ARE CRUISE SHIPS SANITATION INSPECTIONS WORKING?

I have been advising readers of this blog to check out their cruise ship before booking for a cruising vacation. This could help them avoid being trapped at sea during an outbreak of illness on board, as has happened to hundreds of unhappy travellers recently.

One of the main sites I have suggested is the U.S. Vessel Sanitation Program (VSP) operated by the Centers for Disease Control and Prevention (CDC). The purpose of the Vessel Sanitation Program (VSP) is to help "prevent and control the introduction, transmission, and spread of gastrointestinal (GI) illnesses on cruise ships." In most cases, we are talking about Norovirus-caused outbreaks on cruise ships - the kind that has been in the news lately.

The main activity of the VSP is inspection of cruise ships with more than 13 passengers and a foreign itinerary when these ships enter U.S. ports. Cruise ships are supposed to be inspected about twice each year.

When I took a closer look at the scores, reports and corrections of theses inspections over the years, I was not impressed. In fact, these ship inspections reminded me of common weaknesses in the inspection of U.S. food processing plants and restaurants.

True, the ship inspections really seem to be catching many failures in sanitation. But I noticed two weaknesses. First, the scores can be very high - even a 100 score - in spite of the ship being loaded with problems, almost any one of which could trigger or spread an outbreak of GI illness. In fact, very, very few cruise ships ever get a "not satisfactory" score of 85 or below (the Queen Mary II - pictured - was one of the few that has done so during the last 12 months).

Secondly, the followup of problem correction is weak. In fact, the VSP does not check if any correction has taken place at all until the next inspection of the ship. This could be months or a year away. In the meantime, cruises continue, and passengers may be exposed to risks of getting seriously ill while supposedly on a pleasant vacation.

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