Prevention, mitigation, management of infectious diseases on cruise ships and passenger ferries

凭借在客轮传染病预防和控制方面的丰富经验、深入知识和成熟的专业知识，健康航行联盟提出了一种全面的方法，引入了针对大型渡轮、邮轮和探险船的创新、多层次、风险和证据为基础、成本效益高的经测试的传染病预防、缓解和管理(PMM)措施。这一方法包括：(A)防备和应对客船上经常发生的已知传染病，这些疾病是从未发生过但必须做好准备的疾病；(B)乘客/船员从家到船的整个旅程，以及在岸边访问期间乘船返回的整个旅程；(C)船上业务、岸边公司业务、港口目的地和社区；(D)对社区和客运航运业项目产出的全球视角。流行病学研究、风险评估、疾病传播和气溶胶/飞沫传播的建模以及设定疾病阈值/警报水平将建立一个科学的证据库，并支持为船舶/港口、乘客/船员疫苗接种、通风系统和探险船的医疗作业需求编制新冠肺炎循证指南。开发/测试特定于船舶的综合征监测、人工智能系统、决策支持工具将有助于在船上及早发现健康威胁、基于风险的比例反应和健康的船上环境。将学习与实践培训和技术引起的行为改变相结合的工具包将促进所有利益攸关方的知识、认识和合规。基于单一身份证概念和工具包预测港口响应能力的综合电子通行证将满足港口运营和社区需求。一个科学的国际小组将促进协调一致的全球方法。

With vast experience, in-depth knowledge and established expertise in infectious disease prevention and control on passenger ships, HEALTHY SAILING consortium presents a comprehensive approach introducing innovative, multi-layered, risk and evidence-based, cost-effective tested measures for infectious diseases prevention, mitigation and management (PMM) differentiated for large ferries, cruise ships and expedition vessels. This approach covers: a) preparedness and response to known infectious diseases frequently occurring on passenger ships, diseases that have never occurred but for which preparedness is essential, diseases of unknown aetiology to ensure preparedness for future emerging pathogens/pandemics; b) the entire passenger/crew journey travelling from home to ship and returning, on-board, during shore-side visits; c) ship-board operations, shore-side company operations, port destinations and communities; d) a global perspective of project outputs towards communities and passenger shipping industry. Epidemiological studies, risk assessment, modelling for disease spread and aerosol/droplet dispersion and setting disease thresholds/alert levels will develop a scientific evidencebase and support production of evidence-informed guidelines on COVID-19 for ships/ports, passengers/crew vaccination, ventilation systems and expedition vessels’ medical operation needs. Development/testing of ship-specific syndromic surveillance, AI systems, decision support tools will contribute to early health threat detection on-board, risk-based proportionate responses, and healthy on-board environments. Toolkits for blended learning with hands-on training and technology induced behaviour change will further knowledge, awareness and compliance of all stakeholders. An integrated e-pass based on one-ID concept and toolkit predicting port response capacities will address port operation and community needs. A scientific international panel will promote a harmonized global approach.