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

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

Explorer of the SeasThe noro-stricken Explorer of the Seas has returned to New Jersey filled with 684 ill passengers and crew members. This is reportedly the largest gastrointestinal illness outbreaks on a cruise ship in twenty years.

A gastrointestinal illness (GI) chart from the Royal Caribbean cruise ship shows that the outbreak became obvious on Tuesday, January 21, 2014 when nearly 150 passengers reported that they were sick. By the next day, Wednesday. January 22, 2014, over 300 additional passengers suffered from the onset of the illness. You can track the outbreak affecting both passengers and crew on the chart below.

The chart does not have data included from yesterday or today.

The latest data from the Centers for Disease Control and Prevention (CDC) reveals that there are 684 ill, with 630 passengers and 54 crew members affected. 

It will be interesting if Royal Caribbean will produce a (GI) chart showing the number of patients who suffered from GI during the prior cruise.

Royal Caribbean Cruise Explorer of the Seas Norovirus Chart 

  Photo Credit: Explorer of the Seas – Thomas Layer / AP Photo 

Diamond Princess NorovirusA newspaper in New Zealand is reporting that 60 cruise passengers aboard a Princess cruise ship which sailed from Australia have been infected with the dreaded norovirus. They have been suffering from vomiting, nausea and diarrhea. 

The newspaper is stating that cleaners are working to sanitize the Diamond Princess before the next group of passengers board. 

Check-in has been delayed as the extra cleaning has been taking place. 

One passenger expressed serious reservations about the upcoming cruise. The thousands-of-dollars cruise vacation can’t be cancelled because there was no chance of a refund, he said.

The newspaper correctly points out that norovirus can be transmitted through infected food or water, person-to-person contact, and surface contact.

If you were on the cruise, is the estimate of 60 ill passengers accurate?

What, exactly, is Princess saying about refunds?

How did the cruise line handle the outbreak?

 

Photo Credit:  Wikipedia / Barrylb

This evening we received an email from a passenger on the Sun Princess cruise ship stating that the cruise ship is experiencing an outbreak of what is described as norovirus which is diminishing the cruise experience of the passengers. 

The primary complaint seems to be that the cruise line allegedly knew about the noro outbreak but did not tell the passengers until after the ship sailed. Earlier, on December 26th, we previously posted comments about noro virus on the Sun Princess.  Here’s what we received this evening:

"The Sun Princess is again out in the South Pacific with about 2,000 "Guests," all of whom were boarded without advice that the ship was sailing at ‘RED ALERT’ levels for the NORO virus raging in the vessel. The company is clever at preserving their profits at the risk of passenger health in not advising passengers of the outbreaks until well out on the ocean.

Holiday pleasures diminished, no condiments on tables, no self-service buffers, constant urgings to use expensive bottled water, very expensive medical centre visits, confined to cabins etc. etc. etc This concealment of health risks is deeply concerning and must be addressed by the industry at large right now."

We have written hundreds of articles over the years about noro virus and how the cruise line handle (and don’t handle) the outbreaks. The cruise lines always blame the passengers for not not washing their hands, although the Centers for Disease Control and Prevention (CDC) and Food and Drug Administration (FDA) have concluded that the most common causative factor is contaminated food and water.

Irrespective of what side you are on in this debate, there are a couple of things that everyone should agree on.

First, there is not enough time during turn-around day for the cruise ships to be adequately cleaned. There is not even enough time to figure out from an epidemiology perspective where the virus came from.  All of the spraying and wiping and fogging are pointless if the water or food are contaminated with the virus. But the cruise lines pressure the crew to madly try and super-clean the ship when it returns at the end of the cruise. 

Secondly, if the cruise line knows that there is a viral outbreak, it should be required to tell the passengers before they embark on the ship. Passengers should not be forced to sail on sick ships.

I for one would hate to take my family into a cabin where just a few hours earlier a sick family was power-puking millions of microbes of noro pathogens everywhere.

Update: Statement by Princess Cruises. Princess provided a statement which reads in its entirety as follows:

"Sun Princess experienced an outbreak of AGE on the prior voyage, however the cause (now known to be Norovirus) was not confirmed until the next voyage began.

During both voyages, the ship increased sanitation procedures, announcements were made by the captain, and letters were distributed to all passengers advising of the situation onboard. We also received verification from New South Wales Health that they were happy with the ship’s actions and response." 
 

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

Photo Credit: Wikipedia / Lemeki Lenoa

We have been notified by several cruise passengers aboard the Oasis of the Seas that they became sick with gastrointestinal symptoms including severe nausea, diarrhea and vomiting.  

The cruise line has not disclosed how many passengers or crew experienced symptoms like this yet, and there is no indication whether the illnesses are in fact due to norovirus or some other virus.

Royal Caribbean sent passengers embarking today on the Oasis the following information:

"Hello, this is Royal Caribbean International. We would like to provide you with some important information regarding your Saturday, December 28, sailing onboard Oasis of the Seas out of Port Everglades, Florida. 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 1:30 PM. Check in will take place between 1:30 PM and 4:00 PM. We appreciate your understanding and cooperation and we look forward to welcoming you onboard."

If you have any information about the situation aboard the Oasis, please leave a comment below or join the discussion on our Facebook page.  

 

Photo credit: Wikipedia / Baldwin040

Celebrity Summit Cruise ShipLast week we published an article which featured a comment by a passenger aboard the noro-infected Celebrity Summit cruise ship. 

A number of people commented or contacted our office about the comment, both pro and con. 

We rarely handle norovirus cases, but the discussion around the subject, we think, is still important. How the cruise industry treats gastrointestinal infection cases reflects the cruise lines’ standards for hygiene and the cruise companies’ attitudes toward their customers.

Here’s the latest comments about the situation on the Summit:     

We too were on the Summit recently. We reported how dirty our Royal Suite was. They said they cleaned it, but the only evidence was that they used epoxy on the dining area parkay floor. The smell was horrendous.

I had allergic reaction tongue swelled, face, nose, eyelids and had hives on face and upper body. The doctor on call would not acknowledge this and commenced to tell me that I was having an allergic reaction to blood pressure and cholesterol medications I have been on for years. He told me to stop taking these medications and he filled new prescriptions together with benedryl. They put in a IV to rehydrate me two times.

At the end of the cruise I was taken off the ship in a wheelchair. I had been sick the entire second week. Our butler was under orders to charge us for all the bottle water we needed. They clean the suite with a dirty rag and some kind of spray they use in all the rooms and hallways. It’s disgusting! You wouldn’t use someone elses used tissue. How sanitary is that?

They charged our ship account $600 for the doctor and pills (that I didn’t use except for the benedryl). When we questioned the charge even though we had bought the travel insurance, the Concierge said we "must read the fine print." Three days after my allergic reaction, my disabled husband got the norovirus. Through all of this the doctor refused to come to our suite. They said we needed to come to the doctor office.

This trip was from hell!

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

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 

Celebrity Summit Cruise ShipCruise expert Professor Ross Klein reports that the Centers for Disease Control (CDC) indicates that 307 of 2112 passengers (14.5%) and 14 of 952 crew (1.5%) aboard the Celebrity Summit have reported sick with "gastrointestinal illness."

You can read about the outbreak on the CDC website here.

There is no indication whether the illness is due to norovirus, e-coli or some other virus or bacteria. 

The CDC is working with Health Canada officials as the cruise ship sails in Canada on its way to Bayonne, New Jersey,  The cruise ship will arrival in Bayonne on October 5, 2013.

The CDC will send an epidemiologist and an environmental health officer to meet the ship and conduct an epidemiologic investigation and environmental health assessment, and monitor the sanitation procedures onboard prior to the embarkation of new passengers.

Over 14% of the passengers being sick with gastrointestinal illness is a very high percentage.  

In the past week, we have reported about cruise ship norovirus outbreaks on two Fred Olsen cruise ships, the Black Watch and the Boudicca.

 

Photo Credit: Wikipedia / Yankeesman312

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."