ABSTRACT

Communicable diseases pose special problems and probabilities at sea. A number of factors increase the risk of infection and contagion: Many strangers at close quarters People from various geographical and social

backgrounds, with great variation in pathogens carried and in immunities

Stagnant air in closed rooms Animal carriers – mosquitoes, rodents, birds Limited water and food supplies at risk to con-

tamination from sea air and water as well as from shipboard organic waste

Common ventilation system for a large population

Spas, pools and buffet-misting devices that generate aerosols

Hard-to-track exposures in visits to and from ports and other ships Some of the major infectious disease concerns on

ship are: yellow fever, malaria, gastro-intestinal, respiratory, sexually transmitted, chicken pox, measles and rubella.