Health challenges on research and cruise ship expeditions to Antarctica
DOI:
https://doi.org/10.55225/hppa.387Keywords:
Antarctica, expedition, cruise ship, injury, illness, deathAbstract
Antarctica is one of the last great wilderness areas on Earth. Early Antarctic expeditions during the Heroic Age of Antarctic discovery (1895–1922) returned reports of frostbite, scurvy, snow blindness, and death. Today, over 50,000 people travel to the Antarctic each year via research expeditions, commercial cruise ships (tourism), and research cruises. This study reviewed the existing research reporting the health challenges encountered during modern day travel to Antarctica. The results identified a transition from the Heroic Age when death was common to a contemporary time when death is an uncommon event. The review identified musculoskeletal and soft tissue injuries resulting from moving equipment and supplies to be the most common health challenge encountered by long-term land expeditions. Digestive issues such as constipation and dyspepsia were also common in during the coldest months. For tourist oriented commercial cruise ships, motion sickness resulting from rough seas was most prominent. Specifically, the small nature of the cruise ships made them prone to rough seas in Drakes Passage. During scientific cruises where research is primarily conducted aboard the ship, dermatological conditions (viral, fungal, bacterial) such as dry skin, dry lips, eczema are the most common health challenge. Musculoskeletal and soft tissue injuries are also common given the physical challenge associated with strenuous research.
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Alekseev I, Abakumov E. The content and distribution of trace elements and polycyclic aromatic hydrocarbons in soils of Maritime Antarctica. Environ Monit Assess. 2020;192(11):670. doi: 10.1007/s10661-020-08618-2. DOI: https://doi.org/10.1007/s10661-020-08618-2 Google Scholar
Alekseev I, Abakumov E. Content of trace elements in soils of Eastern Antarctica: Variability across landscapes. Arch Environ Contam Toxicol. 2021;80(2):368-388. doi: 10.1007/s00244-021-00808-4. DOI: https://doi.org/10.1007/s00244-021-00808-4 Google Scholar
Taylor D, Gormly PJ. Emergency medicine in Antarctica. Emerg Med. 1997;9(3):237-245. doi: 10.1111/j.1442-2026.1997.tb00394.x. DOI: https://doi.org/10.1111/j.1442-2026.1997.tb00394.x Google Scholar
Curry CH, McCarthy JS, Darragh HM, et al. Could tourist boots act as vectors for disease transmission in Antarctica? J Travel Med. 2002;9(4):190-193. doi: 10.2310/7060.2002.24058. Google Scholar
Dahl, E. Medical cruise challenges in Antarctica. J Travel Med. 2014;21(4):223-224. doi: 10.1111/jtm.12118. DOI: https://doi.org/10.1111/jtm.12118 Google Scholar
Bledsoe GH, Brill JD, Zak D, Guohua L. Injury and illness aboard an Antarctic cruise ship. Wilderness Environ Med. 2007;18(1):36-40. doi: 10.1580/06-weme-or-029r.1. DOI: https://doi.org/10.1580/06-WEME-OR-029R.1 Google Scholar
Prociv P. Health aspects of Antarctic tourism. J Travel Med. 1998;5(4):210-212. doi: 10.1111/j.1708-8305.1998.tb00509.x. DOI: https://doi.org/10.1111/j.1708-8305.1998.tb00509.x Google Scholar
Guly HR. Frostbite and other cold injuries in the heroic age of Antarctic exploration. Wilderness Environ Med. 2012;23(4):365-370. doi: 10.1016/j.wem.2012.05.006. DOI: https://doi.org/10.1016/j.wem.2012.05.006 Google Scholar
Guly HR. Snow blindness and other eye problems during the heroic age of Antarctic exploration. Wilderness Environ Med. 2012;23(4):77-82. doi: 10.1016/j.wem.2012.05.006. DOI: https://doi.org/10.1016/j.wem.2011.10.006 Google Scholar
Pattarini JM, Scarborough JR, Sombito VL, Parazynski SE. Primary care in extreme environments: Medical clinic utilization at Antarctic stations, 2013–2014. Wilderness Environ Med. 2016;27(1):69-77. doi: 10.1016/j.wem.2015.11.010. DOI: https://doi.org/10.1016/j.wem.2015.11.010 Google Scholar
Tejedo P, Benayas J, Cajiao D, Leung Y-F, Filippo D De, Liggett D. What are the real environmental impacts of Antarctic tourism? Unveiling their importance through a comprehensive meta-analysis. J Environ Manage. 2022;308:1-16. doi: 10.1016/j.jenvman.2022.114634. DOI: https://doi.org/10.1016/j.jenvman.2022.114634 Google Scholar
Curry CH, McCarthy JS, Darragh HM, Wake RA, Todhunter R, Terris J. Could tourist boots act as vectors for disease transmission in Antarctica? J Travel Med. 2002;9(4): 190-193. doi: 10.2310/7060.2002.24058. DOI: https://doi.org/10.2310/7060.2002.24058 Google Scholar
Ikeda A, Ohno G, Otani S, Watanabe K, Imura S. Disease and injury statistics of Japanese Antarctic research expeditions during the wintering period: Evaluation of 6837 cases in the 1st–56th parties: Antarctic health report in 1956–2016. Int J Circumpolar Health. 2019;78(1):1-8. doi: 10.1080/22423982.2019.1611327. DOI: https://doi.org/10.1080/22423982.2019.1611327 Google Scholar
Bhatia A, Pal R. Morbidity pattern of the 27th Indian Scientific Expedition to Antarctica. Wilderness Environ Med. 2012;23(3):231-238. doi: 10.1016/j.wem.2012.04.003. DOI: https://doi.org/10.1016/j.wem.2012.04.003 Google Scholar
Bhatia A, Malhotra P, Agarwal AK. Reasons for medical consultation among members of the Indian Scientific Expeditions to Antarctica. Int J Circumpolar Health. 2013;72:1-3. doi: 10.3402/ijch.v72i0.20175. DOI: https://doi.org/10.3402/ijch.v72i0.20175 Google Scholar
Lugg D, Gormly P, King H. Accidents on Australian Antarctic expeditions 1977–1985. Polar Record. 1987;23(147): 720-725. doi: 10.1017/S0032247400008457. DOI: https://doi.org/10.1017/S0032247400008457 Google Scholar
Cattermole TJ. The incidence of injury with the British Antarctic Survey, 1986–1995. Int J Circumpolar Health. 2001;60(1):72-81. doi: 10.1080/22423982.2001.12112999. DOI: https://doi.org/10.1080/22423982.2001.12112999 Google Scholar
Cattermole TJ. The epidemiology of cold injury in Antarctica. Aviation Space Environ Med. 1999;70(2):135-140. Google Scholar
Cattermole TJ. Snowmobile injuries in Antarctica, 1989–1996. Int J Circumpolar Health. 1997;56(4):152-158. Google Scholar
Cattermole TJ. The epidemiology of skiing injuries in Antarctica. Injury. 1999;30(7):491-495. doi: 10.1016/s0020-1383(99)00139-4. DOI: https://doi.org/10.1016/S0020-1383(99)00139-4 Google Scholar
Heggie TW, Heggie TM. Death at sea: Passenger and crew mortality on cruise ships. Int J Travel Med Glob Health. 2020;8(4):146-151. doi: 10.34172/IJTMGH.2020.25. DOI: https://doi.org/10.34172/ijtmgh.2020.25 Google Scholar
Visser JT. Patterns of illness and injury on Antarctic research cruises, 2004–2019: A descriptive analysis. J Travel Med. 2020;27(6):1-6. doi: 10.1093/jtm/taaa111. DOI: https://doi.org/10.1093/jtm/taaa111 Google Scholar
Merefield DC, Beckham J. Cardiac arrest in Antarctica: A successful outcome. J Travel Med. 2016;23(3):taw015. doi: 10.1093/jtm/taw015. DOI: https://doi.org/10.1093/jtm/taw015 Google Scholar
Lamberth, PG. Death in Antarctica. Med J Aust. 2001;175(11-12):583-584. doi: 10.5694/j.1326-5377.2001.tb143734.x. DOI: https://doi.org/10.5694/j.1326-5377.2001.tb143734.x Google Scholar
Russell KW, Imray CH, McIntosh SE, et al. Kit skier’s toe: An unusual case of frostbite. Wilderness Environ Med. 2013;24(2):136-140. doi: 10.1016/j.wem.2012.11.013. DOI: https://doi.org/10.1016/j.wem.2012.11.013 Google Scholar
Bovard RS. Injuries to avian researchers at Palmer Station, Antarctica from penguins, giant petrels, and skuas. Wilderness Environ Med. 2000;11(2):94-98. doi: 10.1580/1080-6032(2000)011[0094:itarap]2.3.co;2. DOI: https://doi.org/10.1580/1080-6032(2000)011[0094:ITARAP]2.3.CO;2 Google Scholar
Schutz L, Zak D, Holmes JF. Patterns of passenger injury and illness on expedition cruise ships to Antarctica. J Travel Med. 2014;21(4):228-234. doi: 10.1111/jtm.12126. DOI: https://doi.org/10.1111/jtm.12126 Google Scholar
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