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WHO | Summary of SARS and air travel All WHO This site only Home About WHO Countries Health topics Publications Research tools WHO sites EPR Home Alert & Response Operations Diseases Global Outbreak Alert & Response Network International Health Regulations Laboratory & Epidemiology Strengthening Preparedness for Deliberate Epidemics Epidemic and Pandemic Alert and Response (EPR) Country activities | Outbreak news | Resources | Media centre WHO WHO sites Epidemic and Pandemic Alert and Response (EPR) Severe Acute Respiratory Syndrome (SARS) printable version Summary of SARS and air travel 23 May 2003 This document addresses the main concerns of the public at large with regard to the risk of SARS (Severe Acute Respiratory Syndrome) transmission to passengers and/or crew embarking on an international voyage particularly from an area of recent local transmission . A more detailed account of the specific measures the World Health Organization (WHO) is recommending is available in the Weekly Epidemiological Record dated 4 April 2003. WHO has been working closely with international air transport organizations, including ICAO (International Civil Aviation Organization) and IATA (International Air Transport Association), to provide accurate information in a timely manner to all persons involved in international air travel in order to further reduce the risk of spreading the disease by this means. Risk of SARS transmission in flight The risk of transmission in aircraft is very low. To date, symptomatic probable SARS cases on four flights have been associated with possible transmission onboard. Two of these flights preceded WHO's 15 March 2003 emergency travel advisory, and since 23 March 2003 and the introduction of WHO-recommended screening measures by public health authorities no further cases of SARS in flight have been documented. A key factor in reducing the risk is for passengers and crew to be aware of the main symptoms of SARS which include high fever (38 °C, 100.4 °F), cough, shortness of breath or breathing difficulties. Measure for persons with symptoms compatible with SARS prior to departure WHO has recommended that passengers or crew who develop symptoms compatible with SARS postpone their travel until fully recovered. WHO further recommends that public health authorities ensure that areas with recent local transmission introduce exit screening measures, which may include temperature checks for all passengers and crew. Preventing symptomatic passengers from travelling minimizes what risk there is. Finally, contacts of probable SARS cases should not undertake travel (national or international) for a 10-day period following exposure. In-flight precautions and measures Personal hygiene All passengers and crews should observe good personal hygiene. Wash hands frequently, particularly before eating. If passengers or crew cough or sneeze while onboard, they should cover their mouth and nose, and wash their hands afterwards. Face masks Current evidence indicates that a person infected with SARS is not infectious to others unless s/he has symptoms. Therefore, WHO does not recommend the use of masks by asymptomatic passengers or crew. However, WHO recommends that passengers or crew presenting with symptoms compatible with SARS during a flight from an area with recent local transmission: 1) wear a protective face mask * ; 2) be isolated, as far as possible, from other passengers; and 3) be given access to a toilet cordoned off for their exclusive use. WHO also recommends that the designated crew member(s) caring for a person with symptoms compatible with SARS wear a protective face mask*, gloves and eye protection (e.g. tight-fitting goggles or face shield). Measures on arrival of a flight with a suspected case of SARS The Captain of an aircraft with a person presenting symptoms compatible with SARS onboard should radio the airport of destination so that appropriate arrangements may be made for reception and management by public health authorities. Passenger disembarkation may be delayed upon arrival while the medical officer at the airport of destination examines the patient. Following an assessment by public health authorities, passengers and crew may be required to provide their contact details for the next 14 days. All passengers and crew who are otherwise healthy should be allowed to continue their onward journey. If the ill passenger or crew member is confirmed as a probable case of SARS, public health authorities should notify contacts using the contact details provided. Risk of infection from handling baggage or goods belonging to a SARS case There is no evidence to date to suggest that a person can be infected with SARS from handling baggage or goods, as the major route of transmission is close face-to-face contact with a SARS probable case. Aircraft ventilation The configurations of the air circulation system for commercial aircraft are designed to the specifications of international aviation regulations, as well as guidelines of aircraft manufacturers: Circulation: In flight, fresh air is introduced into the cabin continuously. The entire cabin air volume is exchanged every three minutes. Airflow: The airflow movement is designed to minimize the potential for spreading of bacteria and viruses through the cabin. Filter: Most major airlines install HEPA (High Efficiency Particulate Air) filters which are highly efficient in removing dust and airborne contaminants such as droplets, bacteria and large microbes. This means that the spread of all microbes is minimized inside the cabin. Disinfection of aircraft Following a flight with a suspected SARS case, it is recommended that the aircraft be thoroughly cleaned following procedures established by local public health authorities which must involve the strict cleansing and disinfecting of the zone of risk in the cabin area (i.e. seats, headrests, tabletops, handsets, and other materials coming in contact with the suspected case) where the case was seated, as well as all shared facilities. The virus that causes SARS loses infectivity after exposure to commonly used disinfectants. * N/R/P 95/99/100 or FFP 2/3 or an equivalent national manufacturing standard (NIOSH (N,R,P 95,99,100) or European CE EN149:2001(FFP 2,3) and EN143:2000 (P2) or comparable national/regional standards applicable to the country of manufacture. About WHO | -- Employment | Other UN Sites | Search | Suggestions | RSS | Privacy © World Health Organization 2005. 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Cruise Vacations, 2nd: The
Amazon.com: 100 Best Cruise Vacations, 2nd: The Top Cruises throughout the World for All Interests and Budgets: Books: Theodore W. Scull Your Store Books See All 32 Product Categories Your Account | Cart | Wish List | Help | Advanced Search | Browse Subjects | Bestsellers | The New York Times® Best Sellers | Magazines | Corporate Accounts | Amazon Shorts | Bargain Books | Used Books | Textbooks Search Amazon.com Books Web Search Join Amazon Prime and ship Two-Day for free and Overnight for $3.99. Already a member? Sign in . or Sign in to turn on 1-Click ordering. A9.com users save 1.57% on Amazon. Learn how . More Buying Choices 21 used & new from $1.05 Have one to sell? See larger image Share your own customer images Publisher: learn how customers can search inside this book. 100 Best Cruise Vacations, 2nd: The Top Cruises throughout the World for All Interests and Budgets (Paperback) by Theodore W. Scull (3 customer reviews) List Price: $19.95 Price: $19.95 & eligible for FREE Super Saver Shipping on orders over $25. See details Availability: This title usually ships within 4 to 6 weeks. Please note that special order titles occasionally go out of print, or publishers run out of stock. These hard-to-find titles are not discounted and are subject to an additional charge of $1.99 per book due to the extra cost of ordering them. We will notify you within 2-3 weeks if we have trouble obtaining this title. Ships from and sold by Amazon.com. 21 used & new available from $1.05 Other Editions: List Price: Our Price: Other Offers: Paperback (1.00) 21 used & new from $0.47 Better Together Buy this book with The Essential Little Cruise Book, 3rd: Secrets... byJim West today! Buy Together Today: $27.90 Customers who bought this book also bought The Unofficial Guide to Cruises by Kay Showker Berlitz 2005 Ocean Cruising & Cruise Ships (Berlitz Complete Guide to Cruising and Cruise Ships) by Douglas Ward The Essential Little Cruise Book, 3rd: Secrets from a Cruise Director for a Perfect Cruise Vacation by Jim West Cruise Vacations For Dummies 2005 (Dummies Travel) by Fran Wenograd Golden Fodor's FYI: Plan and Enjoy Your Cruise, 1st Edition : Experts Share Their Secrets (Special-Interest Titles) by Fodor Explore Similar Items : in Books Editorial Reviews Book Description In this guide cruise expert Ted Scull reveals the top 100 cruises available throughout the world based on his decades of cruising, research, and writing. From the Back Cover With hundreds of cruises available worldwide, choosing just the right one for your budget and taste can be a frustrating experience. Cruise travel expert Ted Scull leads the way to the best, but not necessarily the most expensive, cruises all over the world. Clipper ships sailing the Mediterranean, riverboats plying the Yangtze, catamarans cruising to the Great Barrier Reef, mega ships traveling among the Caribbean islands - whatever on-the-water experience you are looking for, you can find it in this authoritative guide. Each cruise profile includes cruise itineraries; ship amenities, atmosphere, cabins, and activities; fare ratings and listings of what's included and what's not; port information, including what to see and do; typical passenger profiles.(7 1/2 x 9, 272 pages, color photos) See all Editorial Reviews Product Details Paperback: 272 pages Publisher: Globe Pequot; 2.00 edition (October 1, 2001) Language: English ISBN: 0762709812 Product Dimensions: 9.0 x 7.6 x 0.7 inches Shipping Weight: 1.6 pounds. ( View shipping rates and policies ) Average Customer Review: based on 3 reviews. ( Write a review. ) Amazon.com Sales Rank: Today: #693,635 in Books Yesterday: #692,950 in Books (Publishers and authors: improve your sales ) Other Editions: Paperback (1.00) | All Editions Customers interested in this title may also be interested in: Sponsored Links: What is this? Cruise Vacation Specials All Cruise Lines & Destinations. Big Web Discounts - Save up to 75%! Cruises.AmericasVacationCenter.com Save up to 75% on Cruises We offer great discounts on cruise vacations , holiday cruises and more vacationstogo.com Special Vacation Package Visit Atlantis, Paradise Island - a unique resort experience. www.atlantis.com Feedback Customers who viewed this book also viewed Stern's Guide to the Cruise Vacation 2005 (Stern's Guide to the Cruise Vacation) by Stern Steven B. Mediterranean By Cruise Ship: The Complete Guide to Mediterranean Cruising, Third Edition by Anne Vipond Cruise Chooser : Buyer's Guide to Cruise Bargains, Discounts & Deals by Mary Fallon Miller Frommer's Cruises & Ports of Call 2005 : From U.S. and Canadian Home Ports to the Caribbean, Alaska, Hawaii & More (Frommer's Complete) by Matt Hannafin Frommer's European Cruises & Ports of Call (Frommer's Complete) by Fran Wenograd Golden Explore Similar Items : in Books Customer Reviews Average Customer Review: Write an online review and share your thoughts with other customers. 8 of 8 people found the following review helpful: The Cream of the Cruise Crop , December 28, 2003 Reviewer: Robert I. Hedges (Burnsville, MN USA) - See all my reviews This book is exactly what you would expect it to be given the title: a book dedicated exclusively to 100 cruises that are the best in the world in the author's opinion. I agree with him more often than not, but some of the cruises are a bit esoteric and definitely out of the mainstream (particularly the China information), which is fine as long as you understand that is what you are getting here. Many fine itineraries are reviewed here with information on passenger demographics, activities, and cost presented in fine fashion. My biggest quibbles with the book's format is the lack of maps illustrating the geography of the trip to help get a better handle on where the itineraries actually go, and the lack of an easy to use cost index, which is a factor for many of us considering the astronomical costs of many of these cruises. As always, personal taste often dictates an individual's opinion of certain cruises. For instance, I prefer Celebrity's "Horizon" over their "Zenith," (which Mr. Scull prefers) for a Bermuda cruise. This is a fine book overall, if somewhat of a 'dream book.' It is excellent for generating ideas for new destinations and ships, and fills it's niche very well. If you are looking for more comprehensive cruise information, I would recommend "Berlitz Ocean Cruising and Cruise Ships 2003" by Douglas Ward as probably the single best cruise reference available, as it is amazingly complete. Was this review helpful to you? ( Report this ) 19 of 21 people found the following review helpful: Well worth the price considering the cost of cruises today. , November 6, 2000 Reviewer: A. Gathercoal "fdoamerica" (Norcross, GA) - See all my reviews If you are one of the 7 million people who will take a cruise in the coming year, then Theodore W. Scull's book, "100 Best Cruise Vacations," will be a good value. There are thousands of cruises to select from with various destinations, itineraries, ship size and cost. So which ones are the best value for the money? Which cruises have the best food, personnel, programs, accommodations, design and layouts? In Scull's book, you are introduced to his selection of the world's best. From small ships plying the Amazon or Yangzee Rivers to the behemoth liners of 110,000 tons and 2,600 passengers, Scull provides a comprehensive description of the 100 best cruises by explaining the ship and the itinerary in straightforward commentary. A side bar with pertinent information breakdown accompanies each cruise description. I especially like the thorough contact information provided to get additional information for each cruise, which includes website addresses. I was disappointed that there were no maps detailing where the cruise travels geographically. Likewise, I was annoyed with the absence of any tables or lists that would break down cruises versus their cost. Thus, if you are looking for a five-day cruise for less than $1,000, you must wade through all 100 listings and their cross reference to a dollar sign icon, which designates five levels of cost ranging from $100 to $600 per day (including accommodations, per person, double occupancy, outside cabin), then guess the cruise cost. Scull, a travel writer, has given us a useful resource with which to make a better qualitative choice when deciding on a vacation cruise. Worth the small investment when considering the financial outlay that any cruise these days will be. Recommended. Was this review helpful to you? ( Report this ) 13 of 20 people found the following review helpful: Best Cruise Book , April 1, 2000 Reviewer: This is one of the best books on travel you can buy. Lots of information on "best buy" cruises. I you are planning to vaction buy this book. I saved over $300.00 on my cruise using this book. An essential for any traveler. Was this review helpful to you? ( Report this ) Auctions and zShops sellers and our other stores recommend Scull, Theodore W.: 100 Best Cruise Vacations (Scond Edition). , New, Bargain Co (Price: $10.79) Listmania! SeaLetter Recommended Cruise B... : A list by "sealetter" Cruise Chooser's Top Cruise Bo... : A list by Anne Wright Cruise Diva's Favorite Cruise ... : A list by Linda Coffman Create a Listmania! list So You'd Like to... What Celebrities, Fairies, Feng Shui & a Dog Have in Common : A guide by J. H. 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