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.       

Several passengers on the Norwegian Gem have contacted me, saying that health officials in St. Maartan have reportedly prohibited the NCL cruise ship from porting there.

The passengers are saying that there is a gastrointestinal outbreak reported on the Gem, thought to be norovirus.

I have not previously heard there was any type of outbreak on the ship. Anyone have information?

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

March 18, 2016 Update: We are receiving some interesting comments on our Facebook page, including one suggesting that the source of the outbreak may be contaminated port water – rather than the cruise lines’ usual excuse of cruise passengers blamed for not washing their hands.

March 21, 2016 Update: The Gem next called on Tortola. Many local citizens are not happy. VI allows cruise ship to dock despite alleged Norovirus infection outbreak

 

  

Carnival SunshineThe Centers for Disease Control and Prevention (CDC) reports that the Carnival Sunshine is suffering through a gastrointestinal outbreak. This is the fifth GI outbreak of a U.S. based cruise line this year according to the CDC,

The CDC says that 118 of 3,005 (3.93%) of passengers sickened with noro during the cruise in addition to 5 crew members out of 1,142 (0.43%).

As I have mentioned in other recent articles, Carnival cruise lines has reported only three norovirus outbreaks to the CDC for U.S. based cruise since since 2006.  This is to be sharply contrasted with the norovirus outbreaks reported by Carnival owned Princess and HAL which have reported 32 GI outbreaks between them in the last decade.

Photo Credit: Piergiuliano Chesi 3.0 creative commons / wikimedia

March 5, 2016 Update: The CDC reported that the number of passengers sickened during the cruise is 173 with 5 crew members also stricken with noro virus.

 

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.

 

HAl MaasdamThe Centers for Disease Control and Prevention (CDC) is reporting that 60 passengers aboard the HAL Maasdam are ill with symptoms of vomiting and diarrhea.

That is 5.27% of the 1,138 total passengers aboard the cruise ship.

In addition, 11 of the 578 crew members are stricken with the gastrointestinal illness. 

A local CBS station is reporting on the outbreak. 

The CDC hasn’t figured out whether the outbreak is due to norovirus. Unfortunately, given the short turn-around time in port for cruise ships and the agency’s limited investigation, the CDC has never determined whether a GI outbreak on a cruise ship was due to contaminated food or water versus an ill crew member versus being brought aboard by a sick passenger and then spread through poor hygiene or inadequate cleaning.   

This is the seventh GI outbreak this year which falls within the U.S. CDC parameters. Only ships with more than 3% of the passengers ill and calling on a U.S. port are listed. There were 9 outbreaks in all of 2014 versus 7 in just 4 months this year. The HAL cruise ship fleet is one of the more likely locations to contract norovirus if you are a cruiser. 

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Photo Credit: Andrew J Bryson Licensed under CC BY 3.0 via Wikimedia Commons 

The Coral Princess arrived in Los Angeles today with 71 of the 1,958 cruise passengers aboard the  Princess Cruises’ ship stricken with norovirus symptoms of nausea/vomiting and diarrhea.

The Centers for Disease Control and Prevention (CDC) report that the noro-infected passengers comprise 3.63% of the total passenger population on the ship. 6 of 881 crew members are also infected.

The CDC determined the the gastrointestinal outbreak to be norovirus. Unfortunately, the CDC was unable to conclude where the norovirus came from. I am not aware of a single time when the CDC has pinpointed the cause of a cruise ship disease outbreak. 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 Coral Princess Cruise Shipsick galley worker, or was brought aboard by sick passengers and then spread because of inadequate hygiene and poor cleaning procedures.

Last year, Time magazine titled The 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 Coral Princess has been one of the Princess cruise ships most likely to be infected with norovirus. Princess and Holland America Line historically have the sickest cruise ships in the cruise industry’s fleet.

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Photo Credit: "Coral Princess – IMO 9229659 (2937202430)" by Cliff from Arlington, Virginia, USA – Uploaded by Navigans. Licensed under CC BY 2.0 via Wikimedia Commons –

Legend of the Seas Another Royal Caribbean cruise ship is plagued by a gastrointestinal bug.

The Centers for Disease Control and Prevention (CDC) reports that the Legend of the Seas has 114 sick passengers aboard as well as 2 sick crew members. They are experiencing the typical GI symptoms of vomiting and diarrhea.

The cruise ship is sailing a March 30 – April 14, 2015 itinerary to San Diego, California. The Celebrity Infinity is currently in San Diego with another GI outbreak. Both cruise ship sailed from Ft. Lauderdale, Florida and sailed a similar itinerary.   

So far this year four of the five GI outbreaks reported by the CDC involve Royal Caribbean-owned cruise ships in the Royal Caribbean International and Celebrity Cruses fleet:  Grandeur of the Seas, Equinox, Infinity and Legend of the Seas. The fifth outbreak is on the Norwegian Pride

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Photo Credit:  Jim Hooker / Colorado Locks via Wikipedia

The NBC Today Show aired a special this morning on cruise ship germs titled Cruise ships may carry unwelcome passengers: Germs.

An undercover team went on an unidentified cruise ship (looks like a Royal Caribbean ship) to the Caribbean to find out "where germs may lurk aboard cruise ships."  They used test swabs and a bacteria meter. Any reading over 100 on the bacteria meter is a "fail." Several readings were acceptable but here are examples of failed scores:

  • Slot machine handle – 373;
  • Elevator buttons – 370; 
  • Lounge chair by the swimming pool – 773; and
  • Serving spoon at buffet – 2,102. 

The team sent the buffet spoon swabs to a certified lab. The team interviewed a emergency room doctor who said "It’s very bad. . . they make you really sick."

The doctor suggested that cruise lines utilizing someone with gloves doing the serving instead of a self-serve arrangement. That’s "the best way of preventing the spread of infection," he said. 

The Cruise Line International Association (CLIA) dismissed the results, referring to the inspection as a "clandestine demonstration."

 

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The Centers for Disease Control and Prevention (CDC) has documented passengers sailing on Royal Caribbean’s Grandeur of the Seas out of Baltimore have been sickened on two consecutive cruises. 

The CDC website reflects that 97 passengers and 8 crew members on the Grandeur of the Seas became ill with vomiting and diarrhea. It left April 5 for a seven-day cruise and returns to Baltimore today.

Royal Caribbean Cruises notified passengers who will be boarding today to arrive late at the port Grandeur of the Seas - Baltimore - Noro Virusbecause the cruise ship will undergo another round of the so-called "enhanced cleaning."

The Associated Press indicates that Royal Caribbean believes norovirus to be the cause.

As is the situation with virtually all gastrointestinal outbreaks on cruise ships, the CDC has not announced an explanation how the outbreak took place. Contaminated food? Contaminated water? Sick crew members working while ill in the galley or dining rooms? Cruise passengers not washing their hands? (the cruise lines’ usual excuse). Your guess is as good as mine.  

This is the second consecutive cruise on the Grandeur with a illness outbreak, The CDC reported that 111  passengers and 6 crew members became ill with norovirus on the Grandeur during its cruise from March 28 to April 5. You can read our report here.

The CDC has documented a total of 8 gastrointestinal illness outbreaks on cruises returning to a U.S. ports so far this year. (There was also a norovirus outbreak aboard the P&O Oriana recently). There were just 9 outbreaks in all of last year. Norovirus is cited as one of the reasons the public has less confidence in the safety and reliability of cruising, especially from people who have never cruised before.

This week we were contacted by many cruise passengers asking whether they could cancel the cruise which leaves today because of the ongoing outbreak. Unfortunately the cruise lines hold all of the cards in cases like this.  Fear of becoming sick is not a legally recognized reason to cancel a cruise and expect a refund. However, it all depends on the goodwill of the cruise line. A FOX News report indicates that the spokesperson for Royal Caribbean, Cynthia Martinez, said "if passengers don’t want to take Saturday’s cruise, Royal Caribbean staff will help them reschedule." 

You can contact Ms. Martinez on Twitter – @CrisisCommChick / telephone (305) 982-2458 / email cynthiamartinez@rccl.com

Suing a cruise line for compensation when exposed to a gastrointestinal virus is a losing proposition because the CDC does such a poor job trying to determine the cause of the outbreak. In this most recent case the CDC has not determined the type of virus much less how the virus came on the cruise ship.

The last message we received was last night: "I will be traveling on the Grandeur this Saturday as well and our check in time was delayed 4 hours! I will be bringing my own bleach wipes on board. Wish us luck!"

Good luck!

Photo Credit: WBAL Baltimore

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Multiple news sources are reporting that an outbreak of a gastrointestinal illness has stricken "at least 66 passengers and 17 crew members" aboard Princess Cruises’ Crown Princess.

A spokesperson for Princess Cruises says that the nasty digestive bug is likely norovirus. 

There have been 6 prior gastrointestinal outbreaks on cruise ships calling on U.S. ports this year. There were just 9 in all of last year.

We have been contacted by passengers complaining that passengers were sick and there was a strong smell of vomit in the hallways.

Norovirus has plagued the image of the cruise line. There was a massive outbreak aboard Royal Caribbean’s Explorer of the Seas in January. A recent Harris Poll revealed that norovirus was one reason why the public does not perceive cruising as safe or reliable.  

We previously reported on a norovirus case involving the Crown Princess – Here We Go Again: Norovirus Sickens 100 Passengers on Crown Princess Sailing to Galveston

April 10 2014 Update:  The infected count is now at 104 passengers and 25 crew members on the Crown Princess. 

 

http://edition.cnn.com/video/api/embed.html#/video/health/2014/04/10/mxp-norovirus-princess-cruise-ship-california-coast.hln