Tuesday, April 9, 2024

139 passengers, crew sickened during gastrointestinal illness outbreak on Queen Victoria cruise: CDC

cruise ships illness

Around 1,800 passengers and 960 crew members are onboard the ship in total. In a statement, Cunard Line, which is based in Southampton, said that “a number of guests had reported symptoms of gastrointestinal illness” on the ship, which arrived in San Francisco on Tuesday after stops in Mexico, Guatemala, Panama and Aruba. The C.D.C. said that, as of Thursday, 129 passengers and 25 crew members had reported being ill on the ship. The agency said 1,824 passengers and 967 crew members were aboard at the time of the outbreak. Cruise Hive was established back in 2008 and among the earliest blogs in the industry. Since the start, it's been our aim to provide the latest cruise news covering all the major cruise lines.

C.D.C. Investigating Gastrointestinal Illness on Luxury Cruise Ship

You can get norovirus from an infected person, from contaminated food or water, or by touching contaminated surfaces. The virus causes your stomach or intestines or both to get inflamed (acute gastroenteritis). This leads you to have stomach pain, nausea, and diarrhea and to throw up. The number of outbreaks in the first six months of 2023 is higher than the yearly total during every year since 2012, when there were 16 outbreaks on cruise ships reported to the CDC. Because a cruise ship keeps a group of people – the passengers and crew members – in a confined space for several days, conditions are easy for a contagious disease to spread.

How to avoid Norovirus on cruise ships?

The Vessel Sanitation Program (VSP) requires cruise ships to log and report the number of passengers and crew who say they have symptoms of gastrointestinal illness. Learn more about illnesses and outbreaks reported to VSP and find information about outbreaks of gastrointestinal illness on cruise ships. While only about 1% of all annual norovirus cases reported in the U.S. happen on cruise ships, the perception is it occurs more frequently due to media reports of gastrointestinal viral outbreaks on cruise ships. This is partly because health officials track illness on cruise ships, so outbreaks are found and reported more quickly on a cruise ship than on land. Even with stringent vaccination, testing and masking, among other protocols, it is fairly common for coronavirus cases to emerge among passengers and crew on cruise vessels.

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Reporting

cruise ships illness

If boarding is permitted, see guidance for isolation and other measures provided below. So if a ship has 5,000 passengers, it would need at least five cases over seven days to be classified as yellow. Outbreaks of gastrointestinal illness plummeted during the pandemic, which shut down the cruise industry for more than a year and forced a slow return with multiple health precautions in place. There were no reported cases in 2020, followed by one in 2021 and four last year.

Box 8-05 Healthy cruise travel preparation: a checklist for travelers

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No one wants to get sick on vacation, and there are plenty of easy steps to protect yourself on a cruise and reduce the risk of contracting an infection. Previously she was a reporter and editor for WTOP Radio in Washington, D.C. A recipient of a Gracie Award and a regional Edward R. Murrow Award, she also participated in a dementia fellowship with the National Press Foundation. It can survive for long periods of time on surfaces and is resistant to common disinfectants. “I think that’s the first step they’ve taken in terms of improving the air filtration system, which removes almost all of the airborne pathogens,” she says. Land-based operations ("Field Service") include mobile clinics providing screening for potential surgery patients, healthcare, dental care, also mental health programs, infrastructure projects. The navies of USA, UK, Australia, China, France, Italy, Spain, Argentina, and Japan have some classes of military ships fitted with onboard hospitals.

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Some people (e.g., those with chronic health conditions or who are immunocompromised, older people, pregnant people) merit additional considerations when preparing for a cruise. Travelers from diverse regions brought together in the often crowded, semi-enclosed shipboard environment can facilitate the spread of person-to-person, foodborne, and waterborne diseases. Outbreaks on ships can be sustained over multiple voyages by crewmembers who remain onboard, or by persistent environmental contamination.

Infectious Disease Health Risks

Other possible actions and results are red level ("Code Red") cleaning. The boarding/embarkation of new passengers is often delayed to permit more extensive disinfection of public areas and the cabins. Usually, a pre-embarkation health advisory is distributed to all boarding passengers.

Why are acute gastrointestinal illnesses including noroviruses associated with cruise ships?

The crew serves with short-term (2 weeks to 2 years) and long-term (min 2 years) contracts. Volunteer crew members occupy both medical (surgeons, dentists, nurses) and general jobs (deckhands, seamen, engineers, machinists, electricians, teachers, cooks, welders, plumbers, agriculturalists. It operates hospital ships since 1978 and also has currently the world's largest hospital ship (excluding navy vessels) - MV Africa Mercy. In February 2020, the shipowner cruise company Lindblad Expeditions announced the "Premium Purity" program with a shipwide cleaning system based on ACT CleanCoat technology. The innovative ship cleaning process is based on photocatalytic antibacterial spray that when activated by light kills viruses, bacteria, airborne microbes, mould. The disinfecting product and technology were developed by the Danish company ACT Global AS (Copenhagen).

Recommendations when a voyage’s crew or passenger ARI attack rate reaches 3%‡

It has to be with soap and water, because alcohol-based hand sanitizers are not effective against norovirus. In response to the outbreak, the Queen Victoria crew has reportedly "increased cleaning and disinfection procedures" and "isolated ill passengers and crew." Centers for Disease Control and Prevention, 123 passengers and 16 crew members have reported being ill during a three-week leg of the voyage as of Thursday.

Your doctor may also prescribe or recommend a patch that can help prevent nausea and vomiting caused by motion sickness. “Handwashing, cleaning your stateroom, watching what you eat and how much you eat, and making sure that you stay hydrated will go a long way in preventing these illnesses, from you catching them even if they are there,” she says. The ship project started in March 1999 with the vessel's acquisition through a donation from Balcraig Foundation (UK), which purchased the boat for US$6,5 million.

The most severe outbreaks were reported in Brazil, with an alarming surge in newborns with microcephaly. If the mother is infected, the virus may cause microcephaly in newborns. This is a neurodevelopmental disorder - babies are born with an underdeveloped head. Zika virus (aka ZIKV) is a Flavivirus - from the genus of the viruses named West Nile, dengue, tick-borne encephalitis, yellow fever. These plus several other viruses may cause encephalitis (acute brain inflammation).

☐ Defer travel while acutely ill. ☐ Evaluate the type and length of the planned cruise in the context of personal health requirements. ☐ Notify the cruise line of additional health needs (e.g., dialysis, supplemental oxygen, wheelchair). ☐ Pack Environmental Protection Agency (EPA)–registered insect repellent; consider treating clothes and gear with permethrin. Shipboard medical service fees vary and are usually set by medical practitioners. In most cruise ship hospitals, some supplies and medications are provided to passengers and crew for free - like aspirin, seasickness pills, small bandages. Passengers sensitive to nausea or motion sickness should consult their doctors for medical recommendations prior to departure.

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