Caroline E Stamatakis1, Marion E Rice2, Faith M Washburn3, Kristopher J Krohn4, Millicent Bannerman5, Joanna J Regan6. 1. Division of Global Migration and Quarantine (DGMQ), Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, Atlanta, GA 30329-4018, USA; Council of State and Territorial Epidemiologists, Atlanta, GA, USA. Electronic address: yih9@cdc.gov. 2. Division of Global Migration and Quarantine (DGMQ), Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, Atlanta, GA 30329-4018, USA; Emory University, Rollins School of Public Health, USA. Electronic address: lnv1@cdc.gov. 3. Division of Global Migration and Quarantine (DGMQ), Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, Atlanta, GA 30329-4018, USA. Electronic address: wlz5@cdc.gov. 4. Division of Global Migration and Quarantine (DGMQ), Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, Atlanta, GA 30329-4018, USA; Office for State, Tribal, Local, and Territorial Support, CDC, Atlanta, USA. Electronic address: kkrohn1@uw.edu. 5. Karna LLC, 1600 Clifton Road NE, Atlanta, GA 30329-4018, USA. Electronic address: leu1@cdc.gov. 6. Division of Global Migration and Quarantine (DGMQ), Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, Atlanta, GA 30329-4018, USA. Electronic address: dlo8@cdc.gov.
Abstract
BACKGROUND: Deaths and certain illnesses onboard ships arriving at US ports are required to be reported to the US Centers for Disease Control and Prevention (CDC), and notifications of certain illnesses are requested. METHODS: We performed a descriptive analysis of required maritime illness and death reports of presumptive diagnoses and requested notifications to CDC's Division of Global Migration and Quarantine, which manages CDC's Quarantine Stations, from January 2010 to December 2014. RESULTS: CDC Quarantine Stations received 2891 individual maritime case reports: 76.8% (2221/2891) illness reports, and 23.2% (670/2891) death reports. The most frequent individual illness reported was varicella (35.9%, 797/2221) and the most frequently reported causes of death were cardiovascular- or pulmonary-related conditions (79.6%, 533/670). There were 7695 cases of influenza-like illness received within aggregate notifications. CDC coordinated 63 contact investigations with partners to identify 972 contacts; 88.0% (855/972) were notified. There was documentation of 6.5% (19/293) receiving post-exposure prophylaxis. Three pertussis contacts were identified as secondary cases; and one tuberculosis contact was diagnosed with active tuberculosis. CONCLUSION: These data provide a picture of US maritime illness and death reporting and response. Varicella reports are the most frequent individual disease reports received. Contact investigations identified few cases of disease transmission.
BACKGROUND:Deaths and certain illnesses onboard ships arriving at US ports are required to be reported to the US Centers for Disease Control and Prevention (CDC), and notifications of certain illnesses are requested. METHODS: We performed a descriptive analysis of required maritime illness and death reports of presumptive diagnoses and requested notifications to CDC's Division of Global Migration and Quarantine, which manages CDC's Quarantine Stations, from January 2010 to December 2014. RESULTS: CDC Quarantine Stations received 2891 individual maritime case reports: 76.8% (2221/2891) illness reports, and 23.2% (670/2891) death reports. The most frequent individual illness reported was varicella (35.9%, 797/2221) and the most frequently reported causes of death were cardiovascular- or pulmonary-related conditions (79.6%, 533/670). There were 7695 cases of influenza-like illness received within aggregate notifications. CDC coordinated 63 contact investigations with partners to identify 972 contacts; 88.0% (855/972) were notified. There was documentation of 6.5% (19/293) receiving post-exposure prophylaxis. Three pertussis contacts were identified as secondary cases; and one tuberculosis contact was diagnosed with active tuberculosis. CONCLUSION: These data provide a picture of US maritime illness and death reporting and response. Varicella reports are the most frequent individual disease reports received. Contact investigations identified few cases of disease transmission.
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