Re-Starting the Cruise Sector during the COVID-19 Pandemic in Greece: Assessing Effectiveness of Port Contingency Planning

Abstract

Coronavirus disease (COVID-19) outbreaks on board cruise ships early in the pandemic highlighted gaps worldwide in public health emergency contingency plans (PHECPs) for responding to unknown threats. To restart cruise operations in 2021 and respond to potential COVID-19 outbreaks, a major tourist-based Greek island port (Port A) developed a COVID-19 PHECP. We assessed plan effectiveness by reviewing epidemiological data and monitoring outcomes, followed by an intra-action review (IAR) analyzing three event responses. From May to December 2021, 118 calls from 23 cruise ships with 119,930 passengers were recorded, with 29 COVID-19 cases in 11 cruises on board 7 ships. No outbreak was recorded during the study period. Strengths of the introduced PHECP included commitment of senior management; a core multi-disciplinary team of local authorities/ship agents involved in design and execution; interoperability agreements for port and ships’ PHECPs; cruise industry commitment to compliance; and pre-existing scenarios considering capacity needs. Central government coordination for preparedness planning at local ports is essential for successful responses. Monitoring local and country level response capacities is critical to inform planning, risk assessment, and decision-making. Immediately recording ports’ response actions provides the basis to capture lessons and improve contingency plans. To facilitate communication and common response protocols between European and non-European ports, IARs should be conducted between countries.

Assessing the impact of the COVID‑19 pandemic health protocols on the hygiene status of swimming pools of hotel units

“…At the beginning of June, 2020, hotels in Greece reopened; however, strict restrictive measures were imposed in accordance with laws and regulations issued by the Ministries of Health and Tourism. The use of indoor swimming pools was prohibited in hotels and sports venues, as there were no data as regards their safe use (7,8).…”

“…with the appropriate cleaning and disinfectant solutions such as sodium hypochlorite 0.1% (1,000 ppm), alcoholic solutions of 70% in ethanol or isopropanol, hydrogen peroxide 0.5%, etc. (8)(9)(10).…”