Monday, April 1, 2024

Facts About Noroviruses on Cruise Ships VSP

norovirus cruise ship outbreak

Several weeks prior, a Celebrity Summit cruise ship reported an outbreak of norovirus that sickened more than 150 passengers and 25 crew members, per the CDC. It was the third norovirus outbreak on a Celebrity Cruises vessel this year. Another popular cruise line, Royal Caribbean International, has reported four outbreaks since January.

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This step helps them minimize the risk of spreading the disease to others. Norovirus often isn’t just your typical I’m-feeling-a-little-sick-so-I-may-pass-on-shuffleboard type of gastroenteritis. No, a norovirus infection can consist of projectile vomiting and explosive diarrhea. Similarly, you’ve got to be careful about anything that could explode in your pants. The key to preventing norovirus, and most other illnesses is simply washing your hands well. You are at your most contagious when you have symptoms of norovirus illness, especially vomiting or during the first few days after you feel better.

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How to Avoid Getting Norovirus on Cruise Ships.

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Plus, hand sanitizer and cleaning materials that don’t contain something more powerful like bleach may not get rid of the virus from a surface. Thirteen ships so far this year have reported outbreaks of the highly contagious stomach bug, the most since 2012, according to the U.S. Nearly 1,700 passengers have come down with the virus, which causes vomiting, nausea, diarrhea and stomach pain. Not only does it take the joy out of vacation, keeping passengers confined to their stateroom, but for older travelers, there’s a concern of dehydration, doctors say. They must also submit reports if 2% or more of the passengers and crew become ill and the ship is scheduled to visit a U.S. port within 15 days.

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It’s expected that the ship will be allowed to dock Tuesday, the cruise line said, after results of tests conducted Sunday become available. Likewise, Mathis says vacationers shouldn’t let the fear of norovirus keep them from taking a vacation. Cruise experts say several factors may be contributing to the rise in cases.

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Infected individuals must be isolated, common areas may need to be closed for cleaning, and in severe cases, the ship may even have to return to port. The virus spreads easily and is typically contracted when someone accidentally ingests tiny particles of vomit or feces from someone who is infected with it. The CDC writes that people who are infected "can shed billions of norovirus particles that you can't see without a microscope," and exposure to just a few norovirus particles can make someone sick. If seasickness symptoms are accompanied by diarrhea or fever, passengers should immediately seek medical treatment for Norovirus and avoid spreading the illness to others. They ask passengers who feel ill during their cruises to report symptoms to the medical center and keep themselves isolated in their cabins. According to the American College of Emergency Physicians (ACEP), every cruise ship must have a place to isolate any passengers who have a contagious disease.

norovirus cruise ship outbreak

If you have norovirus illness, the CDC recommends you drink plenty of liquids to replace fluid lost from vomiting and diarrhea and help prevent dehydration. It's important to wash your hands with soap and clean water frequently, but especially after using the bathroom or changing diapers, before eating and before touching your face. It only takes a small number of virus particles for norovirus to spread, which is why norovirus causes so many explosive outbreaks, Ko previously told TODAY.com. 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.

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It takes about 30 sec of hard rubbing with hot water and soap (including under the nails) to wash it. During the onboard illness outbreak, VSP requires the cruise company to activate the "Outbreak Prevention and Response Plan" (vessel's response to illness cases). VSP doesn't charge fees for consultations related to shipping facilities renovations or new ships. 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.

norovirus cruise ship outbreak

When Norovirus outbreaks can't be contained, cruise lines might also pull the ship out of service for a few days for sanitizing. Norovirus outbreaks spiked on cruise ships this year, with data showing more outbreaks happened between January and June than over the course of any other full calendar year in the last decade. Thirteen norovirus outbreaks have been reported on cruises so far in 2023, according to the U.S. Centers for Disease Control and Prevention, which keeps a record of annual case counts dating back to 1994. The most recent norovirus outbreak was reported on the Viking Neptune cruise ship. During its June 6 to June 20 voyage, 110 of the ship’s 838 passengers, or 13.1 percent, were infected.

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These models helped visualize continued norovirus transmission and sources of potential exposure (e.g., contaminated surfaces in cabins of persons with AGE and high-touch surfaces in common areas). Most recently, a norovirus outbreak in June on the Viking Neptune sickened 110 passengers (over 13% of the ship's guests) and nine crew members with vomiting, diarrhea and abdominal cramps, according to the CDC. The CDC has tracked outbreaks of gastrointestinal illness on cruise ships through its Vessel Sanitation Program (VSP) since 1994. 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. As post-pandemic travel surges and millions of Americans return to cruise ships, an increasing number of cruise lines are reporting outbreaks at sea. 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.

Severe cases usually involve dehydration due to loss fluid—death is rarely ever a result. What causes Norovirus on cruise vessels is mainly contaminated food/water. When it comes to ships, it spreads mostly through physical contact with sick people or handling contaminated objects.

Still, taking certain steps to prevent the likelihood of getting sick is never a bad idea. While cruise ships have strict sanitation practices, the resilience of norovirus complicates matters. The virus can survive for days on surfaces and is resistant to many common disinfectants, making it challenging to eliminate once an outbreak has occurred.

Instead of serving yourself a gloved crew member will do it for you,” said Chiron. So if you're planning to set sail this summer, here's everything you need to know about the norovirus. AARP is a nonprofit, nonpartisan organization that empowers people to choose how they live as they age. Ferry's train deck was reconstructed and converted into a hospital.

Obviously, the first thing is to go to the ship's infirmary (medical center) and contact the doctor. You should drink plenty of water as dehydration is a side-effect of the illness. A few years ago an experimental Norovirus vaccine (applied as nasal spray) was developed by the "Center for Infectious Diseases and Vaccinology" (Arizona State University).

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