cruise-associated diarrheal disorder

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Epidemiology Big boat bouts of bowl-bound bowels; outbreaks of CADD occurs in 1.4/1000 cruises or 2.3 outbreaks/10 million passenger-days; an etiologic agent is implicated in 2⁄3 of cases; half are bacterial–enterotoxigenic E coli, Salmonella enteritidis, Shigella sonnei, half viral–Norwalk-like agent; a vehicle of transmission is identified in 1⁄2 No-no foods Scallops, eggs, food from caterers in onshore excursions. See Sanitation score.

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