OPRP Detailed Outline

1. Introduction
2. Epidemiology of cruise ship-associated outbreaks (very basic)
3. Outbreak management and planning
    3.1 Outbreak Prevention and Response Plan (OPRP)
        3.1.1 Intent and purpose of the OPRP
        3.1.2 Scope of the OPRP
        3.1.3 Update/modification of OPRP
    3.2 Establishment of the Outbreak Management Team (OMT)
        3.2.1 Composition
        3.2.2 Duties and responsibilities of the OMT
4. Outbreak policies and procedures
    4.1 Monitoring and reporting of GI illness
        4.1.1 GI log maintenance requirements
        4.1.2 GI outbreak reporting requirements
    4.2 Outbreak management and containment
        4.2.1 Response action levels/triggers
        4.2.2 Standard response procedures/SOPs                    
            4.2.2.1 Food safety procedures
            4.2.2.2 Potable and recreational water procedures
            4.2.2.3 Housekeeping and infection control procedures
            4.2.2.4 Medical and clinical procedures
                4.2.2.4.1 Case reporting
                4.2.2.4.2 Isolation/cohorting and quarantine
                4.2.2.4.3 Clinical specimen collection and management
                4.2.2.4.4 Crew transfer policy
            4.2.2.5 Education and information procedures
                4.2.2.5.1 Internal communications
                4.2.2.5.2 Notification to health authorities
                    4.2.2.5.2.1 Federal health authorities
                    4.2.2.5.2.2 State/local health authorities
                4.2.2.5.3 Notification to cruise line industry
                    4.2.2.5.3.1 Ships within fleet
                    4.2.2.5.3.2 Ships in the same port(s)
                4.2.2.5.4 Communication/notification of passengers and crew
                4.2.2.5.5 Communication/notification of embarking passengers
                4.2.2.5.6 Hand and personal hygiene messages
                4.2.2.5.7 Media relations
            4.2.3 Outbreak documents/documentation