["Strong together": Preparedness in German ports from the perspective of the stakeholders involved in the context of infection events].

Background: Ports are the first interface with the local population in the event of infections on board ships. In addition to the health authorities, other stakeholders are also involved in the management of disease outbreaks or are affected by them through their activities at the port. An effective approach to outbreak prevention and management that takes all stakeholders into account is therefore crucial. This qualitative sub-study of the 'GESA - Healthy Ports, Strong Together' project analyses the needs of the stakeholders involved. Methods: As part of the GESA study, qualitative interviews were conducted with port medical services, port authorities, fire services, terminal operators, pilots and other relevant stakeholders in order to record structures and processes in five major German ports. Among other things, optimisation opportunities and fields of action were identified. The interviews were analyzed using a qualitative content analysis according to Mayring. Results: A total of 34 interviews were conducted, covering 13 different stakeholders. The needs were primarily expressed in the areas of emergency planning, interdisciplinary exchange, digitalisation, interfaces and information requirements in operations as well as training and further education. Conclusion: The GESA project makes an important contribution to disease prevention and management at ports, as the needs identified are directly incorporated into the development of an idealised process for infection management in German ports. The results will also be taken into account in the development of a training concept for the public health service.