Norovirus on the Coral Princess

Coral PrincessThe Coral Princess arrived in Fort Lauderdale this weekend with 157 of 2,016 cruise passengers aboard the Princess Cruises' ship stricken with nausea/vomiting and diarrhea which the Centers for Disease Control and Prevention (CDC) suspect are symptoms related to norovirus.

The noro-infected passengers comprise 7.79% of the total passenger population on the ship. 25 of 881 (2.84%) crew members are also infected.

The CDC was unable to conclude where the norovirus came from. I am not aware of a single instance when the CDC has pinpointed the cause of a cruise ship disease outbreak. Unfortunately, the public is often left with the "blame game" of wondering whether the cruise ship food or water was contaminated (which the CDC and FDA generally say are the most likely causes of gastrointestinal outbreaks), or the outbreak was caused by a sick galley worker, or was brought aboard by sick passengers, and then spread because of inadequate hygiene and poor cleaning procedures.

Several years ago, Time magazine published an article titled 13 Worst Norovirus Outbreaks on Cruise Ships. The overall winner of Time's top 13 list was Princess Cruises which had five outbreaks on its brand alone: Crown Princess (January 2010) with 396 ill; Crown Princess (February 2012) - 363; Ruby Princess (March 2013) - 276; Coral Princess (February 2009) - 271; and Sun Princess (July 2012) - 216.

The last norovirus outbreak involving the Coral Princess was in April 2015.

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Photo credit: Roy Luck - CC BY 2.0, commons / wikimedia.

Hat tip to the popular Crew Center blog which first covered the outbreak. 

Illness Outbreak Hits Fathom's Adonia

AdoniaThe Centers for Disease Control and Prevention (CDC) reports that there was an illness outbreak on Fathom's Adonia this past week (October 16 - October 23, 2016).

The CDC states that 23 of 668 (3.44%) passengers reported being ill with diarrhea and vomiting during this voyage which returned to Miami from Cuba yesterday. Only 2 out of the 388 crew members were reportedly sick.   

A CDC environmental health officer boarded the ship when it returned to Miami.

The CDC has not determined the cause of what appears to be a gastrointestinal outbreak.  

Fathom increased its cleaning and disinfection procedures for the cruise ship.

Fathom's historical first cruise on the Adonia cruise ship to Cuba was plagued by a norovirus outbreak. The captain of the ship announced a gastrointestinal outbreak with the passengers experiencing symptoms consistent with norovirus on the ship last May. Carnival later contradicted the captain and said that there was no confirmation that the passengers were sickened by norovirus.   

The Adonia also suffered a complete blackout last May and was ordered to return to the port of Miami when it regained power.  It had earlier failed U.S. Coast Guard inspections in April when it arrived in Miami from P&O Cruises when it was being readied for cruises to Cuba and the Dominican Republic.

The Adonia is currently sailing to Amber Cover in the Dominican Republic.

Photo credit: By Alessandro Ambrosetti from Rome, Italy - Fathom Adonia, CC BY 2.0.

Outbreak on the Silver Spirit Found to be Caused by E. Coli

A gastrointestinal sickness outbreak on the Silver Shadow in March was found by the Centers for Disease Control and Prevention (CDC) to be caused by Enterotoxigenic E. coli (ETEC).

The outbreak occurred during a cruise from March 3 - 21, 2016. The outbreak sickened 37 people according to the CDC report on the incident. The CDC concluded that 24 of 388 (6.19%) passengers and 13 of 366 (3.55%) crew members fell ill due to the disease.

Outbreak News Today said that "according to the Centers for Disease Control and Prevention (CDC), Silver SpiritETEC is a major bacterial cause of diarrhea among travelers and children in the developing world. ETEC is increasingly recognized as an important cause of foodborne illness in developed nations, such as the United States. Infection occurs when a person eats food, or drinks water or ice contaminated with ETEC bacteria. Human or animal wastes (e.g., feces) are the ultimate source of ETEC contamination."

Silversea Cruises was last in the news several years ago when the USPH caught crew members hiding perishable food and galley equipment in crew quarters on the Silver Shadow and flunked the cruise line. CNN covered the scandal. You can see the video here

The Silver Shadow failed another USPH inspection last year as well. 

The Silver Spirit, on the other hand, has always scored highly by the USPH (93-100) in the last 6 years, and it scored a 98 during the last inspection in January. However, in a lawsuit filed by a Silversea crew member (aboard the Silver Spirit and Silver Wind) in 2011, the crew member alleged that his employment as a bartender was terminated after he complained that he was required to fill expensive, premium top-shelf brand liquor bottles with cheaper brands and to fill empty expensive French champagne bottles with cheaper Italian sparkling wines. The case is Marin Asenov v. Silversea Cruises, Ltd., Case No. 0:11 CV 62360 WJZ. You can read the allegations in the lawsuit here.   

Photo credit: This image photographed by Brian Burnell with permission was uploaded to Commons by George Hutchinson. CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=15252523

Gastrointestinal Outbreak on the Disney Wonder

An unsettling development occurring on the Disney Wonder cruise ship was brought to our attention this morning. There has been an outbreak of acute gastroenteritis (AGE) which exceeds the Centers for Disease Control and Prevention (CDC) percentage (3%) of affected passengers and crew members.

The cruise ship still has two more days to finish its current cruise. The next cruise is the "14 Night Panama Canal: cruise which leaves from Miami headed for San Diego, California. 

There was an emergency meeting in the dining room, where crew members were informed that about 99 guests and 10 crew were ill with AGE. (The official report from the CDC estimates that there were 92 of 2679 (3.43%) passenger and 5 of 991 (0.5%) of crew members affected).

A sign was posted for the crew informing them that there is a high level of outbreaks over 3% of passengers"and crews sick on the ship. The Disney Wonder has a capacity of around 2,400 passengers and 945 crew members. This will result in the crew members working longer hours to try and sanitize the ship before the next round of families and kids embarkthe cruise ship in Miami on May 1st.

There have been 9 prior outbreaks on cruise ships calling on U.S. ports this year.  Disney is one of the few cruise lines which do not routinely suffer from gastrointestinal outbreaks. 

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The Disney Cruiseline Blog contains a copy of an email sent to future cruisers on the upcoming cruise.

May 2 2016 Update: The Sun Sentinel, the first major newspaper to report on the outbreak, picks up the story - Nearly 100 sickened on Disney Wonder cruise ship

May 3 2016 Update:  Gobal Dispatch says that "health officials now put the total cases at 145, 131 of 2680 passengers onboard and 14 of 991 crew members" 

Norovirus on the Oceania Riviera Again

Oceania RivieraYesterday we received information about the current cruise of the Oceania Rivieria which is sailing through the Caribbean (Miami March 20-April 3). "The captain came on the intercom yesterday informing the passengers that a large number of passengers had come down with flu like/gastrointestinal issues and the CDC had been informed. The ship ported at their first stop Santa Marta, Colombia as scheduled today."

The Centers for Disease Control and Prevention (CDC) has now officially reported the third norovirus outbreak on the cruise ship.  

The first recent outbreak was during the November 18 – December 2, 2015 sailing and involved 74 ill passengers. The second outbreak occurred during the  February 12-22, 2016 sailing which had to be ended early and involved at least 124 sick passengers. We wrote about how the crew members had to work overtime, often off the clock and without extra pay, to try and super-clean the cruise ship. 

This latest outbreak involves at least 52 passengers who are ill with norovirus. Zero crew members were reported ill during the current cruise.

Unfortunately, the under-staffed CDC never tries to conduct a meaningful epidemiology assessment to determine whether the outbreak can be traced to a particular type of food contamination, an ill food handler, poor cleaning of the ship or an ill passenger who brought the noro aboard the ship. 

Expect the number of affected passengers to increase during the cruise notwithstanding the extra hours spraying and wiping by the crew. 

So far this year, there have been 8 gastrointestinal outbreaks reported to the CDC by cruise ships calling on U.S ports. 

Photo Credit: Kefalonitis94 CC BY-SA 4.0, creative commons / wikimedia.

CDC: 137 Sick with Norovirus on Norwegian Gem

Norwegian GemEarlier this week, we reported that health officials banned the Norwegian Gem from calling on St. Maarten because a number of passengers were ill with a gastrointestinal illness. The NCL cruise ship then sailed on to Tortola where it called on the port there.

The Centers for Disease Control and Prevention (CDC) is now officially reporting that 128 of 2,882 cruise passengers (4.44%) and 7 of 1,100 of crew members (0.64%) on the Gem have been ill during the cruise with norovirus. 

Although it was suggested on the cruise ship that the cause of the outbreak may be contaminated water, there has been no information released to the public confirming or excluding this possible cause. Norovirus is primarily a food-borne disease. Outbreak News Today correctly states that "norovirus is typically spread through contaminated food and water, touching surfaces or objects contaminated with norovirus and then putting your hand or fingers in your mouth and close contact with someone who is vomiting or has diarrhea."

Unfortunately, the CDC has limited resources and does not attempt to conduct an epidemiology assessment regarding the source of the norovirus outbreak.    

Photo credit: Corgi5623 at English Wikipedia, CC BY-SA 3.0.       

Pukefest on the Crown Princess - Why Does Princess Cruise Have So Many Norovirus Outbreaks?

The first norovirus outbreak on a cruise ship calling on a U.S. port this year has been reported to the Centers for Disease Control and Prevention (CDC). And, no surprise to anyone that follows cruise ship outbreaks, it involved a Princess Cruises cruise ship. 

The Crown Princess just returned to Los Angeles following a two week cruise from January 3 - 18, 2016. 180 of the 3,060 passengers (5,88 %) aboard the cruise ship were sick with symptoms of vomiting and diarrhea. 24 of 1,168 crew members (2.05%) became ill with gastrointestinal symptoms which the CDC confirmed were due to norovirus.  You can read the CDC report here.

During the six year period from 2010 to the current date, Princess Cruises experienced the most Princess Cruise Ship Norovirus Outbreaknorovirus outbreaks on its cruise ships calling on a U.S. port, according to the CDC. Princess reported nineteen (19) cases to the CDC during this time period. Carnival cruise lines reported just two (2) cases during the same time period.  

Celebrity Cruises reported 15 cases (and Royal Caribbean reported 9).  HAL also reported a high nummber (12) during the 2010 to 2016 time period.

Cunard reported 4; NCL -3; Oceania - 3; and Crystal - 2.  

The Crown Princess alone has suffered through five (5) norovirus outbreaks since 2010 to the present. Before the current outbreak, the last outbreak on the Crown Princess was from October 18 to November 16, 2014. Prior to that, it was February 5 to 12, 2014. It also experienced back-to-back outbreaks from January 29 to February 4, 2012 and February 4 to February 9, 2012 (photo above).

The Crown Princess alone experienced two and one-half time more norovirus outbreaks that the entire fleet of Carnival cruise lines from 2010 to the present!

So why is Princess Cruises far more prone to norovirus outbreaks than Carnival cruise lines, for example?

The cruise industry always blames the passengers for bringing the virus aboard, rather than its food handlers, or contaminated food or water. So are Princess Cruises customers the sickest and the least hygienic cruisers around? Do they wash their hands the least of any cruisers?  That seems like a absurd argument to make.

Is there a correlation between the age of the cruise ships and gastrointestinal outbreaks?  Are different food sources and food handling techniques a more reasonable explanation?  How about different sanitation procedures?  I'm not sure. The CDC doesn't have time to determine the source of the norovirus outbreak (sick food handlers versus contaminated food or water or a sick passenger) so it is of no help.  

But blaming the passengers when one cruise line (and one cruise ship in particular) has far more gastrointestinal outbreaks than its competitors is certainly not the answer.  

HAL's Veendam Hit with GI Outbreak

The Centers for Disease Control and Prevention (CDC) states that fifty-seven (57) of 1429 passengers (3.99%) and ten (10) of 588 crew members (1.70%) have been reported ill with gastrointestinal illness aboard the Veendam cruise ship operated by Holland American Line.

The CDC has yet to figure out what type of outbreak is involved. It is probably norovirus, as was the case in the last 11 GI cruise ship outbreaks this year. A CDC environmental health officer will board the HAL cruise ship at the end of the cruise in San Diego, California on December 27, 2015.

The Veendam had its last norovirus outbreak in 2014, in February.

 

Norovirus Strikes Ryndam; Cruise Ends Early

RyndamCruise Critic is reporting that the Holland America Line (HAL) Ryndam cruise ship is a code red situation with a gastrointestinal virus sickening passengers sailing from the U.K.

The HAL cruise ship is returning to port in Harwich a day early, this Friday July 3rd, in order for the crew members to conduct what is called a "deep cleaning" before the next round of passengers arrive, according to Cruise Critic. 

HAL says that a "high number of guests reported to the infirmary" during the current cruise. HAL has not disclosed the actual number of sick guests or crew members.

HAL thinks that norovirus is involved. 

As is the case with virtually all cruise-related norovirus cases, there has been no disclosure of the cause of the viral outbreak (i.e., contaminated food or water, crew members working while ill, or - the cruise industry's favorite excuse, cruise passengers who don't wash their hands).

There have been nine norovirus cases officially reported to the U.S. Centers for Disease Control and Prevention (CDC) in the last six months of this year.  Many other outbreaks have occurred outside of the U.S. jurisdiction.  

Photo Credit: Roger Wollstadt CC BY-SA 2.0 via Wikimedia Commons

Balmoral Cruise Passengers Hit By Massive GI Outbreak

Fred Olsen Balmoral Cruise passengers on the Fred Olsen Balmoral cruise ship are affected by a massive viral outbreak.

The cruise ship's medical staff is overwhelmed with sick passengers who are suffering from diarrhea and vomiting. The person who contacted us says that at least 300 of 1,100 passengers, as well as crew members, are ill with the gastrointestinal sickness..

The cruise line curtailed the cruise from 8 to 7 days to return to Southampton for "Barrier Cleaning." 

News sources in the U.K. are reporting that Fred Olsen passengers hit with a "vomiting bug" which causes vomiting and diarrhea.

Fred Olsen said it was "company policy" not to reveal the number of passengers affected, but the Daily Echo says that as many as 250 had contracted the bug.

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Photo Credit: Daily Echo
 

 

GI Outbreak on the Celebrity Infinity

Celebrity InfinityThe Centers for Disease Control and Prevention (CDC) reports that at least 95 passengers and 5 crew members have been sickened with a gastrointestinal illness (GI) while aboard the Celebrity Infinity.

The Infinity is on a two week cruise that started on March 29th and will end on April 13th in San Diego, CA.

We have received emails from sick passengers on the ship.

The CDC hasn't figured out whether the outbreak is due to norovirus yet. 

The CDC will send two employees (an environmental health officer and epidemiologist) to the cruise ship when it reaches San Diego April 13th.

The Infinity suffered through a norovirus in 2013

This is the fourth GI outbreak on a cruise ship calling on a U.S. port which has been reported to the CDC this year. The last one involved NCL's Norwegian Pearl.

April 13 2015 Update: A passenger contacted me today saying that there was an outbreak the cruise before which sailed from South America and returned to Ft. Lauderdale at the end of March. She said that her husband became ill with noro-like symptoms and the ship had been fumigated during the cruise.   

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Photo Credit: WikiCopter

Over 100 Sick With GI Bug On Celebrity Equinox

Over 100 people are ill with vomiting and diarrhea aboard the Celebrity Equinox cruise ship which is returning to Fort Lauderdale, Florida on a ten day cruise, according to cruise expert Dr. Ross Klein

According to the Centers for Disease Control (CDC), 95 out of 2896 passengers (3.28%) and 7 out of 1209 crew members (0.58%) became ill during the cruise with noro-like symptoms.

The CDC has not yet figured out whether the sicknesses were caused by norovirus.

Norovirus can be caused by contaminated food or water, contaminated surfaces or by hand-to-hand contact between infected crew members or passengers.   

The cruise line always blames the passengers for not washing their hands. I suppose that happens, but it's far from the only explanation. 

The CDC never discloses why the virus spreads. I wonder why?

Celebrity Equinox

Photo Credit: Wikipedia / Hevesli Creative Commons 3.0

"Virus From Hell" - Gastroenteritis Strikes Passengers on Sea Princess

MSN / Ninesman reports on a viral outbreak aboard a Princess cruise ship cruising from Australia which sickened "hundreds" of passengers this week.

A passenger who was interviewed by MSN refers dramatically to being inflicted by a "virus from hell" with sounds of "vomiting echoing down the hallways."  The Sea Princess left Fremantle on August 18th and was heading, eventually, to Singapore. This was reportedly not the first outbreak.  New passengers who boarded in Singapore were not warned of the outbreak and were described by one passenger as "lambs being Sea Princess led to the slaughter . . . they just didn't know what they were in for."

The virus was allegedly on the cruise ship "for months." One passenger says that some of the bar and wait staff were already sick, when some passengers boarded, with gastroenteritis and influenza.  The passenger said that the sick crew members were afraid to report to the infirmary out of fear of losing their jobs. In our experience, some crew members who rely on tips keep working after they are ill.

MSN says that around 500 people were affected; however, Princess claims that this was not a major outbreak with only around 100 passengers becoming ill.  Princess confirmed to a newspaper in Australia that 100 passengers were sickened by what it innocuously referred to as a "tummy bug."

Princess is declining to compensate passengers for the outbreak and will not be reimbursing them for the shipboard medical treatment needed on the ship. 

We asked Princess for a comment but have not heard back from the cruise line.  

Photo Credit: Wikipedia / Bahnfrend Creative Commons

Have a comment? Please leave your thoughts below or join the discussion us on our Facebook page.

Read about cruise norovirus cases from Barfblog.

September 11 2014 Update: We just received a couple of comments from passengers on the ship (below), stating that the story is over-dramatic and the criticism of Princess is overblown.

September 12 2014 Update: Passengers who were struck down by the gastro-intestinal virus have disembarked at Fremantle this morning, according to abcnet.au. One passenger said he "was compensated for his bad experience. We got a special on our next cruise deal and the compensation was a couple of dollars as well, so they looked after us." Another passenger said "they were not told about what had happened but believe they should have been."

September 13 2014 Update: PerthNow reports that passengers said up to 400 people were ill on the ship which many are nicknaming “Pandemic Princess” and “Purgatory Princess.” Princess is sticking with its story that only a “small percentage” of passenger were affected. Passengers were offered a 50 per cent refund to be discounted from their next cruise. One retiree said that a "nice glass of brandy every night” kept him from becoming sick. 

Vomiting & Diarrhea Bug Infects Passengers on Grandeur of the Seas

The Centers for Disease Control and Prevention (CDC) reports that 111 out of of 2122 passengers (5.23%) and 6 out of 790 crew (0.76%) have reported ill with gastrointestinal illness involving vomiting and diarrhea. The Royal Caribbean ship was on a 7 day cruise from Baltimore.

You can read the CDC report here. The CDC hasn't figured out yet whether the gastrointestinal outbreak was caused by norovirus. 

Cruise expert Professor Ross Klein reports that cruise passengers have received the following Grandeur of the Seasinformation in an email:

"Hello, this is Royal Caribbean International. We would like to provide you with some important information regarding your Saturday, April 5th, sailing onboard Grandeur of the Seas out of the Port of Baltimore. During the ship's last sailing, a number of guests experienced a gastrointestinal illness. We will conduct enhanced sanitizing onboard the ship and within the terminal to help prevent any illness from affecting your cruise. Therefore, your check-in and boarding will be delayed. Because space and seating in the terminal is limited, we ask that you not arrive to the port before 2:00 PM. Check in will take place between 2:00 PM and 4:30 PM."

I always wonder about the effectiveness of "enhanced cleaning" when the CDC can't determine what the disease is much less how it can aboard the cruise ship.

Any passengers cruising this week please let us know whether the virus was eradicated or whether the outbreak continues.

 

 Photo Credit: Wikipedia / J. Glover

Centers for Disease Control Confirms Gastrointestinal Outbreak Aboard HAL's Massdam

HAL MaasdamTen days ago we wrote about a gastrointestinal outbreak on the Holland America Line (HAL) Maasdam which was sailing routes in South America. 

Passengers were stating that numerous people are sick with nausea, vomiting, diarrhea and other noro virus like symptoms. 

Some passengers complained that they became tired of the HAL captain blaming them for the outbreak.

The public relations people at HAL and parent company Carnival Corporation ignored our requests for information.

The Maasdam finally returned to Fort Lauderdale and the CDC boarded. The CDC is now reporting that 65 of 1096 passengers (5.93%) and 8 of 569 crew (1.41%) were ill with an unspecified gastrointestinal illness.

You can read the CDC report here.

 

Photo Credit: Wikipedia / Andrew J Bryson

Passengers Report Gastrointestinal Outbreak Aboard the HAL Maasdam

Several cruise passengers have informed us that there is a gastrointestinal outbreak on the Holland America Line (HAL) Maasdam which is currently sailing routes in South America.

Passengers are stating that numerous people are sick with nausea, vomiting, diarrhea and other noro virus like symptoms. The number of sick passengers and crew has not been released to the people we have communicated with. 

Today one passenger reported: 

"MS Maasdam has been fighting NOROVIRUS pretty much most of the cruise from Rio to Ft Lauderdale. RED ALERT."

HAL MaasdamAnother passenger reported that he is ill and is tired of being blamed by the ship's captain for the disease:

"I am on the sick Holland America Maasdam which has had Noro virus ever since the departing Rio and won't be scheduled to be back in Fort Lauderdale until the end of the month. I'm getting tired of hearing the Captain blame the passengers for the spread of the disease. As a physician, I've clearly noted that the disease is passed by vectors such as cruise cards, bar staff and wait staff never washing their hands, and the tables and chairs being cleaned with the same rag. Captain it's not the passengers its your staff." 

The Maasdam is on a 26 day cruise, which started in Rio de Janeiro on March 2nd and will be ending in Fort Lauderdale on March 28th. 

We reached out to HAL and parent company Carnival this morning about this reported outbreak but have not yet received a response. Neither HAL nor Carnival responded. 

Are there other passengers or crew members with information about this alleged outbreak?  Please leave us a message or join the discussion on our Facebook page

 

Photo Credit: Wikipedia / Andrew J Bryson

Measles Outbreak On Costa Pacifica Cruise Ship

According to the Italian newspaper Il Messaggero a measles outbreak has occurred on the Costa Pacifica cruise ship.

The newspaper says that dozens of cruise passengers were probably infected with the virus that causes measles. The cruise ship called on the port of Civitavecchia.

59 infected crew members were sent ashore for medical treatment.

Costa says, for what it's worth, that there have been no confirmed cases of passengers infected with the measles virus yet.

A measles outbreak is very serious. There is a particular danger to women of childbearing age with measles.  U.S. based cruise lines vaccinate for measles because the virus is so virulent.

Cruise expert Professor Ross Klein was the first in the U.S. / Canada to report on this disturbing outbreak. 

If you have information about this viral outbreak, please leave a comment below or join the discussion on Facebook.

Costa Pacifica Measles

Photo Credit:  Luciano Giobb via Il Messaggero

Disease Outbreak on HAL Veendam

The Centers for Disease Control and Prevention (CDC) report that there has been a disease outbreak on the  M/S Veendam operated by Holland America Line (HAL)

The CDC states that the Veendam cruise ship has returned after a a 14 day cruise from February 8-22, 2014 with 114 of 1273 (8.96%) passengers suffering from norovirus-like symptoms of vomiting and diarrhea. 10 of 575 (1.74%) crew members are reportedly ill.

The CDC has not figured out the type or cause of the disease outbreak.

Veendam Cruise Ship - NorovirusThe CDC has confirmed four disease outbreaks on cruise ships so far this year.

The story was first mentioned by the Cruise Fever blog.

The HAL Veendam was last infected with e-coli last year. You can read about that outbreak here: Gastrointestinal Virus Plagues Passengers Aboard HAL's Veendam Cruise Ship.

The Veendam has experienced problems with cleanliness and Illnesses over the years.

In 2012, this HAL cruise ship flunked a health inspection. That's hard to do. Read our article: Gross! Holland America Line's Veendam Flunks Health Inspection.

The Veendam also sickened 80 and killed one passenger during a gastrointestinal outbreak in November of 2011.

Over the years, HAL has one of the worst records with disease outbreaks.

 

Photo Credit: Wikipedia / Djheini

Princess Cruises' Defense Every Time Norovirus Strikes: "The Passengers Bring It With Them"

This morning I wrote an article about Princess Cruises immediately blaming the sick passengers for what appears to be the latest norovirus outbreak aboard the Caribbean PrincessBlame Game: Princess Accuses Passengers of Starting Norovirus Outbreak on Caribbean Princess. Princess's PR spokesperson Julie Benson accused the passengers of bringing the virus with them when they boarded the cruise ship.

She didn't mention that the virus was wreaking havoc during the prior cruise.

Blaming the passengers is part of the PR strategy of Princess and the cruise industry.  

This afternoon I remembered reading a book by cruise expert Professor Ross Klein about this public Cruise Ship Squeezerelations defense strategy by Princess. The book is called "Cruise Ship Squeeze."  Professor Klein has been recognized as an expert regarding cruise line issues by both the House of Representatives and the Senate before whom he has testified several times.

I suggest reading Chapter 8 of Dr. Klein's book. At pages 179 - 183, you can read about the cruise industry and Princess blaming the passengers. Eleven years ago during a 2003 cruise, passengers were stricken with a gastrointestinal illness. Princess accused their cruise passengers sick with norovirus of "bringing it with them." But the truth is that during the prior cruise, the cruise ship had experienced passengers sickened with the same sickness. 

No scientists arrived at this conclusion. And there was nothing remotely scientific about what Princess represented to the public. 

Ever since then Princess says the same thing over and over every time norovirus sickens the guests. 

Who needs epidemiologists when the cruise line PR team has already figured out what to say?

Blame Game: Princess Accuses Passengers of Starting Norovirus Outbreak on Caribbean Princess

Last night the Caribbean Princess cruise ship returned early to Houston, Texas with passengers and crew members suffering from a gastrointestinal illness (GI) outbreak. There are around 173 people officially reported to be ill on the ship, mostly passengers. A Houston news station says the outbreak was caused by norovirus.

Determining the type of GI outbreak and the origin of the outbreak is a deliberate, scientific process that is the work of trained and experienced expert epidemiologists.  

The experts at the Centers for Disease Control and Prevention (CDC) have not yet determined either the type or the origin of the virus.  The outbreak could be attributed to contaminated food, or contaminated water, or galley or food handlers working while ill, or the ship failing to clean up after the last cruise when passengers became ill, or new passengers with the virus who were not properly Caribbean Princessscreened. But whatever the potential cause and origin, it's important to determine what the CDC says about the outbreak.

Princess Cruises, however, has already blamed its guests.  Princess PR spokeswoman Julie Benson tells CBS News that "the pattern suggests the illness was brought on board by passengers." Ms. Benson is not an epidemiologist of course. She has no medical or scientific education or training. Princess Cruises didn't fly a team of epidemiologists into the Gulf of Mexico and lower them down from a helicopter to the cruise ship to conduct tests and make a analysis.

Ms. Benson's comments, in my assessment, are a PR stunt. This is right out of the cruise industry's playbook of how to manage a crisis when a cruise ship sickness epidemic breaks out. Rule number 1: Blame the Passengers!

Cruise lines like Princess don't want the public to think that their cruise ships or crew members are the problem. To divert attention from the possibility of bad food or contaminated water or sick crew members, the cruise lines point the finger at their customers and accuse them of bring the virus aboard or having poor hygiene.

But could it be bad hygiene of the crew? The CDC has found crew working while ill before. That's why the public has to rely on the education and experience of the experts and not PR cruise line people.

Yesterday we wrote that there were passengers sickened during the last cruise. Did the ship clean up the contaminated surfaces and test the food and water after the last puke fest? How many people were sick last week?  Perhaps Princess will tell us? Perhaps not. 

I have mentioned before that cruise lines often don't want the CDC to make any conclusions about the cause or origin of widespread viral outbreaks. Why? So the PR people can spin the story for marketing purposes.

Princess would rather protect their own reputation and blame the sick passengers than wait for the CDC to finish its investigation. 

 

Photo BCredit: Mayra Beltran/Houston Chronicle

Time Magazine: The Top 13 Cruise Ship Norovirus Outbreaks

With the Explorer of the Seas sailing back to New Jersey with almost 650 victims of norovirus related nausea and diarrhea, Time magazine just published the article Cruise Out of Control: The 13 Worst Norovirus Outbreaks on Cruise Ships.

The worst outbreak is, of course, Royal Caribbean's Explorer but the cruise line and its sister line Celebrity Cruises have the top three worst outbreaks and five of the top 13 worst outbreaks.

The passengers and crew aboard the Celebrity Mercury suffered through outbreaks on five consecutive  sailings back in 2000, including 443 sick in February 2000 and 419 in March. The Centers Norovirus Cruise Shipfor Disease Control and Prevention finally issued a rare no-sail order because the ship kept infecting the passengers and the cruise line wouldn't stop sailing.

The overall winner of Time's top 13 list is Princess Cruises which had five outbreaks on its brand alone: Crown Princess (January 2010) - 396; Crown Princess (February 2012) - 363;  Ruby Princess (March 2013) - 276; Coral Princess (February 2009) - 271; and Sun Princess (July 2012) - 216.

The disturbing thing about the list is that the Centers for Disease Control were unable to publish a single conclusion about where the norovirus came from. The public is left with the "blame game" of wondering whether the cruise ship food or water was contaminated, or the outbreak was caused by a sick galley worker, or was brought aboard by sick passengers and then spread because of inadequate hygiene.

A Royal Mess: Sick Count Increases to Over 600, Cruise Ends Early

The Centers for Disease Control and Prevention (CDC) has stated that over 600 people have been sickened by the gastrointestinal illness outbreak on the Royal Caribbean Explorer of the Seas, CNN reports.

The Royal Caribbean cruise ship left Cape Liberty, New Jersey on January 21, 2014 for a 10 day cruise through the Caribbean. The ship missed a stop at its private stop in Labadee Haiti after the outbreak. It sailed to San Juan to be cleaned. 

The CDC initially stated that over 300 people (281 passengers and 22 crew members) were ill. (Its official report is here with the new statistics). However, over the weekend we began to hear reports from passengers that the number Royal Caribbean Cruise Explorer of the Seas Norovirusof people suffering from nausea and diarrhea had increased to to over 450 and, now, to over 600. 

CNN quotes a spokeswoman with the CDC that more than 600 people on the ship have become ill, reporting vomiting and diarrhea. The CDC spokeswoman said 564 passengers and 47 crew members reported being ill.

Royal Caribbean is ending the cruise two days early. The cruise line will "use the extra time to sanitize the ship even more thoroughly." 

We have been contacted by guests on this ill fated cruise as well passengers from the prior cruise who became ill. 

Passengers who contacted Royal Caribbean say that the cruise line is not considering refunds of any type.

We previously reported on the incident in our article: Puke Fest Aboard Royal Caribbean's Explorer of the Seas.

There has been no official word from the CDC whether this is in fact norovirus, although the symptoms are consistent with the virus. The cruise lines invariably blame the passengers, but the CDC has never in my experience ever pin-pointed the exact source of an outbreak like this.

NBC News raises the issue whether the outbreak on the Explorer is linked to a nasty new type of norovirus known as the GII 4 Sydney strain which caused an outbreak on the Queen Mary 2.

Join our discussion on Facebook about why norovirus outbreaks occur on cruise ships

 

Puke Fest Aboard Royal Caribbean's Explorer of the Seas

The Centers for Disease Control and Prevention (CDC) announced that there is an outbreak of gastrointestinal sickness of a large percentage of cruise passengers aboard Royal Caribbean's Explorer of the Seas cruise ship.

The CDC indicates that 281 passengers (9.21% of total passengers) are suffering from norovirus type of symptoms. The symptoms include vomiting, nausea, headaches and diarehhea. You can read the report here

The pro-cruise site Cruise Critic calls the problem a "small outbreak" but the truth is that 9% is a high percentage.  It is not unusual for passengers not to report the illness in order to avoid being Explorer of the Seasquarantined in the cabin or for crew members who rely on tips to keep working after they are ill. The total numbers are often under-reported.

In addition to sick passengers, 22 crew members are reportedly ill according to the CDC. 

The CDC website states that an environmental health officer and an epidemiologist will board the ship in St. Thomas, USVI on January 26, 2014 to conduct an epidemiologic investigation. 

It may be possible to determine whether the outbreak is in fact related to norovirus. But the CDC will not have any success is determining why and how the virus came aboard. There is not enough time for the CDC to conduct an exhaustive scientific analysis and, as usual, the ship will not sit idle waiting for the test results. The cruise ship will continue to sail whether the CDC determines if it is norovirus or exactly why it is on the ship. 

Earlier this week, cruise expert Professor Ross Klein indicated that the CDC reported 130 passengers and 12 crew members became ill with gastrointestinal illness while cruising aboard the NCL Norwegian Star

The Majesty of the Seas returned to Miami a week ago with 70 people reported ill with gastrointestinal illnesses.

Were the outbreaks on the Royal Caribbean and NCL ships caused by the passengers not washing their hands? That's always what the cruise lines say.

Or was it due to crew members who kept working after they became sick and causing the outbreak? Or was it contaminated food or water, which is a common cause?

We will never know. The cause of gastrointestinal outbreaks is usually a mystery on cruise ships.

 

Have a comment? Please leave a message below or join the discussion on our Facebook page - what's the most common cause of norovirus on cruise ships?  

Photo Credit: Wikipedia / Emma Jones

Norovirus Outbreak Aboard the Celebrity Constellation

We received information that the Celebrity Constellation has been hit with a norovirus outbreak during the September 25, 2013 to October 7, 2013 cruise.

A passenger informed us:

Just off the Celebrity Constellation Black Sea cruise Sept. 25th - Oct. 7th. Over 300 sick with Norovirus etc . . . Crew did their best but the sickness progressed rapidly . . . no time to really get rid of the problem between cruises. Expensive problem for passengers traveling from far Celebrity Constellation Norovirusaway places and not being warned prior to boarding the ship. This produces lots of anxiety for all who look forward to a wonderful time. Celebrity should do better for their loyal customers. 

Cruise expert Professor Ross Klein also commented on his popular web site CruiseJunkie that passengers had complained about the disease outbreak on the Constellation.

This outbreak was taking place at the same time as another norovirus outbreak on another Celebrity cruise ship, which you can read about here:

G.I. Blues: Over 300 Sick on the Celebrity Summit.   

We commented on Celebrity Cruises' problems with norovirus aboard the Constellation last year.

If you were on the Constellation, please leave a comment below regarding how Celebrity handled the situation or join the discussion on our Facebook page.

 

Photo Credit: Getty Images 

Norovirus: What's the Cruise Industry's Priority? Public Relations or Passenger Health?

BBC News has an article about a gastrointestinal virus outbreak sickening passengers aboard a Fred Olsen cruise ship this week.

Last week we reported on the Fred Olsen Black Watch cruise ship (what a dreadful name) which was nicknamed the "Black Death" by norovirus infected passengers who have suffered through three consecutive sailings aboard what some people are also calling the "plague ship."

Around 10% of Black Watch passengers have been infected over the last month.

Fred Olsen Boudicca Cruise Ship - NorovirusBBC News says that the Boudicca is the latest Fred Olsen ship to become sick. The cruise line confirms there has been an outbreak of what the cruise line is saying is a "a gastroenteritis-type illness" on board the cruise ship which left Belfast last week. That means that the cruise line doesn't know exactly what type of sickness it is.

Is it norovirus or a e-coli outbreak? Fred Olsen doesn't seem to know.

This is not the first outbreak this year on the Boudicca this year. Read: Our Plague Ship Diary: After Ten Days on Cruise Hit by Norovirus, Two Friends Present the Holiday Snaps from Hell

What caused the latest outbreak? Contaminated food or water?  Sick crew members?  Fred Olsen is not saying if it knows. Usually the cruise lines are quick to blame everything but the cruise ship and its crew. The "dirty handed passengers" of the nasty passengers are usually blamed. 

What we know from the BBC is that at least 72 Boudicca passengers out of the 760 or so passengers are ill. That's around 9%, which is many times the percentage of sick passengers which the Centers for Disease Control requires to be reported in the U.S. 

The cruise line says that the cruise ship will return to Belfast tomorrow where the ship will be cleaned and sanitized. The ship will then quickly head off on a 12-night cruise to Madeira and the Canaries. 

Cruise lines like Fred Olsen tout that "the health, safety and well-being of all our guests and crew is paramount." But is this true?

A responsible company would make the best effort to find out exactly what type of illness affected the passengers, such as testing the food and/or determining whether food handlers were sick and not properly quarantined (a problem recently noted by health inspectors during U.S. CDC Vessel Sanitation Program inspections).

Right now there are over 70 Boudicca passengers spewing vomit and spraying diarrhea in their cabins and bathrooms. (Watch Vomiting Larry) Many millions of infected particles of some type of virus are covering the floors, carpets, bed covers, and nooks and crannies of these cabins. Yes, the cabins will be cleaned thoroughly (we hope) but will a few dozen infected particles linger to greet a new round of passengers? Its takes just 20 particles or so to get sick.

The new passengers, of course, are not told whether their cabins were the scene of a puke-and-diarrhea-fest just hours before they arrived.

It seems like an impossible task for the poor cabin attendants pressed into action for such a short period of time to try and kill off all of the noro or e-coli in the cabins after such intense purging of the stomach and bowels of the sick people. But what if the culprit is in the food from the galley?  There is no way that the cruise ship will find out in the limited time when the sick disembark the ship and the healthy arrive. There's not enough time to slow down and take an extra couple of days to let the epidemiologists perform their job of finding the causative viral or bacterial agent and determining how it came aboard the ship.    

Instead, we hear cruise lines telling the new passengers: "Trust us. Your health is our highest concern."

"Black Death Plague" Claims New Cruise Victims

Last week we reported on a norovirus outbreak on the Fred Olsen cruise ship, Black Watch, while sailing to Russia. The cruise ship's sickened passengers dubbed the ship the "Black Death." One ill cruise passengers was quoted saying:

“The staff marked doors of those infected with a cross. It was like the Dark Ages. Forget the Black Watch – we were on the Black Death plague ship.” 

Well the so-called "plague" continues. The Daily Record says that 72 people on the latest cruise aboard the Black Watch have been struck down with the same sickness causing nausea, diarrhea and vomiting.

Fred Olden Black Watch Cruise ShipThe cruise line confirmed to the newspaper that 112 passengers on the August 18th cruise became sick, and then 59 more passengers fell ill on a September 1st cruise to Norway. That means that 234 passengers have become ill on the last three cruises on this cruise ship which carries less than 750 passengers.

According to the Daily Record, one poor passenger said: 

“Norovirus was rife. The sauna, jacuzzi, casino, buffet and cinema – all the facilities we had paid for – were closed, as were all the public toilets."

“In my opinion, this ship should never have been allowed to leave  . . . It should have been docked until it was free of the bug.”

My thoughts?

There's no excuse having three consecutive noro outbreaks which average over 10% of the passengers (the article doesn't mention the sick crew). 

The business model of all the cruise lines keeps the ships running 24 hours a day, 7 days a week. There's is no time for a systematic, scientific inspection to determine the actual cause of the norovirus and to determine when and how it is was introduced onto the ship, whether by food, water or a previously-sick passenger.  "Enhanced cleaning" of everything, when the virus may have been brought aboard in lettuce or sprouts, is pointless. Cruise lines are quick to blame the passengers for not washing their hands, but the real culprit could be contaminated food, water or an ill crew member.    

 

Photo Credit: Wikipedia / Ra Boe 

The Cruise G.I. Blues: Why We Don't Handle Gastrointestinal Virus Cases

The last several articles on this blog have involved gastrointestinal (G.I.) virus outbreaks on cruise ships.

The cruise ships involved are Holland American Lines’ Volendam and Veendam, (HAL ships, historically, are the most likely to be contaminated with norovirus), the Discovery cruise ship which was held up in Liverpool for what the cruise lines describe as “enhanced cleaning,” and most recently the Celebrity Millennium which arrived in Alaska with a bunch of sick passengers who went ashore and coughed all over the city of Seward.

These ships join the list of other sick cruise ships this year. There are seven official reports of Cruise Ship NorovirusG.I. cases so far this year documented by the U.S. Centers for Disease Control and Prevention (CDC). But the list is incomplete. The CDC requires cruise lines to report outbreaks only when a certain percentage (more than 3%) of the passengers become ill. If the cruise ship does not call upon a U.S. port, then the CDC has no jurisdiction and there is no obligation to report any G.I. cases to the U.S. federal government.

Most countries around the world don't require reporting of cruise G.I. cases. So when you read the CDC database of G.I. outbreaks on cruise ships, remember that this is only those cruises which dock at a U.S. port and where at least 3% of the passenger report to the infirmary.

My partners at my law firm ask me why I blog about G.I. cases because our firm rarely handles such cases. Why don’t we handle G.I. cases? For a couple of reasons:

It is usually impossible to prove where the virus originated. The CDC and the Food and Drug Administration (FDA) concluded long ago that most norovirus outbreaks are due to contaminated food and water. No, not due to the dirty hands of the cruise passengers as the cruise lines want you to believe, but noro-laden food or contaminated water.

But general propositions are no help in a particular case. The CDC makes no real effort to pinpoint the epicenter of the outbreak on the cruise ship.

The CDC usually can figure out the causative agent (i.e., noro, e-coli, etc.) but that’s where the federal agency’s inquiry ends. The CDC has but a few hours to board the cruise ship and conduct its Cruise Ship Norovirusinvestigation once the ship returns to a U.S port. It does not have the time or the resources to perform a full blown epidemiology assessment during the limited time the ship is in port.

Was the water well used to irrigate the potatoes or lettuce which were loaded onto the cruise ship contaminated by noro-infected swine feces that leeched into the well supplies? You will never know because no one is doing any investigation to find out.

The cruise lines don’t want such sophisticated analysis either, because the most likely cause of norovirus outbreaks is not bad passenger hygiene but contaminated food and water. It’s bad for cruise business for an official U.S. agency to point the finger at contaminated water or infected food, or to conclude that food handlers worked while infected with noro and, in turn, contaminated 150 plates of salad consumed by the passengers.

Illnesses due to e-coli or norovirus are nasty. You’re afraid that you are going to die and then you’re afraid that you’re not going to die, the joke goes. But it’s no joke. Sick passengers do die, particularly elderly passengers with suppressed immune system and especially those who are ignored by the ship doctors or those who receive bad care while on the cruise ship.

The rights of ill or dying passenger infected with norovirus on cruise ships are limited. The Death on the High Seas Act (DOHSA) prohibits the recovery of damages for elderly retirees. Their deaths are financially meaningless if they become sick during a cruise and then later die either on or off of the cruise ship. Cruise lines love DOHSA. Also, sick passengers who receive bad medical care by the ship doctors usually have no recourse against the cruise lines because the ship doctors are legally considered to be “independent contractors” for whom the cruise lines have no responsibility. And neither the cruise lines nor the CDC or FDA are trying to find out where the norovirus came from in the first place.

Cruise lines are cutting back on the testing of water, placing increasing demands on its crew members who often work while sick, hiding dirty galley equipment from CDC inspectors, and pushing their ships and staff past reasonable limits leaving little time and resources to maintain a clean and hygienic environment. 

Cruise Ship NorovirusIt’s easier for the cruise lines to blame the passengers for poor hygiene and then stand behind the CDC’s and FDA’s indifference and archaic laws like DOHSA which have insulated the cruise industry from the consequences of their negligence and recklessness for decades.

In a nutshell, we don’t handle G.I. virus cases because the deck is stacked against the cruise passenger. Cruise passengers typically don’t know when they board a noro-infected ship that they have few rights and that the cruise line will blame them if they get sick. We blog about the problem because it is an insight into the way which the cruise industry operates its business and treats its customers.

The cruise lines say that the “health and safety of cruise passengers are its highest priorities.” That’s not true. We prefer that the cruise passengers understand that before they walk up the gangway into a noro-contaminated ship.

Celebrity Millennium Puke Cruise Arrives in Alaska

The Centers for Disease Control and Prevention (CDC) reports the Celebrity Millennium cruise ship sailed to Seward, Alaska last Friday, May 10th, with an elevated number of passengers and crew with a gastrointestinal illness.  164 of its 1,963 passengers and 30 of its 935 crew members experienced the gastro-illness.

The CDC states that the "causative agent" (type of pathogen) is "unknown," although at least one newspaper, the Seward City News, states that the sickness outbreak is believed to be caused by norovirus.

Comments to the newspaper complained about cruise passengers coughing and hacking in public and the locals having to be on higher alert to wash their hands when cruise ships come into port.  

Photo Credit: Wikimedia / Captain-Tucker

Celebrity Millennium Cruise Ship Norovirus

 

Viral Outbreak Delays Departure of Cruise Ship From Liverpool

The Daily Post in the U.K. reports that a gastrointestinal virus outbreak has delayed the departure of a cruise ship from Liverpool.

The cruise ship involved is the MV Discovery which was scheduled to depart on a Norwegian cruise last night at 6:30 PM but was delayed until 10:30 PM while a "deep clean" was performed. 

I have always been skeptical about how a cruise ship can be disinfected in just 4 hours. 

Discovery Cruise ShipOne passenger, who described being treated like a leper, said: "I was on a ship which had norovirus and in the end it took four days to clean it, so I cannot see how four hours will help."

But a representative of the operating company said that 3 hours was "exactly the amount of time needed."  It's hard to fathom how anyone can say that with a straight face, particularly considering that the type of virus is unknown, the source of the virus is unknown, and the precise location of the virus is always a mystery.  

As usual, the cruise company also blamed the passengers: 

Paul Foster, speaking on behalf of Cruise and Maritime Voyages, said: "It’s one of those things that are brought on board by passengers. I always say a ship cannot get a sore throat."

But that simply not true. There are such things as "sick ships."  Cruise ships and their food and water supplies can become contaminated with a wide variety of viral and bacterial diseases such as Legionnaires Disease, norovirus, e-coli, and unspecified gastrointestinal viruses. In fact, the U.S. Food and Drug Administration ({FDA) and the Centers for Disease Control and Prevention (CDC) state that the most likely source of a norovirus outbreak is contaminated food or water. Yes, a virus can be spread by bad hygiene of either passengers or crew, but usually the source of the outbreaks starts with something like noro-laden food or water.

The Discovery was launched in 1972 and is a 40 year old ship. It was formerly the Island Venture, Island Princess, Hyundai Pungak and Platinum

The cause of any particular outbreak is the business of expert epidemiologists - not cruise CEO's or Cruise Directors who are quick to point the finger at the passengers.  

 

Photo Credit: Wikipedia / yeldark

Volendam Norovirus Outbreak Sickens HAL Cruise Passengers

A Canadian news source, CBC News, reports that cruise passengers on a 31-day Holland America Line (HAL) cruise returning to Vancouver suffered from the ill effects of a norovirus outbreak. 

The outbreak involved HAL's Volendam.  The cruise line, which has experienced more gastrointestinal outbreaks than any other cruise line in the last decade, drained its pools and hot tubs and emptied its libraries to try and contain the spread of the norovirus outbreak.

HAL reported 28 guests and one crew member (2.37 % of the total 1,222 people on board) were sick over Volendam Cruise Ship Norovirus Outbreakthe course of the cruise. At three percent, Health Canada could launch a full investigation but will not because the reported cases did not reach this percentage.

One passenger told CBC that the problem appeared worse to those onboard than just the reported cases: "It had to be quite high, because it seemed like you would never sit at a table at dinner without someone having had it." 

After a few hours of cleaning, the cruise ship sailed on a week-long cruise to Alaska at 5 p.m. on the same day it returned to Vancouver

Yesterday we reported on another HAL disease outbreak on the Veendam

The last time we reported on the Volendam, the article involved a crew member fatality when a cable to a lifeboat snapped.

 

Photo Credit: Wikipedia / Barek

Report of Gastrointestinal Sickness Outbreak on Celebrity Infinity Disappears: Honest Mistake or Diabolical Cover-Up?

Those of you who read this blog regularly know that I find lots of information about things that the cruise lines would prefer you not know on Professor Ross Klein's website called CruiseJunkie.com.  A silly name I know, but the information is quite serious if you are interested in accurate information about cruise passengers and crew who disappear under mysterious circumstances, fires and collisions, and disease outbreaks on the high seas.  There is no other credible website like this anywhere which tracks such information in the cruise industry. 

Yesterday Professor Klein's website contained information about a gastrointestinal illness (GI) outbreak aboard the Celebrity Infinity cruise ship. He linked to the CDC Vessel Sanitation website which contained a report that 101 of 2086 passengers (4.84%) and 17 of 927 crew (2.05%) have reported ill Celebrity Infinity Cruise Shipwith gastrointestinal illness. Two CDC Vessel Sanitation Program environmental health officers and an epidemiologist boarded the ship on arrival in Fort Lauderdale on April 1, 2013 to conduct a targeted environmental health assessment and evaluate the outbreak and response activities. 

But when I clicked on the link to the CDC information, the website said:

"The page you requested cannot be found at this time. It may be temporarily unavailable or it may have been removed."

So what happened?  I don't know. 

Professor Klein questions whether this is a mistake of some sort or whether there is a cover-up at play.

Again I don't know. But I do know after being a lawyer for 30 years that there is a very cozy relationship between the cruise lines and federal agencies like the CDC whose surprise inspections are hardly a surprise. And last year it became obvious that after Congress passed a law requiring the cruise lines to report crimes to the FBI which had to post the data on a Coast Guard website for the public to view, these federal agencies worked behind the scenes with the cruise lines to cover the crime statistics up.  

So what's up with the CDC posting a GI outbreak and then the information disappearing?

Celebrity has had difficulties with its shipboard sanitation this year with the Summit and the Century failing CDC inspections for health and sanitation.  

Is the removal of the report of the outbreak aboard the Celebrity Infinity a mistake or is something else more sinister going on?

I'd like to hear from passengers and crew members whether there was a recent gastrointestinal illness or norovirus outbreak on the Celebrity Infinity?  Please let us know.

Am I being overly-suspicious? Maybe so. But I'd rather be paranoid than a naive sap who looks the other way while another federal agency and a cruise line play games behind the public's back.

April 7 2013 9:30 PM: The CDC report on the Celebrity Infinity has reappeared. Here it is.  Celebrity Cruises has the dubious distinction of 2 failed CDC inspections and a GI outbreak for 2013.

 

 

Photo Credit: Celebrity Infinity  - Wikipedia / Yankeesman312

Royal Caribbean's Norovirus of the Seas Returns to Florida with Sick Passengers

CBS (Miami) reports today that  a Royal Caribbean cruise ship arrived back in Port Everglades this morning with an outbreak of norovirus on board

The cruise line has not responded to requests for information, but passengers aboard the Vision of the Seas complained about vomiting and diarrhea. Passengers said more than 200 passengers had to be quarantined due to the outbreak.

“It’s been a hell of an experience,” said passenger Johny Celaire, of the 11-day cruise.  The captain reportedly announced there had been an outbreak of the norovirus on board shortly after the cruise Vision of the Seas Norovirusship departed.

CBS reports that one cruise passenger, Joan Webber was not  quarantined even though her husband was ill.  She is concerned that other passengers infected with the virus will take taxi cabs to hotels and airports where others could be exposed.

“There are people flying out today that are going on an aircraft that have diarrhea so bad they don’t know how they are going to get back up to Canada,” Webber said. “I’m surprised we didn’t go and have the health department talk to us.”

CBS further reports that Celaire said Royal Caribbean’s customer service reps added insult to injury when they called to inquire about the situation.

“She said to me if you had washed your hands you’d be okay,” Celaire said. “I said, ‘How the hell do you know if I didn’t wash my hands?’”

Blaming the passengers is a common ploy by the cruise lines even though the Centers for Disease Control (CDC) state that the most likely cause of norovirus outbreaks is contaminated food or water. 

 

 

 

 

 

Here We Go Again: Norovirus Sickens 100 Passengers on Crown Princess Sailing to Galveston

Princess Cruises Crown Princess NorovirusA Galveston television station reports that a Princess Cruises' ship, sailing from Venice, Italy with a final destination in Galveston, has stricken nearly one cruise passengers with the dreaded norovirus.

KHOU states that the 20-day cruise turned out to be the "trip from hell" for dozens of passengers who fell ill. Ninety six passengers and six crew members on the Crown Princess became ill with the highly contagious norovirus.

With passengers stricken with nausea, vomiting and diarrhea, a spokesperson for Princess Cruises responded that the cruise line took "extra precautions" with sanitation such as disinfecting "high-touch surfaces like railings, door handles and elevator buttons, encouraging passengers to use correct hand washing procedures and enhancing this with the use of hand sanitizing gels placed throughout the ship." 

Like all other of the many cruise norovirus cases, there will be no effort to scientifically determine the cause of the outbreak and try and track it down to either hand-to-hand contact from a passenger or crew member or from contaminated food or water.  Yes the enhanced cleaning is appropriate but Crown Princess Cruise Ship Noro Viruswon't do too much good if the nasty bug is in the food and/or water.  

The Crown Princess cruise ship left Venice on December 2, 2012 and is scheduled to arrive in Galveston on Saturday.

The Crown Princess experienced several bouts of norovirus earlier this year resulting in hundreds sick and one cruise to be cut short.

The first outbreak struck on the ship's January 28, 2012 cruise cruise and again on the February 4, 2012 cruise with several hundred passengers and crew members becoming ill. After the second outbreak Princess brought the ship back to Fort Lauderdale two days early for an “enhanced cleansing protocol.”

The Crown Princess also had some nasty noro outbreaks in December 2011 which you can read about here and here.

Anyone with info about this latest outbreak please leave a comment below. Or please leave a comment on our facebook page about this story.

Crown Princess Web Cam GalvestonDecember 22, 2012 Update: I am informed that there was a "red alert" for disease outbreak aboard the Crown Princess throughout the Atlantic crossing.  The cruise ship is now in Galveston (as you can see from the ship's bridge cam) and the CDC will board.  If you were on the cruise, how do you think the cruise line handled the outbreak?  Is around 100 sick passengers an accurate number of guests affected by the norovirus?  

Don't forget to read: "Why Do the Cruise Lines Always Blame the Passengers When Norovirus Breaks Out?"

 

Photo credit:

Top: AP via Fox News

Middle: WPTV

Bottom: Princess Cruises

Norovirus Outbreak on Royal Caribbean's Voyager of the Seas?

A number of people have contacted us, including one passenger "Nancy" from Australia, complaining about a recent, major norovirus outbreak on the Voyager of the Seas.  She writes:

"The Voyager of Seas has relocated to Asia Pacific region husband and I sailed on the relocation cruise from Singapore 22nd Oct 2012 to Fremantle Australia. There was Norovirus outbreak around 800 passengers affected undetermined number with chest infection, one Norovirus victim airlifted . . . The ships doctor was swamped with sick passengers couldn't cope turned people away untreated. Cabins were sanitized once during the 14 night cruise and measures taken to fight the infection cabins sanitized as we left the ship ,very hard to fight when there are 3000+ people in one place." 

Voyager of the Seas Cruise Ship Norovirus Outbreak Nancy also commented on the absence of any mention of the disease outbreak: "The outbreak didn't rate a mention on TV or news papers ($$ damaging to tourist trade)." (The image of the Voyager of the Seas to the left was from an earlier norovirus outbreak when the ship was sailing out of New Orleans in February). 

Another person commented:  "My Mother just went on the Singapore to Perth cruise & many people were quarantined . My Mother got sick the last few days of cruise & is still recovering, vomiting diarrhea etc. . . Virus of the Sea Ship . . ."    

Passenger Nancy appeared sympathetic to the cruise line and thought the outbreak may have been due to the failure of the passengers to wash their hands.

Like most outbreaks, it does not appear that any effort will be made to establish the real cause of the outbreak (i.e., a sick passenger brought the virus aboard, or food and water were contaminated, or a sick crew member spread the virus).

The last norovirus reported to the U.S. Centers for Disease Control (CDC) involving the Voyager of the Seas was earlier this year on a January 28 to February 4, 2012 sailing

Royal Caribbean and sister cruise line Celebrity have experienced recent problems with norovirus outbreaks - the Celebrity Constellation sailing out of Southampton reportedly had 350 passengers stricken with norovirus last week, and the Rhapsody of the Seas was quarantined last month while in port in Fiji due to the port's concern that sick cruise passengers may infect the local community.  The U.S. media typically does not mention these type of outbreaks. 

Neither of these latest outbreaks were reported to the CDC because the ships did not call on a U.S. port. 

Can anyone else on the cruise verify the outbreak and comment on how the cruise line handled it?  

Please leave a comment below or follow the discussion on our facebook page about the outbreak.

November 23, 2012 Update: Norovirus Continues to Sicken Cruise Passenger on Latest Cruise

Cruise Puke Fest: Norovirus Strikes Celebrity Constellation

Yesterday we received an email from a cruise passenger planning to board the Celebrity Constellation, indicating that embarkation would be delayed several hours today because of a norovirus outbreak on the cruise ship.

Today news outlets are reporting that there has been a large outbreak of the dreaded disease on this ship. BBC reports that Celebrity Cruises' Constellation arrived in Southampton at 06:00 GMT at the end of a 12-night cruise. The local port health authority said about 350 passengers had fallen ill with norovirus and were exhibiting vomiting and diarrhea. 

Its departure has been delayed until 20:00 while "deep cleaning" takes place. Of course this type of Celebrity Constellation Cruise Shipcleaning is not much good if there is contaminated food or water or a sick crew member in the galley or waiting on tables. 

The BBC report further reports that around 2,200 passengers and 900 crew members had been on a wine cruise around the coasts of France and Spain. Passenger David Mattey said his holiday had been "completely ruined" when he went down with severe vomiting and diarrhea. He said: "The sanitation on that ship is bad."

The U.K.'s Daily Echo mentions that passenger Mattey was bed bound for seven days, and had to go to the medical center several times for an intravenous drip to rehydrate his body. Mattey told the newspaper: “For elderly people to go down with something like this is horrendous. I have never suffered from anything like it before I still feel very weak and I am relieved I am home.”

Celebrity Cruises is quoted telling the newspaper that only "a small number of guests" were affected by the virus. The 350 sickened passengers as reported by the BBC is a very high number to become sick.

This outbreak does not have to be reported to the Centers for Disease Control (CDC) because the cruise ship does not call on a U.S. port. The last outbreak affecting this ship which was reported to the CDC occurred in February this year

The last outbreak reported about a Royal Caribbean / Celebrity cruise ship was last month and involved the Rhapsody of the Seas.

The cruise ships ported out of Southampton have experienced problems with norovirus outbreaks in the past which you can read about here and here

How did the cruise line handle this latest outbreak? 

 

Photo credit: Wikimedia Commons (Megadri).

Norovirus Outbreak on Celebrity Solstice?

Celebrity SolsticeWe received complaints from cruise passengers that there was a gastrointestinal outbreak on the Celebrity Solstice at the end of August. One cruise passenger contacted us and stated: 

"Our Celebrity Solstice cruise out of Barcelona on 8/27/12 had a huge outbreak of the norovirus. People were sick at the end of the cruise, however Celebrity loaded up the ship to head back out the same day. I don't see how in the world the boat could have been cleaned thoroughly."

The Centers for Disease Control (CDC) do not document cases of cruise ship norovirus / gastrointestinal illness when the cruise ships do not call on a U.S. port.  

There have been 11 official cases of such illnesses on cruises calling on U.S. ports this year, all of them declared by the CDC to be norovirus cases. Passengers aboard the Celebrity Silhouette and the Celebrity Constellation were struck by norovirus earlier this year.

 

Photo Attribution: Maprie at en.wikipedia  

Norovirus On Royal Caribbean's Jewel Of The Seas?

Cruises.co.uk reports today that norovirus has broken out aboard Royal Caribbean's Jewel of the Seas cruise ship. 

The website reports that passengers due to sail on June 12,  2010 have been informed to arrive late as embarkation will start to take place from 4:30pm.  The cruise ship will apparently undergo what the cruise line calls an "enhanced sanitizing" on Saturday.

Cruise Ship Norovirus The Jewel of the Seas had widespread sickness (diarrhea and vomiting) last March, but the Center for Disease Control (CDC) could not determine the type of pathogen.  You can read the CDC analysis here.

The CDC database for cruise ship norovirus outbreaks is here.

For prior blog articles about cruise ship norovirus, read them here

Royal Caribbean's cruise ship, the Constellation, operated by its subsidiary Celebrity Cruises also sickened passengers and crew just two weeks ago.  164 passengers and 29 crewmembers developed a norovirus infection, according to Cruise.co.uk.  You will not find this officially reported to the CDC because cruise ships are not required to report outbreaks of sicknesses when the cruise ship does not call on a U.S. port. 

Royal Caribbean's PR crisis manager Cynthia Martinez issued a statement that the Constellation would be delayed so that the ship would undergo a "thorough cleaning and sanitizing." 

This sounds good but what does this mean?   As we mentioned in prior blogs, the U.S. Food and Drug Administration (FDA) concludes that whereas "person to person" transmission of norovirus has been documented, "norwalk gastroenteritis is transmitted by the fecal-oral route via contaminated water and foods." 

So how does a cruise ship go about a "thorough cleaning" when the cruise lines has not determined whether the source of the norovirus is infected food or water?  How do you perform an "enhanced sanitizing" of food or water?

Royal Caribbean's PR department refused to respond to a request for a statement or a comment on the latest sicknesses to Cruise Law News (CLN). 

If you are disembarking from the Jewel of the Seas or the Constellation, please leave a note below and provide us with your thoughts on how the cruise line handled the outbreak.  

June 12th Update:

Newspapers in Harwich are reporting that 398 passengers and 30 crew fell ill with norovirus while on board the Jewel of the Seas.  A company PR release states that boarding today will be delayed until 3:00 p.m. for what the cruise line states is "extensive," "thorough" and "enhanced" sanitizing.  But health officials have not identified the source of the norovirus as either contaminated food or water, unsanitary crew members, or infected passengers.  So what will additional cleaning for 2 or 3 hours accomplish?

Passengers are beginning to leave interesting comments below, pointing out that the method of serving passengers is likely causing the norovirus to spread . . .   

June 26, 2010 Update:

Royal Caribbean is violating U.K. law by sailing without completely sanitizing the contaminated cruise ship.  Some very astute readers are leaving insightful comments below, regarding the potential causes of the virus and the cruise line's shortcommings.  Be sure to read the comments at the bottom. 

 

Royal Caribbean - Jewel of the Seas - Norovirus?

 

June 25, 2010 Update:

The norovirus continues:  Jewel of the Seas Remains Contaminated with Norovirus

 

Credits:

Photograph of cleaner                telegraph.co.uk 

Photograph Jewel of the Seas                 w:User:Dave souza at Wikipedia

100 Norovirus Victims On Sapphire Princess Cruise Ship - Princess Cruises Blames Passengers

A Seattle news station King5.com reports today that norovirus sickened 100 people on Princess Cruises' Sapphire Princess cruise ship based in Seattle. 

As we have reported in prior blogs,  the U.S. Food and Drug Administration (FDA) concludes that whereas "person to person" transmission of norovirus has been documented, "norwalk gastroenteritis is transmitted by the fecal-oral route via contaminated water and foods."  The FDA reports that "water is the most common source of outbreaks and may include water from Julie Benson - PR - Public Relations - Princess Cruises - Norovirus - Sapphire Princess municipal supplies, well, recreational lakes, swimming pools, and water stored aboard cruise ships."

But Julie Benson (right), the PR person for Princess Cruises, blamed passengers for probably carrying Norovirus on board the cruise ship.

Of course, there is no proof of this.  Ms. Benson is just a PR person and a script reader - not a doctor, scientist or epidemiologist.  It is part of the cruise industry's play book to always blame the passengers for bringing norovirus aboard.  It is far more likely - according to the FDA - that there is contaminated food or water on the cruise ship.  How did Ms. Benson figure out that the passengers brought the virus aboard, rather than poor hygiene by the crew or infected food or water?  The outbreak has not even been investigated by the Centers for Disease Control (CDC).

The CDC database for cruise ship norovirus outbreaks is here

Blame-the-passengers is just the script that poor Ms. Benson has to read.

Passengers suffered through norovirus on several cruises on the the Grand Princess just last month.  You can read about those cases here and here.  One of the problems with Princess is that the cruise line charges passengers around a $100 just for a nurse to come to the cabin when a passenger is infected with norovirus.  Some passengers didn't report their illnesses to avoid the excessive charges for "medical treatment."  At the same time, Princess didn't  try to sanitize cabins where no one reported an illness, as reported by this passenger.  This may have led to additional outbreaks on the next cruise.  

The passenger also thought that the public toilets on the cruise ships may be a problem.  Disease experts have inspected toilets on cruise ships in the past, with disgusting results: Cruise Ship Norovirus - Clean the Damn Toilets!  

Lawyers in the U.K. are suing the cruise line for improper cleaning procedures aboard the Grand Princess.  The litigation is being handled by U.K. lawyers, Irwin Mitchell which specializes in travel law in England.  The firm is demanding that passengers are informed of health risks on the cruise ship in advance of it sailing and given the choice of continuing their holiday, choosing an alternative or getting their money back.  According to the Guardian newspaper, the Irwin Mitchell lawyers criticized that Princess is only devoting two hours for "extra cleaning:"

"The fact that this liner has been allowed to set sail again so quickly is astounding given the reports of such widespread illness on the preceding cruise .  .  .  For maximum effect this would normally have taken at least two days. I struggle to see how a fully effective deep-clean of such a large ship could be achieved in a few short hours."

For other articles about the cruise ship sickness, norovirus, in general read here.    

Were you aboard the Sapphire Princess or Grand Princess during these recent norovirus outbreaks?  Were more passengers and crew infected than reported?  How did the cruise line handle the problem?  Please leave your comments below. 

Don't forget to watch the video below:  

 

 

June 8, 2010 Update:

AOL Travel published an article "Sick Ship in Europe and Alaska" about the Sapphire Princess as well as Celebrity's Constellation, where norovirus infected at least 204 passengers and 34 crew members.  A comment by one reader: "What they don't tell you is Norovirus is often a food-borne illness. Food is cruise line's stock and trade. They don't want you to know that it may be coming from the kitchen!"

 

Credits:

Video          King5.com

 Julie Benson              Twitter.com