PRINCESS CRUISE SHIPS SCORED 100 FOR SANITATION!

Out of curiosity, I thought I would check out how a couple of the cruise ships with recent Norovirus outbreaks have done under the U.S. Vessel Sanitation Program (VSP) inspections (see previous post for what this is). Well...surprise..both the Ruby Princess and the Crown Princess - scored 100 during their last inspections

The Ruby Princess has an average VSP inspection score of 99 over the years, with a range of 94 to 100. During the latest inspection - in November, 2011 - when the ship scored 100, the inspectors actually found 27 infractions of vessel sanitation according to the report. Here are four random examples (they are not necessarily the worst).

• A badly scored white cutting board was observed at the soiled side of the dishwash station in one of the galleys..

• A live fruit fly was seen flying inside the cold counter display container at the crew officer mess.

• There were serious delays in reporting gastrointestinal illness among crew which could result in spread of illness. For instance, a crew dishwasher experienced gastrointestinal illness symptom onset at 5 am and only reported to the medical center at 4:30 pm. A crew member in video experienced gastrointestinal illness symptom onset 7 am and only reported to the medical center at 8 am on the following day.

• There was no procedure in the written for notifying embarking passengers following an outbreak voyage.

The Crown Princess has an average inspection score of 97, with a range from 89 to 100 over the years. During the latest inspection, also in November, 2011, when it also scored 100, some 33 infractions of good sanitation practices were listed. Here are a few examples.

• There was no 'WASH HANDS AFTER USING TOILET' sign in the restroom used byfood workers.

• None of the staff in the food preparation areas were equipped with tip-sensitive food thermometers.

• The door tracks of both food transportation lifts were soiled with an accumulation of debris.

• The safety signs for the swimming pools did not include: 'do not use these facilities if experiencing diarrhea, vomiting or fever', 'shower before entering the facility', or the bather load number. The safety sign at the children's pool did not have the above information or 'take children on frequent bathroom breaks or take children on frequent toilet breaks'. The safety signs for the whirlpools did not include the information required for the swimming pools above or a caution against pregnant women, elderly persons, or exceeding 15 minutes of exposure.

Alright, I have to acknowledge that these were not huge issues - not at the level of the water on board not being potable or the food refrigeration not working (as was the case with a couple of other ships that failed inspection), but, the sanitation on board either ship wasn't great either. As events showed, they probably should not have scored 100.

To your good health,

TSF

MORE NOROVIRUS ILLNESSES ON CRUISE SHIPS

Well, we are off to a good start for cases of diarrhea, vomiting and stomach cramps on board cruise ships this year - and, it's only the beginning of February. In fact, there is a very good chance that we will easily pass the 2011 total number of illnesses (1971 reported cases).

By the last count I could find, we now have four cruise ships docking in the U.S. during the last few days with outbreaks of Norovirus on board: the two Princess Cruise Ships (Crown Princess and Ruby Princess) with a combined total of some 500 illnesses reported, a Carnival Corp. ship with about 100 reported so far, and an outbreak on Royal Caribbean Cruises “Voyager of the Seas” with maybe 200 illnesses on board (the numbers in this last case are still vague).

But let me tell you something else: the actual numbers are bound to be much larger. How much, I don't know. I would guess at least double or triple. Maybe even 10 times the above. After all, studies done on Norovirus have found that only about 10% of people affected by this virus seek medical care. And if they just decide to tough it out, and not see a doctor, they don't get counted.

Some passengers on a cruise ship don't go to see the medical staff because they discover that they have to pay extra for the consultation, or have to wait for a long time, when they are feeling awful and would rather be flat in bed (and, close to a bathroom). Others only become ill when they leave the ship (the incubation period for onset of symptoms can be as long as 72 hours), so they are unlikely to be included in the numbers reported to the CDC.

Of course, now with cruise travel reservations down, and less crowding on board, maybe even safer food, the incidence of Norovirus may start to decrease.....

To your good health,
TSF

SEVERAL OUTBREAKS OF NOROVIRUS ON PRINCESS CRUISES

Cruise ships participating in the Vessel Sanitation Program are required to report the total number of gastrointestinal (GI) illness cases that have occurred on board before the ship arrives at a U.S. port when it has come from a foreign port, and is engaged in a voyage of 3-21 days. Only cruise ships carrying more than 100 passengers are required to report.

Statistics for 2011 show that Princess Cruises had more confirmed Norovirus outbreaks than any other cruise ship line during 2011:

Sea Princess (5/30-6/09). 144 sickened. Cause: Norovirus
Sea Princess (5/20-5/30). 128 sickened. Cause: Norovirus
Coral Princess (5/04-5/19). 64 sickened. Cause: Norovirus

In addition to Norovirus, there was also an outbreak of Enterotoxegenic E. coli on Coral Princess.

But Princess Cruises is not the only cruise line with GI illness outbreaks. Almost all cruise lines have had them on one trip or another, though not necessarily every cruise or every year. In all the U.S. Centers for Disease Control and Prevention (CDC) has recorded 11 outbreaks of GI illness on cruise ships visiting U.S. ports in 2011. Six of these were due to Norovirus, two to E.coli and three had an unknown cause (which could have been Norovirus).

So, as I have advised in previous posts, check the record of your particular cruise line and the ship itself before you book. Take a look at the CDC site at: http://www.cdc.gov/nceh/vsp/surv/gilist.htm#2011.

Outbreaks can and do occur on both the cheapest and the most expensive of cruises, but you'll notice that some of the ships have a particularly bad record. Don't book on those.

To your good health,
TSF

HUNDREDS FALL ILL ON CRUISE SHIPS

Are you really serious about taking that cruise? I wouldn't worry too much about the ship sinking, but you may want to keep food poisoning in mind.

The cruise ship industry has been hit with a lot of bad publicity lately. First, there was the Costa Concordia disaster off the coast of Italy. And now, two Princess Cruises ships, limping into port in Florida with hundreds of very miserable passengers and crew on board due to Norovirus outbreaks.

We don't know how the virus got on board both ships, but the chances are that it boarded with the food, most likely from a common source, and spread from there. This virus is very contagious, very common on cruise ships and probably the most common cause of food poisoning. It can spread not just through food itself, but also passenger to passenger, through surfaces where droplets of vomit have landed and many other ways.

The Crown Princess, has so far reported 140 people, or about 4 percent of passengers to be ill, plus 18 members of the crew. On the Ruby Princess, 81 passengers - 2 percent of the total- and nine crew members have been reported ill so far.

Two things you can be sure of: one, these numbers will increase, and secondly, the ships will be extremely difficult to clean up. In fact, history of such outbreaks shows that there will be increased risk of another Norovirus outbreak on subsequent cruises in spite of all the efforts made.

If you are thinking of going ahead with a planned cruise, or, have a family member or friend who will do so, check out the several earlier posts on this blog which will help you to be one of the people who stays healthy.

Is Cruise Ship Food Safe to Eat? - 2/25/11
Why are Cruise Ships Risky Places to Eat - 2/26/11
How to Avoid Getting Sick on a Cruise Ship - 2/25/11
Cruising May be No Carnival if You Get Food Poisoning - 1/10/12

To your good health,
TSF
UPDATE: 02/7/12 - Two more cruise ships have reported Norovirus outbreaks in the past few days and the number of illnesses on the Princess cruises has risen (see later posts).
UPDATE" 01/7/13 - Almost a year later, outbreaks continue, including on Princess cruises. See most more recent posts.

UPDATE: 1/28/14 - The latest reported outbreak with perhaps as many as 600 ill passengers and crew (see post of 1/26/14 -
"Another Outbreak on a Cruise Ship") is on the Royal Caribbean line ship "Explorer of the Seas."