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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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A corrected article has been published for this content:
Authors’ correction for Euro Surveill. 2020;25(23)
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/content/10.2807/1560-7917.ES.2020.25.23.2000272
2020-06-11
2024-11-21
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2020.25.23.2000272
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Descriptive study of COVID-19 outbreak among passengers and crew on Diamond Princess cruise ship, Yokohama Port, Japan, 20 January to 9 February 2020
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Takuya+Yamagishi&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Yamagishi Takuya</a>, <a href="/search?value1=Hajime+Kamiya&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Kamiya Hajime</a>, <a href="/search?value1=Kensaku+Kakimoto&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Kakimoto Kensaku</a>, <a href="/search?value1=Motoi+Suzuki&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Suzuki Motoi</a>, <a href="/search?value1=Takaji+Wakita&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Wakita Takaji</a></span>. Descriptive study of COVID-19 outbreak among passengers and crew on Diamond Princess cruise ship, Yokohama Port, Japan, 20 January to 9 February 2020. <a href="/content/ecdc">Euro Surveill.</a> 2020;25(23):pii=2000272. <a href="https://doi.org/10.2807/1560-7917.ES.2020.25.23.2000272" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2020.25.23.2000272</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 08 Mar 2020;&nbsp;&nbsp; <span class="generated">Accepted</span>: 16 Apr 2020 </span> </p>
/content/10.2807/1560-7917.ES.2020.25.23.2000272
/content/10.2807/1560-7917.ES.2020.25.23.2000272
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