Case Study 2 hlth 642.docx - Running head STUDY 2 1 Case...

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Running head: STUDY 21Case Study 2Liberty UniversityStephanie Dooley
STUDY 22IntroductionThe cruise ship Warpedset sail and made ports in Key West, Ocho Rios, Jamaica, Cozumel, Mexico, Belize, and Grand Cayman. On the fifth day of the trip, 67 passengers and 3 crew members all reported having a diarrheal illness. On the sixth day, the 2% threshold had been reached among the passengers and the medical staff reported this to the VSP. All food handlers and the sick crew members had been removed from duty and all of those infected were told to follow a B.R.A.T. diet which consisted of bananas, rice, apple sauce, tea, and toast. Due to the number of passengers affected, the remaining ports were cancelled and the boat ported in Miami as there were too many patients for the medical staff on board to handle. The main symptoms that were reported are vomiting and diarrhea. Some infected reported having a low-grade fever. In addition, everyone that was affected including the index case, were still reportinghaving intermittent diarrhea and a loss of appetite when the initial report was made to the VSP. Even though the exact food log for each passenger is not available, there is a list of all the food that was consumed by the infected that they ate from the ships buffet. Analyze the dataThe first case was reported after the ship left port in Ocho Rios. The index case is a 26-year-old female that was recently married. Her husband did not show any of the symptoms that his wife was experiencing. After reviewing the food diaries of the passengers, all of those there were infected, had only eaten food from the ships buffet. Per the index cases food diary, she seemed to eat mainly fruit from the buffet on the first day along with some prime rib and ham along with a variety of vegetables. When looking at the food consumption chart of the infected passengers, most of the items are foods that can be easily contaminated. All of the infected casesconsumed hamburger while on the trip. Meat can be contaminated in many ways from the
STUDY 23beginning to the end when the food is consumed. Meat can be contaminated by poor handling, poor sanitation, or poor hygiene for any person who handles it. Many meat can contain E. coli and salmonella and if not handled and cooked properly, then it can then contaminate other foods. If a worker does not clean the counters after handling raw foods, then those germs will then be transferred to anything else that touched the counter and in return contaminate anything that that new food touches. There are many bacteria that can cause food borne illnesses such as salmonella, E. coli, shigella, and vibrio.1It is important to not only look at any numbers with thefood outbreak, but also to take into account the food handling when trying to track down the exact cause of the outbreak.

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