Outbreak Updates for International Cruise Ships

The Vessel Sanitation Program (VSP) requires cruise ships to log and report the number of passengers and crew who say they have symptoms of gastrointestinal illness. Learn more about illnesses and outbreaks reported to VSP.

When Do Ships Report Gastrointestinal Illnesses to VSP?

Medical staff on cruise ships with a foreign itinerary that visit the U.S. must send gastrointestinal illness case reports to VSP at these designated times:

  1. Before arriving to a U.S. port from a foreign port. This initial report is required even when there are no cases of gastrointestinal illness. Staff make this report between 24 and 36 hours before the ship arrives at a U.S. port.
  2. When 2% or more of the passengers or crew have gastrointestinal illness. Staff must send this report any time the vessel is in the United States or within 15 days of arriving at a U.S. port.
  3. If 3% or more of the passengers or crew have gastrointestinal illness, cruise ship staff must send an additional report.

When Does VSP Post Cruise Ship Outbreaks?

VSP posts cruise ship outbreaks when they meet all of the following criteria:

  • Fall within the purview of VSP (see about VSP).
  • Are on voyages from 3-21 days long.
  • Are on ships carrying 100 or more passengers.
  • Are voyages where 3% or more of passengers or crew report symptoms of gastrointestinal illness to the ship’s medical staff.

VSP may also post outbreak updates for gastrointestinal illness outbreaks of public health significance that do not necessarily meet the above criteria.

Important Notes about These Data

Data on this page are from these surveillance reports and from CDC-led investigations. The gastrointestinal illness cases reported are totals for the entire voyage. These cases do not represent the number of active (symptomatic) cases of gastrointestinal illness at any given port of call or at disembarkation.

CDC has not verified all of the case numbers represented in the following updates.

Learn More

Find additional resources for information about gastrointestinal illness outbreaks of on land and at sea.

Year
2020 2013 2006 1999
2019 2012 2005 1998
2018 2011 2004 1997
2017 2010 2003 1996
2016 2009 2002 1995
2015 2008 2001 1994
2014 2007 2000

2020
Cruise Line Cruise Ship Sailing Dates Causative Agent
Princess Cruises Caribbean Princess 2/2 – 2/16 Unknown

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2019
Cruise Line Cruise Ship Sailing Dates Causative Agent
Norwegian Cruise Line Norwegian Joy 11/8 – 24 Unknown
Aida Cruises AIDAdiva 10/3 – 13 Norovirus
Aida Cruises AIDAluna 9/28 – 10/12 Norovirus
Aida Cruises AIDAdiva 9/5 – 23 Norovirus
Carnival Cruise Line Conquest 9/7 – 14 Norovirus
Oceania Cruises Oceania Marina 3/18 – 4/5 Unknown
Princess Cruises Island Princess 2/8 – 18 Norovirus
Viking Ocean Cruises Viking Star 2/7 – 14 Norovirus
Viking Ocean Cruises Viking Sea 1/18 – 28 Norovirus
Royal Caribbean International Oasis of the Seas 1/6 – 13 Norovirus

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2018
Cruise Line Cruise Ship Sailing Dates Causative Agent
Viking Ocean Cruises Viking Star 12/13 – 1/3, 2019 Rotavirus
Crystal Cruises Crystal Symphony 11/8 – 12/2 Norovirus
Holland America Line Volendam 11/3 – 18 Norovirus
V. Ships Leisure U.S.A. Pearl Mist 9/1 – 12 Unknown
Regent Seven Seas Cruises Seven Seas Mariner 6/20 – 30 Unknown
Holland America Line Zaandam 6/18 – 7/2 Unknown
Silversea Cruises Silver Shadow 5/10 – 5/24 Norovirus
Celebrity Cruises Celebrity Infinity 4/17 – 5/2 Norovirus
Cunard Line Queen Victoria 2/21 – 3/9 Enterotoxigenic E. coli (ETEC)
Azamara Club Cruises Azamara Quest 1/25 – 2/8 Unknown
Princess Cruises Island Princess 1/9 – 1/24 Norovirus and Campylobacter

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2017
Cruise Line Cruise Ship Sailing Dates Causative Agent
Royal Caribbean Independence of the Seas 12/11 – 12/16 Norovirus
Celebrity Cruises Celebrity Reflection 11/17 – 11/27 Norovirus
Princess Cruises Crown Princess 10/25 – 11/8 C. perfringens enterotoxin
Lindblad Expeditions National Geographic Sea Bird 9/26 – 10/2 Unknown
Holland America Line Noordam 7/30 – 8/6 Norovirus
Holland America Line Nieuw Amsterdam 7/22 – 7/29 Norovirus
Holland America Line Noordam 7/23 – 7/30 Norovirus
Holland America Line Volendam 7/19 – 7/26 Norovirus
Holland America Line Volendam 7/12 – 7/19 Norovirus
Oceania Cruises Regatta 3/29 – 4/14 Norovirus
Princess Cruises Coral Princess 3/8 – 3/18 Norovirus

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2016
Cruise Line Cruise Ship Sailing Dates Causative Agent
Holland America Line Oosterdam 11/3 – 11/18 Norovirus
P&O Cruises Adonia 10/16 – 10/23 Unknown
Disney Cruise Line Disney Wonder 4/27 – 5/1 Norovirus
Fred Olsen Cruises Balmoral 4/16 – 5/20 Norovirus
Oceania Cruises Oceania Riviera 3/20 – 4/2 Norovirus
Norwegian Cruise Line Norwegian Gem 3/12 – 3/22 Norovirus
Silversea Cruises Silver Spirit 3/3 – 3/21 Enterotoxigenic E. coli (ETEC)
Carnival Cruise Line Carnival Sunshine 2/21 – 3/5 Norovirus
Royal Caribbean Cruise Line Anthem of the Seas 2/21 – 3/4 Norovirus
Princess Cruises Ocean Princess 2/13 – 3/7 Norovirus and Enterotoxigenic E. coli (ETEC)
Oceania Cruises Oceania Riviera 2/12 – 2/22 Norovirus
Oceania Cruises Oceania Riviera 2/2 – 2/12 Norovirus
Princess Cruises Crown Princess 1/8 – 1/18 Norovirus

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2015
Cruise Line Cruise Ship Sailing Dates Causative Agent
Holland America Line Veendam 12/20 – 12/27 Norovirus
Princess Cruises Caribbean Princess 12/13 – 12/20 Norovirus
Oceania Cruises Oceania Riviera 11/18 – 12/2 Norovirus
Princess Cruises Star Princess 4/29 – 5/14 Norovirus
Oceania Cruises Oceania Marina 4/21 – 5/7 Norovirus
Holland America Line ms Maasdam 4/17 – 5/1 Norovirus
Princess Cruises Coral Princess 4/12 – 4/27 Norovirus
Royal Caribbean Cruise Line Legend of the Seas 3/30 – 4/14 Norovirus
Celebrity Cruises Celebrity Infinity 3/29 – 4/13 Norovirus
Norwegian Cruise Line Norwegian Pearl 3/26 – 4/6 Norovirus
Celebrity Cruises Celebrity Equinox 2/13 – 2/23 Norovirus
Royal Caribbean Cruise Line Grandeur of the Seas 1/24 – 2/3 Norovirus

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2014
Cruise Line Cruise Ship Sailing Dates Causative Agent
Princess Cruises Crown Princess 10/18 – 11/16 Norovirus
Princess Cruises Crown Princess 4/5 – 4/12 Norovirus and Enterotoxigenic E. coli (ETEC)
Royal Caribbean Cruise Line Grandeur of the Seas 4/5 – 4/12 Norovirus
Royal Caribbean Cruise Line Grandeur of the Seas 3/28 – 4/5 Norovirus
Holland America Line ms Maasdam 3/2 – 3/28 Unknown
Holland America Line ms Veendam 2/8 – 2/22 Norovirus
Princess Cruises Caribbean Princess 1/25 – 2/1 Norovirus
Royal Caribbean Cruise Line Explorer of the Seas 1/21 – 1/31 Norovirus
Norwegian Cruise Line Norwegian Star 1/5 – 1/19 Norovirus

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2013
Cruise Line Cruise Ship Sailing Dates Causative Agent
Norwegian Cruise Line Norwegian Gem 11/16 – 11/25 Norovirus
Celebrity Cruise Lines Celebrity Summit 9/21 – 10/5 Norovirus
Celebrity Cruise Lines Celebrity Millennium 04/25 – 05/10 Norovirus
Crystal Cruises Crystal Symphony 04/29 – 05/06 Norovirus
Holland America Line Veendam 04/13 – 05/04 Enterotoxigenic E. coli (ETEC)
Celebrity Cruises Celebrity Solstice 04/08 – 04/25 Norovirus
Celebrity Cruises Celebrity Infinity 03/17 – 04/01 Norovirus
Princess Cruises Ruby Princess 03/03 – 03/10 Norovirus
Royal Caribbean Cruise Line Vision of the Seas 02/25 – 03/08 Norovirus

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2012
Cruise Line Cruise Ship Sailing Dates Causative Agent
Cunard Line Queen Mary 2 12/22 – 01/03 Norovirus
Princess Cruises Emerald Princess 12/17 – 12/27 Norovirus
Prestige Cruise Holdings Oceania Riviera 11/15 – 11/29 Norovirus
Holland America Line Amsterdam 11/11-12/5 Norovirus
Princess Cruises Ruby Princess 10/09-10/28 Norovirus and Enterotoxigenic E. coli (ETEC)
Princess Cruises Dawn Princess 08/21-09/13 Norovirus
Royal Caribbean Cruise Line Rhapsody of the Seas 08/24-08/31 Norovirus
Carnival Cruise Line Carnival Glory 08/06-08/11 Norovirus
Princess Cruises Sun Princess 07/08-07/21 Norovirus
Princess Cruises Ruby Princess 02/26-03/04 Norovirus
Princess Cruises Crown Princess 02/04-02/09 Norovirus
Celebrity Cruises Celebrity Silhouette 01/29-02/10 Norovirus
Celebrity Cruises Celebrity Constellation 01/28-02/11 Norovirus
Princess Cruises Crown Princess 01/28-02/04 Norovirus
P & O Cruises Aurora 01/04-01/26 Norovirus
Royal Caribbean Cruise Line Voyager of the Seas 01/28-02/04 Norovirus

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2011
Cruise Line Cruise Ship Sailing Dates Causative Agent
Holland America Line ms Maasdam 12/23–01/02 Norovirus
Norwegian Cruise Line Norwegian Spirit 12/18–12/25 Norovirus
Holland America Line Ryndam 12/11–12/18 Norovirus
Celebrity Cruises Celebrity Solstice 11/28–12/11 Norovirus
Holland America Line Ryndam 11/03–11/20 Norovirus
Princess Cruises Sea Princess 05/30-06/09 Norovirus
Lindblad Expeditions National Geographic Sea Lion 05/21-05/28 Unknown
Princess Cruises Sea Princess 05/20-05/30 Norovirus
Celebrity Cruises Celebrity Millennium 05/20-05/27 Unknown
Princess Cruises Coral Princess 05/04-05/19 Norovirus
Princess Cruises Coral Princess 04/24-05/04 Enterotoxigenic E. coli (ETEC)
Oceania Cruises MV Marina 02/26-03/15 Enterotoxigenic E. coli (ETEC)
Celebrity Cruises Celebrity Solstice 01/30-02/06 Norovirus
Royal Caribbean Cruise Line Radiance of the Seas 01/03-01/08 Norovirus

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2010
Cruise Line Cruise Ship Sailing Dates Causative Agent
Cunard Line Queen Mary 2 12/19-01/03/2011 Unknown
Crystal Cruises Crystal Symphony 11/02-11/21 Unknown
Holland America Line Nieuw Amsterdam 10/18-11/07 Norovirus
Carnival Cruise Lines Carnival Glory 10/09-10/16 Norovirus
Holland America Line Zuiderdam 04/20-05/08 Unknown
Celebrity Cruises Mercury 03/08-03/19 Norovirus
Celebrity Cruises Mercury 02/26-03/08 Norovirus
Royal Caribbean International Jewel of the Seas 02/22-03/05 Unknown
Celebrity Cruises Millennium 02/22-03/05 Norovirus
Holland America Line Maasdam 02/19-03/05 Norovirus
Celebrity Cruises Mercury 02/15-02/26 Norovirus
Fred Olsen Cruise Lines Balmoral 01/05-02/04 Unknown
Cunard Cruise Line Queen Victoria 01/12-01/27 Unknown
Cunard Cruise Line Queen Victoria 01/04-01/12 Norovirus

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2009
Cruise Line Cruise Ship Sailing Dates Causative Agent Case Counts (Passengers) Case Counts (Crew)
Holland America Line Amsterdam 12/02-12/23 Norovirus 56 of 1,317 (4.25%) 8 of 610 (1.31%)
Regent Seven Seas Cruises Seven Seas Mariner 12/02-12/20 Norovirus 28 of 621 (4.51%) 0 of 435 (0.0%)
Norwegian Cruise Line Norwegian Spirit Norovirus 73 of 1,991 (3.66%) 9 of 965 (0.93%)
Holland America Line Noordam 10/16-11/1 Norovirus 159 of 1,826 (8.71%) 19 of 784 (2.42%)
Holland America Line Amsterdam 5/23-5/30 Unknown 101 of 1,546 (6.53%) 8 of 587 (1.37%)
Princess Cruises Coral Princess 5/18-5/25 Unknown 121 of 2,001 (6.05%) 7 of 914 (0.77%)
Princess Cruises Island Princess 4/23-5/07 Shigella sonnei and Enterotoxigenic E. coli (ETEC) 100 of 1,954 (5.12%) 8 of 894 (0.56%)
Carnival Cruise Line Carnival Liberty 4/18-4/25 Norovirus 208 of 3,253 (6.39%) 57 of 1,163 (4.9%)
Holland America Line Amsterdam 4/2-4/24 Cyclospora cayetanensis 135 of 1,318 (10.24%) 25 of 600 (4.17%)
Celebrity Cruises Celebrity Mercury 2/28-3/15 Norovirus 113 of 1,862 (6.1%) 6 of 834 (0.72%)
Holland America Line Oosterdam 2/21-2/28 Norovirus 110 of 1,840 (5.98%) 10 of 786 (1.27%)
Holland America Line Zaandam 2/5-2/20 Norovirus 74 of 1,408 (5.3%) 21 of 590 (3.6%)
Princess Cruises Coral Princess 2/3-2/13 Norovirus 252 of 1,996 (12.6%) 19 of 885 (2.1%)
Celebrity Cruises Celebrity Mercury 1/3-1/17 Norovirus 150 of 1,842 (8.14%) 7 of 859 (0.81%)
Holland America Line Maasdam 1/2-1/9 Unknown 79 of 1,402 (5.6%) 8 of 561 (1.4%)

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2008
Cruise Line Cruise Ship Sailing Dates Causative Agent Case Counts (Passengers) Case Counts (Crew)
Holland America Line Zuiderdam 10/23-11/09 Norovirus 262 of 1,820 (14.4%) 17 of 794 (2.14%)
Princess Cruises Caribbean Princess 10/19-10/26 Norovirus 172 of 3,081 (5.58%) 13 of 1,161 (1.12%)
Norwegian Cruise Line Norwegian Jewel 10/8-10/18 Norovirus 86 of 2,098 (4.10%) 11 of 1,084 (1.00%)
American Canadian Cruise Line Grande Caribe 9/30-10/12 Norovirus 29 of 68 (43%) 8 of 17 (47%)
Norwegian Cruise Line Norwegian Jewel 9/28-10/8 Norovirus 144 of 2,132 (6.75%) 9 of 1,071 (0.84%)
Regent Seven Seas Cruises Seven Seas Mariner 8/27-9/3 Norovirus 33 of 620 (5.32%) 12 of 445 (2.69%)
Holland America Line Veendam 6/13-6/20 Norovirus 112 of 1,313 (8.53%) 12 of 556 (2.16%)
Norwegian Cruise Line Norwegian Dream 4/13-5/1 Norovirus and Enterotoxigenic E. coli (ETEC) 99 of 1,579 (6.27%) 9 of 735 (1.22%)
Holland America Line Zaandam 3/19-4/3 Norovirus 100 of 1,428 (7.00%) 13 of 611 (2.13%)
Holland America Line Ryndam 2/15-2/25 Norovirus 113 of 1,226 (9.22%) 8 of 556 (1.44%)
Carnival Cruise Line Holiday 1/24-1/28 Norovirus 121 of 1,548 (7.82%) 22 of 686 (3.21%)
Norwegian Cruise Lines Norwegian Star 1/19-1/27 Norovirus 228 of 2,427 (9.39%) 32 of 1,103 (2.9%)
Holland America Line Noordam 1/5-1/16 Norovirus 103 of 1,980 (5.2%) 12 of 816 (1.47%)
Holland America Line Volendam 1/2-1/12 Norovirus 85 of 1,451 (5.86%) 7 of 608 (1.15%)
Princess Cruises Pacific Princess 12/15-1/10 Enterotoxigenic E. coli (ETEC) 50 of 642 (7.79%) 6 of 369 (1.63%)

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2007
Cruise Line Cruise Ship Sailing Dates Causative Agent Case Counts (Passengers) Case Counts (Crew)
Princess Cruises Emerald Princess 12/16-12/26 Norovirus 156 of 3,209 (4.86%) 22 of 1,211 (1.82%)
Norwegian Cruise Line Norwegian Pearl 11/30-12/9 Norovirus 335 of 2,377 (14.09%) 24 of 1,097 (2.19%)
Holland America Line Zaandam 11/5-11/20 Norovirus 91 of 1,371 (6.64%) 8 of 616 (1.3%)
Norwegian Cruise Line Norwegian Dawn 10/14-10/26 Norovirus 149 of 2,169 (6.85%) 15 of 1,056 (1.42%)
Norwegian Cruise Line Norwegian Crown 8/12-8/19 Norovirus 51 of 1,246 (4.09%) 2 of 534 (0.37%)
Carnival Cruise Line Carnival Spirit 6/13-6/20 Norovirus 116 of 2,205 (5.26%) 8 of 931 (0.86%)
Royal Caribbean Cruise Line Liberty of the Seas 5/26-6/2 Norovirus 200 of 3,846 (5.2%) 12 of 1,425 (0.84%)
Norwegian Cruise Line Norwegian Star 5/19-5/26 Norovirus 177 of 2,331 (7.59%) 7 of 1,100 (0.65%)
Norwegian Cruise Line Norwegian Pearl 4/13-4/22 Specimens not obtained 92 of 2,490 (3.69%) 7 of 1,084 (0.65%)
Holland America Line Volendam 4/12-4/22 Specimens not obtained 69 of 1,427 (4.84%) 2 of 606 (0.33%)
Regent Seven Seas Cruises Seven Seas Navigator 4/5-4/16 Norovirus 22 of 456 (4.8%) 0 of 350 (0%)
Celebrity Cruises Zenith 4/2-4/13 Norovirus 89 of 1,363 (6.53%) 11 of 613 (1.79%)
Majestic America Line Empress of the North 3/16-3/21 Norovirus 26 of 169 (15.4%) 7 of 77 (9.1%)
Princess Cruises Regal Princess 3/13-3/25 Unknown 69 of 1,504 (4.6%) 8 of 680 (1.2%)
Regent Seven Seas Cruises Seven Seas Mariner 2/25-3/9 Shigella, Salmonella, Enterobacter, and Entameoba histolytica 38 of 614 (6.19%)
5 of 446 (1.12%)
Holland America Ryndam 3/3-3/13 Norovirus 61 of 1,209 (5.05%) 7 of 593 (1.18%)
2/21-3/3 Norovirus 184 of 1,260 (14.6%) 26 of 579 (4.49%)
1/22-2/21 Norovirus 110 of 1,153 (9.54%) 14 of 573 (2.44%)
Holland America Line Westerdam 2/2-2/11 Norovirus 146 of 1,790 (8.16%) 9 of 809 (1.11%)
Princess Cruises Island Princess 1/26-2/10 Norovirus 179 of 1,936 (9.25%) 37 of 916 (4.04%)
Cruise West Spirit of Nantucket 1/27-2/3 Unknown 8 of 36 (22.22%) 10 of 35 (28.57%)
Holland America Line Volendam 1/22-2/1 Specimens not obtained 105 of 1,385 (7.58%) 7 of 608 (1.15%)
Cunard Line Queen Elizabeth 2 1/8-1/22 Norovirus 276 of 1,652 (16.71%) 28 of 1,002 (2.79%)

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2006
Cruise Line Cruise Ship Sailing Dates Causative Agent Case Counts (Passengers)
Case Counts (Crew)
Princess Cruises Regal Princess 12/7-12/27 Norovirus 75 of 1,479 (5.07%) 5 of 678 (0.07%)
Princess Cruises Sun Princess 11/30-12/10 Norovirus 112 of 2,013 (5.56%) 7 of 862(0.81%)
Norwegian Cruise Line Norwegian Wind 11/29-12/9 Norovirus 77 of 1,671 (4.61%) 7 of 691 (0.01%)
Holland America Line Zaandam 11/26-12/11 Norovirus 64 of 1,431 (4.47%) 4 of 617 (0.67%)
Royal Caribbean Cruise Line Freedom of the Seas 11/26-12/3/06 Norovirus 338 of 3,823 (8.84%) 46 of 1,402 (3.28%)
12/3-12/10, No sail recommendation Norovirus 85 of 3,907 11 of 1,399 (0.84%)
Royal Caribbean Cruise Line Serenade of the Seas 11/18-11/25 Norovirus 101 of 2,241 (4.51%) 3 of 848 (0.35%)
Celebrity Cruises Summit 11/11-11/25 Unknown, negative for norovirus 72 of 1,911 (3.77%) 12 of 942 (1.27%)
Royal Caribbean Cruise Line Adventure of the Seas 11/5-11/12 Norovirus 129 of 3,260 (3.96%) 1 of 1,174 (0.08%)
Carnival Cruise Line Carnival Liberty 11/3-11/19 Norovirus 536 of 2,804 (19.12%) 143 of 1,166 (12.22%)
Royal Caribbean Cruise Line Serenade of the Seas 10/29-11/11 Norovirus 68 of 2,023 (3.36%) 9 of 854 (1.05%)
Princess Cruises Island Princess 10/21-11/5 Norovirus 109 of 1,959 (5.56%) 11 of 905 (1.22%)
Celebrity Cruises Constellation 10/27-11/7 Norovirus 72 of 1,776 (4.05%) 13 of 967 (1.34%)
Celebrity Cruises Constellation 10/16-10/27/06 Norovirus 65 of 1,955 (3.32%) 1 of 978 (0.10%)
Princess Cruises Diamond Princess 9/2-9/9 Norovirus 127 of 2,643 (4.81%) 4 of 1,120 (0.36%)
Royal Caribbean Cruise Line Radiance of the Seas 9/2-9/9 Unknown, negative for norovirus 227 of 2,131 (10.65%) 12 of 870 (1.38%)
Royal Caribbean Cruise Line Mariner of the Seas 7/23-7/30 Norovirus 248 of 3,671 (6.8%) 6 of 1,206 (0.5%)
Celebrity Cruises Infinity 7/9-7/16 Norovirus 105 of 2,282 (4.6%) 20 of 952 (2.1%)
Celebrity Cruises Mercury 6/2-6/9 Norovirus 121 of 2,025 (5.98%) 4 of 848 (0.47%)
Holland America Line Ryndam 5/28-6/4 Norovirus 64 of 1,230 (5.2%) 5 of 574 (0.87%)
Holland America Line Ryndam 5/14-5/21 Norovirus 102 of 1,270 (7.97%) 13 of 570 (2.28%)
Norwegian Cruise Line Norwegian Star 5/14-5/21 Norovirus 115 of 2,388 (4.82%) 12 of 1,063 (1.13%)
Norwegian Cruise Line Norwegian Sun 5/13-5/20 Norovirus 71 of 2,107 (3.37%) 6 of 924 (0.65%)
Holland America Line Veendam 4/22 – 5/9 Norovirus 67 of 1,214 (5.52%) 8 of 566 (1.41%)
Royal Caribbean Cruise Line Explorer of the Seas 4/23-4/30 Norovirus 117 of 3,292 (3.6%) 15 of 1,188 (1.26%)
Princess Cruises Island Princess 3/7-3/22 Norovirus 72 of 1,950 (3.69%) 16 of 911 (1.76%)
Holland America Line Amsterdam 3/7-3/22 Norovirus 130 of 1,360 (9.56%) 8 of 606 (1.32%)
3/22-4/6 Norovirus 76 of 1,294 (5.87%) 8 of 605 (1.32%)
Celebrity Cruises Mercury 3/6-3/17 Norovirus 191 of 1,902 (10.04%) 14 of 840 (1.67%)
3/17-3/27 Norovirus 107 of 1,986 (5.39%) 24 of 844 (2.84%)
Royal Caribbean Cruise Line Grandeur of the Seas 3/6-3/11 Norovirus 130 of 2,263 (5.74%) 11 of 754 (1.46%)
Holland America Line Volendam 3/3-3/13 Norovirus 51 of 1,412 (3.61%) 3 of 613 (0.49%)
Regent Seven Seas Cruises Seven Seas Mariner 2/28-3/13 Unknown 26 of 582 (4.47%) 13 of 444 (2.93%)
Royal Caribbean Cruise Line Explorer of the Seas 2/26-3/5 Norovirus 243 of 3,245 (7.5%) 19 of 1,184 (1.6%)
Cunard Line Queen Mary 2 2/8-2/22 Enterotoxigenic E. coli (ETEC) 86 of 2,498 (3.44%) 31 of 1,271 (2.44%)
P & O Cruises Minerva II 1/12-1/26 Unknown 23 of 562 (4.09%) 3 of 326 (0.92%)
Holland America Line Zuiderdam 12/30/05-1/7/06 Norovirus 105 of 1,888 (5.56%) 33 of 814 (4.05%)

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2005
Cruise Line Cruise Ship Sailing Dates Causative Agent Case Counts (Passengers) Case Counts (Crew)
Royal Caribbean Cruise Line Splendour of the Seas 11/12-11/26 Norovirus 135 of 1,592 (8.48%) 12 of 729 (1.65%)
Princess Cruises Sun Princess 5/9-5/16 Norovirus 121 of 2,000 (6.05%) 4 of 852 (0.47%)
Princess Cruises Dawn Princess 4/29-5/14 Norovirus 76 of 1,974 (3.9%) 9 of 864 (1.0%)
Celebrity Cruises Horizon 4/23-4/30 Unknown 42 of 1,309 (3.2%) 14 of 650 (2.1%)
Crystal Cruises Crystal Symphony 4/14-4/25 Unknown 20 of 570 (3.5%) 3 of 560 (0.5%)
Norwegian Cruise Line Norwegian Crown 3/13-3/28 Unknown 60 of 1,014 (5.92%) 4 of 528 (0.75%)
Princess Cruises Royal Princess 3/7-3/24 Unknown 38 of 1,163 (3.27%) 15 of 541 (2.77%)
Holland America Line Veendam 3/5-3/12 Norovirus 88 of 1,267 (6.95%) 6 of 554 (1.08%)
Celebrity Cruises Zenith 2/27-3/13 Norovirus 138 of 1,308 (10.55%) 17 of 656 (2.59%)
Carnival Cruise Line Celebration 2/21-2/26 Norovirus 69 of 1,647 (4.19%) 30 of 693 (4.33%)
2/17-2/21 Norovirus 89 of 1,692 (5.26%) 35 of 688 (5.09%)
Regent Seven Seas Cruises Seven Seas Mariner 2/12-2/24 Salmonella 1 of 551 (0.18%) 20 of 444 (4.5%)
Royal Caribbean Cruise Line Empress of the Seas 1/17-1/28 Norovirus 72 of 1,544 (4.6%) 5 of 685 (0.7%)
Royal Caribbean Cruise Line Mariner of the Seas 1/16-1/23 Norovirus 276 of 3,465 (7.9%) 27 of 1,190 (2.2%)
Holland America Line Ryndam 1/13-1/29 Norovirus 272 of 1,223 (22.2%) 37 of 574 (6.4%
Princess Cruises Sun Princess 1/8-1/18 Norovirus 93 of 2,035 (4.57%) 5 of 865 (0.58%)
Holland America Line Veendam 1/3-1/15 Norovirus 70 of 1,236 (5.66%) 7 of 571 (1.23%)
1/15-1/29 Norovirus 219 of 1,229 (17.8%) 36 of 584 (6.2%)
Royal Caribbean Cruise Line Enchantment of the Seas 1/3-1/8 Norovirus 103 of 2,136 (4.82%) 8 of 756 (1.06%)

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2004
Cruise Line Cruise Ship Sailing Dates Causative Agent Case Counts (Passengers) Case Counts (Crew)
Princess Cruises Coral Princess 12/28-1/07 Norovirus 84 of 2,116 (3.97%) 31 of 913 (3.4%)
Princess Cruises Golden Princess 12/12-12/19 Norovirus 84 of 2,742 (3.06%) 15 of 1,100 (1.36%)
SilverSea Cruise Line Silver Shadow 12/4-12/14 Specimens not obtained 11 of 275 (4.0%) 20 of 291 (6.87%)
Norwegian Cruise Line Norwegian Dream 12/5-12/12 Norovirus 73 of 1,749 (4.17%) 9 of 744 (1.21%)
Institute for Shipboard Education M/V Explorer 6/19-12/8 Unknown 71 of 758 (9.37%) 1 of 195 (0.51%)
Holland America Line Veendam 9/26-10/14 Unknown 39 of 1,230 (3.17%) 2 of 557 (0.36%)
Princess Cruises Regal Princess 9/11-9/20 Unknown 47 of 1,537 (3.06%) 7 of 680 (1.03%)
Princess Cruises Sun Princess 9/13-9/20 Unknown 101 of 2,031 (4.97%) 14 of 875 (1.60%)
9/6-9/13 Norovirus 145 of 1,998 (7.26%) 5 of 855 (0.58%)
Clipper Cruise Line Nantucket Clipper 9/3-8/11 Specimens not obtained Not available Not available
SilverSeas Cruise Line Silver Shadow 7/26-8/6 Unknown 13 of 371 (3.50%) 5 of 289 (1.73%)
Princess Cruises Pacific Princess 7/25-8/17 Unknown 57 of 618 (9.22%) 10 of 384 (2.60%)
Royal Caribbean Cruise Line Serenade of the Seas 6/6-6/13 Unknown 71 of 2,273 (3.12%) 9 of 857 (1.05%)
Princess Cruises Island Princess 6/5-6/12 Unknown 66 of 2,036 (3.24%) 18 of 930 (1.94%)
5/29-6/5 Norovirus 375 of 2,018 (18.58%) 50 of 896 (5.58%)
Norwegian Cruise Line Norwegian Crown 5/2-5/9 Norovirus 39 of 1,070 (3.64%) 6 of 541 (1.11%)
4/17-5/2 Norovirus 43 of 1,109 (3.88%) 2 of 536 (0.37%)
Holland America Line Veendam 4/17-5/2 Norovirus 91 of 1,238 (7.35%) 7 of 557 (1.26%)
Norwegian Cruise Line Norwegian Wind 4/17-5/2 Specimens not obtained 54 of 1,681 (3.21%) 2 of 731 (0.27%)
Holland America Line Rotterdam 4/2-4/15 Unknown 38 of 1,262 (3.01%) 7 of 560 (1.25%)
Holland America Line Amsterdam 3/31-4/17 Enterotoxigenic E. coli (ETEC) 75 of 1,130 (6.64%) 11 of 585 (1.88%)
Celebrity Cruises Zenith 3/28-4/11 Norovirus 59 of 1,338 (4.41%) 7 of 668 (1.05%)
Celebrity Cruises Horizon 3/22-4/2 Norovirus 49 of 1,250 (3.92%) 5 of 679 (0.74%)
Norwegian Cruise Line Norwegian Crown 3/22-4/4 Norovirus 45 of 1,018 (4.38%) 8 of 546 (1.47%)
3/7-3/22 Unknown, negative for norovirus 77 of 984 (7.82%) 10 of 541 (1.85%)
Princess Cruises Royal Princess 3/8-3/25 Unknown, negative for norovirus 46 of 1,129 (4.07%) 12 of 539 (2.23%)
Cunard Line Queen Mary 2 2/23-3/6 Norovirus 33 of 2,241 (1.35%) 55 of 1,352 (4.07%)
Royal Caribbean Cruise Line Brilliance of the Seas 2/16-2/27 Norovirus 78 of 2,187 (3.57%) 16 of 842 (1.9%)
Cunard Line Queen Elizabeth 2 2/17-3/1 Unknown 82 of 1,521 (5.39%) 24 of 991 (2.42%)
ResidenSea Cruise Line The World 2/3-2/24 Specimens not obtained 0 of 68 (0.0%) 8 of 254 (3.14%)
P & O Cruises Oriana 2/20-3/5 Norovirus 65 of 1,793 (3.63%) 9 of 783 (1.15%)
Carnival Cruise Line Carnival Celebration 2/9-2/14 Norovirus 297 of 1,576 (18.84%) 19 of 689 (2.75%)
Holland America Line Ryndam 2/7-2/14 Norovirus 73 of 1,260 (5.8%) 9 of 550 (1.64%)
Princess Cruises Coral Princess 1/12-1/22 Norovirus 133 of 2,095 (6.35%) 18 of 912 (1.97%)
Cunard Line Queen Elizabeth 2 1/5-1/19 Specimens not obtained 29 of 1,563 (1.86%) 46 of 1,008 (4.56%)
Windjammer Barefoot Cruises Legacy 1/4-1/10 Specimens not obtained 0 (0.0%) 2 of 46 (4.65%)

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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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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

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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

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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

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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


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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


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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


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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)


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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)


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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

 

Page last reviewed: February 6, 2020