Development of an artificial intelligence water safety plan tool for large passenger ships
 
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1
Department of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, Larissa, Greece
 
2
EU SHIPSAN Scientific Association, Larissa, Greece
 
3
Department of Informatics and Telecommunications, National and Kapodistrian University of Athens, Athens, Greece
 
 
Publication date: 2025-12-05
 
 
Popul. Med. 2025;7(Supplement 1):A19
 
KEYWORDS
ABSTRACT
Introduction:
As part of their compliance with European and global standards, passenger ships implement water safety measures1,2. The European Manual incorporates World Health Organisation (WHO) methods for creating Water Safety Plans (WSPs) in passenger ships1. Development of WSPs in large passenger ships requires a systematic approach, resources and expertise. The purpose of the Healthy Sailing AI-WSP tool is to assist with adherence to a systematic approach, ensuring that no step is missed and that development is specific to each ship.

Methods:
A situation analysis to identify the legal framework and existing mathematical models and electronic systems was conducted. In order to establish the inputs of the tool (i.e. list of possible hazardous events, prespecified risk assessment values) several WHO documents were used as well as the experience from the implementation of WSPs on cruise ships. Previous work form SHIPSAN projects was also exploided3

Results:
The prototype guides the users through the steps of WSP development and assists in the risk assessment by providing lists of possible hazardous events and prespecified risk assessment values. The tool facilitates creation of a WSP team, documentation and description of the water systems and identification and prioritization of hazardous events associated with each water system component, assigning likelihood values and automatically calculating risk scores. It provides functionalities for users to add control measures for each hazardous event identified and supplement each control measure with operational monitoring, including operational limits, assignment of responsible personnel and instructions for monitoring.

Conclusions:
To our knowledge this is the first WSP software tool that is tailored to passenger ships. An intervention study will be conducted on board cruise ships in order to evaluate the effectiveness of the tool.
ACKNOWLEDGEMENTS
Not applicable.
CONFLICTS OF INTEREST
The authors declare no conflicts of interest.
FUNDING
This research received funding from the EU HEALTHY SAILING (Project Number: 101069764).
ETHICAL APPROVAL AND INFORMED CONSENT
Ethical approval and informed consent were not required for this study.
REFERENCES (3)
1.
European Manual for Hygiene Standards and Communicable Disease Surveillance on Passenger Ships. 2nd ed. EU SHIPSAN ACT Joint Action; 2016. Accessed July 7, 2025. https://www.shipsan.eu/Portals...
 
2.
Centers for Disease Control and Prevention. Vessel Sanitation Program 2018 Operations Manual. U.S. Department of Health and Human Services, U.S. Public Health Service, Centers for Disease Control and Prevention/National Center for Environmental Health; 2018. Accessed July 7, 2025. https://www.cdc.gov/vessel-san...
 
3.
Mouchtouri VA, Bartlett CL, Diskin A, Hadjichristodoulou C. Water Safety Plan on cruise ships: a promising tool to prevent waterborne diseases. Sci Total Environ. 2012;429:199-205. doi:10.1016/j.scitotenv.2012.04.018
 
eISSN:2654-1459
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