Tuesday, February 11, 2020

Cruise Ship 2019-nCoV Outbreak Creates Uncertainty, Fear

At a port in Yokohama, Japan, just outside of Tokyo, a quarantined cruise ship is becoming ground zero for the complexity that results from global health issues in the 21st century. The stranded Princess Cruises ship, with more than 3,500 passengers and crew onboard, is in the midst of a 2019-nCoV outbreak that is leaving passengers, crew members, public health leaders, and government officials scrambling for solutions to address the deteriorating conditions onboard.

While the close quarters of cruise ships are known for facilitating the spread of norovirus, an uncomfortable but normally not lethal viral infection, addressing the current 2019-nCoV outbreak onboard is presenting a far more complex set of problems as officials try and balance quarantine efforts with the realty that prolonged exposure is likely to result in a significantly higher rate of infection.  As of February 10, 2020, 135 people onboard the ship had been infected. That is approximately 3.8% of the onboard population and is a significant increase from previous totals. “According to Princess Cruises, which operates the ship, at least 20 of them are American. The ship already has the largest number of coronavirus cases outside the epicenter in China, where more than 40,000 have been infected.”

The crew in particular is facing significant risk since they live in closest proximity to one another and undergo the greatest amount of daily interaction with passengers (who are currently quarantined to their rooms for most of the day). “While the quarantine slapped on the Diamond Princess was meant to contain the virus, the conditions facing the crew could end up doing the opposite and help spread the illness, disease experts say.” So far it does not appear that a majority of the identified cases have impacted crew members but the situation is fluid.

The reality of quarantines is that they project those outside but it can be to the detriment of those within. The difficult balancing act becomes doing what is best for the majority without sacrificing or endangering the well-being of the minority.

Citation: Dooley, Ben and Motoko Rich. “Cruise Ship’s Coronavirus Outbreak Leaves Crew Nowhere to Hide.” The New York Times, 10 February 2020. https://www.nytimes.com/2020/02/10/business/coronavirus-japan-cruise-ship.html. Accessed 11 February 2020.

Post by Richard Hackmann

5 comments:

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