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10.1093/cid/ciaa1180 http://scihub22266oqcxt.onion/10.1093/cid/ciaa1180 32785683!7454359!32785683     free     free     free Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Clin+Infect+Dis 2021 ; 72 (10): e448-e457 Nephropedia Template TP {{tp|p=32785683|t=2021. Coronavirus Disease 2019 (COVID-19) in Americans Aboard the Diamond Princess Cruise Ship |pdf=|usr=}}{{32785683}} gab.com Text Coronavirus Disease 2019 (COVID-19) in Americans Aboard the Diamond Princess Cruise Ship JO: Clin Infect Dis http://www.kidney.de/pget.php?&tw=1&pmid=32785683 #FOAvip BACKGROUND: The Diamond Princess cruise ship was the site of a large outbreak of coronavirus disease 2019 (COVID-19). Of 437 Americans and their travel companions on the ship, 114 (26%) tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). METHODS: We interviewed 229 American passengers and crew after disembarkation following a ship-based quarantine to identify risk factors for infection and characterize transmission onboard the ship. RESULTS: The attack rate for passengers in single-person cabins or without infected cabinmates was 18% (58/329), compared with 63% (27/43) for those sharing a cabin with an asymptomatic infected cabinmate, and 81% (25/31) for those with a symptomatic infected cabinmate. Whole genome sequences from specimens from passengers who shared cabins clustered together. Of 66 SARS-CoV-2-positive American travelers with complete symptom information, 14 (21%) were asymptomatic while on the ship. Among SARS-CoV-2-positive Americans, 10 (9%) required intensive care, of whom 7 were >/=70 years. CONCLUSIONS: Our findings highlight the high risk of SARS-CoV-2 transmission on cruise ships. High rates of SARS-CoV-2 positivity in cabinmates of individuals with asymptomatic infections suggest that triage by symptom status in shared quarters is insufficient to halt transmission. A high rate of intensive care unit admission among older individuals complicates the prospect of future cruise travel during the pandemic, given typical cruise passenger demographics. The magnitude and severe outcomes of this outbreak were major factors contributing to the Centers for Disease Control and Prevention's decision to halt cruise ship travel in US waters in March 2020. Twit Text FOAVip Coronavirus Disease 2019 (COVID-19) in Americans Aboard the Diamond Princess Cruise Ship ????Clin Infect Dis http://www.kidney.de/pget.php?&tw=1&pmid=32785683 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32785683 #FOAvip English Wikipedia <ref>{{Cite pmid|32785683}}</ref> Coronavirus Disease 2019 (COVID-19) in Americans Aboard the Diamond Princess Cruise Ship #MMPMID32785683 Plucinski MM; Wallace M; Uehara A; Kurbatova EV; Tobolowsky FA; Schneider ZD; Ishizumi A; Bozio CH; Kobayashi M; Toda M; Stewart A; Wagner RL; Moriarty LF; Murray R; Queen K; Tao Y; Paden C; Mauldin MR; Zhang J; Li Y; Elkins CA; Lu X; Herzig CTA; Novak R; Bower W; Medley AM; Acosta AM; Knust B; Cantey PT; Pesik NT; Halsey ES; Cetron MS; Tong S; Marston BJ; Friedman CR Clin Infect Dis 2021[May]; 72 (10): e448-e457 PMID32785683show ga BACKGROUND: The Diamond Princess cruise ship was the site of a large outbreak of coronavirus disease 2019 (COVID-19). Of 437 Americans and their travel companions on the ship, 114 (26%) tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). METHODS: We interviewed 229 American passengers and crew after disembarkation following a ship-based quarantine to identify risk factors for infection and characterize transmission onboard the ship. RESULTS: The attack rate for passengers in single-person cabins or without infected cabinmates was 18% (58/329), compared with 63% (27/43) for those sharing a cabin with an asymptomatic infected cabinmate, and 81% (25/31) for those with a symptomatic infected cabinmate. Whole genome sequences from specimens from passengers who shared cabins clustered together. Of 66 SARS-CoV-2-positive American travelers with complete symptom information, 14 (21%) were asymptomatic while on the ship. Among SARS-CoV-2-positive Americans, 10 (9%) required intensive care, of whom 7 were >/=70 years. CONCLUSIONS: Our findings highlight the high risk of SARS-CoV-2 transmission on cruise ships. High rates of SARS-CoV-2 positivity in cabinmates of individuals with asymptomatic infections suggest that triage by symptom status in shared quarters is insufficient to halt transmission. A high rate of intensive care unit admission among older individuals complicates the prospect of future cruise travel during the pandemic, given typical cruise passenger demographics. The magnitude and severe outcomes of this outbreak were major factors contributing to the Centers for Disease Control and Prevention's decision to halt cruise ship travel in US waters in March 2020. |*COVID-19[MESH] |*Ships[MESH] |Diamond[MESH] |Disease Outbreaks[MESH] |Humans[MESH] |Quarantine[MESH] |SARS-CoV-2[MESH] |Travel[MESH]Coronavirus Disease 2019 (COVID-19) in Americans Aboard the Diamond Pr(epmc).pdf DeepDyve Pubget Overpricing