ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2020
Descriptive study of COVID-19 outbreak among passengers and crew on Diamond Princess cruise ship, Yokohama Port, Japan, 20 January to 9 February 2020.
Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 35 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Can ship travel contain COVID-19 outbreak after re-opening: a Bayesian meta-analysis.Epidemiology and infection · 2023Pooled it
- Systematic Review on Outbreaks of SARS-CoV-2 on Cruise, Navy and Cargo Ships.International journal of environmental research and public health · 2021Pooled it
- Why Andes hantavirus is not the next SARS-CoV-2: contrasting viral shedding, transmissibility and genomic patterns.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026Article
- Practicing pharmacist education based on the experiences of medical support on the cruise ship Diamond Princess.BMC medical education · 2025Article
- Lessons for future outbreaks from successful contact tracing systems in Asia.The Lancet regional health. Western Pacific · 2025Review
- Scoping review of infectious disease prevention, mitigation and management in passenger ships and at ports: mapping the literature to develop comprehensive and effective public health measures.Tropical medicine and health · 2025Article
- Teamwork Management and Benefit of Telemedicine in COVID-19 Outbreak Control on an Offshore Vessel in the Gulf of Thailand, Songkhla Province, Thailand: A Case Report.International journal of environmental research and public health · 2023Article
- Article
- COVID-19 outbreaks on ships: Analysis of three representative cases.Public health in practice (Oxford, England) · 2022Review
- Transmission of SARS-CoV-2 Associated with Cruise Ship Travel: A Systematic Review.Tropical medicine and infectious disease · 2022Review
- [The French Armed Forces Biomedical Research Institute (IRBA) and wastewater-based epidemiology: Applicability and relevance in armed forces].Bulletin de l'Academie nationale de medecine · 2022Review
- COVID-19 after the first wave of the pandemic among employees from a German university hospital: prevalence and questionnaire data.Journal of medicine and life · 2022Article
- Investigation of a COVID-19 outbreak on the Charles de Gaulle aircraft carrier, March to April 2020: a retrospective cohort study.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022Article
- Exploring the Utility of NK Cells in COVID-19.Biomedicines · 2022Review
- COVID-19 outbreaks among crew members in non-cruise vessels anchoring in Salvador, Brazil, 2021.Memorias do Instituto Oswaldo Cruz · 2022Article
- A review of COVID-19 transmission dynamics and clinical outcomes on cruise ships worldwide, January to October 2020.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022Review
- Identification of measures to contain the outbreaks on passenger ships using pedestrian simulations.Procedia computer science · 2022Article
- How to control cruise ship disease risk? Inspiration from the research literature.Marine policy · 2021Article
- Epidemiology of Coronavirus Disease Outbreak among Crewmembers on Cruise Ship, Nagasaki City, Japan, April 2020.Emerging infectious diseases · 2021Review
- [COVID-19 patients in Germany: exposure risks and associated factors for hospitalization and severe disease].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2021Review
Corrections and comments
- Comment on
- Comment on
- Erratum issued
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
An outbreak of coronavirus disease (COVID-19) occurred on the Diamond Princess cruise ship making an international journey, which led to quarantine of the ship at Yokohama Port, Japan. A suspected COVID-19 case was defined as a passenger or crew member who developed a fever or respiratory symptoms, and a confirmed COVID-19 case had laboratory-confirmation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Between 3 and 9 February 2020, 490 individuals were tested for SARS-CoV-2 and 172 were positive (152 passengers (median age: 70 years; interquartile range (IQR): 64-75; males: 45%) and 20 crew (median age: 40 years; IQR: 35-48.5; males: 80%). Other than the Hong Kong-related index case, symptom onset for the earliest confirmed case was 22 January, 2 days after the cruise ship left port. Attack rates among passengers were similar across the decks, while beverage (3.3%, 2/61) and food service staff (5.7%, 14/245) were most affected. Attack rates tended to increase with age. A comprehensive outbreak response was implemented, including surveillance, provision of essential medical care, food and medicine delivery, isolation, infection prevention and control, sampling and disembarkation.
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