Outbreak Updates for International Cruise Ships
Cruise ships participating in the Vessel Sanitation Program are required to report the total number
of gastrointestinal illness (GI) cases (including zero cases) evaluated by the medical staff before the
ship arrives at a U.S. port, when sailing from a foreign port. A separate notification is required
when the GI illness count exceeds 2% of the total number of passengers or crew onboard. The data below
were obtained from these surveillance reports and from CDC-led investigations. The GI cases reported
are totals for the entire voyage and do not represent the number of active (symptomatic) GI cases at
any given port of call or at disembarkation.
The following links provide additional resource information about gastrointestinal illness outbreaks
on land and at sea.
-
Norovirus Activity --- United States, 2006--2007
- Molecular and Epidemiologic
Trends of Caliciviruses Associated with Outbreaks of Acute Gastroentertis in the United States,
2000-2004
-
Are Noroviruses Emerging?
- Norovirus Activity --- United States,
2002
- Food-Related Illness and Death in the
United States
- Cruise ship outbreak updates are posted when they include the following criteria:
- fall within the purview of VSP (see
about VSP),
- are sailing on voyages from 3-21 days,
- are carrying 100 or more passengers, and
- are cruise ships in which 3% or more of passengers or crew reported symptoms of
diarrheal disease to the ships
medical staff during the voyage, and
- are gastrointestinal illness outbreaks of public health significance.
- CDC has not verified all of the case numbers represented in the following updates.
-
2008
Cruise Line
|
Cruise Ship
|
Sailing Dates
|
Causative Agent
|
Regent Seven Seas Cruises |
Seven Seas Mariner |
8/27-9/3 |
Norovirus |
Holland America Line |
Veendam |
6/13-6/20 |
Norovirus |
Norwegian Cruise Line |
Norwegian Dream |
4/13-5/1 |
Norovirus and Enterotoxigenic E. coli (ETEC) |
Holland America Line |
Zaandam |
3/19 -4/3 |
Norovirus |
Holland America Line |
Ryndam |
2/15-2/25 |
Norovirus |
Carnival Cruise Line |
Holiday |
1/24-1/28 |
Norovirus |
Norwegian Cruise Lines |
Norwegian Star |
1/19-1/27 |
Norovirus |
Holland America Line |
Noordam |
1/5-1/16 |
Norovirus |
Holland America Line |
Volendam |
1/2-1/12 |
Norovirus |
Princess Cruises |
Pacific Princess |
12/15-1/10 |
Enterotoxigenic E. coli (ETEC) |
-
2007
Cruise Line
|
Cruise Ship
|
Sailing Dates
|
Causative Agent
|
Princess Cruises |
Emerald Princess |
12/16-12/26 |
Norovirus |
Norwegian Cruise Line |
Norwegian Pearl |
11/30-12/9 |
Norovirus |
Holland America Line |
Zaandam |
11/5-11/20 |
Norovirus |
Norwegian Cruise Line |
Norwegian Dawn |
10/14-10/26 |
Norovirus |
Norwegian Cruise Line |
Norwegian Crown |
8/12-8/19 |
Norovirus |
Carnival Cruise Line |
Carnival Spirit |
6/13-6/20 |
Norovirus |
Royal Caribbean Cruise Line |
Liberty of the Seas |
5/26-6/2 |
Norovirus |
Norwegian Cruise Line |
Norwegian Star |
5/19-5/26 |
Norovirus |
Norwegian Cruise Line |
Norwegian Pearl |
4/13-4/22 |
Specimens not obtained |
Holland America Line |
Volendam |
4/12-4/22 |
Specimens not obtained |
Regent Seven Seas Cruises |
Seven Seas Navigator |
4/5-4/16 |
Norovirus |
Celebrity Cruises |
Zenith |
4/2-4/13 |
Norovirus |
Majestic America Line |
Empress of the North |
3/16-3/21 |
Norovirus |
Princess Cruises |
Regal Princess |
3/13-3/25 |
Unknown |
Regent Seven Seas Cruises |
Seven Seas Mariner |
2/25-3/9 |
Shigella, Salmonella, Enterobacter, and Entameoba histolytica |
Holland America |
Ryndam |
3/3-3/13 |
Norovirus |
2/21-3/3 |
Norovirus |
1/22-2/21 |
Norovirus |
Holland America Line |
Westerdam |
2/2-2/11 |
Norovirus |
Princess Cruises |
Island Princess |
1/26-2/10 |
Norovirus |
Cruise West |
Spirit of Nantucket |
1/27-2/3 |
Unknown |
Holland America Line |
Volendam |
1/22-2/1 |
Specimens not obtained |
Cunard Line |
Queen Elizabeth 2 |
1/8-1/22 |
Norovirus |
2005
Cruise Line |
Cruise Ship |
Sailing Dates |
Causative Agent |
Royal Caribbean Cruise Line |
Splendour of the Seas |
11/12-11/26 |
Norovirus |
Princess Cruises |
Sun Princess |
5/9-5/16 |
Norovirus |
Princess Cruises |
Dawn Princess |
4/29-5/14 |
Norovirus |
Celebrity Cruises |
Horizon |
4/23-4/30 |
Unknown |
Crystal Cruises |
Crystal Symphony |
4/14-4/25 |
Unknown |
Norwegian Cruise Line |
Norwegian Crown |
3/13-3/28 |
Unknown |
Princess Cruises |
Royal Princess |
3/7-3/24 |
Unknown |
Holland America Line |
Veendam |
3/5-3/12 |
Norovirus |
Celebrity Cruises |
Zenith |
2/27-3/13 |
Norovirus |
Carnival Cruise Line |
Celebration |
2/21-2/26 |
Norovirus |
2/17-2/21 |
Norovirus |
Regent Seven Seas Cruises |
Seven Seas Mariner |
2/12-2/24 |
Salmonella |
Royal Caribbean Cruise Line |
Empress of the Seas |
1/17-1/28 |
Norovirus |
Royal Caribbean Cruise Line |
Mariner of the Seas |
1/16-1/23 |
Norovirus |
Holland America Line |
Ryndam |
1/13-1/29 |
Norovirus |
Princess Cruises |
Sun Princess |
1/8-1/18 |
Norovirus |
Holland America Line |
Veendam |
1/3-1/15 |
Norovirus |
1/15-1/29 |
Norovirus |
Royal Caribbean Cruise Line |
Enchantment of the Seas |
1/3-1/8 |
Norovirus |
2004
Cruise Line |
Cruise Ship |
Sailing Dates |
Causative Agent |
Princess Cruises |
Coral Princess |
12/28-1/07 |
Norovirus |
Princess Cruises |
Golden Princess |
12/12-12/19 |
Norovirus |
SilverSea Cruise Line |
Silver Shadow |
12/4-12/14 |
Specimens not obrained |
Norwegian Cruise Line |
Norwegian Dream |
12/5-12/12 |
Norovirus |
Institute for Shipboard Education |
M/V Explorer |
6/19-12/8 |
Unknown |
Holland America Line |
Veendam |
9/26-10/14 |
Unknown |
Princess Cruises |
Regal Princess |
9/11-9/20 |
Unknown |
Princess Cruises |
Sun Princess |
9/13-9/20 |
Unknown |
9/6-9/13 |
Norovirus |
Clipper Cruise Line |
Nantucket Clipper |
9/3-8/11 |
Specimens not obtained |
SilverSeas Cruise Line |
Silver Shadow |
7/26-8/6 |
Unknown |
Princess Cruises |
Pacific Princess |
7/25-8/17 |
Unknown |
Royal Caribbean Cruise Line |
Serenade of the Seas |
6/6-6/13 |
Unknown |
Princess Cruises |
Island Princess |
6/5-6/12 |
Unknown |
5/29-6/5 |
Norovirus |
Norwegian Cruise Line |
Norwegian Crown |
5/2-5/9 |
Norovirus |
4/17-5/2 |
Norovirus |
Holland America Line |
Veendam |
4/17-5/2 |
Norovirus |
Norwegian Cruise Line |
Norwegian Wind |
4/17-5/2 |
Specimens not obtained |
Holland America Line |
Rotterdam |
4/2-4/15 |
Unknown |
Holland America Line |
Amsterdam |
3/31-4/17 |
Enterotoxigenic E. coli (ETEC) |
Celebrity Cruises |
Zenith |
3/28-4/11 |
Norovirus |
Celebrity Cruises |
Horizon |
3/22-4/2 |
Norovirus |
Norwegian Cruise Line |
Norwegian Crown |
3/22-4/4 |
Norovirus |
3/7-3/22 |
Unknown, negative for norovirus |
Princess Cruises |
Royal Princess |
3/8-3/25 |
Unknown, negative for norovirus |
Cunard Line |
Queen Mary 2 |
2/23-3/6 |
Norovirus |
Royal Caribbean Cruise Line |
Brilliance of the Seas |
2/16-2/27 |
Norovirus |
Cunard Line |
Queen Elizabeth 2 |
2/17-3/1 |
Unknown |
ResidenSea Cruise Line |
The World |
2/3-2/24 |
Specimens not obtained |
P & O Cruises |
Oriana |
2/20-3/5 |
Norovirus |
Carnival Cruise Line |
Carnival Celebration |
2/9-2/14 |
Norovirus |
Holland America Line |
Ryndam |
2/7-2/14 |
Norovirus |
Princess Cruises |
Coral Princess |
1/12-1/22 |
Norovirus |
Cunard Line |
Queen Elizabeth 2 |
1/5-1/19 |
Specimens not obtained |
Windjammer Barefoot Cruises |
Legacy |
1/4-1/10 |
Specimens not obtained |
2003
Cruise Line |
Cruise Ship |
Sailing Dates |
Causative Agent |
Windjammer Barefoot Cruises |
Legacy |
12/27-1/3/2004 |
Specimens not obtained |
Holland America Line |
Volendam |
12/21-12/28 |
Norovirus |
Carnival Cruise Line |
Carnival Legend |
11/21-11/29 |
Norovirus |
11/13-11/21 |
Norovirus |
Clipper Cruise Line |
Nantucket Clipper |
10/4-10/11 |
Specimens not obtained |
Carnival Cruise Line |
Carnival Holiday |
10/16-10/20 |
Norovirus |
10/11-10/16 |
Norovirus |
Norwegian Cruise Line |
Norwegian Star |
9/21-9/28 |
Specimens not obtained |
Clipper Cruise Line |
Clipper Odyssey |
8/15-8/26 |
Specimens not obtained |
Princess Cruises |
Regal Princess |
8/18-9/2 |
Norovirus |
Princess Cruises |
Star Princess |
8/2-8/9 |
Norovirus |
7/26-8/2 |
Norovirus |
Royal Caribbean Cruise Line |
Rhapsody of the Seas |
7/20-7/27 |
Specimens not obtained |
Norwegian Cruise Line |
Norwegian Sky |
5/17-5/24 |
Norovirus |
Princess Cruises |
Royal Princess |
4/5-4/22 |
Specimens not obtained |
Norwegian Cruise Line |
Norwegian Dream |
3/16-3/31 |
Norovirus |
Clipper Cruise Line |
Nantucket Clipper |
3/1-3/6 |
Specimens not obtained |
Sun Cruises |
Sun Dream |
2/17-2/24 |
Norovirus |
Princess Cruises |
Sun Princess |
1/25-2/9 |
Norovirus |
Sun Cruises |
Sun Dream |
1/20-2/3 |
Norovirus |
Carnival Criuse Line |
Carnival Spirit |
1/27-2/4 |
Norovirus |
Royal Olympic Cruises |
Olympia Voyager |
1/15-2/3 |
Unknown |
Regal Cruise Line |
Regal Empress |
1/11-1/18 |
Unknown |
Classic Cruises of Newport |
Arabella |
1/11-1/18 |
Specimens not obtained |
Cunard Line |
Queen Elizabeth 2 |
1/5-1/18 |
Norovirus |
Clipper Cruise Line |
Nantucket Clipper |
12/28/2002-1/4 |
Specimens not obtained |
Norwegian Cruise Line |
Norway |
12/28/2002-1/4 |
Specimens not obtained |
2002
Cruise Line |
Cruise Ship |
Sailing Dates |
Causative Agent |
Carnival Cruise Line |
Carnival Conquest |
12/8-12/15 |
Norovirus |
P & O Cruises |
Oceana |
11/29-12/12 |
Norovirus |
Radisson Seven Seas Cruises |
Seven Seas Mariner |
11/23-12/2 |
Salmonella |
Celebrity Cruises |
Constellation |
10/25-11/8 |
Norovirus |
Carnival Cruises |
Fascination |
11/30-12/2 |
Norovirus |
Disney Cruise Line |
Disney Magic |
11/11-11/21 |
Norovirus |
Seabourn Cruise Line |
Seabourn Pride |
10/28-11/10 |
Specimens not obtained |
Holland America Line |
Amsterdam |
11/11-11/21 |
Norovirus |
Holland America Line |
Amsterdam |
10/1-10/22 |
Norovirus |
Clipper Cruises |
Nantucket Clipper |
10/19-10/29 |
Sappovirus |
Norwegian Cruise Line |
Norwegian Sun |
9/28-10/5 |
Norovirus |
Norwegian Cruise Line |
Norwegian Dream |
9/10-9/25 |
Shigella, Giardia |
Norwegian Cruise Line |
Norwegian Sun |
8/3-8/10 |
Specimens not obtained |
Clipper Cruise Line |
Yorktown Clipper |
7/27-8/3 |
Specimens not obtained |
Holland America Line |
Ryndam |
7/25-8/1 |
Norovirus |
Princess Cruises |
Ocean Princess |
5/25-6/1 |
Norovirus |
Holland America Line |
Ryndam |
4/7-4/24 |
Norovirus |
Holland America Line |
Amsterdam |
1/4-4/28 |
Specimens not obtained |
Cunard Line |
Caronia |
3/24-4/5 |
Enterotoxigenic E. coli (ETEC) / Shigella |
Clipper Cruise Line |
Nantucket Clipper |
3/23-3/30 |
Norovirus |
Carnival Cruise Line |
Carnival Pride |
March |
Norovirus |
2001
Cruise Line |
Cruise Ship |
Sailing Dates |
Causative Agent |
Clipper Cruise Line |
Nantucket Clipper |
September |
Norovirus |
Delta Queen Steamboat Company |
Mississippi |
August |
Norovirus |
Cunard Line |
Coronia |
3/11-3/29 |
Norovirus |
P & O Cruises |
Oriana |
2/20-3/14 |
Specimens not obtained |
2000
Cruise Line |
Cruise Ship |
Sailing Dates |
Causative Agent |
Disney Cruise Line |
Disney Magic |
6/2-6/5 |
Salmonella |
Cruise West |
Spirit of Glacier Bay |
5/28-6/1 |
Norovirus |
Palm Beach Casino Line |
Palm Beach Princess |
5/18-6/1 |
Specimens not obtained |
Clipper Cruise Line |
Nantucket Clipper |
2/5-2/12 |
Norovirus |
Clipper Cruise Line |
Nantucket Clipper |
1/22-1/29 |
Norovirus |
1/15-1/22 |
Norovirus |
1999
Cruise Line |
Cruise Ship |
Sailing Dates |
Causative Agent |
Clipper Cruies Line |
Nantucket Clipper |
1/30-2/6 |
Norovirus |
1/23-1/30 |
Norovirus |
1/16-1/23 |
Norovirus |
1/9-1/16 |
Norovirus |
1/2-1/9 |
Norovirus |
1998
Cruise Line |
Cruise Ship |
Sailing Dates |
Causative Agent |
Royal Caribbean Cruise Line |
Vision of the Seas |
11/28-12/7 |
Specimens not obtained |
Norwegian Cruise Line |
Norway |
10/10-10/24 |
Norovirus |
Princess Cruises |
Regal Princess |
6/21-6/28 |
Norovirus |
6/14-6/21 |
Norovirus |
6/7-6/14 |
Norovirus |
Imperial Majesty Cruises |
Ocean Breeze |
5/17-5/24 |
Enterotoxigenic E. coli (ETEC) |
Investigation done at the request of the cruise line outside the U.S. |
Holland America Line |
Statendam |
3/29-4/8 |
Specimens not obtained |
Royal Caribbean Cruise Line |
Legend of the Seas |
2/28-3/11 |
Norovirus |
1997
Cruise Line |
Cruise Ship |
Sailing Dates |
Causative Agent |
Regal Cruises |
Regal Empress |
12/17-12/21 |
Enterotoxigenic E. coli (ETEC) |
Celebrity Cruises |
Zenith |
12/5-12/15 |
Specimens not obtained |
Clipper Cruise Line |
Nantucket Clipper |
10/23-10/30 |
Norovirus |
Princess Cruises |
Royal Princess |
4/15-4/19 |
Enterotoxigenic E. coli (ETEC) |
Holland America Line |
Noordam |
3/29-4/5 |
Cyclospora |
Royal Cruise Line |
Royal Odyssey |
3/25-4/4 |
Norovirus |
No sail recommendation |
Royal Cruise Line |
Royal Odyssey |
3/4-3/14 |
Norovirus |
Princess Cruises |
Regal Princess |
2/13-2/28 |
Specimens not obtained |
Clipper Cruise Line |
Nantucket Clipper |
2/8-2/15 |
Norovirus |
1996
Cruise Line |
Cruise Ship |
Sailing Dates |
Causative Agent |
Carnival Cruise Line |
Jubliee |
6/16-6/23 |
Norovirus |
Holland America Line |
Noordam |
4/27-5/11 |
Norovirus |
Princess Cruises |
Royal Princess |
3/15-3/26 |
Enterotoxigenic E. coli (ETEC) |
1995
Cruise Line |
Cruise Ship |
Sailing Dates |
Causative Agent |
Celebrity Cruises |
Horizon |
7/15-7/22 |
Salmonella |
Carnival Cruise Line |
Fantasy |
4/30-5/4 |
Shigella sonnei |
Orient Line |
Crown Odyssey |
1/12-1/26 |
Enterotoxigenic E. coli (ETEC) |
1994
Cruise Line |
Cruise Ship |
Sailing Dates |
Causative Agent |
Royal Caribbean Cruise Line |
Viking Serenade |
8/29-9/1 |
Shigella flexneri |
Celebrity Cruises |
Horizon |
6/26-7/2 |
Legionella |
Premier Cruise LIne |
StarShip Oceanic |
6/13-6/17 |
Norovirus |
Regency Cruises |
Regent Rainbow |
3/18-4/1 |
Viral gastroenteritis |
American Family |
American Adventure |
12/26/93-2/2/94 |
Shigella flexneri |
-