HOW TO STAY HEALTHY ON A CRUISE

Many of my friends and some of my relatives love cruising. But what was meant to be a healthy and relaxing rest has sometimes turned into a nightmare experience. Usually Norovirus has been the cause (see previous posts).

So how do you avoid getting sick on board? Here are five things that may help:

1. Check out your ship's sanitation score, as assessed by the U.S. Centers for Disease Control and Prevention (CDC) under its Vessel Sanitation Programme (VSP). Here's the link: http://wwwn.cdc.gov/InspectionQueryTool/InspectionSearch.aspx. A score of 85 or below, should be seen as a warning sign, particularly if the same ship has scored low over the past years. But - I need to add that such inspections have not always been a good indicator of likely outbreaks (see my two posts of 2/13/12 - "Princess Cruises Ships Scored 100 for Sanitation," and "Are Cruise Ship Sanitation Inspections Working."

2. Check out if the ship you are interested in has had any large outbreaks in recent months (http://www.cdc.gov/nceh/vsp/surv/gilist.htm). Thorough cleanup of the ship does occur after a large outbreak, but does not always eliminate all viruses.

3. Make sure you yourself are not suffering from a weak immune system when you take a cruise. If you are, these crowded conditions will be more risky to you than to someone who is better able to resist infection.

4. Use safe practices while on board. I have blogged these earlier, so will not repeat. See: "More Advice on Avoiding Sickness on a Cruise" of 2/11/12.

5. If an outbreak does occur on board, avoid contact with sick people and places where viruses or bacteria could lodge as much as possible. See above post of 2/11/12 for more.

To your good health,

TSF

THE WORST CRUISES OF 2012

Gastric illnesses, often caused by food poisoning, are quite common on cruises. They spread quickly in these crowded, close quarters, and can totally ruin your vacation.

The U.S. Centers for Disease Control and Prevention (CDC) tries to keep you as safe as possible. When cruise ships participating in the CDC operated Vessel Sanitation Program arrive in a U.S. port from a foreign port, they are required to report the total number of gastrointestinal (GI) illness cases that have been brought to the attention of the medical officer on board during that particular cruise. These will only be a small percentage of actual cases that have occurred on the cruise: lines are often long, passengers are afraid of additional costs, and, as a result, they frequently tough it out rather than report being ill.

If 3% or more passengers or crew have had symptoms of GI illness, the ship has to file a special report. Only sizeable cruise ships (with over 100 passengers) participate in this CDC program, but some are very large indeed, carrying 5,000 or more passengers. Therefore, even this low percentage will often mean hundreds of people on board have been ill.

So which cruise ships had such large outbreaks in 2012, and what was the cause? As you can see from the below chart, norovirus or "the cruise ship virus" is the most common cause of a miserable cruise. Princess Cruises has been heavily hit, with the same ship having outbreaks more than once in the case of Ruby Princess and Crown Princess. This is not unusual, particularly in the case of the very contagious norovirus outbreaks, since it is extremely difficult to 100% decontaminate the ship after an outbreak. Princess Cruises was also heavily hit with outbreaks the previous year (2011) with Sea Princess and Coral Princess each having two serious outbreaks. Of course, since it is a huge cruise ship line, it is also more likely to have such problems. But still, it is a good idea to check out your ship if you are planning to go on a cruise (see next post).


LARGE OUTBREAKS ON CRUISES IN 2012

Cunard Line Queen Mary 2 12/22 - 01/03 - cause unknown
Princess Cruises Emerald Princess 12/17 - 12/27 - cause unknown
Prestige Cruise Oceania Riviera 11/15 - 11/29 - cause unknown
Holland America LineAmsterdam 11/11-12/5- caused by Norovirus
Princess Cruises Ruby Princess 10/09-10/28- caused by Norovirus & E. coli
Princess Cruises Dawn Princess 08/21-09/13 -caused by Norovirus
Royal Caribbean Rhapsody of the Seas 08/24-08/31- caused by Norovirus
Carnival Cruise Line Carnival Glory 08/06-08/11-caused by Norovirus
Princess Cruises Sun Princess 07/08-07/21-caused by Norovirus
Princess Cruises Ruby Princess 02/26-03/04-caused by Norovirus
Princess Cruises Crown Princess 02/04-02/09 -caused by Norovirus
Celebrity Cruises Celebrity Silhouette 01/29-02/10- caused by Norovirus
Celebrity Cruises Celebrity Constellation 01/28-02/11-caused by Norovirus
Princess Cruises Crown Princess 01/28-02/04 -caused by Norovirus
P & O Cruises Aurora 01/04-01/26 - caused by Norovirus
Royal Caribbean Voyager of the Seas 01/28-02/04 - caused by Norovirus

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."