Author: Hadjichristodoulou C, Mouchtouri VA, Martinez CV, Nichols G, Riemer T, Rabinina J, et al.
Summary: This study explored the legislative framework and current practices related to surveillance of communicable diseases and response aboard passenger ships in Europe. A detailed questionnaire was disseminated and completed by 59 competent authorities in 27 European countries. The main reporting tool was the Maritime Declaration of Health (MDH). 45 outbreaks or incidents were reported to EU competent authorities during 2006 and 75% of respondents stated that there are gaps in surveillance and control of communicable diseases.