Why is gastro so common on cruises?

Cruise ships are often associated with norovirus because of the enclosed spaces, close living quarters, communal dining and high turnover of passengers, experts note. That said, outbreaks of acute gastrointestinal illnesses are relatively infrequent on cruise ships compared to settings on land, the CDC notes.



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More than 90% of cruise ship gastro outbreaks are caused by norovirus, which is spread from person to person, and through contaminated objects or contaminated food or water. Gastro can also be caused by other pathogens such as bacteria in contaminated food or water.

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How can you avoid catching gastro on cruise ships?
  1. wash your hands well and frequently, especially before eating.
  2. don't rely on hand sanitisers (hand washing is always better)
  3. don't share food, drinks or eating utensils.
  4. don't touch food with your hands.
  5. reduce unnecessary contact with communal surfaces.


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Respiratory Illnesses. Respiratory illnesses are the most common medical complaint on cruise ships.

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Cruise ships are often associated with norovirus because of the enclosed spaces, close living quarters, communal dining and high turnover of passengers, experts note. That said, outbreaks of acute gastrointestinal illnesses are relatively infrequent on cruise ships compared to settings on land, the CDC notes.

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Gastrointestinal tract Traveler's diarrhea is a digestive tract disorder that commonly causes loose stools and stomach cramps. It's caused by eating contaminated food or drinking contaminated water. Fortunately, traveler's diarrhea usually isn't serious in most people — it's just unpleasant.

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P&O Cruises also reported an outbreak on its Arcadia cruise ship this year. The CDC's tally of norovirus outbreaks so far confirmed on cruise ships in 2023 is already higher than any annual outbreak tallies since 2012, when the health agency recorded 16 outbreaks.

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“The virus is often associated with cruise travel simply because health officials are required to track illnesses on ships,” Shah said. “The CDC estimates only about 1% of annual U.S. norovirus cases happen on cruise ships.

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If you get diarrhea, drink lots of fluids to stay hydrated. In serious cases of travelers' diarrhea, oral rehydration solution—available online or in pharmacies in developing countries—can be used for fluid replacements.

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Norovirus outbreaks on cruise ships surge after years of decline. Halfway through the year, there are already more confirmed outbreaks in 2023 than there have been since 2012. Data for 2023 is through the end of June. Other years capture the total number of outbreaks for the full calendar year.

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One of the biggest misconceptions about cruise ships is that they're germ incubators—that you can't escape. But the likelihood of catching a stomach bug on a seven-day voyage is less than 1 percent—which is about a third the risk of getting infected in your day-to-day life back home, says Dr.

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Cruise ships in particular have many of the conditions that make people susceptible to norovirus—close quarters, enclosed spaces, communal dining, and high turnover of passengers. “The virus is often associated with cruise travel simply because health officials are required to track illnesses on ships,” Shah said.

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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! You will find that most cruise ships have staff to dispense hand sanitizer when you enter into the buffets and other busy areas where people congregate.

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Norovirus outbreaks occur throughout the year but are most common from November to April. Most outbreaks occur when infected people spread the virus to others through direct contact, such as by caring for them or sharing food or eating utensils with them. Learn about common settings of norovirus outbreaks.

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More than 300 sickened on Ruby Princess cruise ship, CDC says. Hundreds of passengers and crew members fell ill while on board a Princess Cruises ship, the Centers for Disease Control and Prevention said. In total, 284 of 2,881 passengers on the Ruby Princess reported being sick during the voyage between Feb.

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