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Why is Legionnaires disease a problem on cruise ships?

Cruise ships are considered to be high-risk environments where Legionella spp. may be found for a number of reasons including: the uncertainty of the source water quality. the inconsistency of onboard water treatment.



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

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2023 American Splendor Legionnaires' Disease Hotel General Manager Jay Hasan notified American Splendor passengers of water test results that were positive for Legionella on September 18, 2023, the second-to-last day of a week-long cruise, according to the USA Today report.

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Ship exhaust contains harmful constituents, including metals and polycyclic aromatic hydrocarbons, many of which have toxic, possibly cancer-causing properties, Kennedy said: “It's dangerous it's not a healthy thing for us to be exposed to.”

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Or maybe it's norovirus, a contagious virus that often keeps you at the toilet for several days. Some people know it as the “cruise ship virus” because it's often the cause of over 90% of diarrhea outbreaks on cruise ships, according to the Centers for Disease Control and Prevention.

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Studies have shown that quick application of hand sanitizers does not kill the norovirus. It takes about 30 seconds of hard rubbing with hot water and soap to kill it. The cause of most cruise line norovirus outbreaks is contaminated food or water. The way it spreads is through physical contact.

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In a 2020 study, a professor examined more than 620 cruise deaths from 2000 through the end of 2019. He found that overboard incidents — falling, jumping or being thrown — were the leading cause of death among passengers and crew members, accounting for 23 percent of all deaths.

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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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As people flock to cruise ships after the pandemic, health and sanitation conditions are still a big issue — including a record 13 norovirus outbreaks so far in 2023.

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We are reaching out to you today to inform you that it has come to our attention that two guests who sailed aboard Norwegian Prima on her 19, 2022 voyage were diagnosed with Legionnaires' disease following their travels.”

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If you're worried about seasickness, pick a cabin that's as close to the water level as possible and in the center of the ship. You'll be at the ship's fulcrum point, which means you'll feel less movement than people on higher decks with cabins far forward or all the way at the back.

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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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