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

凭借在客船传染病预防和控制方面的丰富经验、深入知识和专业知识，健康帆船联盟提出了一种全面的方法，为大型渡轮、游轮和探险船提供了一种创新的、多层次的、有风险的、基于证据的、具有成本效益的传染病预防、缓解和管理（PMM）措施。这一方法包括：a)准备和应对客船上经常发生的已知传染病、从未发生但必须做好准备的疾病、病因不明的疾病，以确保对未来新出现的病原体/大流行病做好准备；B)乘客/船员从家中到船上并在岸上访问期间在船上返回的整个旅程；C)船上作业、岸边公司作业、港口目的地和社区；D)对社区和客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/飞沫扩散建模以及设定疾病阈值/警报级别将建立科学的证据基础，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操作需求制定循证指南。开发/测试船舶特定综合征监测、人工智能系统和决策支持工具将有助于船上早期健康威胁检测、基于风险的比例响应和健康的船上环境。将学习与实践培训和技术诱导的行为改变相结合的工具包将进一步提高所有利益相关者的知识、意识和合规性。基于一个id概念的综合电子通行证和预测港口响应能力的工具包将解决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办法。

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.