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Medical Sciences Forum, Volume 13, Issue 1

2022 SHIPSAN 2022 - 34 articles

Public Health Congress on Maritime Transport and Ports 2022: Sailing to the Post-COVID-19 Era

Athens, Greece | 21–22 October 2022

Volume Editors:
Despena Andrioti Bygvraa, University of Gothenburg, Sweden
Sebastian Crespi, Biolinea Int., Spain
Miguel Dávila Cornejo, Ministry of Health, Spain
Lieselotte De Marez, Food Chain Safety and Environment, Belgium
Christos Hadjichristodoulou, University of Thessaly, Greece
Volker Harth, University Medical Center Hamburg-Eppendorf, Germany
Pavle Jelicic, Croatian Institute of Public Health, Croatia
Jørn Klein, University of South-Eastern Norway, Norway
Antonios Michaelakis, Benaki Phytopathological Institute, Greece
Varvara Mouchtouri, University of Thessaly, Greece
Nina Pirnat, National Institute of Public Health, Slovenia
Andrea Smith, Association of Port Health Authorities, UK
Carmen Varela Martínez, Health Institute Carlos III, Spain
Thijs Veenstra, National Institute for Public Health and the Environment (RIVM), The Netherlands
Thomas Von Muenster, University Medical Center Hamburg-Eppendorf, Germany

Cover Story: The EU SHIPSAN ASSOCIATION organized, in collaboration with CLIA and MedCruise, the international Public Health Congress 2022 on Maritime Transport and Ports: sailing to the post-COVID-19 era (21–22 October 2022, Athens, Greece). The Congress brought together about 400 expert scientists, government officials, maritime industry representatives, port administrators, and other organisations. More than 80 expert speakers and chairs from national, European, and international organisations (the WHO, EC DGMOVE, EMSA, USCDC, CLIA, MedCruise, and ECSA) discussed the latest evidence-based scientific data, best practices, and current research as well as innovation activities and results in the field of public health in maritime transport. In addition to invited speakers, 41 abstracts were submitted, out of which 39 were accepted: 29 for oral and 10 for poster presentations.
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Articles (34)

  • Editorial
  • Open Access
1,323 Views
2 Pages

Statement of Peer Review

  • Despena Andrioti Bygvraa,
  • Sebastian Crespi,
  • Miguel Dávila Cornejo,
  • Lieselotte De Marez,
  • Christos Hadjichristodoulou,
  • Volker Harth,
  • Pavle Jelicic,
  • Jørn Klein,
  • Antonios Michaelakis and
  • Thomas Von Muenster
  • + 5 authors

In submitting conference proceedings to Medical Sciences Forum, the volume editors of the proceedings certify to the publisher that all papers published in this volume have been subjected to peer review administered by the volume editors [...]

  • Proceeding Paper
  • Open Access
1,111 Views
2 Pages

Occupational Health on Merchant Ships during COVID-19

  • Kristina Militzer,
  • Franziska Labe,
  • Martin Dirksen-Fischer,
  • Matthias Boldt,
  • Birgit Grassl,
  • Christina Stabenow,
  • Volker Harth and
  • Jan Heidrich

The COVID-19 pandemic burdened the working and living conditions of seafaring personnel with particular challenges. The present study investigated the health and occupational burden of 301 multinational seafarers from merchant ships using self-admini...

  • Proceeding Paper
  • Open Access
1,369 Views
3 Pages

e-Healthy Ship: New Approaches for Improving Health Management on Merchant Vessels

  • Lukas Belz,
  • Dorothee Dengler,
  • Chiara Reck,
  • Thomas von Münster,
  • Jan Heidrich,
  • Volker Harth and
  • Marcus Oldenburg

On Merchant vessels, there is usually no physician on board. Health management there is a great challenge for the responsible nautical officers. To simplify health administration on board diverse electronic health modules including a medical logbook...

  • Proceeding Paper
  • Open Access
1,616 Views
4 Pages

Quarantine Vessels and Irregular Migration: New Public Health Measures against SARS-CoV-2

  • Laura Pecoraro,
  • Salvatore Zichichi,
  • Emanuela Maria Frisicale,
  • Claudia Marotta,
  • Domenico Stabile,
  • Claudio Pulvirenti,
  • Ulrico Angeloni,
  • Giorgia Battaglia,
  • Giovanni Rezza and
  • Fabrizio Stracci

During SARS-CoV-2 pandemic irregular migrants coming by sea to Europe were required to observe a period of isolation or quarantine on-board dedicated ferry vessels, converted into protected isolation system according to Technical Guidelines written b...

  • Proceeding Paper
  • Open Access
1,611 Views
3 Pages

The public health surveillance of yachts and pleasure boats is relevant to avoid and prevent the spread of infectious diseases. With the entry into force of the International Health Regulations 2005, the Ship Sanitation Exemption Certificate (SSEC) b...

  • Abstract
  • Open Access
1,159 Views
1 Page

Background: Being highly contagious through person-to-person transmission, COVID-19 can easily spread within multinational populations of ships and to land communities. The purpose of this study is to report on the prevalence of COVID-19 infections i...

  • Abstract
  • Open Access
1,925 Views
2 Pages

Seafarers’ Health and Wellbeing during COVID-19: Lessons Learned

  • Margarita Kanaki,
  • Despoina Andrioti Bygvraa and
  • George Charalambous

19 December 2022

The maritime industry has long been a significant mode of transportation. It is essential since it contributes to 80% of the global trade. Nevertheless, the COVID-19 pandemic has affected the maritime sector and its workforce. Many countries implemen...

  • Proceeding Paper
  • Open Access
2,107 Views
4 Pages

15 December 2022

Adequate medical facilities on passenger ships are essential to ensuring the quality of medical care and public health actions. Their design and construction is complex, as they have to comply with several regulations and recommendations from differe...

  • Proceeding Paper
  • Open Access
1,904 Views
5 Pages

15 December 2022

In March 2020, a ferry (Splendid G.N.V. Company, Italy) moored in the port of Genova (Northwest of Italy) was transformed into a medical care facility for COVID-19. The project intended to help infected patients that required low-intensity care, were...

  • Proceeding Paper
  • Open Access
2 Citations
1,654 Views
5 Pages

Using the Intra-Action Review Methodology at European Level to Assess Effectiveness of Measures for Cruise Ship Operations in the COVID-19 Context

  • Lemonia Anagnostopoulos,
  • Leonidas Kourentis,
  • Miguel Dávila Cornejo,
  • Iratxe Moreno Lorente,
  • Mauro Dionisio,
  • Claudia Marotta,
  • Christos Hadjichristodoulou and
  • Varvara A. Mouchtouri

In response to the COVID-19 pandemic, the European Union Joint Action HEALTHY GATEWAYS developed guidelines for cruise operators and authorities to restart operations and provide common COVID-19 public health preparedness and response standards. In F...

  • Proceeding Paper
  • Open Access
1,711 Views
5 Pages

Comprehensive Action to Address Seafarers’ Challenges since the COVID-19 Pandemic—A Pragmatic Approach to Human Rights at Sea

  • Eva Lianne Veldkamp,
  • Despoina Andrioti Bygvraa,
  • Hannah E. Dawicki and
  • Morgan G. Dawicki

12 December 2022

The COVID-19 pandemic exacerbated many underlying issues regarding seafarers in the maritime industry, known as the “human element” at the International Maritime Organization. The challenges were a result of a global crew change crisis an...

  • Proceeding Paper
  • Open Access
1 Citations
2,239 Views
2 Pages

Psychological Safety, Bullying, Sexual Assault and Harassment in the Maritime Sector

  • Eva Lianne Veldkamp,
  • Despoina Andrioti Bygvraa,
  • Hannah E. Dawicki and
  • Morgan G. Dawicki

12 December 2022

The adverse impacts caused by the COVID-19 pandemic reinforced and magnified issues of sexual assault and harassment (SASH) with consequences on seafarers’ mental health and wellbeing which in turn negatively affects recruitment and attrition r...

  • Proceeding Paper
  • Open Access
1,567 Views
3 Pages

Maritime Public Health Cross Border Cooperation: Principality of Monaco and Italian Liguria Health Port Authority Best Practices

  • Antonello Campagna,
  • Marco Mela,
  • Mattia Latorre,
  • Federica Zedda,
  • Thomas Althaus and
  • Eric Voiglio

The French and Italian Riviera are one of the most important areas in the world for yachting and cruise activity. Even though ports and airports of this area make up a single network, they insist on the territory of two different EU countries (Italy...

  • Abstract
  • Open Access
2 Citations
1,738 Views
2 Pages

Monitoring for Native and Invasive Mosquitoes at the Limassol Port in Cyprus

  • Angeliki F. Martinou,
  • Katerina Athanasiou and
  • Kevin Shawcross

Throughout human history, human mobility between ports has been responsible for the transcontinental spread of vector-borne diseases such as the bubonic plague and vectors such as fleas, sandflies, and mosquitoes being transported even to small ocean...

  • Proceeding Paper
  • Open Access
1,385 Views
4 Pages

Legionella is a public health concern on passenger ships and the the need to implement a Legionellosis prevention plan is even more important in on-board hospitals that are frequented by higher risk people who are more susceptible to infection. In th...

  • Proceeding Paper
  • Open Access
2,439 Views
5 Pages

SHIPSAN Routine Inspections between 2018 and 2022

  • Leonidas Kourentis,
  • Eleni P. Christoforidou,
  • Mauro Dionisio,
  • Miguel Dávila-Cornejo,
  • Antonis Kantonis,
  • Boris Kopilovic,
  • Erika Grigorevičė,
  • Iveta Dubrovova,
  • Martina Pilková and
  • the EU HEALTHY GATEWAYS Joint Action Partnership
  • + 10 authors

The aim of the study is to describe the routine inspections conducted by competent Public Health Authorities (PHAs) on board passenger ships (cruise ships, inland vessels or ferries) sailing in European countries during the EU HEALTHY GATEWAYS joint...

  • Proceeding Paper
  • Open Access
1,920 Views
3 Pages

COVID on the Seas: SARS-CoV-2 in Commercial Shipping, Port of Rotterdam, The Netherlands, 2020–2021

  • Edward Gebuis,
  • Bruno Vieyra,
  • Rob Slegtenhorst,
  • Saskia Wiegmans,
  • Bas van Dijk,
  • Thijs Veenstra,
  • Saskia Tejland,
  • Ewout Fanoy,
  • Annemieke de Raad and
  • Jane Whelan
  • + 3 authors

We analysed all proven cases of SARS-CoV-2 on sea-going vessels entering or present in the Port of Rotterdam to illustrate the burden of the corona pandemic on commercial shipping. We calculated the notification rate (NR) per arrival and attack rate...

  • Proceeding Paper
  • Open Access
1,893 Views
3 Pages

Developing an Interoperable Port Health Contingency Plan

  • Robert Conway,
  • Margaret M. Brennan,
  • Paul Mullane,
  • Cliodhna O’Mahony,
  • Finán Gallagher,
  • Gavin McDonnell,
  • Brendan Lawlor,
  • Darryl Coen,
  • Regina Kiernan and
  • Máirín Boland
  • + 1 author

Contingency planning is a vital component of robust national emergency preparedness. In Ireland, the Health Service Executive Port Health Network engaged with Dublin Port from July 2021 to develop Ireland’s first interoperable port health conti...

  • Proceeding Paper
  • Open Access
1,467 Views
5 Pages

Communication of Public Health Events on Ships through the EU Common Ship Sanitation Database

  • Leonidas Kourentis,
  • Miguel Dávila Cornejo,
  • Eleni Christoforidou,
  • Nikos Bitsolas,
  • Lemonia Anagnostopoulos,
  • Christos Hadjichristodoulou,
  • Varvara A. Mouchtouri and
  • The EU HEALTHY GATEWAYS Partnership

The coordination of public health events related to ships presents a challenge to the port health authorities, and communication means and routes are not well established. The EU Common Ship Sanitation Database provides a platform for port-to-port co...

  • Proceeding Paper
  • Open Access
1,726 Views
4 Pages

EU HEALTHY GATEWAYS Joint Action—Contributions to European Public Health Preparedness and Response at Points of Entry

  • Varvara A. Mouchtouri,
  • Lemonia Anagnostopoulos,
  • Mauro Dionisio,
  • Martin Dirksen-Fischer,
  • Janusz Janiec,
  • Elina Kostara,
  • Nikolaos Bitsolas,
  • Jan Heidrich,
  • Kristina Militzer and
  • The EU HEALTHY GATEWAYS Partnership
  • + 11 authors

The joint action EU HEALTHY GATEWAYS (EUHG) aimed to support cooperation and coordinated action of MS to improve their preparedness and response capacities at PoE, for preventing and combating cross-border health threats from the transport sector. Th...

  • Proceeding Paper
  • Open Access
1,723 Views
3 Pages

Potable Water Quality on Non-Passenger Ships Calling Belgian Ports

  • Leonidas Kourentis,
  • Lemonia Anagnostopoulos,
  • Zafeiris Tsinaris,
  • Achilleas P. Galanopoulos,
  • Diederik Van Reusel,
  • Raf Van den Bogaert,
  • Björn Helewaut,
  • Inge Steenhout,
  • Hasse Helewaut and
  • Varvara A. Mouchtouri
  • + 2 authors

Waterborne disease due to the microbial contamination of potable water onboard ships is a potential threat for seafarers. The results from the samples collected at Belgian ports from 2010 to 2018 during inspections of non-passenger ships are used to...

  • Proceeding Paper
  • Open Access
2 Citations
1,752 Views
4 Pages

Legionella spp. Colonization on Non-Passenger Ships Calling at Belgian Ports

  • Leonidas Kourentis,
  • Lemonia Anagnostopoulos,
  • Zafeiris Tsinaris,
  • Achilleas P. Galanopoulos,
  • Diederik Van Reusel,
  • Raf Van den Bogaert,
  • Björn Helewaut,
  • Inge Steenhout,
  • Hasse Helewaut and
  • Varvara A. Mouchtouri
  • + 2 authors

The association of cases of Legionnaires’ disease and ships has been well documented. Results from potable water samples collected for microbiological analysis during SSC inspections conducted from 2010 to 2018 at Belgian ports were analyzed in...

  • Proceeding Paper
  • Open Access
1 Citations
1,727 Views
4 Pages

Mass Casualty Incident in the Port of Hamburg—Large-Scale Exercise during the COVID-19 Pandemic

  • Lena Ehlers,
  • Matthias Boldt,
  • Birgit Grassl,
  • Scarlett Kleine-Kampmann,
  • Elisabeth Hewelt,
  • Christina Stabenow,
  • Kea-Sophie Weber,
  • Jens de Boer,
  • Kristina Militzer and
  • Martin Dirksen-Fischer
  • + 5 authors

30 November 2022

Within the framework of the interdisciplinary research project ARMIHN (Adaptive Resilience Management in the Port) a two-day large-scale exercise took place in the Port of Hamburg in October 2021. Due to the COVID-19 pandemic, the exercise could not...

  • Proceeding Paper
  • Open Access
1,448 Views
4 Pages

Seawater Contamination of Potable Water Shoreside during Freight Ferry Bunkering at an International Port

  • Margaret M. Brennan,
  • Louise Hendrick,
  • Deirdre O’Brien,
  • Stephen Burke,
  • Máirín Boland and
  • Helena Murray

29 November 2022

In January 2019, complaints of an intermittent salty taste in drinking water were received from locations in close proximity to an international seaport. Preliminary testing indicated the presence of seawater within the potable water system. A multi-...

  • Abstract
  • Open Access
2,153 Views
2 Pages

Occupational Diseases and Injuries on Board Ships: A Preliminary Analysis for an Epidemiological Observatory of Seafarers

  • Getu Gamo Sagaro,
  • Ulrico Angeloni,
  • Marzio Di Canio,
  • Claudia Marotta,
  • Giovanni Rezza,
  • Andrea Silenzi and
  • Francesco Amenta

Workers on board ships have a higher rate of mortality, injuries, and illnesses than their counterparts ashore due to their particularly risky working conditions [...]

  • Proceeding Paper
  • Open Access
3 Citations
2,302 Views
4 Pages

Advanced Telemedicine Solutions for High-Quality Medical Assistance at Sea

  • Francesco Amenta,
  • Marzio Di Canio,
  • Antonio Arcese,
  • Francesco Bajani,
  • Ciro Ruocco and
  • Fabio Sibilio

The medical assistance to seafarers was not always improved in parallel with advances in medicine and telecommunications. Today technology offers systems including digital devices helping in collecting symptoms to be referred correctly to remote phys...

  • Proceeding Paper
  • Open Access
1,325 Views
4 Pages

COVID-19, Travel Companion: The Spanish Experience on Cruise Ships

  • Iratxe Moreno Lorente,
  • Rocío Palmera Suarez,
  • Lourdes Oliva Íñiguez,
  • Miguel Dávila Cornejo,
  • Sergio Béjar Serrano,
  • Patricia López Pereira,
  • Inmaculada Vera Gil,
  • Concepción Sanchez Fernández,
  • Gloria González Díaz and
  • Fernando Carreras Vaquer
  • + 1 author

Spain is a country with an important flow of cruises in Europe. Since the restarting of cruise activity, 1,106 events with 12,134 confirmed cases of COVID-19 were reported from 21 ports. 72.3% of cases and 73.7% of events were registered in the Balea...

  • Proceeding Paper
  • Open Access
2 Citations
1,748 Views
3 Pages

Pilot Implementation of SARS-CoV-2 Wastewater Surveillance on Cruise Ships Arriving at the Port of Piraeus from June to November 2021

  • Michalis Koureas,
  • Maria Kyritsi,
  • Alexandros Vontas,
  • Leonidas Kourentis,
  • Charalampos Vasileiou,
  • Varvara A. Mouchtouri and
  • Christos Hadjichristodoulou

This study evaluated the usefulness and validity of wastewater SARS-CοV-2 monitoring in passenger ships. Wastewater grab samples (n = 54) were collected from seven cruise ships arriving at the port of Piraeus from June to November 2021. Sampl...

  • Proceeding Paper
  • Open Access
1,518 Views
3 Pages

The Soft Power Approach to Ship Sanitation

  • Luis Alfredo Bautista,
  • Iratxe Moreno and
  • Miguel Dávila

Soft power is a geopolitics concept that implies achieving what one wants through non-coercitive measures. In the context of ship sanitation, port health authorities can provide “hard” and coercitive mandates, and also non-coercitive reco...

  • Proceeding Paper
  • Open Access
1,588 Views
4 Pages

Man-made vitreous fibers (MMVFs) are widely used in shipbuilding. Some MMVFs are “suspected of causing cancer” in Annex VI of Regulation (EC) 1272/2008 and can be easily found in ships (asbestos free or not ones). This study is an overvie...

  • Proceeding Paper
  • Open Access
2 Citations
1,847 Views
4 Pages

Developing a Framework for Health Risk Assessment, by Integrating Infection and Spreading Aspects into RBD

  • Nikolaos P. Ventikos,
  • Panagiotis Sotiralis,
  • Manolis Annetis and
  • Frank Roland

Communicable diseases pose a significant threat for passenger vessels, as norovirus, influenza, food, waterborne diseases, and lately COVID-19 have caused several public health events. To manage the risks deriving from communicable diseases, this wor...

  • Abstract
  • Open Access
1,780 Views
3 Pages

Multiple Varicella Outbreaks on Cruise Ships Belonging to the Same Company

  • Miguel Dávila,
  • Iratxe Moreno,
  • Lourdes Oliva,
  • Rocío Palmera,
  • Sergio Béjar,
  • Patricia López,
  • Inmaculada Vera,
  • Concepción Sánchez,
  • Gloria González and
  • Fernando Carreras
  • + 2 authors

Transmission of infectious diseases on passenger ships is a well-known fact and efforts have been made to fight against it for years [...]

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Med. Sci. Forum - ISSN 2673-9992