Maritime Public Health Cross Border Cooperation: Principality of Monaco and Italian Liguria Health Port Authority Best Practices

The French and Italian Riviera are one of the most important areas in the world for yachting and cruise activity. Even though ports and airports of this area make up a single network, they insist on the territory of two different EU countries (Italy and France), and of one non-EU (Principality of Monaco), that have different health systems and legislations. In this context, a collaboration between maritime port health authorities became essential to perform an effective public health action in order to prevent the spread of infectious diseases. In this paper are illustrated the best practices in the domain of maritime public health collaboration between Italy and Monaco during the Covid-19 pandemic, and programs for future developments that should be a benchmark for other cooperation programs between eropean health port authorities.