Norwegian StarSeveral passengers onboard the Norwegian Star state that the NCL cruise ship is returning to Miami a day early due to a medical emergency.

One passenger on the ship writes:

"The Norwegian Star is speeding to Miami, to arrive 10 hours early due to a passenger medical emergency onboard. The Star will now arrive at 6 PM on Sunday instead of 4 AM Monday. Passengers other than the medical evacuee must remain on board until the regular disembarkation date . . . "

If this information is in fact accurate, it seems odd that the Star has not contacted the U.S. Coast Guard to request a helicopter medevac.

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

Photo credit: Pjotr Mahhonin – CC BY-SA 3.0, commons / wikimedia.

Cruise Ship Medical FacilitiesA news station in California KFSN (ABC) channel 30 reports that being ill with norovirus or in a medical emergency presents challenges when you are "days from the nearest port, on a ship without diagnostic equipment like an MRI machine, a blood bank or even specialty doctors."

According to a Consumer affairs medical doctor, although many passengers may believe that they are boarding a "floating hospital," a cruise ship is more like a "floating hotel with a doctor at hand."  

She says "think twice about traveling with a chronic medical condition.

The Coast Guard can’t always launch a rescue, if the seas are rough or the ship is too far from land. Next, know that most prescription drugs are not available on a cruise ship. Always travel with an extra supply of all medications."

The Consumer Affairs medical team also warns that medical care aboard a cruise ship costs a premium.

Cruise ships don’t accept medical insurance so consider purchasing travel insurance from an independent company. .

http://abc30.com/video/embed/?pid=74254

NCL Medevac Cruise Ship The Coast Guard issued a statement today that it rescued a man in medical distress from the Norwegian Gem cruise ship. 

The Coast Guard stated that the NCL cruise ship called for assistance when the ship was sailing around 80 miles off the coast of Nags Head, North Carolina. The Coast Guard received the distress signal at approximately 2:30 PM.  It sent a MH-60 Jayhawk helicopter and an HC-130 Hercules from Elizabeth City, North Carolina. 

As you can see in the video, it looks like the crew had a little difficulty getting the passenger into the helicopter.

The helicopter crew hoisted the man onto the helicopter round 5 PM and flew him back to land where he was transported by ambulance to Albemarle Hospital in Elizabeth City. 

Photo Credit: WCTI 12

March 28 2014 UpdateNorwegian Gem Medevac Involved Honeymoon Couple (VIDEO)

 

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Carnival Paradise MedevacThe U.S. Coast Guard reports that it medevaced a 66-year-old passenger from a Carnival cruise ship yesterday when the ship was approximately 180 miles southwest of Marco Island, Florida. 

The Carnival Paradise contacted the Coast Guard around 2:00 PM yesterday regarding a male passenger who was suffering from an undisclosed medical illness while the cruise ship was sailing to Tampa.

A MH-60 Jayhawk helicopter was dispatched from the Coast Guard’s station in Clearwater.

FOX News reports that when the Coast Guard helicopter crew arrived at the cruise ship, the aircrew lowered their rescue swimmer, hoisted the ill cruise passenger and transported him to Tampa General Hospital for medical care. 

Photo Credit: FOX 4

 

 

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

Diamond Princess NorovirusThis morning I received an email from a reader of Cruise Law News who said that the Princess Cruises’ Caribbean Princess cruise ship will be arriving in Houston tomorrow night 36 hours or so early due to a norovirus outbreak.

This evening the Centers for Disease Control and Prevention (CDC) reported that the Caribbean Princess has suffered an outbreak affecting the following people infected during its current January 25th – February 1st cruise:

  • 162 of 3102 passengers (5.22%); and
  • 11 of 1148 crew members (0.96%)

The CDC has not yet announced the type of pathogens involved in this latest cruise ship infection.

A Houston newspaper said the virus was norovirus.

The newspaper also said that Princess Cruises issued a statement today saying “that the trip was cut short by one day because of thick fog expected over the weekend.”

Yeah, right.

Princess Cruises was recently featured in Time Magazine’s Top 13 Worst cruise Ship Norovirus Outbreaks.

Princess Cruises had five of the worst outbreaks: 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 last gastrointestinal illness outbreak on a Princess cruise ship involved the Diamond Princess just two weeks ago.

How is Princess handing this latest outbreak? Leave a comment below or join the discussion on our Facebook page.

January 30, 2014 Update:  Cruise expert Professor Ross Klein received information from cruise passengers indicating that there were problems with norovirus on the prior cruise:

“From a reader: Passengers have been notified that during the current cruise there has been an increase in the number of cases of gastrointestinal illness amongst passengers caused by Norovirus. In response, we have arranged for the ship to undergo a prolonged and additional disinfection in Houston on Saturday, January 11, 2014. As a consequence, cruise check-in and embarkation will be delayed until 2:00 pm.

This was also noted by a passenger who just disembarked the ship who said, “Cabins on both sides of us had to be sanitized due the passengers being sick.”

January 31, 2014 Update:Blame Game: Princess Accuses Passengers of Starting Norovirus Outbreak on Caribbean Princess.”  “Not our fault” says the PR people at Princess Cruises. How about letting the experts conclude their investigation first?

 

Photo Credit: Wikipedia / Yankeesman312

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

 

http://www.cnn.com/video/api/embed.html#/video/health/2014/01/26/intvw-marquez-cruise-ship-illness.cnn

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

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

According to the Defense Video & Imagery Service, the U.S. Coast Guard medevaced a 56-year-passenger today from a cruise ship. 

The Royal Caribbean Grandeur of the Seas notified the Coast Guard at approximately 10 PM last night that the woman was is medical distress. The cruise ship was approximately 300 miles east of Orlando, Florida. At approximately 3:30 AM this morning, a Coast Guard HC-130 Hercules aircraft and an MH-60 Jayhawk took off by Elizabeth City, North Carolina.

The helicopter arrived at the cruise ship at 6:20 AM. and transported the woman to New Hanover Regional Medical Center in Wilmington, North Carolina.