Norovirus Outbreaks on Commercial Cruise Ships: A Systematic Review and New Targets for the Public Health Agenda

Noroviruses are recognized as the leading cause of human acute viral gastroenteritis worldwide. The rate of outbreaks on cruise ships has grown significantly in recent years. Given the potentially harmful consequences of outbreaks for passengers and crewmembers and the subsequently high costs for cruise companies, disease outbreaks on cruise ships represent a serious public health issue. The aim of our study was to systematically review published studies related to Norovirus outbreaks on commercial cruise ships. We searched the PubMed and Scopus scientific databases. We included eligible studies published from January 1990 to July 2013 that were written in English and described infectious episodes involving at least two passengers and/or crewmembers on a commercial cruise ship. As a result, 15 studies and seven reviews met the inclusion criteria, describing a total of 127 outbreaks. The majority of the cases were reported in Europe and the USA, affecting <1 to 74 % of the embarked passengers. In the majority of the studies, stool samples and/or serum specimens from ill passengers were collected and tested for laboratory confirmation. Twelve studies reported that an ad-hoc questionnaire was administered. Fifteen studies investigated the possible source of infection which was contaminated food in the majority of cases. Our findings suggest a strong need for the monitoring and implementation of preventive measures in semi-closed communities, such as cruise ships. It would be advisable to strengthen all relevant initiatives in order to improve the detection of, response to and control of Norovirus outbreaks on cruise ships.     

Culture as trigger for sustainability transition in the water domain: the case of the Spanish water policy and the Ebro river basin

There is a mounting body of literature dealing generally with the dynamics of transitions of human systems towards sustainability and specifically with the different stages and processes of transitions. However, the question of why transition processes occur in the first place remains largely unexplained. This paper explores the concept of transition triggers, such as culture or material resource scarcity, and provides a theoretical framework to explain the emergence of a transition and its relation to recent developments in Spanish water policy. We adapt the general framework provided by current transition theory and gather empirical evidence and insights from processes occurring within the Spanish policy context and the Ebro river basin in particular. Our results show that the sole existence of biophysical limits to water use or development cannot explain the start of a possible sustainability transition in this domain in Spain. Changes in the existing water policies in the direction of sustainability were not ignited by people directly affected by water scarcities but by a coalition of sensitive agents, mostly from academia, NGOs and local constituencies, who managed to articulate new identities, integrate multiple sources of policy relevant knowledge, and develop new values under the umbrella of the new water culture movement.

Leonardo da Vinci’s “Last Supper”: a case study to evaluate the influence of visitors on the Museum preservation systems

Environmental Science and Pollution Research - The most important parameter to obtain an appropriate preservation condition of museum environments concerns the indoor air quality. The exposure of...     

Sources and trends of trace elements and polycyclic aromatic hydrocarbons in a shallow lake in the Mediterranean area from sediment archives of the Anthropocene

Environmental Science and Pollution Research - In this study, the anthropogenic contamination in Trasimeno lake (Central Italy) was investigated using three sediment cores spanning over the last...     

Pre-industrial sediment concentrations of metals: insights from the Venice lagoon (Italy)

Environmental Science and Pollution Research - This study investigated the occurrence of selected metals and metalloids (As, Cd, Cr, Cu, Hg, Ni, Pb, Zn) in radio-dated sediment cores from a coastal...     

Decabrominated diphenyl ether in river fish and sediment samples collected downstream an industrial park

Fish, sediment and water samples from different places along the Spanish River Vero, a tributary of the Cinca River in the Ebro River basin, were collected in two different sampling campaigns, the first one during November 2004 and the second one in November 2005. The samples were collected up- and downstream from an industrial park. A total of 29 fishes, 6 sediments and 3 water samples were analyzed for polybrominated diphenyl ethers (PBDEs). Analytical work included 23 congeners, from tri- to deca-BDEs. The highest values for both sediment and fish samples were found downstream of the industrial park. High BDE-209 contamination was found in these sediment samples, with values up to 12 microg g(-1) dry weight. Moreover, BDE-209 was detected in 14 out of 15 biota samples collected downstream the industrial park, at concentration levels ranging from 20 to 707 ng g(-1) lipid weight, whereas it was not detected in samples collected upstream. These fish concentrations proved the bioavailability of BDE-209 and represented the highest deca-BDE values found in aquatic biota. The analysis of industrial effluents revealed that some industries contribute in some way to the BDE-209 contamination found in this area, but the industry focused on the polyamide polymerization is the main responsible.     

Brain cortical assessment by MRI in fetuses with left congenital diaphragmatic hernia

Objective

To evaluate fetal brain development using MRI (magnetic resonance imaging) in CDH (congenital diaphragmatic hernia).

Methods

52 isolated left CDH and 104 control fetuses were imaged using MRI. Brain morphometry (Biparietal diameter—BPD, brain fronto-occipital diameter—BFOD, third ventricle, posterior ventricles, transcerebellar diameter—TCD, anteroposterior and craniocaudal cerebellar vermis diameter—AP and CC) and cortical structures (bilateral cingulate fissure—CF, insular fissure—IF, insular depth - ID) were compared with controls using Mann–Whitney test.

Results

Median gestational age at MRI (p = 0.95)and the median biparietal diameter (p = 0.737) were comparable. Among morphometric parameters, only the brain fronto-occipital diameter was significantly smaller in CDH (p = 0.001) and the third ventricle was significantly greater in CDH (<0.0001). Among cortical structures, the cingulate and insular fissures were significantly deeper in CDH fetuses (p < 0.0001) as the insular depth ID was smaller in CDH (p < 0.03).

Conclusions

CDH fetuses have a smaller fronto-occipital diameter, reduced insular depth, deeper cingulate and insular fissure, and greater third ventricle width as compared to controls. These findings suggest that left CDH may have an impact on fetal brain development with an overall reduction in brain volume.     

Supporting mountain agriculture through “mountain product” label: a choice experiment approach

Environment, Development and Sustainability - The valorization of typical food products contributes to local economy sustainability. The European Union introduced the optional "mountain...