Abstract

BackgroundThe global travel and tourism industry has been rapidly expanding in the past decades. The traditional focus on border screening, and by airline and cruise industries may be inadequate due to the incubation period of an infectious disease. This case study highlights the potential role of the hotel industry in epidemic preparedness and response.MethodsThis case study focuses on the epidemic outbreaks of SARS in 2003 and H1N1 swine flu in 2009 in Hong Kong, and the subsequent guidelines published by the health authority in relation to the hotel industry in Hong Kong which provide the backbone for discussion.ResultsThe Metropole Hotel hastened the international spread of the 2003 SARS outbreak by the index case infecting visitors from Singapore, Vietnam, Canada as well as local people via close contact with the index case and the environmental contamination. The one-week quarantine of more than 300 guests and staff at the Metropark Hotel during the 2009 H1N1 swine flu exposed gaps in the partnership with the hotel industry. The subsequent guidelines for the hotel industry from the Centre of Health Protection focused largely on the maintenance of hygiene within the hotel premises.ConclusionPositive collaborations may bring about effective preparedness across the health and the tourism sectors for future epidemics. Regular hygiene surveillance at hotel facilities, and developing coordination mechanism for impending epidemics on the use of screening, swift reporting and isolation of infected persons may help mitigate the impact of future events. Preparedness and contingency plans for infectious disease control for the hotel industry requires continuous engagement and dialogue.

Highlights

  • The global travel and tourism industry has been rapidly expanding in the past decades

  • Most of the existing research in travel medicine and the current guidelines for international health authorities emphasise the role of the air-travel industry in tracking and containing the potential international spread of infectious disease

  • Secondary information was extracted from the literature search and the grey literature looking for published official reports, statements, policy papers, field reports and guidelines for further discussion on the role of the hotel industry on the epidemics

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Summary

Introduction

The global travel and tourism industry has been rapidly expanding in the past decades. The global travel and tourism industry has expanded rapidly in recent years. The health and wellbeing of travellers warrants appropriate consultation and treatment in its own right, but in the case of infectious diseases of major public health concern, it is important to address the public health aspects of their illness as patients are disease carriers promoting the spread of infectious disease on a potentially global scale. Most of the existing research in travel medicine and the current guidelines for international health authorities emphasise the role of the air-travel industry in tracking and containing the potential international spread of infectious disease. The WHO guideline on International Travel and Health highlights the role of airlines as well as shipping companies, together with that of tour operators and travel agents in limiting the spread of infectious disease across borders [3]. The role of the other important sector in tourism, namely the hotel industry, have been less clearly defined and discussed

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