Evidence map›Paper›PMID 34068311›Full record

SynthesisInternational journal of environmental research and public health2021

Systematic Review on Outbreaks of SARS-CoV-2 on Cruise, Navy and Cargo Ships.

Ann-Christin Kordsmeyer, Natascha Mojtahedzadeh, Jan Heidrich, Kristina Militzer, Thomas von Münster, Lukas Belz, Hans-Joachim Jensen, Sinan Bakir, Esther Henning, Julian Heuser and 10 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. ["Strong together": Preparedness in German ports from the perspective of the stakeholders involved in the context of infection events].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Methodology of Epidemic Risk Analysis in the Naval Military.International journal of environmental research and public health · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. COVID-19 outbreaks on ships: Analysis of three representative cases.Public health in practice (Oxford, England) · 2022
    Review
  11. Article
  12. Review
  13. Review
  14. Risk factors, immune response and whole-genome sequencing of SARS-CoV-2 in a cruise ship outbreak in Norway.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Article
  15. Attack Rate for Wild-Type SARS-CoV-2 during Air Travel: Results from 46 Flights Traced by German Health Authorities, January-March and June-August 2020.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2022
    Article
  16. Article
  17. 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 · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 3 institutions in 1 country.

Ann-Christin KordsmeyerInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), 20459 Hamburg, Germany.ORCID 0000-0002-9998-5027
Natascha MojtahedzadehInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), 20459 Hamburg, Germany.
Jan HeidrichInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), 20459 Hamburg, Germany.
Kristina MilitzerInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), 20459 Hamburg, Germany.
Thomas von MünsterInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), 20459 Hamburg, Germany.
Lukas BelzInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), 20459 Hamburg, Germany.
Hans-Joachim JensenInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), 20459 Hamburg, Germany.
Sinan BakirDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, Medical University Greifswald, 17475 Greifswald, Germany.ORCID 0000-0002-2448-2150
Esther HenningDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, Medical University Greifswald, 17475 Greifswald, Germany.ORCID 0000-0003-1108-6746
Julian HeuserDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, Medical University Greifswald, 17475 Greifswald, Germany.
Angelina KleinDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, Medical University Greifswald, 17475 Greifswald, Germany.
Nadine SproesselDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, Medical University Greifswald, 17475 Greifswald, Germany.
Axel EkkernkampDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, Medical University Greifswald, 17475 Greifswald, Germany.
Lena EhlersHamburg Port Health Center (HPHC), Institute for Hygiene and Environment, 20537 Hamburg, Germany.
Jens de BoerHamburg Port Health Center (HPHC), Institute for Hygiene and Environment, 20537 Hamburg, Germany.
Scarlett Kleine-KampmannHamburg Port Health Center (HPHC), Institute for Hygiene and Environment, 20537 Hamburg, Germany.
Martin Dirksen-FischerHamburg Port Health Center (HPHC), Institute for Hygiene and Environment, 20537 Hamburg, Germany.
Anita Plenge-BönigInfectious Diseases Surveillance Center, Institute for Hygiene and Environment, 20539 Hamburg, Germany.
Volker HarthInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), 20459 Hamburg, Germany.
Marcus OldenburgInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), 20459 Hamburg, Germany.
Universität Hamburg · DEUniversitätsmedizin Greifswald · DEInstitut für Hygiene und Umwelt · DE

Funding

German Federal Ministry for Education and Research 13N14924
6 · The paper itself

Abstract

The confined environment of a ship promotes the transmission of the severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) due to close contact among the population on board. The study aims to provide an overview of outbreaks of SARS-CoV-2 on board of cruise, navy or cargo ships, to identify relevant outbreak management techniques, related problems and to derive recommendations for prevention. Four databases were searched. The study selection included reports about seroprevalences or clinically/laboratory confirmed infections of SARS-CoV-2 on board ships between the first of January, 2020 and the end of July, 2020. A total of 37 studies were included of whom 33 reported outbreaks of SARS-CoV-2 on cruise ships (27 studies referred to the Diamond Princess). Two studies considered outbreaks on the Grand Princess, three studies informed about Nile River cruises and one study about the MS Westerdam (mention of multiple outbreaks possible in one study). Additionally, three studies reported outbreaks of SARS-CoV-2 on navy vessels and one study referred to a cargo ship. Problems in handling outbreaks resulted from a high number of asymptomatic infections, transportation issues, challenges in communication or limited access to health care. Responsible operators need to implement infection control measures which should be described in outbreak management plans for ships to prevent transmission risks, including, e.g., education, testing strategies, communication lines, social distancing and hygiene regulations.

Indexed as

COVID-19ShipsDisease OutbreaksGovernment AgenciesHumansSARS-CoV-2cargo shipsCOVID-19cruise shipsnavy vesselsoutbreak managementSARS-CoV-2

Identifiers

PMID34068311
PMCPMC8153346
OpenAlexW3160510762

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.