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Outbreak Updates for International Cruise Ships

When sailing from a foreign port to a U.S. port, cruise ships participating in the Vessel Sanitation Program (VSP) are required to report the total number of gastrointestinal (GI) illness cases–including zero–evaluated by the medical staff at least 24 hours before the ship arrives at the U.S. port.

VSP also requires cruise ships to send a separate notification when the GI illness count exceeds 2% of the total number of passengers or crew onboard.

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

Cruise ship outbreak updates are posted when they meet the following criteria:

  • Fall within the purview of VSP (see about 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.

VSP may also post outbreak updates for gastrointestinal illness outbreaks of public health significance.

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

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

 

2017
Cruise Line Cruise Ship Sailing Dates Causative Agent
Holland America Noordam 7/30 – 8/6 unknown
Holland America Nieuw Amsterdam 7/22 – 7/29 unknown
Holland America Noordam 7/23 – 7/30 unknown
Holland America Volendam 7/19 – 7/26 unknown
Holland America Volendam 7/12 – 7/19 norovirus
Oceania Cruises Regatta 3/29 – 4/14 Unknown
Princess Cruises Coral Princess 3/8 – 3/18 Norovirus

 

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
Holland America Line Amsterdam 12/02-12/23 Norovirus
Regent Seven Seas Cruises Seven Seas Mariner 12/02-12/20 Norovirus
Norwegian Cruise Line Norwegian Spirit 10/23-11/08 Norovirus
Holland America Line Noordam 10/16-11/1 Norovirus
Holland America Line Amsterdam 5/23-5/30 Unknown
Princess Cruises Coral Princess 5/18-5/25 Unknown
Princess Cruises Island Princess 4/23-5/07 Shigella sonnei and Enterotoxigenic E. coli (ETEC)
Carnival Cruise Line Carnival Liberty 4/18-4/25 Norovirus
Holland America Line Amsterdam 4/2-4/24 Cyclospora cayetanensis
Celebrity Cruises Celebrity Mercury 2/28-3/15 Norovirus
Holland America Line Oosterdam 2/21-2/28 Norovirus
Holland America Line Zaandam 2/5-2/20 Norovirus
Princess Cruises Coral Princess 2/3-2/13 Norovirus
Celebrity Cruises Celebrity Mercury 1/3-1/17 Norovirus
Holland America Line Maasdam 1/2-1/9 Unknown

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2008
Cruise Line Cruise Ship Sailing Dates Causative Agent
Holland America Line Zuiderdam 10/23-11/09 Norovirus
Princess Cruises Caribbean Princess 10/19-10/26 Norovirus
Norwegian Cruise Line Norwegian Jewel 10/8-10/18 Norovirus
American Canadian Cruise Line Grande Caribe 9/30-10/12 Norovirus
Norwegian Cruise Line Norwegian Jewel 9/28-10/8 Norovirus
Regent Seven Seas Cruises Seven Seas Mariner 8/27-9/3 Norovirus
Holland America Line Veendam 6/13-6/20 Norovirus
Norwegian Cruise Line Norwegian Dream 4/13-5/1 Norovirus and Enterotoxigenic E. coli (ETEC)
Holland America Line Zaandam 3/19-4/3 Norovirus
Holland America Line Ryndam 2/15-2/25 Norovirus
Carnival Cruise Line Holiday 1/24-1/28 Norovirus
Norwegian Cruise Lines Norwegian Star 1/19-1/27 Norovirus
Holland America Line Noordam 1/5-1/16 Norovirus
Holland America Line Volendam 1/2-1/12 Norovirus
Princess Cruises Pacific Princess 12/15-1/10 Enterotoxigenic E. coli (ETEC)

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2007
Cruise Line Cruise Ship Sailing Dates Causative Agent
Princess Cruises Emerald Princess 12/16-12/26 Norovirus
Norwegian Cruise Line Norwegian Pearl 11/30-12/9 Norovirus
Holland America Line Zaandam 11/5-11/20 Norovirus
Norwegian Cruise Line Norwegian Dawn 10/14-10/26 Norovirus
Norwegian Cruise Line Norwegian Crown 8/12-8/19 Norovirus
Carnival Cruise Line Carnival Spirit 6/13-6/20 Norovirus
Royal Caribbean Cruise Line Liberty of the Seas 5/26-6/2 Norovirus
Norwegian Cruise Line Norwegian Star 5/19-5/26 Norovirus
Norwegian Cruise Line Norwegian Pearl 4/13-4/22 Specimens not obtained
Holland America Line Volendam 4/12-4/22 Specimens not obtained
Regent Seven Seas Cruises Seven Seas Navigator 4/5-4/16 Norovirus
Celebrity Cruises Zenith 4/2-4/13 Norovirus
Majestic America Line Empress of the North 3/16-3/21 Norovirus
Princess Cruises Regal Princess 3/13-3/25 Unknown
Regent Seven Seas Cruises Seven Seas Mariner 2/25-3/9 Shigella, Salmonella, Enterobacter, and Entameoba histolytica
Holland America Ryndam 3/3-3/13 Norovirus
2/21-3/3 Norovirus
1/22-2/21 Norovirus
Holland America Line Westerdam 2/2-2/11 Norovirus
Princess Cruises Island Princess 1/26-2/10 Norovirus
Cruise West Spirit of Nantucket 1/27-2/3 Unknown
Holland America Line Volendam 1/22-2/1 Specimens not obtained
Cunard Line Queen Elizabeth 2 1/8-1/22 Norovirus

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2006
Cruise Line Cruise Ship Sailing Dates Causative Agent
Princess Cruises Regal Princess 12/7-12/27 Norovirus
Princess Cruises Sun Princess 11/30-12/10 Norovirus
Norwegian Cruise Line Norwegian Wind 11/29-12/9 Norovirus
Holland America Line Zaandam 11/26-12/11 Norovirus
Royal Caribbean Cruise Line Freedom of the Seas 11/26-12/3/06 Norovirus
12/3-12/10, No sail recommendation Norovirus
Royal Caribbean Cruise Line Serenade of the Seas 11/18-11/25 Norovirus
Celebrity Cruises Summit 11/11-11/25 Unknown, negative for norovirus
Royal Caribbean Cruise Line Adventure of the Seas 11/5-11/12 Norovirus
Carnival Cruise Line Carnival Liberty 11/3-11/19 Norovirus
Royal Caribbean Cruise Line Serenade of the Seas 10/29-11/11 Norovirus
Princess Cruises Island Princess 10/21-11/5 Norovirus
Celebrity Cruises Constellation 10/27-11/7 Norovirus
Celebrity Cruises Constellation 10/16-10/27/06 Norovirus
Princess Cruises Diamond Princess 9/2-9/9 Norovirus
Royal Caribbean Cruise Line Radiance of the Seas 9/2-9/9 Unknown, negative for norovirus
Royal Caribbean Cruise Line Mariner of the Seas 7/23-7/30 Norovirus
Celebrity Cruises Infinity 7/9-7/16 Norovirus
Celebrity Cruises Mercury 6/2-6/9 Norovirus
Holland America Line Ryndam 5/28-6/4 Norovirus
Holland America Line Ryndam 5/14-5/21 Norovirus
Norwegian Cruise Line Norwegian Star 5/14-5/21 Norovirus
Norwegian Cruise Line Norwegian Sun 5/13-5/20 Norovirus
Holland America Line Veendam 4/22 – 5/9 Norovirus
Royal Caribbean Cruise Line Explorer of the Seas 4/23-4/30 Norovirus
Princess Cruises Island Princess 3/7-3/22 Norovirus
Holland America Line Amsterdam 3/7-3/22 Norovirus
3/22-4/6 Norovirus
Celebrity Cruises Mercury 3/6-3/17 Norovirus
3/17-3/27 Norovirus
Royal Caribbean Cruise Line Grandeur of the Seas 3/6-3/11 Norovirus
Holland America Line Volendam 3/3-3/13 Norovirus
Regent Seven Seas Cruises Seven Seas Mariner 2/28-3/13 Unknown
Royal Caribbean Cruise Line Explorer of the Seas 2/26-3/5 Norovirus
Cunard Line Queen Mary 2 2/8-2/22 Enterotoxigenic E. coli (ETEC)
P & O Cruises Minerva II 1/12-1/26 Unknown
Holland America Line Zuiderdam 12/30/05-1/7/06 Norovirus

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2005
Cruise Line Cruise Ship Sailing Dates Causative Agent
Royal Caribbean Cruise Line Splendour of the Seas 11/12-11/26 Norovirus
Princess Cruises Sun Princess 5/9-5/16 Norovirus
Princess Cruises Dawn Princess 4/29-5/14 Norovirus
Celebrity Cruises Horizon 4/23-4/30 Unknown
Crystal Cruises Crystal Symphony 4/14-4/25 Unknown
Norwegian Cruise Line Norwegian Crown 3/13-3/28 Unknown
Princess Cruises Royal Princess 3/7-3/24 Unknown
Holland America Line Veendam 3/5-3/12 Norovirus
Celebrity Cruises Zenith 2/27-3/13 Norovirus
Carnival Cruise Line Celebration 2/21-2/26 Norovirus
2/17-2/21 Norovirus
Regent Seven Seas Cruises Seven Seas Mariner 2/12-2/24 Salmonella
Royal Caribbean Cruise Line Empress of the Seas 1/17-1/28 Norovirus
Royal Caribbean Cruise Line Mariner of the Seas 1/16-1/23 Norovirus
Holland America Line Ryndam 1/13-1/29 Norovirus
Princess Cruises Sun Princess 1/8-1/18 Norovirus
Holland America Line Veendam 1/3-1/15 Norovirus
1/15-1/29 Norovirus
Royal Caribbean Cruise Line Enchantment of the Seas 1/3-1/8 Norovirus

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2004
Cruise Line Cruise Ship Sailing Dates Causative Agent
Princess Cruises Coral Princess 12/28-1/07 Norovirus
Princess Cruises Golden Princess 12/12-12/19 Norovirus
SilverSea Cruise Line Silver Shadow 12/4-12/14 Specimens not obtained
Norwegian Cruise Line Norwegian Dream 12/5-12/12 Norovirus
Institute for Shipboard Education M/V Explorer 6/19-12/8 Unknown
Holland America Line Veendam 9/26-10/14 Unknown
Princess Cruises Regal Princess 9/11-9/20 Unknown
Princess Cruises Sun Princess 9/13-9/20 Unknown
9/6-9/13 Norovirus
Clipper Cruise Line Nantucket Clipper 9/3-8/11 Specimens not obtained
SilverSeas Cruise Line Silver Shadow 7/26-8/6 Unknown
Princess Cruises Pacific Princess 7/25-8/17 Unknown
Royal Caribbean Cruise Line Serenade of the Seas 6/6-6/13 Unknown
Princess Cruises Island Princess 6/5-6/12 Unknown
5/29-6/5 Norovirus
Norwegian Cruise Line Norwegian Crown 5/2-5/9 Norovirus
4/17-5/2 Norovirus
Holland America Line Veendam 4/17-5/2 Norovirus
Norwegian Cruise Line Norwegian Wind 4/17-5/2 Specimens not obtained
Holland America Line Rotterdam 4/2-4/15 Unknown
Holland America Line Amsterdam 3/31-4/17 Enterotoxigenic E. coli (ETEC)
Celebrity Cruises Zenith 3/28-4/11 Norovirus
Celebrity Cruises Horizon 3/22-4/2 Norovirus
Norwegian Cruise Line Norwegian Crown 3/22-4/4 Norovirus
3/7-3/22 Unknown, negative for norovirus
Princess Cruises Royal Princess 3/8-3/25 Unknown, negative for norovirus
Cunard Line Queen Mary 2 2/23-3/6 Norovirus
Royal Caribbean Cruise Line Brilliance of the Seas 2/16-2/27 Norovirus
Cunard Line Queen Elizabeth 2 2/17-3/1 Unknown
ResidenSea Cruise Line The World 2/3-2/24 Specimens not obtained
P & O Cruises Oriana 2/20-3/5 Norovirus
Carnival Cruise Line Carnival Celebration 2/9-2/14 Norovirus
Holland America Line Ryndam 2/7-2/14 Norovirus
Princess Cruises Coral Princess 1/12-1/22 Norovirus
Cunard Line Queen Elizabeth 2 1/5-1/19 Specimens not obtained
Windjammer Barefoot Cruises Legacy 1/4-1/10 Specimens not obtained

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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
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