Case Evaluation

Accidents While Aboard Commercial Vessels: International Cruise Outbreaks (1994-2003)

Cruise ship updates are posted when they include the following criteria:

  • fall within the purview of 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.

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

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 Enterotoxigenci E. coli (ETEC)

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 Enterotoxigenci E. coli (ETEC)

1997
Cruise Line Cruise Ship Sailing Dates Causative Agent
Regal Cruises Regal Empress 12/17-12/21 Enterotoxigenci 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 Enterotoxigenci 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

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 Enterotoxigenci 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

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

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

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

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 Enterotoxigenci E. coli (ETEC) / Shigella
Clipper Cruise Line Nantucket Clipper 3/23-3/30 Norovirus
Carnival Cruise Line Carnival Pride March Norovirus

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

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