US residents and symptomatic people requiring hospitalization disembarked beginning on March 9 and were transported to designated US military bases for federal quarantine or to hospitals or alternate care sites for medical care. Foreign nationals remained on board (crew) or were repatriated (passengers). People under federal quarantine were monitored daily for symptoms and tested voluntarily for SARS-CoV-2 upon arrival, as tests became available, and if symptoms developed.</p><p><strong>Results: </strong>Of 3582 travelers (passengers and crew) on board, 2013 (56%) went to military bases, 59 (2%) went to hospitals or alternate care sites, 419 (12%) were repatriated, and the remainder (crew) quarantined on board. Overall, 1144 travelers (32%) were tested for SARS-CoV-2; of those, 155 (14%) had a positive test result. Among 2013 US residents quarantined, 1054 (52%) were tested. Of those, 115 (11%) had a positive test result, 37 (32%) of whom were symptomatic at testing. Proportions tested across bases ranged from 28% to 89%; test positivity ranged from 10% to 16%. Of 31 travelers hospitalized, the median (IQR) stay was 4 (4-9) nights, and 9 (29%) travelers died of SARS-CoV-2 complications.</p><p><strong>Conclusions: </strong>The <i>Grand Princess</i> outbreak was the first confirmed COVID-19 outbreak on a cruise ship in US waters. Multiagency public health responses allowed for isolation and quarantine, potentially helping to slow transmission into US communities. Ensuring that cruise ships have plans for communicable disease control and mitigation helps protect passenger and crew well-being.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251321762"},"PeriodicalIF":3.0000,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170557/pdf/","citationCount":"0","resultStr":"{\"title\":\"Public Health Response to COVID-19 Among Travelers Disembarked From the <i>Grand Princess</i> Cruise Ship, March 2020.\",\"authors\":\"Rilene A Chew Ng, Maureen Fonseca-Ford, Cindy R Friedman, Kara Tardivel, Stefanie White, Ryan Murphy, Lyle R Petersen, Kathleen Attfield, William A Bower, Erin L Murray, Seema Jain, Mariel Marlow, William Wheeler, Lauren J Stockman, Paul Mead, Nicki T Pesik, Dale Rose, Paul J Weidle, Adam Readhead, Debra A Wadford, Aimee Treffiletti, Jonathon R Bartlett, Jeanne Eckes-Roper, John T Redd, Joanna J Regan, Lisa Rotz, Joaquin Rueda, Deborah Dee, Deniz Dominguez, Tamara Hennessy-Burt, Allison Jacobsen, Martin S Cetron, Clive Brown, Leah Moriarty, Shannon M Casillas, Paige A Armstrong, Ryan T Novak\",\"doi\":\"10.1177/00333549251321762\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Cruise ship settings can facilitate transmission of respiratory infections. In March 2020, a COVID-19 outbreak occurred on the <i>Grand Princess</i> cruise ship. We describe the public health response, including a large-scale US federal quarantine intended to limit spread to communities not yet affected by COVID-19.</p><p><strong>Methods: </strong>All US residents and symptomatic people requiring hospitalization disembarked beginning on March 9 and were transported to designated US military bases for federal quarantine or to hospitals or alternate care sites for medical care. Foreign nationals remained on board (crew) or were repatriated (passengers). People under federal quarantine were monitored daily for symptoms and tested voluntarily for SARS-CoV-2 upon arrival, as tests became available, and if symptoms developed.</p><p><strong>Results: </strong>Of 3582 travelers (passengers and crew) on board, 2013 (56%) went to military bases, 59 (2%) went to hospitals or alternate care sites, 419 (12%) were repatriated, and the remainder (crew) quarantined on board. Overall, 1144 travelers (32%) were tested for SARS-CoV-2; of those, 155 (14%) had a positive test result. Among 2013 US residents quarantined, 1054 (52%) were tested. Of those, 115 (11%) had a positive test result, 37 (32%) of whom were symptomatic at testing. Proportions tested across bases ranged from 28% to 89%; test positivity ranged from 10% to 16%. Of 31 travelers hospitalized, the median (IQR) stay was 4 (4-9) nights, and 9 (29%) travelers died of SARS-CoV-2 complications.</p><p><strong>Conclusions: </strong>The <i>Grand Princess</i> outbreak was the first confirmed COVID-19 outbreak on a cruise ship in US waters. Multiagency public health responses allowed for isolation and quarantine, potentially helping to slow transmission into US communities. Ensuring that cruise ships have plans for communicable disease control and mitigation helps protect passenger and crew well-being.</p>\",\"PeriodicalId\":20793,\"journal\":{\"name\":\"Public Health Reports\",\"volume\":\" \",\"pages\":\"333549251321762\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-06-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170557/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health Reports\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00333549251321762\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Reports","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00333549251321762","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Public Health Response to COVID-19 Among Travelers Disembarked From the Grand Princess Cruise Ship, March 2020.
Objectives: Cruise ship settings can facilitate transmission of respiratory infections. In March 2020, a COVID-19 outbreak occurred on the Grand Princess cruise ship. We describe the public health response, including a large-scale US federal quarantine intended to limit spread to communities not yet affected by COVID-19.
Methods: All US residents and symptomatic people requiring hospitalization disembarked beginning on March 9 and were transported to designated US military bases for federal quarantine or to hospitals or alternate care sites for medical care. Foreign nationals remained on board (crew) or were repatriated (passengers). People under federal quarantine were monitored daily for symptoms and tested voluntarily for SARS-CoV-2 upon arrival, as tests became available, and if symptoms developed.
Results: Of 3582 travelers (passengers and crew) on board, 2013 (56%) went to military bases, 59 (2%) went to hospitals or alternate care sites, 419 (12%) were repatriated, and the remainder (crew) quarantined on board. Overall, 1144 travelers (32%) were tested for SARS-CoV-2; of those, 155 (14%) had a positive test result. Among 2013 US residents quarantined, 1054 (52%) were tested. Of those, 115 (11%) had a positive test result, 37 (32%) of whom were symptomatic at testing. Proportions tested across bases ranged from 28% to 89%; test positivity ranged from 10% to 16%. Of 31 travelers hospitalized, the median (IQR) stay was 4 (4-9) nights, and 9 (29%) travelers died of SARS-CoV-2 complications.
Conclusions: The Grand Princess outbreak was the first confirmed COVID-19 outbreak on a cruise ship in US waters. Multiagency public health responses allowed for isolation and quarantine, potentially helping to slow transmission into US communities. Ensuring that cruise ships have plans for communicable disease control and mitigation helps protect passenger and crew well-being.
期刊介绍：
Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health.
The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.
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