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Cases of norovirus on cruise ships are reported more commonly than on land because cruise ship passengers are required to report cases to the ship’s medical team. There are also behind-the-scenes procedures that cruise lines must follow. For instance, medical officers are required to maintain illness incident counts for each voyage that involves a stop at an American port. They are also required to communicate to the CDC, within 24 hours of arrival at a U.S. port, "the number of passengers and crew members who reported diarrhea to the ship's medical staff" during that voyage.
What do cruise ships do to prevent norovirus outbreaks on board?
Depending on individual balance, our ability to adjust to motions varies, so not everyone experiences seasickness. This blog helps over a million people to plan their cruises each month. As soon as you become unwell, it’s vital that you return to your cabin and call reception to report it. "MSC Cruises rigorously adheres to health protocols, and the results of this inspection do not reflect the brand's high standards," the person added.
Outbreaks 2015 reports
When I was on board a cruise ship during a norovirus outbreak, this flyer about the correct handwashing procedure was distributed to all passengers on their cabins. Whilst cruise ships have a bad reputation for norovirus contamination, norovirus is, in fact, common anywhere where people are contained – such as offices, schools, hospitals and hotels. It is not any more common on cruise ships than in any of these places. Beyond that, crewmembers distribute information to passengers onboard offering precautionary tips, as well as a heads-up memo at embarkation to travelers boarding a ship that had previously seen a high percentage of illness. And, as mentioned above, passengers who report symptoms may be quarantined to their cabins.
How to avoid Norovirus on cruise ships?
Norovirus Outbreaks Surge on Cruises: Here's How to Avoid the Bug - TODAY
Norovirus Outbreaks Surge on Cruises: Here's How to Avoid the Bug.
Posted: Thu, 13 Jul 2023 07:00:00 GMT [source]
The latest instance was on a Viking Cruise — which sailed from June 6 to June 20 — where 110 passengers and nine crew members contracted the illness, according to the agency. Shockingly, those affected by the virus accounted for nearly 15% of the entire onboard population, making it the largest percentage of individuals affected by norovirus this year. Studies have shown that norovirus can continue to spread for two weeks or more after an infected person stops having symptoms of the illness, according to the CDC. Most people get better after a few days, but severe cases may require hospitalization. According to data compiled by the Centers for Disease Control and Prevention (CDC), there have been 13 outbreaks across six different cruise lines.
Norovirus symptoms and treatment
Health officials at the CDC determined that norovirus caused the outbreak after Viking Cruises collected and sent specimens to the agency's laboratory for testing. While cruise ships have strict sanitation practices, the resilience of norovirus complicates matters. The virus can survive for days on surfaces and is resistant to many common disinfectants, making it challenging to eliminate once an outbreak has occurred.
Report It
If at any time during the cruise the number of ill passengers or crew exceeds 2 percent, the vessel must file a special report notifying CDC of the illness. They must also submit reports if 2% or more of the passengers and crew become ill and the ship is scheduled to visit a U.S. port within 15 days. If the number hits 3% or more, cases must be reported to the CDC even if the ship is not scheduled to call on a U.S. port within the next 15 days. In the first six months ending in June, cruise lines have reported 13 separate outbreaks to the CDC. It’s the most number of reported norovirus outbreaks on cruise ships since 2012.
Outbreaks 2013 reports
The hotel staff is required to implement special cleaning and disinfection procedures for sanitizing the whole ship. To do that, they use stronger solvents, like Microbac, chlorine bleach, hydrogen peroxide. Sick passengers and crew are quarantined in their rooms, typically for at least 2 days.
In 2018, the number of reported illness outbreaks on cruise ships was 15. The total number of infected was 1177 (of those 1099 passengers and 78 crew). You can get norovirus from an infected person, from contaminated food or water, or by touching contaminated surfaces.
How to avoid norovirus on a cruise
A few years ago an experimental Norovirus vaccine (applied as nasal spray) was developed by the "Center for Infectious Diseases and Vaccinology" (Arizona State University). Numerous studies confirm that a quick application of hand sanitizer doesn't kill the Norovirus. It takes about 30 sec of hard rubbing with hot water and soap (including under the nails) to wash it. This is particularly important at mealtimes, as this is when it’s easy to transfer any virus from your hands to your mouth.
The index case likely occurred in a food and beverage crew member sailing on a crew-only voyage (voyage 1). In general, crew members with AGE reported to onboard medical personnel in a timely manner and were isolated until 48 hours after symptoms subsided. Crew member transmission was followed by passenger transmission on voyages 3, 4, and 5. Approximately 70% of crew members with AGE interacted with passengers (i.e., housekeeping and food and beverage services). VSP partnered with the United States Agency for Toxic Substances and Disease Registry’s Geospatial Research, Analysis, and Services Program to create four-dimensional visual models of the ship.

References to non-CDC sites on the Internet are provided as a service to MMWR readers and do not constitute or imply endorsement of these organizations or their programs by CDC or the U.S. CDC is not responsible for the content of pages found at these sites. URL addresses listed in MMWR were current as of the date of publication. Data on this page are from ship surveillance reports and from CDC-led investigations. Land-based operations ("Field Service") include mobile clinics providing screening for potential surgery patients, healthcare, dental care, also mental health programs, infrastructure projects.
That’s how many people have been infected with the norovirus while aboard cruise ships this year, according to CDC data. The outbreaks happened on Celebrity Cruises, Viking Cruises, Princess Cruises, Royal Caribbean International and P&O Cruises. The number of outbreaks in the first six months of 2023 is higher than the yearly total during every year since 2012, when there were 16 outbreaks on cruise ships reported to the CDC. Shipboard medical service fees vary and are usually set by medical practitioners. In most cruise ship hospitals, some supplies and medications are provided to passengers and crew for free - like aspirin, seasickness pills, small bandages.
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