cruise ship 800 covid cases

More Than 800 Passengers Got COVID On A Cruise Ship, Which Then Let People Off In Australia

The cases are all mild or asymptomatic.

BuzzFeed News Reporter

The Majestic Princess cruise ship docked at the International Terminal at Circular Quay in Sydney on Nov. 12, 2022.

Passengers on a cruise ship where more than 800 people tested positive for COVID-19 disembarked on Saturday in Sydney.

The Majestic Princess returned from a 12-day voyage to New Zealand carrying more than 4,000 people, according to the Australian Broadcasting Corp . That means 20% of the people on board got COVID.

Marguerite Fitzgerald, the president of the ship’s cruise operator Carnival Australia, said at a Saturday press conference that cases started to rise about halfway through the trip. She also said that all cases were mild or asymptomatic.

A spokesperson for the ship’s cruise line, Princess Cruises, said in a statement that all guests on board took rapid antigen tests within 24 hours of disembarking. Those who tested positive were told to exit separately from others and to avoid public transportation. Cruise line staff were also helping people who were positive find accommodations to continue isolating, Princess Cruises Senior Vice President Stuart Allison said in a statement to Australian outlet 9 News .

The Majestic Princess prepares to depart from Sydney in November 2022.

In an additional statement to CNN , Fitzgerald said the cruise operator has been implementing “the most rigorous and strict measures which go well above current guidelines,” including testing staff and passengers for COVID before they board and requiring 95% of guests over the age of 12 to be vaccinated. She said that Carnival Australia ships have made more than 50 voyages, “with a vast majority of more than 100,000 guests unimpacted by COVID.”

“However, the emergence of COVID in the community has meant we have seen a rise in positive cases on the last three voyages,” she added.

The Majestic Princess has since continued on to Melbourne, carrying 220 people from the original New Zealand cruise, SBS News reported . That means at least 580 people who got COVID on the ship disembarked in Sydney.

The Majestic Princess docked in Sydney

After Australia closed its borders for two years, tourism is back in the country, and neither proof of vaccination nor a negative COVID test is required to enter. The country also no longer requires people with positive COVID tests to isolate, but local authorities in New South Wales advised individuals who test positive to isolate for five days after. These relaxed guidelines serve as a sharp contrast with Australia's once-intense COVID regulations .

Carnival cruise ships have been incubators for COVID in the past. In March 2020, the Ruby Princess allowed thousands of passengers to disembark in Sydney. At least 700 cases were linked to the ship, and at least 28 people died, according to the ABC . There were 12 COVID-related fatalities later that year linked to the Diamond Princess .

“Didn’t… didn’t we already do this?” one Twitter user wrote in response to the news about the 800 COVID cases on the Majestic Princess .

Other users are raising questions about how safe it is to cruise while the pandemic is ongoing, even if vaccines provide protection against severe illness.

The Twindenberg @jonkudelka I didn’t understand why anyone would pay to go on a cruise ship before covid but seriously how much would you have to hate yourself to do it now? 12:33 AM - 12 Nov 2022 Reply Retweet Favorite

The Cockatoo @DarcyAmaroo Back to square one. That’s how it started. A cruise ship docking with hundreds of cases of Covid on board. Why would you go on a crowded cruise ship with Covid still spreading through the population? 08:32 PM - 11 Nov 2022 Reply Retweet Favorite

covid is not over @twee_i_a I get it, I really do. The need 2 get back to a "normal life" is absolutely critical for all of us. But we are going to have to realize that for ALL of us to have any hope of doing that, many of us are going to have to change the way we go about things. Cruises are not necessary. 07:26 PM - 11 Nov 2022 Reply Retweet Favorite

MelissaD 🔥💧🐨🌱💓🌍 😷 @D_Melissa2 If cruise ships are going to have 800+ Covid-19 🦠 + cases of people disembarking from them we really need to talk about responsibilities to the community. 11:12 PM - 11 Nov 2022 Reply Retweet Favorite

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Cruise ship with 800 Covid cases docks in Sydney

• Published 12 November 2022
• Coronavirus

About 4,600 passengers and crew were aboard the Majestic Princess (seen here in 2021)

A holiday cruise ship carrying about 800 passengers with Covid-19 has docked in Sydney, Australia.

The Majestic Princess cruise ship arrived at Circular Quay, having sailed from New Zealand.

About 4,600 passengers and crew were aboard the ship when it docked - meaning around one in five had Covid.

The outbreak is reminiscent of the Ruby Princess cruise ship Covid outbreak of early 2020, where at least 900 people tested positive and 28 died.

Marguerite Fitzgerald, the president of cruise operator Carnival Australia, said a large number of cases started to be detected about halfway through the 12-day voyage.

All cases were either asymptomatic or mildly symptomatic, she said.

Staff would be assisting all guests who have tested positive "with accessing private transport and accommodation to complete their isolation period", she said. The ship will soon depart for Melbourne.

Asked about comparisons between the Majestic Princess and the Ruby Princess - which also belongs to the same operator - Ms Fitzgerald said: "Since then, we as a community have learnt a lot, a lot more about Covid."

The outbreak comes as Covid cases rise across Australia.

In New South Wales, 19,800 new cases were detected in the seven days to Friday.

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• Cruise ships

More on this story

'Serious mistakes' made over cruise ship outbreak

• Published 17 August 2020

clock This article was published more than  1 year ago

A cruise ship with 800 covid cases docks in Sydney

An earlier version of this story said the Ruby Princess cruise ship is owned by Carnival Cruise Line. The ship is owned by the Carnival Corporation. The story has been corrected.

A cruise ship carrying some 800 people who have tested positive for the coronavirus docked in downtown Sydney on Saturday, triggering memories of a deadly ship-related outbreak in Australia’s largest city in the early, pre-vaccine days of the pandemic.

The Majestic Princess, which returned from New Zealand, is carrying more than 4,000 people, according to the Australian Broadcasting Corp (ABC). Princess Cruises, the cruise line, said in a statement that all guests onboard took a rapid antigen test within 24 hours of disembarking and that passengers who had tested positive would exit separately and not take public transport. Australia no longer requires people who have tested positive for the virus to isolate, though local authorities have issued guidance that covid patients onboard ships should isolate for five days after testing positive.

“Our onboard medical team will continue to support guests until they disembark,” Princess Cruises said in a statement. It did not respond to a question about whether customers who had tested positive could isolate onboard until they recovered, though the company said it would help guests access accommodation for isolation. The Majestic Princess was scheduled to soon sail to Melbourne, Australia’s second-largest city.

The health department of New South Wales, the state in which Sydney is located, said in a separate statement that patients had been isolating onboard. State authorities said that there was a “Tier 3” covid risk level aboard the Majestic Princess, indicating a “high level of transmission.”

Cruise ships have been a potent incubator for the coronavirus. In the United States, the Centers for Disease Control and Prevention monitored such ships for transmission at sea for about two years ; it also warned against cruise travel amid the omicron spike during last year’s holiday season. The CDC still recommends getting vaccinated and taking a coronavirus test before boarding a cruise ship.

In early 2020, Carnival Corporation’s Ruby Princess allowed thousands of passengers to disembark in Sydney, placing the cruise ship at the center of one of Australia’s largest covid outbreaks. At least 28 people died and 700 cases were linked to the ship, according to the ABC . Another Carnival ship, the Diamond Princess , also logged 12 Covid-related fatalities earlier that year, including the first Australian national to die of the virus.

But the country has since lifted coronavirus restrictions on international travel: Proof of vaccination or a negative coronavirus test are no longer required for entry, and mask-wearing on international flights is encouraged but not mandatory, according to Australia’s Department of Health and Aged Care.

The absence of restrictions is a far cry from how Australia first handled the pandemic. Sydney, the commercial capital, enacted a 106-day lockdown in 2021, while Melbourne endured the world’s longest stay-at-home lockdown. Australia also closed its borders to nearly all international travelers for nearly two years , reopening in February. It deported tennis ace Novak Djokovic for being unvaccinated, preventing him from competing in this year’s Australian Open. The country has one of the lowest covid death rates in the Western world.

One side effect of cruise covid rules: Norovirus has plummeted

Australia’s reopening came after it achieved one of the world’s highest immunization rates. As of Nov. 9, nearly 96 percent of residents older than 16 have received two doses of a coronavirus vaccine . The country of 25.7 million people reported a seven-day rolling average of 12 deaths on Friday, or about half that of a month ago.

But New South Wales authorities said this week that the state had entered a new wave of the pandemic, and some medical experts fear that the upcoming holiday season will trigger a spike in infections that could challenge the hospital system in a country that has removed virtually all curbs on the virus.

“If the major public hospitals on the east coast aren’t overwhelmed with patients and facing staff shortages over the holiday break - I’ll donate $1000 to charity,” tweeted physician Steve Robson, president of the Australian Medical Association, in response to news of infections on board the Majestic Princess. (Most of Australia’s population lives on its east coast.)

Katerina Ang contributed to this report.

Cruise ship docks in Sydney after 800 people on board infected by COVID outbreak

• A cruise ship where 800 people on board have tested positive for COVID has docked in Sydney.
• The president of the cruise operator said cases began to rise halfway through the voyage. 
•  54,661 cases of COVID were reported across Australia in the last week. 

A cruise ship suffering a major COVID outbreak has docked in Sydney, Australia.

The BBC reports that approximately 4,600 passengers and crew were aboard the luxury Majestic Princess, and 800 people were affected by the outbreak of the viral bug. 

President of the cruise operator Carnival Australia Marguerite Fitzgerald told ABC Australia that they began seeing many cases halfway through the 12-day cruise around New Zealand, with all cases either asymptomatic or mildly symptomatic. 

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She told the news outlet, "Reflective of the increase in community transmissions, we too have seen more guests test positive for COVID-19 on the current voyage of Majestic Princess. This is a result of mass testing of our 3,300 guests."

She added that staff would be assisting all COVID-positive guests "with accessing private transport and accommodation to complete their isolation period," according to ABC. 

One passenger told ABC, per The Guardian: "It was scary because we heard about it, but of course, we tested negative, and the Majestic Princess were really good with the protocols. [We] wore masks for these last seven days, and we were very careful when we went ashore."

Carnival Australia did not immediately respond to Insider's request for comment. 

COVID cases are spiking across Australia, with 54,661 cases reported across the country in the last week, said The Guardian.

According to Reuters , Australian authorities have been working to assure the public that this ship outbreak is under control. Home Affairs Minister Clare O'Neil said that authorities had created "regular protocols" since the March-April 2020 Ruby Princess outbreak when hundreds caught COVID-19-linked an Australian cruise around the coast of New Zealand, and 28 people died.

O'Neil told Reuters that the authorities are determining how to get passengers off the Majestic Princess "on a case-by-case basis."

The ship will soon depart for Melbourne, Australia.

Watch: The rise and fall of the cruise industry

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• Travel Updates
• Health & Safety

Majestic Princess cruise ship docks with 800 positive Covid cases onboard

A huge cruise ship with hundreds of positive cases on-board is set to disembark in Sydney early this morning.

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A cruise ship with around 800 cases of Covid-19 on board has docked in Sydney on Saturday morning just as the state declares a fourth wave of the virus.

The Majestic Princess pulled into Sydney’s international cruise ship passenger terminal at Circular Quay at around 6am on Saturday.

Video posted to social media captured the moment it pulled into the harbour with passengers clinging to their balcony.

Almost one in four guests on board have now been diagnosed with Covid-19 after a 12-day trip around New Zealand.

Passengers Stephen and Sharon Leslie said while they felt safe onboard the cruise, they were disappointed another outbreak had occurred.

“It’s just disappointing for the cruise industry … and towards the end it did spoil things a bit,” Mrs Leslie told the Daily Telegraph.

Danielle Whitney-Smart was forced to spend the last few days of her first-cruise experience stuck in her cabin.

“It was great but definitely strange by the end,” Ms Smart told the Daily Telegraph.

She said she “couldn’t fault” the cruise company who ramped up cleaning protocols to manage the spread of rising cases.

Ambulance crews were standing by at the overseas passenger terminal as people prepared to disembark the ship.

A Princess Cruises spokesperson confirmed the outbreak and said positive cases were isolating in their rooms this morning.

“These guests are mildly symptomatic or asymptomatic and are isolating in their staterooms. All unimpacted guests are wearing masks and this will continue when they disembark in Sydney on 12 November,” the spokesperson said in a statement.

“Reflective of the increase in community transmission, we too have seen more guests test positive for Covid-19 on the current voyage of Majestic Princess.”

The #MajesticPrincess is pulling into Sydney Harbour right now. May it not be a giant superspreader in this stunning city. pic.twitter.com/LWXIv0JvyJ — David Wild (@Wildaboutmusic) November 11, 2022

The outbreak is the single biggest case of cruise ship infections in Australia since the Ruby Princess docked in 2020.

There were 900 covid cases on board that ship and 28 people died during the subsequent outbreak.

NSW Health is liaising with the cruise operator in the wake of the outbreak to “monitor the health of its passengers and crew members”.

“NSW Health’s assessment is that the Covid-19 risk level for the Majestic Princess is now Tier 3, which indicates a high level of transmission,” a spokesman said in a statement.

Private transport has been arranged for guests who have tested positive to travel to isolation.

“Carnival has advised NSW Health that passengers disembarking from the ship have undertaken a rapid antigen test in the 24 hours leading up to disembarkation,” a NSW Health spokesman said.

“Carnival has advised NSW Health that they are assisting passengers with Covid-19 to make safe onward travel arrangements.”

There are currently 4600 people on-board the Majestic Princess – 3300 guests and 1300 crew.

The outbreak comes as its announced that NSW has entered a fourth wave of Covid-19, with chief health officer Dr Kerry Chant saying that current omicron variants circulating in the community are able to escape immunity.

“The wave is taking off with some trajectory, it will be quite a steep wave and hopefully the decline will be equally as steep,” she told ABC.

“That’s why it’s important the community takes these protective measures now and I can’t stress the urgency — if you’re going to get vaccinated do it immediately.”

Australian travellers have been issued a warning about bringing home a highly contagious disease from overseas.

A traveller has been slapped with a $9000 fine and deported back home after sniffer dogs discovered their roasted chicken and pork combo lunch box.

A child who has just returned from the Middle East has contracted measles, leading NSW Health authorities to issue an urgent warning.

Hundreds of COVID-positive passengers disembarked cruise ship in Sydney

Around 800 people were infected on board the majestic princess..

The Majestic Princess cruise ship docked in Sydney with about 800 COVID-19 positive people aboard before heading to Melbourne and then Tasmania. Source: AAP / DEAN LEWINS/AAPIMAGE

• About 800 passengers were infected with COVID-19 on board the Majestic Princess.
• NSW Health says the COVID risk level for the ship is Tier 3, indicating a high level of transmission.
• At least 580 positive cases disembarked from the ship in Sydney.

Queensland is re-introducing COVID-19 rules amid a surge in cases. Will other states follow?

Return of cruise ships to Australia not a heal-all for ailing tourism sector

'poor communication upset us', covid-positive passengers told to isolate, nsw health says covid risk level is high.

Ruby Princess inquiry slams 'inexplicable' and 'unjustifiable' decisions by NSW Health

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Hundreds of COVID-19 positive passengers disembark Majestic Princess after cruise ship docks in Sydney

Carnival Australia president Marguerite Fitzgerald confirmed 800 COVID cases had been recorded onboard the Majestic Princess, and the majority of infections were among passengers. 

Hundreds of COVID-19 positive travellers are disembarking a cruise ship docked in Sydney this morning, with passengers advised not to catch public transport home. 

The Majestic Princess carried 3,300 guests and 1,300 crew on a 12-day cruise to New Zealand, with at least 20 per cent of passengers contracting COVID-19.

Speaking in Circular Quay where the vessel docked on Saturday morning, Carnival Australia president Marguerite Fitzgerald confirmed 800 COVID cases had been recorded, and the majority of infections were among passengers. 

“We have been proactively preparing for and managing incidences of COVID-19 and working with NSW Health,” she told reporters.

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“We started to see elevated cases about half way through this voyage.”

Ms Fitzgerald said most infected guests had mild symptoms or were asymptomatic and had been isolating in their cabins. 

Passengers who tested negative for the virus were allowed to disembark the cruise ship first, those who tested positive exited on a deck-by-deck basis through a separate door. 

Ms Fitzgerald said COVID positive passengers were advised not to use public transport when they disembark. 

“To help all our guests return home, we are working with all guests who have tested positive for COVID-19 to assist them with accessing private transport and accommodation to complete their isolation period,” she said.

“As they are getting off, they have advised how they will be returning home.”

NSW Health on Friday night ranked the Majestic Princess as a tier three COVID risk level, which indicates a high level of transmission.

All guests onboard were advised to wear masks and were required to take a rapid antigen test in the last 24 hours to determine how they would disembark.

Uninfected guests disembarking the Majestic Princess on Saturday morning told the Daily Telegraph they were satisfied with the precautions taken by the cruise line. 

“We felt safe most of the time … they were cleaning the whole time,” passenger Sharon Leslie told the publication.

Sharon Kluger said the cruise line kept passengers informed as the outbreak worsened. 

“We weren’t worried about COVID, we were just doing our own thing and wearing our masks,” she said.

It comes as Chief Health Officer Kerry Chant warned New South Wales had entered its fourth COVID-19 wave. 

There are currently 974 COVID-19 patients in NSW hospitals including 32 in ICU, while this week cases jumped from 12,450 to 19,800.

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There's COVID-19 on nearly every cruise ship right now: Here's what cruisers need to know

Things are getting iffy again for cruisers -- at least for those with near-term bookings.

The ongoing surge in COVID-19 cases around the world is causing a growing number of disruptions to itineraries and even some last-minute cancellations of entire voyages.

The number of passengers being quarantined on ships (after testing positive for COVID-19) also is on the rise. And passengers who aren't COVID-19 positive are getting caught up in short-term quarantines for being "close contacts" of shipmates who are.

For more cruise guides, tips and news, sign up for TPG's cruise newsletter .

Meanwhile, just getting to ships is becoming increasingly stressful, as getting the pre-cruise COVID-19 test that's often required before cruising is getting more difficult . Plus, a "perfect storm" of soaring COVID-19 cases and rough winter weather has wreaked havoc with airline operations for weeks.

Still, the situation isn't anywhere near as dramatic or disruptive as what we saw at the start of the COVID-19 pandemic two years ago, when whole ships were being quarantined due to outbreaks of the illness and, eventually, the entire industry shut down.

As I saw myself during a cruise to Antarctica in recent weeks, many sailings are operating relatively normally, even when there are COVID-19 cases on board.

Here's a look at everything you need to know if you've got a cruise booked in the coming weeks -- or further out.

COVID-19 cases on ships are up a lot

While cruise ships have recorded relatively few cases of COVID-19 over the past year, in part due to unusually strict health protocols , the number of passengers and crew testing positive on ships has been rising sharply in recent weeks along with the greater surge on land.

At the end of December, the U.S. Centers for Disease Control and Prevention reported that 5,013 COVID-19 cases had been reported on cruise vessels operating in U.S. waters during the last two weeks of the month, up from just 162 cases during the first two weeks of the month.

That's a 3,094% increase.

Anecdotal reports are that the number of cases on ships is up even more in the first 10 days of the new year.

Notably, all 92 cruise vessels currently operating in U.S. waters have recorded at least a handful of COVID-19 cases in recent weeks, according to CDC data.

Still, it's important to note that most of these "cases" of COVID-19 are asymptomatic or mild, only discovered during routine testing. While some ships only are testing passengers who report feeling ill for COVID-19 (and close contacts of those who subsequently test positive), other ships are testing every single passenger at least once per voyage, sometimes more. One line, Viking , is testing every single passenger for COVID-19 every day.

Cruise lines also are testing all crew members regularly.

The result is the detection of many asymptomatic cases that otherwise would have gone undetected. This is a level of surveillance that is much greater than what is the norm for other travel venues such as land-based resorts or theme parks, and it can give the false impression that the positivity rate for COVID-19 on ships is unusually high as compared to other places.

If anything, the positivity rate is far lower on ships than on land, thanks to much stricter health protocols (more on that in a moment).

It's also important to note that the detection of COVID-19-positive passengers or crew on board your ship won't necessarily impact your sailing (unless you are among those testing positive).

Health authorities no longer are quarantining whole ships when a few -- or even a lot -- of passengers and crew test positive for COVID-19. The current protocol on most ships is to isolate COVID-19-positive passengers and crew but otherwise continue on with voyages as planned.

Your itinerary could change

While health authorities no longer are quarantining whole ships when a few passengers or crew test positive for COVID-19, the presence of the illness on board a vessel still could result in notable disruptions to your itinerary.

Cruise lines in recent weeks have faced a growing number of ports that are balking at allowing ships with COVID-19-positive passengers or crew to dock.

Several ships recently had to skip port calls in Mexico , for instance, after passengers and crew on board the vessels tested positive for COVID-19. The ports have since reopened after Mexico's Health Department overruled the decisions of local port officials.

Cruise ships also have had to cancel stops recently at the islands of Aruba, Bonaire and Curaçao, and at San Juan, Puerto Rico, due to local worries about COVID-19-positive passengers and crew on board and/or tighter COVID-19-related entry requirements.

Lines also are dealing with a small but growing number of destinations -- India and Hong Kong, for example -- that are at least temporarily closing to cruising completely, even for ships where no one has tested positive for COVID-19.

Viking on Sunday was forced to announce a major revision of its soon-to-begin, 120-day world cruise after India notified the line it was closing to cruise ships. Viking's 930-passenger Viking Star will begin its world cruise this week by heading south from Los Angeles to Central America and South America instead of sailing westward toward Asia, where it was scheduled to spend a significant amount of time in India.

Your cruise could be canceled on short notice

A growing number of cruise lines are canceling sailings on short notice, citing the disruptions caused by COVID-19. The world's largest cruise operator Royal Caribbean on Friday canceled soon-to-depart sailings on four of its 25 ships, including the next three departures of the world's largest ship, Symphony of the Seas .

Norwegian Cruise Line on Wednesday canceled soon-to-depart voyages on eight of its 17 ships.

Other lines canceling one or more sailings in recent days include Holland America , Silversea , Atlas Ocean Voyages, Regent Seven Seas Cruises, MSC Cruises , Costa Cruises and Oceania Cruises .

The cancellations come as lines struggle to maintain adequate staffing levels on some ships due to crew members testing positive. When crew test positive, they and their close contacts must stop working and isolate, even if asymptomatic, leaving shipboard venues short-staffed.

You probably won't be quarantined, stranded or stuck

As noted above, health authorities no longer are quarantining whole ships when a few -- or even a lot -- of passengers and crew test positive for COVID-19.

The current protocol on most ships is to quickly isolate COVID-19-positive passengers and their close contacts. But only the COVID-19-positive passengers are being isolated long term.

As my colleague Ashley Kosciolek experienced first-hand on a cruise in 2021, close contacts only are being isolated for a short period while they are tested for COVID-19. If they test negative, they typically are allowed out of their rooms to rejoin the rest of their fellow cruisers on board.

This means that many sailings are going ahead as planned, with little disruption, even when some passengers and crew on the trips test positive for COVID-19. I experienced this myself in late December when on a Silversea vessel where four passengers tested positive for COVID-19. Some passengers who were deemed close contacts of the passengers who tested positive were isolated for a short period while being tested for COVID-19. But the positive cases had little impact on most of the passengers on board the vessel, and the voyage went ahead as planned.

Such a protocol comes at the recommendation of the CDC, which has set guidelines for how cruise lines should respond to COVID-19-positive cases on board ships, and it has worked well for the past year .

Of course, if you do test positive for COVID-19 on a ship, you will, unfortunately, face what could be several days of isolation in a cabin on a ship or on land. If you are an American cruising overseas, you also won't be able to return to the U.S. until you have tested negative for COVID-19 (or until you recover from the illness and are cleared in writing to travel by a licensed healthcare provider or a public health official).

This is one of the biggest risks of taking a cruise right now, and one reason you may consider canceling a sailing scheduled in the short term (see the section on more-flexible cancellation policies below).

Most COVID-19 cases on ships aren't serious

Cruise lines are reporting that the vast majority of passengers testing positive for COVID-19 in recent weeks are asymptomatic or have mild symptoms.

All major cruise lines currently are requiring all or nearly all passengers to be fully vaccinated for COVID-19, with some also starting to require booster shots , to boot. This creates an onboard population that is far less likely to experience serious symptoms of COVID-19 than a cross-section of people on land, according to CDC data.

For all adults ages 18 years and older, the cumulative COVID-19-associated hospitalization rate is about eight times higher in unvaccinated persons than in vaccinated persons, according to the latest CDC data.

You'll face lots of new health protocols

If you haven't cruised since before the pandemic, you might be surprised by how many new health- and safety-related policies cruise lines have implemented to keep COVID-19 off ships.

For starters, there are the vaccine mandates noted above. No other segment of the travel industry has been as uniform in requiring almost every customer to be fully vaccinated against COVID-19.

Related: Will I need a COVID-19 vaccine to cruise? A line-by-line guide

As noted above, cruise lines also are requiring passengers to undergo COVID-19 tests before boarding ships -- a screening process that is keeping many COVID-19 positive people from ever stepping on board a vessel.

When COVID-19 is detected on a ship, cruise lines sometimes then test passengers multiple times to ensure it isn't spreading. On my recent trip to Antarctica, I underwent six COVID-19 tests in just eight days -- three in advance of stepping on board the vessel (including a PCR test required by Chile, where my trip began) and three while on board.

In addition, most cruise lines now are requiring passengers to wear masks at all times while in interior spaces of vessels, and they have stepped up cleaning regimens, improved air filtration systems on ships and made other onboard changes.

The CDC says to avoid cruising for now

On Dec. 30, the CDC added cruise ships to its list of "Level 4" destinations you should avoid visiting for now due to high levels of COVID-19.

For what it's worth, more than 80 countries around the world -- including a good chunk of all the places you might want to travel -- are on this list. So, the CDC is basically telling you that now isn't a good time to travel. Fair enough. But the warning shouldn't be seen as a call-out on any elevated risk to cruising as opposed to visiting other places, per se.

Places on the Level 4 list currently include Canada, much of Europe and nearly every country in the Caribbean.

The cruise industry has been highly critical of the designation, arguing that cruise ships are far safer places to be right now than almost anywhere else, given their strict health protocols.

"The decision by the CDC to raise the travel level for cruise is particularly perplexing considering that cases identified on cruise ships consistently make up a very slim minority of the total population onboard — far fewer than on land — and the majority of those cases are asymptomatic or mild in nature, posing little to no burden on medical resources onboard or onshore," the main trade group for the industry, the Cruise Lines International Association, said in a statement to TPG.

You can cancel if you're worried (in many cases)

If you're booked on a cruise in the coming weeks, and you're having second thoughts, there's a good chance you can get out of your trip. Many lines continue to be far more flexible than normal about cancellations.

Take cruise giant Carnival Cruise Line . Its current flexible cancellation policy allows passengers to cancel as long as a public health emergency remains in effect and receive 100% of the cruise fare paid in the form of a future cruise credit. Passengers are also able to cancel if they test positive for COVID-19. (Proof of a positive test result is required.)

Another large line, Norwegian, just last week extended its pandemic-era Peace of Mind policy to allow passengers to cancel any sailing taking place between now and May 31. For now, the cancellation needs to be done by Jan. 31, and the refund would come in the form of a future cruise credit to be used on any sailing that embarks through Dec. 31.

That means you could call the line right now to back out of a cruise that is just days away. In normal times, you'd lose all your money if you backed out of a seven-night Norwegian cruise with fewer than 31 days' notice.

Planning a cruise? Start with these stories:

• A beginners guide to picking a cruise line
• The 5 most desirable cabin locations on any cruise ship
• The 8 worst cabin locations on any cruise ship
• A quick guide to the most popular cruise lines
• 21 tips and tricks that will make your cruise go smoothly
• 15 ways cruisers waste money
• What to pack for your first cruise

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Covid-hit Coral Princess cruise ship docks in Sydney

Passengers must record a rapid antigen test before disembarking but crew remain onboard

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A cruise ship with more than 100 Covid-19 positive people onboard has docked in Sydney .

After departing Eden on the New South Wales south coast with more than 2,300 people onboard, the Coral Princess berthed at Circular Quay just before dawn on Wednesday, where it will remain for a day before returning to its home port of Brisbane.

Passengers will have to record a negative result on a rapid antigen test before disembarking but the crew will have to remain.

The outbreak mostly involves infected crew members, with 114 in isolation on Tuesday.

Four passengers were also isolating after positive results, and 24 earlier disembarked in Brisbane , according to Queensland’s chief health officer, John Gerrard.

NSW Health said passengers who tested positive had probably taken the virus onboard with them rather than becoming infected at sea.

The ship docked in Eden on Tuesday, where about 800 passengers disembarked after returning negative tests.

The Eden-Monaro MP and NSW regional development minister, Kristy McBain, said locals had been happy to see the ship dock after bushfires and the pandemic impacted the region.

“When you’ve got towns that rely on tourism it’s been an incredibly difficult couple of years,” McBain told Sydney radio 2GB on Tuesday. “Hopefully this will be the first of many cruise ships to dock this season ... There’s been significant investment into the Port of Eden so that cruise ships could dock in town.”

A Princess Cruises spokesperson said the crew who had tested positive were asymptomatic or had mild symptoms.

At the beginning of the pandemic in March 2020, another Princess cruise liner – the Ruby Princess – was briefly linked to one in eight NSW coronavirus cases.

The latest cruise ship outbreak comes as concern grows about the growing spread of the B.4 and B.5 Omicron subvariants that could reinfect people who have already had the virus.

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The Australian Health Protection Principal Committee has advised shortening the period people are considered immune to the virus to four weeks, requiring people experiencing symptoms more than 28 days after they left isolation to get tested again.

The Pharmaceutical Society of Australia has criticised the end of free rapid antigen tests for concession card holders and called for the government to extend it beyond July.

“Case numbers and hospitalisations are still rising every single day,” said the society’s president, Fei Sim. “Governments should be encouraging more testing, not less.”

Australia recorded 41,336 new coronavirus cases and 58 related deaths on Tuesday.

• Coronavirus
• New South Wales
• Tourism (Australia)

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Cruise ship Majestic Princess with hundreds of COVID-infected passengers docks in Sydney

Health authorities are working with the operators of the Majestic Princess cruise ship that has docked in Sydney Harbour with hundreds of people infected with COVID on board. 

Key points:

• NSW Health says the cruise ship is at a Tier 3 warning, the highest possible COVID alert
• Cruise operator Carnival says about 800 people are infected with the virus
• All passengers will do a rapid antigen test before disembarking

New South Wales Health has confirmed the cruise ship is at the highest COVID alert possible for those on board with a Tier Three warning.

That means at least 20 per cent of people who were on board for the cruise have COVID.

The ship has more than 3,000 passengers and 1,000 crew, with several hundred believed to be infected.

Many passengers disembarked from the ship on Saturday after testing negative to the virus.

The president of cruise operator Carnival Australia, Marguerite Fitzgerald, said there were about 800 people infected, who were mostly passengers.

"This is a 12-day voyage and we started to see elevated cases about halfway through," she said.

Ms Fitzgerald said the infected guests are mild or asymptomatic, and have been isolating in their rooms.

"Reflective of the increase in community transmissions, we too have seen more guests test positive for COVID-19 on the current voyage of Majestic Princess. This is a result of mass testing of our 3,300 guests," she said. 

The company said it had been proactively preparing for COVID-19 incidents and was working closely with NSW Health. 

It comes as the state sees a sharp spike in the number of COVID cases.

Chief Health Officer Kerry Chant on Friday warned NSW had entered its fourth COVID-19 wave , with 19,800 cases detected in the seven days to 4pm on Thursday.

It was a jump of 7,350 cases on the week before, when 12,450 cases were detected in NSW.

NSW Health said in a statement that all COVID-positive people onboard were isolating and being cared for by the staff medical team.

"NSW Health's assessment is that the COVID-19 risk level for the Majestic Princess is now Tier 3, which indicates a high level of transmission," it said in the statement.

"Carnival has advised NSW Health that they are assisting passengers with COVID-19 to make safe onward travel arrangements."

One man leaving the ship said he thought the cruise operator had done a good job with protocols, but passengers were not listening to instructions.

"It was scary because we heard about it [the infections] but we tested negative, and the Princess Majestic were really good with the protocols," he said.

"We wore masks for the last seven days and we were very careful when we went ashore, so some people don't just listen. Obviously they didn't [follow the rules] and that was the problem, people just don't take COVID seriously."

Another passenger praised the crew and said the cruise was enjoyable.

"Fantastic, no problems. The crew were terrific, and we've had a great time," he said.

"You've got to accept that this is how it's going to be, and no we thoroughly enjoyed it."

Carnival said all positive cases would be separated from other guests when they disembark the ship.

"We understand this current wave of COVID-19 is concerning to many in the community and we take our responsibility in keeping everyone safe very seriously," it said in a statement.

"All guests disembarking have undertaken a rapid antigen test in the past 24 hours, which will determine how they will disembark the ship.

"All guests will be masked, regardless of COVID status."

The Opposition said while the situation was delicate it would not be calling for restrictions.

"No, I'm not calling for that [restrictions], I think that the advice from Kerry Chant [NSW Health Chief Officer] this morning was wise," leader Chris Minns said.

"Let's manage this situation using the expert advice and expertise of our chief health officer ... I've got confidence in them to navigate through a tricky situation." 

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Nsw enters 'fourth wave' of covid-19 pandemic with sharp rise in new cases.

The latest COVID case numbers may not be completely reliable – but they do give us an important insight

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Public Health Responses to COVID-19 Outbreaks on Cruise Ships — Worldwide, February–March 2020

Weekly / March 27, 2020 / 69(12);347-352

On March 23, 2020, this report was posted online as an MMWR Early Release.

Please note: This report has been corrected .

Leah F. Moriarty, MPH 1 ; Mateusz M. Plucinski, PhD 1 ; Barbara J. Marston, MD 1 ; Ekaterina V. Kurbatova, MD, PhD 1 ; Barbara Knust, DVM 1 ; Erin L. Murray, PhD 2 ; Nicki Pesik, MD 1 ; Dale Rose, PhD 1 ; David Fitter, MD 1 ; Miwako Kobayashi, MD, PhD 1 ; Mitsuru Toda, PhD 1 ; start highlight Paul T. Cantey, MD 1 ; end highlight Tara Scheuer, MPH 3 ; Eric S. Halsey, MD 1 ; Nicole J. Cohen, MD 1 ; Lauren Stockman, MPH 2 ; Debra A. Wadford, PhD 2 ; Alexandra M. Medley, DVM 1 ,4 ; Gary Green, MD 5 ; Joanna J. Regan, MD 1 ; Kara Tardivel, MD 1 ; Stefanie White, MPH 1 ; start highlight Clive Brown, MD 1 ; end highlight Christina Morales, PhD 2 ; Cynthia Yen, MPH 2 ; Beth Wittry, MPH 1 ; Amy Freeland, PhD 1 ; Sara Naramore, MPH 3 ; Ryan T. Novak, PhD 1 ; David Daigle, MPH 1 ; Michelle Weinberg, MD 1 ; Anna Acosta, MD 1 ; Carolyn Herzig, PhD 1 ; Bryan K Kapella, MD 1 ; Kathleen R. Jacobson, MD 2 ; Katherine Lamba, MPH 2 ; Atsuyoshi Ishizumi, MPH, MSc 1 ; John Sarisky, MPH 1 ; Erik Svendsen, PhD 1 ; Tricia Blocher, MS 2 ; Christine Wu, MD 3 ; Julia Charles, JD 1 ; Riley Wagner, MPH 1 ; Andrea Stewart, PhD 1 ; Paul S. Mead, MD 1 ; Elizabeth Kurylo, MCM 1 ; Stefanie Campbell, DVM 1 ; Rachel Murray, MPH 1 ; Paul Weidle, PharmD 1 ; Martin Cetron, MD 1 ; Cindy R. Friedman, MD 1 ; CDC Cruise Ship Response Team; California Department of Public Health COVID-19 Team; Solano County COVID-19 Team ( View author affiliations )

What is already known about this topic?

Cruise ships are often settings for outbreaks of infectious diseases because of their closed environment and contact between travelers from many countries.

What is added by this report?

More than 800 cases of laboratory-confirmed COVID-19 cases occurred during outbreaks on three cruise ship voyages, and cases linked to several additional cruises have been reported across the United States. Transmission occurred across multiple voyages from ship to ship by crew members; both crew members and passengers were affected; 10 deaths associated with cruise ships have been reported to date.

What are the implications for public health practice?

Outbreaks of COVID-19 on cruise ships pose a risk for rapid spread of disease beyond the voyage. Aggressive efforts are required to contain spread. All persons should defer all cruise travel worldwide during the COVID-19 pandemic.

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An estimated 30 million passengers are transported on 272 cruise ships worldwide each year* ( 1 ). Cruise ships bring diverse populations into proximity for many days, facilitating transmission of respiratory illness ( 2 ). SARS-CoV-2, the virus that causes coronavirus disease (COVID-19) was first identified in Wuhan, China, in December 2019 and has since spread worldwide to at least 187 countries and territories. Widespread COVID-19 transmission on cruise ships has been reported as well ( 3 ). Passengers on certain cruise ship voyages might be aged ≥65 years, which places them at greater risk for severe consequences of SARS-CoV-2 infection ( 4 ). During February–March 2020, COVID-19 outbreaks associated with three cruise ship voyages have caused more than 800 laboratory-confirmed cases among passengers and crew, including 10 deaths. Transmission occurred across multiple voyages of several ships. This report describes public health responses to COVID-19 outbreaks on these ships. COVID-19 on cruise ships poses a risk for rapid spread of disease, causing outbreaks in a vulnerable population, and aggressive efforts are required to contain spread. All persons should defer all cruise travel worldwide during the COVID-19 pandemic.

During February 7–23, 2020, the largest cluster of COVID-19 cases outside mainland China occurred on the Diamond Princess cruise ship, which was quarantined in the port of Yokohama, Japan, on February 3 ( 3 ). On March 6, cases of COVID-19 were identified in persons on the Grand Princess cruise ship off the coast of California; that ship was subsequently quarantined. By March 17, confirmed cases of COVID-19 had been associated with at least 25 additional cruise ship voyages. On February 21, CDC recommended avoiding travel on cruise ships in Southeast Asia; on March 8, this recommendation was broadened to include deferring all cruise ship travel worldwide for those with underlying health conditions and for persons aged ≥65 years. On March 13, the Cruise Lines International Association announced a 30-day voluntary suspension of cruise operations in the United States ( 5 ). CDC issued a level 3 travel warning on March 17, recommending that all cruise travel be deferred worldwide. †

Diamond Princess

On January 20, 2020, the Diamond Princess cruise ship departed Yokohama, Japan, carrying approximately 3,700 passengers and crew ( Table ). On January 25, a symptomatic passenger departed the ship in Hong Kong, where he was evaluated; testing confirmed SARS-CoV-2 infection. On February 3, the ship returned to Japan, after making six stops in three countries. Japanese authorities were notified of the COVID-19 diagnosis in the passenger who disembarked in Hong Kong, and the ship was quarantined. Information about social distancing and monitoring of symptoms was communicated to passengers. On February 5, passengers were quarantined in their cabins; crew continued to work and, therefore, could not be isolated in their cabins ( 6 ). Initially, travelers with fever or respiratory symptoms and their close contacts were tested for SARS-CoV-2 by reverse transcription–polymerase chain reaction (RT-PCR). All those with positive test results were disembarked and hospitalized. Testing was later expanded to support a phased disembarkation of passengers, prioritizing testing of older persons, those with underlying medical conditions, and those in internal cabins with no access to the outdoors. During February 16–23, nearly 1,000 persons were repatriated by air to their home countries, including 329 persons who returned to the United States and entered quarantine or isolation. § , ¶

The remaining passengers who had negative SARS-CoV-2 RT-PCR test results,** no respiratory symptoms, and no close contact with a person with a confirmed case of COVID-19 completed a 14-day ship-based quarantine before disembarkation. Those passengers who had close contact with a person with a confirmed case completed land-based quarantine, with duration determined by date of last contact. After disembarkation of all passengers, crew members either completed a 14-day ship-based quarantine, were repatriated to and managed in their home country, or completed a 14-day land-based quarantine in Japan.

Overall, 111 (25.9%) of 428 U.S. citizens and legal residents did not join repatriation flights either because they had been hospitalized in Japan or for other reasons. To mitigate SARS-CoV-2 importation into the United States, CDC used temporary “Do Not Board” restrictions ( 7 ) to prevent commercial airline travel to the United States, †† and the U.S. Departments of State and Homeland Security restricted travel to the United States for non-U.S. travelers.

Among 3,711 Diamond Princess passengers and crew, 712 (19.2%) had positive test results for SARS-CoV-2 ( Figure 1 ). Of these, 331 (46.5%) were asymptomatic at the time of testing. Among 381 symptomatic patients, 37 (9.7%) required intensive care, and nine (1.3%) died ( 8 ). Infections also occurred among three Japanese responders, including one nurse, one quarantine officer, and one administrative officer ( 9 ). As of March 13, among 428 U.S. passengers and crew, 107 (25.0%) had positive test results for COVID-19; 11 U.S. passengers remain hospitalized in Japan (median age = 75 years), including seven in serious condition (median age = 76 years).

Grand Princess

During February 11–21, 2020, the Grand Princess cruise ship sailed roundtrip from San Francisco, California, making four stops in Mexico (voyage A). Most of the 1,111 crew and 68 passengers from voyage A remained on board for a second voyage that departed San Francisco on February 21 (voyage B), with a planned return on March 7 (Table). On March 4, a clinician in California reported two patients with COVID-19 symptoms who had traveled on voyage A, one of whom had positive test results for SARS-CoV-2. CDC notified the cruise line, which began cancelling group activities on voyage B. More than 20 additional cases of COVID-19 among persons who did not travel on voyage B have been identified from Grand Princess voyage A, the majority in California. One death has been reported. On March 5, a response team was transported by helicopter to the ship to collect specimens from 45 passengers and crew with respiratory symptoms for SARS-CoV-2 testing; 21 (46.7%), including two passengers and 19 crew, had positive test results. Passengers and symptomatic crew members were asked to self-quarantine in their cabins, and room service replaced public dining until disembarkation. Following docking in Oakland, California, on March 8, passengers and crew were transferred to land-based sites for a 14-day quarantine period or isolation. Persons requiring medical attention for other conditions or for symptoms consistent with COVID-19 were evaluated, tested for SARS-CoV-2 infection, and hospitalized if indicated. During land-based quarantine in the United States, all persons were offered SARS-CoV-2 testing. As of March 21, of 469 persons with available test results, 78 (16.6%) had positive test results for SARS-CoV-2. Repatriation flights for foreign nationals were organized by several governments in coordination with U.S. federal and California state government agencies. Following disinfection of the vessel according to guidance from CDC’s Vessel Sanitation Program, remaining foreign nationals will complete quarantine on board. The quarantine will be managed by the cruise company, with technical assistance provided by public health experts.

On February 21, five crew members from voyage A transferred to three other ships with a combined 13,317 passengers on board. No-sail orders §§ were issued by CDC for these ships until medical logs were reviewed and the crew members tested negative for SARS-CoV-2.

Additional Ships

The Diamond Princess and Grand Princess had more than 800 total COVID-19 cases, including 10 deaths. During February 3–March 13, in the United States, approximately 200 cases of COVID-19 were confirmed among returned cruise travelers from multiple ship voyages, including the Diamond Princess and Grand Princess, accounting for approximately 17% of total reported U.S. cases at the time ( 10 ). Cases linked with cruise travel have been reported to CDC in at least 15 states. Since February, multiple international cruises have been implicated in reports of COVID-19 cases, including at least 60 cases in the United States from Nile River cruises in Egypt ( Figure 2 ). Secondary community-acquired cases linked to returned passengers on cruises have also been reported (CDC, unpublished data, 2020).

Public health responses to COVID-19 outbreaks on cruise ships were aimed at limiting transmission among passengers and crew, preventing exportation of COVID-19 to other communities, and assuring the safety of travelers and responders. These responses required the coordination of stakeholders across multiple sectors, including U.S. Government departments and agencies, foreign ministries of health, foreign embassies, state and local public health departments, hospitals, laboratories, and cruise ship companies. At the time of the Diamond Princess outbreak, it became apparent that passengers disembarking from cruise ships could be a source of community transmission. Therefore, aggressive efforts to contain transmission on board and prevent further transmission upon disembarkation and repatriation were instituted. These efforts included travel restrictions applied to persons, movement restrictions applied to ships, infection prevention and control measures, (e.g., use of personal protective equipment for medical and cleaning staff), disinfection of the cabins of persons with suspected COVID-19, provision of communication materials, notification of state health departments, and investigation of contacts of cases identified among U.S. returned travelers.

Cruise ships are often settings for outbreaks of infectious diseases because of their closed environment, contact between travelers from many countries, and crew transfers between ships. On the Diamond Princess, transmission largely occurred among passengers before quarantine was implemented, whereas crew infections peaked after quarantine ( 6 ). On the Grand Princess, crew members were likely infected on voyage A and then transmitted SARS-CoV-2 to passengers on voyage B. The results of testing of passengers and crew on board the Diamond Princess demonstrated a high proportion (46.5%) of asymptomatic infections at the time of testing. Available statistical models of the Diamond Princess outbreak suggest that 17.9% of infected persons never developed symptoms ( 9 ). A high proportion of asymptomatic infections could partially explain the high attack rate among cruise ship passengers and crew. SARS-CoV-2 RNA was identified on a variety of surfaces in cabins of both symptomatic and asymptomatic infected passengers up to 17 days after cabins were vacated on the Diamond Princess but before disinfection procedures had been conducted (Takuya Yamagishi, National Institute of Infectious Diseases, personal communication, 2020). Although these data cannot be used to determine whether transmission occurred from contaminated surfaces, further study of fomite transmission of SARS-CoV-2 aboard cruise ships is warranted.

During the initial stages of the COVID-19 pandemic, the Diamond Princess was the setting of the largest outbreak outside mainland China. Many other cruise ships have since been implicated in SARS-CoV-2 transmission. Factors that facilitate spread on cruise ships might include mingling of travelers from multiple geographic regions and the closed nature of a cruise ship environment. This is particularly concerning for older passengers, who are at increased risk for serious complications of COVID-19 ( 4 ). The Grand Princess was an example of perpetuation of transmission from crew members across multiple consecutive voyages and the potential introduction of the virus to passengers and crew on other ships. Public health responses to cruise ship outbreaks require extensive resources. Temporary suspension of cruise ship travel during the current phase of the COVID-19 pandemic has been partially implemented by cruise lines through voluntary suspensions of operations, and by CDC through its unprecedented use of travel notices and warnings for conveyances to limit disease transmission ( 5 ).

Acknowledgments

Staff members responding to COVID-19 outbreaks on cruise ships; Japan’s Ministry of Health, Labour and Welfare; California Department of Public Health; cruise ship passengers; Princess Cruises; Christina Armantas, Matthew Bacinskas, Cynthia Bernas, Brandon Brown, Teal Bullick, Lyndsey Chaille, Martin Cilnis, Gail Cooksey, Ydelita Gonzales, Christopher Kilonzo, Chun Kim, Ruth Lopez, Dominick Morales, Chris Preas, Kyle Rizzo, Hilary Rosen, Sarah Rutschmann, Maria Vu, California Department of Public Health, Richmond and Sacramento; Ben Gammon, Ted Selby, Solano County Public Health; Medic Ambulance Service; NorthBay HealthCare; Sutter Solano Medical Center; Kaiser Permanente Vallejo Medical Center; Kaiser Permanente Vacaville Medical Center start highlight ; field teams at repatriation sites; National Institute of Infectious Diseases, Japan end highlight .

CDC Cruise Ship Response Team

Casey Barton Behravesh, CDC; Adam Bjork, CDC; William Bower, CDC; Catherine Bozio, CDC; Zachary Braden, CDC; Mary Catherine Bertulfo, CDC; Kevin Chatham-Stephens, CDC; Victoria Chu, CDC; Barbara Cooper, CDC; Kathleen Dooling, CDC; Christine Dubray, CDC; Emily Curren, CDC; Margaret A. Honein, CDC; Kathryn Ivey, CDC; Jefferson Jones, CDC; Melissa Kadzik, CDC; Nancy Knight, CDC; Mariel Marlow, CDC; Audrey McColloch, CDC; Robert McDonald, CDC; Andrew Klevos, CDC; Sarah Poser, CDC; Robin A. Rinker, CDC; Troy Ritter, CDC; Luis Rodriguez, CDC; Matthew Ryan, CDC; Zachary Schneider, CDC; Caitlin Shockey, CDC; Jill Shugart, CDC; Margaret Silver, CDC; Paul W. Smith, CDC; Farrell Tobolowsky, CDC; Aimee Treffiletti, CDC; Megan Wallace, CDC; Jonathan Yoder, CDC.

California Department of Public Health COVID-19 Team

Pennan Barry, California Department of Public Health; Ricardo Berumen, III, California Department of Public Health; Brooke Bregman, California Department of Public Health; Kevin Campos, California Department of Public Health; Shua Chai, California Department of Public Health; Rosie Glenn-Finer, California Department of Public Health; Hugo Guevara, California Department of Public Health; Jill Hacker, California Department of Public Health; Kristina Hsieh, California Department of Public Health; Mary Kate Morris, California Department of Public Health; Ryan Murphy, California Department of Public Health; Jennifer F. Myers, California Department of Public Health; Tasha Padilla, California Department of Public Health; Chao-Yang Pan, California Department of Public Health; Adam Readhead, California Department of Public Health; Estela Saguar, California Department of Public Health; Maria Salas, California Department of Public Health; Robert E. Snyder, California Department of Public Health; Duc Vugia, California Department of Public Health; James Watt, California Department of Public Health; Cindy Wong, California Department of Public Health.

Solano County COVID-19 Team

Meileen Acosta, Solano County Department of Public Health; Shai Davis, Solano County Department of Public Health; Beatrix Kapuszinsky, Solano County Department of Public Health; Bela Matyas, Solano County Department of Public Health; Glen Miller, Solano County Department of Public Health; Asundep Ntui, Solano County Department of Public Health; Jayleen Richards, Solano County Department of Public Health.

Corresponding author: Leah F. Moriarty, [email protected] , 770-488-7100.

1 CDC COVID-19 Response Team; 2 California Department of Public Health; 3 Solano Public Health, Fairfield, California; 4 Epidemic Intelligence Service, CDC; 5 Sutter Medical Group of the Redwoods, Santa Rosa, California.

All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.

* Not including river cruises.

† Warning level 3: avoid non-essential travel due to widespread ongoing transmission: https://wwwnc.cdc.gov/travel/notices/warning/novel-coronavirus-china .

§ Quarantine was used for persons who were exposed; isolation was used for persons who had positive test results for SARS-CoV-2.

¶ Movement for one person with resolved COVID-19 was not restricted.

** Based on Japanese testing procedures, which at the time included taking one oropharyngeal swab.

†† Travel restrictions were lifted when persons had either completed a 14-day monitoring period without symptoms or had met clinical criteria for release from isolation. https://japan2.usembassy.gov/pdfs/alert-20200227-diamond-princess.pdf .

§§ CDC has the authority to institute a no-sail order to prevent ships from sailing when it is reasonably believed that continuing normal operations might subject newly arriving passengers to disease.

• Cruise Lines International Association. 2019 cruise trends & industry outlook. Washington, DC: Cruise Line International Association; 2019. https://cruising.org/news-and-research/-/media/CLIA/Research/CLIA-2019-State-of-the-Industry.pdf
• Millman AJ, Kornylo Duong K, Lafond K, Green NM, Lippold SA, Jhung MA. Influenza outbreaks among passengers and crew on two cruise ships: a recent account of preparedness and response to an ever-present challenge. J Travel Med 2015;22:306–11. CrossRef PubMed
• World Health Organization. Coronavirus disease (COVID-2019) situation reports. Geneva, Switzerland: World Health Organization; 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/
• CDC COVID-19 Response Team. Severe outcomes among patients with coronavirus disease 2019 (COVID-19)—United States, February 12–March 16, 2020. MMWR Morb Mortal Wkly Rep 2020. Epub March 18, 2020. CrossRef
• Cruise Lines International Association. CLIA announces voluntary suspension in U.S. cruise operations. Washington, DC: Cruise Line International Association; 2020. https://cruising.org:443/news-and-research/press-room/2020/march/clia-covid-19-toolkit
• Kakimoto K, Kamiya H, Yamagishi T, Matsui T, Suzuki M, Wakita T. Initial investigation of transmission of COVID-19 among crew members during quarantine of a cruise ship—Yokohama, Japan, February 2020. MMWR Morb Mortal Wkly Rep 2020;69:312–3. CrossRef PubMed
• Vonnahme LA, Jungerman MR, Gulati RK, Illig P, Alvarado-Ramy F. Federal travel restrictions for persons with higher-risk exposures to communicable diseases of public health concern. Emerg Infect Dis 2017;23:S108–13. CrossRef PubMed
• Ministry of Health, Labour and Welfare. About new coronavirus infections [Japanese]. Tokyo, Japan: Ministry of Health, Labour and Welfare; 2020. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000164708_00001.html
• Mizumoto, K., Kagaya, K., Zarebski, A. and Chowell, G. Estimating the asymptomatic proportion of coronavirus disease 2019 (COVID-19) cases on board the Diamond Princess cruise ship, Yokohama, Japan, 2020. Eurosurveillance 2020;25. CrossRef
• CDC. Coronavirus disease 2019 (COVID-19): cases in U.S. Atlanta, GA: US Department of Health and Human Services, CDC; 2020. https://www.cdc.gov/coronavirus/2019-ncov/cases-in-us.html

Abbreviation: N/A = not applicable.

FIGURE 1 . Cumulative number of confirmed coronavirus disease 2019 (COVID-19) cases* by date of detection — Diamond Princess cruise ship, Yokohama, Japan, February 3–March 16, 2020

Source: World Health Organization (WHO) coronavirus disease (COVID-2019) situation reports. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/ .

* Decline in cumulative number of cases on February 13 and February 25 due to correction by WHO for cases that had been counted twice.

FIGURE 2 . Cruise ships with coronavirus disease 2019 (COVID-19) cases requiring public health responses — worldwide, January–March 2020

Suggested citation for this article: Moriarty LF, Plucinski MM, Marston BJ, et al. Public Health Responses to COVID-19 Outbreaks on Cruise Ships — Worldwide, February–March 2020. MMWR Morb Mortal Wkly Rep 2020;69:347-352. DOI: http://dx.doi.org/10.15585/mmwr.mm6912e3 .

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Do I need a COVID vaccine to cruise? A line-by-line guide

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Editor’s note: This post has been updated with new information.

When the first cruises allowing Americans restarted in spring 2021, all major lines were sailing with at least 90% of passengers vaccinated against COVID-19. That meant they required just about everyone on board to have their shots, with only a few exceptions allowed for young children and people who can’t be vaccinated due to medical conditions or religious beliefs.

Since then, the Centers for Disease Control and Prevention has withdrawn its opt-in guidance for cruise lines, and most are now allowing unvaccinated passengers to sail. In fact, most aren’t even checking to see if cruisers are vaccinated or not.

However, with cases picking up seasonally and new booster vaccines rolling out, will you need a vaccine to cruise? Click on your favorite cruise line above, under “Jump to Section,” to find out.

For more cruise news, reviews and tips, sign up for TPG’s new cruise newsletter .

Note: In order to be considered “fully vaccinated,” passengers must have received their final shot (not including boosters) at least 15 days prior to embarkation. Most lines only accept vaccines (or a combination of vaccines) recognized and approved by the World Health Organization and the CDC. Generally, proof of inoculation must include your name, the type of vaccine you received and the dates on which you received all required doses.

Booster shots are not required unless specifically noted. However, keep in mind that the rules may vary by country, with some lines requiring boosters for international departures due to local regulations or for extra-long sailings like ocean crossings when port calls are few or nonexistent. Passengers who have their boosters are considered “up to date” rather than merely “fully vaccinated.”

For general information on testing, please refer to our article on cruise testing requirements .

AmaWaterways

Vaccine required no.

AmaWaterways no longer requires proof of vaccination for passengers. However, cruisers are responsible for meeting the requirements of the countries in which they’ll be traveling. If they do not, standard cancellation fees will apply. Pre-cruise testing is not required. Should passengers become ill during their cruise, AmaWaterways will assist in procuring testing and other medical services, which will be the financial responsibility of those guests.

American Cruise Lines

American Cruise Lines does not have a vaccine requirement for all passengers on any of its sailings. Pre-cruise testing is no longer required.

American Queen Voyages

Vaccines are not required to sail with American Queen Voyages , and pre-cruise testing is no longer required.

Related: What happens if someone tests positive for COVID-19 on your cruise

Atlas Ocean Voyages

Vaccination is not mandatory for Atlas cruises, but passengers must comply with regulations in countries on their scheduled itinerary, which could require that they be up to date on their shots. Additionally, pre-cruise testing is no longer a requirement.

Avalon Waterways

Avalon Waterways no longer requires proof of vaccination or a negative test prior to passenger boarding. However, mandatory testing and proof of vaccination could still be required in some countries the line visits.

Azamara recommends that passengers follow local regulations and the latest guidance from government health organizations when determining which vaccines to obtain prior to travel. The line also does not require negative test results in order to board unless mandated by local governments in the ports where the line’s ships sail.

Carnival Cruise Line

Neither vaccines nor pre-cruise testing is required for Carnival sailings. However, the line recommends that anyone 5 years or older be up to date on their shots and carry proof. It also suggests that cruisers test themselves no further than three days from their sailing date to make sure they’re in good health.

Celebrity Cruises

Celebrity does not mandate vaccination or testing for any passenger on any sailing unless required by regulations in the ports its ships are visiting.

Related: Cruise ship contact tracing: How the world’s major lines are tracking COVID-19 exposure

Celestyal Cruises

Celestyal continues to require all crew members to be fully vaccinated, but passengers don’t have to be. The line recommends anyone 12 and older be up to date on their inoculations. Testing is also no longer necessary in order to board Celestyal ships.

Cunard Line

Although Cunard suggests that travelers be fully vaccinated and current with their boosters, proof of immunization is not required, nor is pre-cruise testing for any of the line’s sailing unless required by law.

Disney Cruise Line

Disney Cruise Line encourages — but does not require — all passengers to be fully vaccinated before sailing. It also recommends pre-cruise testing, no more than two days prior to embarkation, for anyone who doesn’t have their shots.

Emerald Cruises

Emerald Cruises suggests that all passengers be vaccinated, but it no longer checks for proof. Pre-cruise testing is also no longer required, but the line advises travelers to check local regulations in the places they’ll be visiting.

Grand Circle Cruise Line

Vaccine required yes.

Grand Circle has mandated that all passengers must be fully vaccinated at least 14 days prior to embarkation as a condition of carriage, and proof must be provided before boarding. Passengers who are not fully vaccinated will have to return home at their own expense. Boosters are not mandatory. Pre-cruise testing might be required, depending on your port of embarkation. (The line will send you that information prior to your sailing.)

Hapag-Lloyd Cruises

Hapag-Lloyd does not require vaccinations or pre-cruise testing as a condition of sailing. However, the line recommends both to passengers as precautions. It also advises that cruisers are responsible for knowing and adhering to all local guidelines and regulations.

Holland America

Holland America now allows unvaccinated passengers to sail and does not make pre-cruise testing compulsory unless either of these is required by local regulations in the areas its vessels sail. Booked cruisers can search for requirements specific to their individual sailings by using this tool .

Hurtigruten

Vaccine required sometimes.

On expedition cruises with Hurtigruten , passengers are not required to show proof of vaccination, except on 2023 and 2024 voyages to Antarctica and the Northwest Passage or West Africa sailings departing from and returning to Dakar. Immunization is also not necessary for the line’s non-expedition itineraries, but it is recommended for both coastal voyages and expedition cruises. Neither type of cruise requires negative test results as a condition of embarkation. Passengers with reservations can check specific protocols for their specific bookings using this tool .

Lindblad Expeditions

Lindblad passengers no longer need to provide proof of vaccination in order to cruise, and pre-cruise testing is no longer required, including at embarkation. Exceptions might apply for departures from certain destinations. The line urges passengers to follow government recommendations for masking, testing and vaccination.

Related: Why I feel safer now on a cruise ship than in my hometown

MSC Cruises

Vaccination and testing are no longer terms of carriage when sailing with MSC Cruises . The line still recommends that passengers receive their shots and notes that it’s each passenger’s responsibility to comply with local regulations in the places their sailing visits.

Norwegian Cruise Line

In early August 2022, Norwegian Cruise Line became the first major cruise line to roll back its vaccination requirements. Proof of immunization is no longer required, nor is testing in order to board for any voyage.

Oceania Cruises

Upscale cruise line Oceania does not check vaccination records for passengers, nor does it require pre-cruise testing for its sailings.

P&O Cruises

There are no vaccination or testing mandates in place for any of P&O Cruises ‘ voyages.

Ponant ‘s website simply reads, “when you visit certain destinations, vaccines can be recommended,” but they are not required by the line. Ponant also says it will alert passengers to their specific requirements after they have booked a voyage. Testing is also not needed in order to board.

Princess Cruises

Following an industry-wide rollback of protocols, Princess passengers no longer have to show proof of a COVID-19 vaccine, nor proof of a negative test result, unless either is required by local regulations. Passengers are responsible for knowing the requirements for the places their ships will visit.

Regent Seven Seas Cruises

Regent doesn’t check the vaccination status of any of its passengers unless required by local protocols. Testing requirements vary by location and might depend on whether or not you are up to date on your shots. If vaccination or testing is required, the line will alert cruisers approximately 30 days prior to their sailing date.

Royal Caribbean

To board Royal Caribbean ships, you don’t have to be vaccinated or provide test results. However, the line advises staying up to date on inoculations and following guidelines issued by federal health authorities.

Saga has rolled back its vaccination and testing requirements, which is significant, given that the line only allows passengers 50 and older to sail on its vessels. They will only be required if local authorities dictate them.

Scenic Luxury Cruises & Tours

Passengers embarking on river and ocean voyages with Scenic will not need to be fully immunized prior to sailing. Testing is not required by the line but might be needed to enter the country in which you’re embarking on your sailing. Passengers are responsible for meeting entry requirements.

For cruises with luxury line Seabourn , there are no line-enforced regulations for vaccination or testing unless required by local authorities in the countries on which its vessels call. To see if your booked sailing requires either of these, check out the line’s search tool .

Luxury brand Silversea does not require shots for its passengers or pre-cruise tests unless they’re needed to meet local regulations.

Star Clippers

Star Clippers has eliminated all vaccine checks and testing protocols for all passengers on all voyages.

For all voyages through 2023, Tauck requires passengers 12 and older to be fully vaccinated and have at least one booster dose and/or show proof of recovery from COVID-19. Passengers 11 years old and younger are not required to be fully vaccinated. If they aren’t fully vaccinated or don’t have a booster, they must provide proof of a negative PCR or antigen test result from a test taken no more than three days prior to embarkation. For sailings in 2024, vaccination and testing requirements will be waived for all passengers.

UnCruise Adventures

All UnCruise passengers are exempt from vaccine and testing requirements. The line will continue to monitor the effects of new variants, as well as CDC recommendations and will adjust its policies accordingly.

Uniworld Boutique River Cruise Collection

Testing requirements are determined by the countries the ships visit, but the line itself has no vaccine or testing mandates of its own. You can check the protocols for the places on your itinerary for the most up-to-date information by visiting the protocols page on Uniworld’s website .

All Viking passengers, whether on a river sailing or an ocean voyage, must be fully vaccinated for sailings departing on or before Oct. 31, 2023. It will not be required for cruisers embarking on or after Nov. 1, 2023. Testing is no longer required unless passengers are exhibiting symptoms and seek medical assistance.

Virgin Voyages

Virgin Voyages will not check proof of immunization or a negative COVID-19 test prior to boarding.

Windstar Cruises

Windstar no longer mandates shots for passengers of any age. Testing is not required by the line but might be necessary based on local regulations, which with passengers must comply.

Planning a cruise? Start with these stories:

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Watch CBS News

Passengers flock to cruise ships as pandemic fears abate

By Khristopher J. Brooks

Edited By Anne Marie Lee , Alain Sherter

May 30, 2023 / 3:41 PM EDT / MoneyWatch

Americans are booking trips on cruise ships at rates not seen since before the pandemic, a sign travelers are more comfortable boarding vessels that were once vectors for coronavirus.

Florida-based Royal Caribbean  said earlier this month that the load factor, or percentage of seats filled, of its cruise ships rose to an average of 102% in the first quarter of 2023. By comparison, the occupancy rate was 57% a year ago and 107% in 2019 just before pandemic lockdowns. 

Norwegian Cruise Line reported an average 101% occupancy rate during the first quarter, compared to 48% last year and 105% in 2019. The jump in cruise goers is helping revive the industry, which lost billions of dollars during the pandemic.

"COVID has dissipated as a concern for a lot of travelers" Wall Street Journal reporter Jacob Passy told CBS News. "People are raring to get out there, and cruises are a great way to see multiple locations (and) multiple countries."

Cruise lines are reporting more than 100% capacity because passengers are piling more than the suggested two people per cabin, Passy said. Cruise tickets this year are running between $130 and $260 a day depending on the ship, cabin type and destination, according to online price tracker Cruzely.  

Overbooked ship cabins serve as visual proof of the industry's rebound. Cabin occupancy rates will stay in the triple digits between now and into 2026,  fueled mostly by millennial travelers , the Cruise Lines International Association (CLIA)  estimated . 

"Cruising is back and is one of the fastest growing segments of tourism, outpacing the recovery of international tourism arrivals," CLIA spokesperson Sally Andrews said. "Consumer intent to cruise is also higher than it was in December of 2019( pre-pandemic) among both experienced cruisers and those who have never cruised before."

In 2021, the U.S. Centers for Disease Control and Prevention advised travelers to stay away from cruise ships  after a number of ships reports COVID-19 outbreaks. Bookings plunged, forcing companies such as Royal Caribbean and Norwegian to furlough workers. Cruise companies globally saw their income sink from $24 billion in 2019 to $8 billion in 2021, according to the most recent CLIA  data . 

The CDC ended its warning about cruise ships last year and is no longer requiring companies to only host passengers who have been vaccinated against the virus.

One of the biggest problems cruise operators faced during the pandemic was passengers booking trips, then backing out weeks before the departure due to health safety concerns, Passy said. These days, cruise lines are more likely to overbook travelers because they're still expecting some to change their minds last minute.

"The issue right now is fewer people are canceling because of COVID, so they're having to readjust that algorithm a bit to account for the fact that more people are just going no matter what," Passy said. 

• Cruise Ship
• Royal Caribbean

Khristopher J. Brooks is a reporter for CBS MoneyWatch. He previously worked as a reporter for the Omaha World-Herald, Newsday and the Florida Times-Union. His reporting primarily focuses on the U.S. housing market, the business of sports and bankruptcy.

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More than 60 Virgin Voyages passengers get sick with salmonella, E. coli

More than 70 people on a Virgin Voyages cruise got sick during a recent sailing.

The Centers for Disease Control and Prevention said 66 of the 2,198 guests on the line’s Scarlet Lady ship reported being ill during the cruise that ended Friday, along with seven crew members. Their predominant symptoms were abdominal cramps, vomiting and diarrhea.

The health agency listed salmonella and E. coli as the cause. The ship was on a round-trip Riviera Maya cruise that departed from Miami on Oct. 8, according to CruiseMapper .

“Our medical team isolated these travelers, and we immediately enacted enhanced sanitization procedures including additional cleaning of cabins and high-contact areas around the ship,” Virgin Voyages' COO Michelle Bentubo said in an email. “We are working closely with the CDC and their medical professionals. There is currently no impact to the upcoming voyage’s departure time or ports of call.”

Gastrointestinal illness cases on cruises plummeted during the COVID-19 pandemic, but cases have ticked upward as operations bounced back.

The CDC has logged 14 outbreaks on cruise ships that met its threshold for public notification this year, more than any year between 2017 and 2019. Norovirus was listed as the causative agent in all other 2023 outbreaks.

Norovirus cases are up: Should travelers worry?

While norovirus is frequently associated with cruises, Ben Lopman, a professor of epidemiology at Emory University’s Rollins School of Public Health, told USA TODAY in February that cruises make up a "tiny minority of norovirus outbreaks.” He said the majority occur in health care settings like nursing homes.

Nathan Diller is a consumer travel reporter for USA TODAY based in Nashville. You can reach him at [email protected].

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Bacolod logs first Omicron case in Western Visayas

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This is AI generated summarization, which may have errors. For context, always refer to the full article.

Bacolod City Mayor Evelio Leonardia ordered the strengthening of border controls on Monday, January 3, after a “recovered” Omicron patient, a male returning overseas Filipino, tested positive on December 31.

The city information office, in a press statement, also said health officials stationed at the BREDCO port in the city had seized a fake RT-PCR test result from an Iloilo City-bound resident of Hinigaran, Negros Occidental.

In a briefing with Leonardia and other city officials on January 3, Emergency Operations Center deputy head for contact tracing Dr. Rosalie Deocampo said the Omicron-positive patient was a 38-year old cruise ship worker who tested negative on a December 12 RT-PCR test in Florida.

He is fully vaccinated, receiving the Janssen vaccine in May 2021 and a booster dose in November, Deocampo said.

The returning worker traveled from Miami to New York where he took a 15-hour plane trip to Manila, arriving on the morning of December 15. 

He developed symptoms on December 17 while undergoing mandatory quarantine in a hotel in Malate, Manila. He took the required RT-PCR test on December 19, his fifth day of Quarantine, and got his positive result the following day.

He transferred to the Overseas Workers Welfare Administration (OWWA) designated isolation facility in Manila on December 24 and walked out on December 31 with clearance as a fully recovered patient.

He immediately flew to Bacolod, where his wife fetched him at the airport. 

Bacolod officials got word on Saturday, January 1, that the man had the Omicron variant.

Under DOH rules to prevent the spread of more infectious variants, city officials took the man and his wife to an isolation center and made them take RT-PCR tests.

They got the man’s positive result on the evening of January 3 but said the 36.7 cycle threshold indicates he “is less infectious. His wife tested negative.

The cycle threshold or CT value is the measure of the viral load of a patient, with a higher CT value pointing to a person being less likely to be infectious. The DOH takes random samples of patients with less than 30 CT value for genome sequencing to test for variants of concern.

Despite the man’s higher CT value, EOC chief Em Ang told Rappler they will extend his isolation for another seven days. 

Deocampo explained that the Manila facility did not give the patient a second RT-PCR test because the patient was already asymptomatic from December 20 until December 31 and had already spent 16 days in quarantine/isolation centers.

Bacolod City health protocols exempt fully vaccinated persons to get an RT-PCR test. Under relaxed travel rules, the city routinely approves all S-Pass applications and just checks vaccine documents on arrival. 

It was not clear how the man answered the S-Pass question that asks if travelers have experienced COVID-19 symptoms, or tested positive, or been exposed to persons with COVID-19 in the last two weeks. 

“This is apparently not a local case. This is an imported one based on the accounts made by the DOH and other experts. It so happened that his genome sequencing result came out late. But just the same, we have to take precautions,” Leonardia pointed out. – Rappler.com

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