What is the most common foodborne illness on cruise ships?

Norovirus is among the most common types of food poisoning onboard cruise ships. Passengers can contract norovirus from unrinsed fruits and vegetables, undercooked shellfish, unwashed utensils, and various other sources.



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Norovirus—a common cause of foodborne illness—is a regular passenger on cruise ships. When infected by norovirus, you're likely to experience diarrhea and vomiting.

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Norovirus. On cruise ships, >90% of GI illness outbreaks with a confirmed cause are due to norovirus.

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Serving expired foods, failing to enforce kitchen sanitation practices, cross-contamination and other issues involving improper food handling and safety practices are among the leading causes of food poisoning onboard cruise ships.

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In 2023, a decade-high number of cruise ships have reported an unwelcome passenger on board: norovirus. Outbreaks of the stomach bug have surged on cruise ships this year, reaching the highest levels seen in 10 years.

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Cruises are exciting! Seasickness though is not. If you get motion sick while in a car or plane, odds are you're likely to get sick on a cruise ship as well. However, that doesn't mean you have to stay home.

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With mal de debarquement syndrome, though, you can't shake the feeling that you're still on the boat. That's French for “sickness of disembarkment.” You feel like you're rocking or swaying even though you're not. It can happen to anyone, but it's much more common in women ages 30 to 60.

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While the virus has garnered the nickname “cruise ship virus,” in reality, norovirus outbreaks on cruise ships account for only 1% of all reported norovirus outbreaks, the CDC says. In fact, acute gastrointestinal illness is fairly uncommon on cruise ships, the agency says.

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Top 3 Tips on How to Avoid Norovirus on a Cruise Ship
  1. Wash Your Hands Frequently. The most important thing that you can do to avoid Norovirus on a cruise ship is to wash and sanitize your hands as frequently as possible! ...
  2. Make Sure Food is Protected. ...
  3. Keep Your Immune System Strong.


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In the U.S., the risk of getting norovirus each year is about 1 in 15; a cruise passenger has about a 1 in 5,500 risk of getting laboratory-confirmed norovirus during a shipboard outbreak.

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To minimize the risk of seasickness, book one of the world's largest ships, such as Royal Caribbean's Wonder of the Seas. Keep in mind that the ocean is much larger than even the most gargantuan ships, so when the seas are rough, you can still feel movement — just less than if you're sailing on a 100-person yacht.

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How can I protect myself from gastrointestinal illness?
  1. Use proper handwashing techniques throughout your voyage, but especially after using the bathroom and before eating.
  2. Avoid any food or water that you think may be contaminated.
  3. Avoid raw or undercooked shellfish.


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You can get norovirus from an infected person, from contaminated food or water, or by touching contaminated surfaces. The virus causes your stomach or intestines or both to get inflamed (acute gastroenteritis). This leads you to have stomach pain, nausea, and diarrhea and to throw up.

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