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While cruise ships typically stock a broad range of meds, including antibiotics, there’s not always a large supply. Doctors may give you a prescription that you can fill at a pharmacy in the next port. Whether you prefer family cruises or adults-only cruises, no one wants to get sick while they’re on vacation.
How can you stay healthy on a cruise?

The Centers for Disease Control and Prevention announced on Monday that during the 16-day journey from Peru, at least 28 of the Silver Nova's 633 passengers and one member of the crew reported feeling ill. All ocean-going ships have medical centers staffed with trained professionals, so medical care is accessible when you're on board the ship. The facilities and what they offer will vary, depending on the size of the ship and the number of passengers and crew. Public health officials track illnesses on cruise ships so “outbreaks are found and reported more quickly on a cruise ship than on land,” the C.D.C. said. The medical staff on cruise ships can diagnose and treat some illnesses on board and prescribe medications too.
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Zika symptoms are fever, skin rash, pain in joints, conjunctivitis (pink eye). VSP (abbrev "Vessel Sanitation Program") monitors CDC's observations on illness patterns for GI (gastrointestinal) outbreaks on passenger shipping vessels (ferries and cruise ships). Norovirus on ships is spread through contaminated water, foods and surfaces (public restrooms, railings, doorknobs, handles, board games-cards-puzzles-toys, etc). Norovirus withstands chlorine, prolonged exposure outside the body, as well as temperature extremes. Like a virus, Norwalk can't be effectively treated with antibiotics, making it extremely difficult to eliminate in closed environments - like cruise vessels.
Do I need an appointment to see a doctor on board?
Norovirus is highly contagious and can spread directly through sick people and contaminated surfaces, food, or drinks. Typically, the infection is treated with antibiotics, Chen says, but the CDC recently issued a warning that antibiotic-resistant strains are circulating in the U.S. Chen isn’t aware of any outbreaks of the resistant varieties on cruise ships, but it’s something to monitor. According to the Cruise Lines International Association, the risk each year of getting laboratory-confirmed norovirus during a ship outbreak is about 1 in 5,500. The association, which says it is the largest cruise industry trade association in the world, noted on its website that crew members use strict sanitation and cleaning practices created with the CDC’s Vessel Sanitation Program. Cabins are cleaned once a day, and other common areas, such as elevators and pools, are cleaned multiple times a day.
Many diseases prevented by routine vaccination are not common in the United States but are still common in other countries. Crew members and fellow travelers often board a cruise ship from destinations where some diseases are more common than in the United States or where vaccination is not routine. Measles, a highly contagious virus that can linger in the air even hours after an infected person leaves the room, was declared eliminated from the U.S. in 2000, thanks to a successful vaccine program. But cases still pop up in the States, and the virus is common in many countries around the world. Quarantining the ill passengers and crew to their cabins is mandatory (at least for 48 hours) to slow the outbreak's spread.
Cruise ship barred from docking amid outbreak of stomach illness - NBC News
Cruise ship barred from docking amid outbreak of stomach illness.
Posted: Mon, 26 Feb 2024 08:00:00 GMT [source]
Generally, Zika is a mosquito-borne virus spread by Aedes aegypti (aka "yellow fever mosquito") and Aedes albopictus (aka "Asian tiger mosquito"). However, it became "cruise virus" since the decease can also result from intrauterine (contraceptive device), sexual intercourse, blood transfusion, lab exposure, organ/tissue transplantation, breast milk transmission. Introduced in 2023, the Silver Nova boasts butler service for every suite, one crew member for every 1.3 guests and “outstanding gastronomy” — it even welcomed “Top Chef’s” Nina Compton to its ranks at the end of last year.
C.D.C. Investigating Gastrointestinal Illness on Luxury Cruise Ship - The New York Times
C.D.C. Investigating Gastrointestinal Illness on Luxury Cruise Ship.
Posted: Thu, 08 Feb 2024 08:00:00 GMT [source]
CDC ship illness outbreak investigations
Norovirus is often branded as "cruise ship virus" simply because on ships health officials are required to report every gastrointestinal illness incident. This means Norovirus outbreaks are reported more quickly on ships than on land. Just for comparison, the virus can afflict as many as 3000 people per day in only one big city, which is about the passenger capacity of a typical modern cruiser. After a lull during the COVID-19 pandemic, cases of the highly contagious virus that causes diarrhea and vomiting, aka stomach flu, spiked this winter and spring on land.
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In such cases, the CDC requires cruise lines to file a medical report. CruiseMapper's Norovirus survey is based on official data from CDC.gov (USA's "Centers for Disease Control and Prevention"). CDC's "Vessel Sanitation Program" assists the cruise tourism industry in preventing and controlling the transmission and spread of gastrointestinal illnesses (Norovirus, ETEC) on passenger ships calling on US seaports.
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Your doctor may also prescribe or recommend a patch that can help prevent nausea and vomiting caused by motion sickness. 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. When packing your suitcase for a cruise, think about bringing along some Dramamine (dimenhydrinate), which can be helpful for motion sickness. More than seven million people took cruises out of North American ports in 2002, and most of them returned home with splendid memories and enough photographs to bore their friends and neighbors for months.
Fortunately, the answer is "probably not." However, as is the case any time you're in public, there's an inherent risk of catching something. In a study of acute gastroenteritis cases from 2006 to 2019 (before the cruise industry's COVID-19 shutdown), the CDC found that the number of cases on ships decreased over those 14 years. It also noted that the number of cases tends to be higher on larger ships and on voyages of a week or longer. It is possible that embarkation for the next sailing may be slightly delayed in order to facilitate further deep cleaning and sanitation procedures, and guests would be contacted directly if that were to be implemented.
The medical professionals also adhere to the standards prescribed by the American College of Emergency Physicians – Cruise Ship Medicine Section Guidelines. Your insurance may or may not cover a full or partial refund if, for example, you’re denied boarding, quarantined in your cabin or have to leave the cruise partway through. That depends both on the reason for not being able to continue with your cruise and the type of insurance you’ve purchased. The CDC's Vessel Sanitation Program continues to remotely monitor the situation, including "reviewing the ship's outbreak response and sanitation procedures." Get enough sleep and enjoy fresh air whenever possible, and wash your hands frequently throughout the day.
In the case of a broken bone or orthopedic injury, the onboard provider will also recommend that the guest follows up with an orthopedic referral at the next available port. Some lines, like Azamara, offer COVID-19 testing without a medical consultation, while others, such as MSC Cruises and Holland America, do not offer walk-in testing. Guests must see a physician first to determine if testing is necessary. A clinical staff from multiple nationalities works in MSC Cruises' facilities.
This will minimize your contact with greater numbers of people to reduce the risk of disease transmission. Surfaces or objects that are contaminated with norovirus can be cleaned with a high-level disinfectant like bleach, per Ostrosky. It’s expected that the ship will be allowed to dock Tuesday, the cruise line said, after results of tests conducted Sunday become available. Talk to a doctor or pharmacist about any medications you should pack, such as loperamide (Imodium) to help treat diarrhea or dimenhydrinate (Dramamine, Gravol) for nausea. If your immune system is compromised, your doctor may want to prescribe something ahead of your trip. “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.
There’s no specific treatment or antiviral for norovirus, according to Ostrosky, but most cases can be managed at home with supportive care like hydration and rest. Sick people should also isolate until their symptoms resolve, the experts emphasize. Less commonly, norovirus may cause a headache, muscle aches, or a low-grade fever — symptoms usually develop within one to two days after exposure to the virus, per the CDC. However, as travel surges this summer, travel-related illnesses are expected to surge, as well. “I think our travel frenzy after COVID is partially fueling this continued spread (of norovirus),” says Ostrosky.
The ship will still depart on the same day, however, and the next itinerary should not be impacted by any slight delay. Onboard actions have been taken to ensure good hygiene and minimize any further spreading of the illness, as well as to keep guests informed of the situation. When you choose to apply (and are approved) for a new credit card through our site, we may receive compensation from our partners, and this may impact how or where these products appear. Please view our advertising policy and product review methodology for more information. Viking's website also states that its ocean and expedition vessels have upgraded state-of-the-art medical facilities with specialized equipment. Dr. Spangler says that really depends on the size of the cruise ship as well as the type of injury.
This is especially true when you’re on a ship—after all, it’s tricky to cut your trip short if you’re floating in the middle of an ocean. Plus, falling ill on a cruise ship can have bigger implications these days. There are considerations related to cruise ships and COVID-19 that are designed to keep everyone aboard safe and healthy.
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