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Outbreak Updates for International Cruise Ships

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 before the ship arrives at a U.S. port, when sailing from a foreign port.

A separate notification is required when the GI illness count exceeds 2% of the total number of passengers or crew onboard.

Data on this page were obtained 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,
  • Are cruise ships in which 3% or more of passengers or crew reported symptoms of diarrheal disease to the ships medical staff during the voyage, and
  • Are gastrointestinal illness outbreaks of public health significance.

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

Year
201420072000
201320061999
201220051998
201120041997
201020031996
200920021995
200820011994

 

2014
Cruise LineCruise ShipSailing DatesCausative Agent
Princess CruisesCrown Princess10/18 - 11/16Norovirus
Princess CruisesCrown Princess4/5 - 4/12Norovirus and Enterotoxigenic E. coli (ETEC)
Royal Caribbean Cruise LineGrandeur of the Seas4/5 - 4/12Norovirus
Royal Caribbean Cruise LineGrandeur of the Seas3/28 - 4/5Norovirus
Holland America Linems Maasdam3/2 - 3/28Unknown
Holland America Linems Veendam2/8 - 2/22Norovirus
Princess CruisesCaribbean Princess1/25 - 2/1Norovirus
Royal Caribbean Cruise LineExplorer of the Seas1/21 - 1/31Norovirus
Norwegian Cruise LineNorwegian Star1/5 - 1/19Norovirus
2013
Cruise LineCruise ShipSailing DatesCausative Agent
Norwegian Cruise LineNorwegian Gem11/16 - 11/25Norovirus
Celebrity Cruise LinesCelebrity Summit9/21 - 10/5Norovirus
Celebrity Cruise LinesCelebrity Millennium04/25 - 05/10Norovirus
Crystal CruisesCrystal Symphony04/29 - 05/06Norovirus
Holland America LineVeendam04/13 - 05/04Enterotoxigenic E. coli (ETEC)
Celebrity CruisesCelebrity Solstice04/08 - 04/25Norovirus
Celebrity CruisesCelebrity Infinity03/17 - 04/01Norovirus
Princess CruisesRuby Princess03/03 - 03/10Norovirus
Royal Caribbean Cruise LineVision of the Seas02/25 - 03/08Norovirus
2012
Cruise LineCruise ShipSailing DatesCausative Agent
Cunard LineQueen Mary 212/22 - 01/03Norovirus
Princess CruisesEmerald Princess12/17 - 12/27Norovirus
Prestige Cruise HoldingsOceania Riviera11/15 - 11/29Norovirus
Holland America LineAmsterdam11/11-12/5Norovirus
Princess CruisesRuby Princess10/09-10/28Norovirus and Enterotoxigenic E. coli (ETEC)
Princess CruisesDawn Princess08/21-09/13Norovirus
Royal Caribbean Cruise LineRhapsody of the Seas08/24-08/31Norovirus
Carnival Cruise LineCarnival Glory08/06-08/11Norovirus
Princess CruisesSun Princess07/08-07/21Norovirus
Princess CruisesRuby Princess02/26-03/04Norovirus
Princess CruisesCrown Princess02/04-02/09Norovirus
Celebrity CruisesCelebrity Silhouette01/29-02/10Norovirus
Celebrity CruisesCelebrity Constellation01/28-02/11Norovirus
Princess CruisesCrown Princess01/28-02/04Norovirus
P & O CruisesAurora01/04-01/26Norovirus
Royal Caribbean Cruise LineVoyager of the Seas01/28-02/04Norovirus

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2011
Cruise LineCruise ShipSailing DatesCausative Agent
Holland America Linems Maasdam12/23–01/02Norovirus
Norwegian Cruise LineNorwegian Spirit12/18–12/25Norovirus
Holland America LineRyndam12/11–12/18Norovirus
Celebrity CruisesCelebrity Solstice11/28–12/11Norovirus
Holland America LineRyndam11/03–11/20Norovirus
Princess CruisesSea Princess05/30-06/09Norovirus
Lindblad ExpeditionsNational Geographic Sea Lion05/21-05/28Unknown
Princess CruisesSea Princess05/20-05/30Norovirus
Celebrity CruisesCelebrity Millennium05/20-05/27Unknown
Princess CruisesCoral Princess05/04-05/19Norovirus
Princess CruisesCoral Princess04/24-05/04Enterotoxigenic E. coli (ETEC)
Oceania CruisesMV Marina02/26-03/15Enterotoxigenic E. coli (ETEC)
Celebrity CruisesCelebrity Solstice01/30-02/06Norovirus
Royal Caribbean Cruise LineRadiance of the Seas01/03-01/08Norovirus

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2010
Cruise LineCruise ShipSailing DatesCausative Agent
Cunard LineQueen Mary 212/19-01/03/2011Unknown
Crystal Cruises‬Crystal Symphony11/02-11/21Unknown
Holland America Line‬Nieuw Amsterdam10/18-11/07Norovirus
Carnival Cruise LinesCarnival Glory10/09-10/16Norovirus
Holland America LineZuiderdam04/20-05/08Unknown
Celebrity CruisesMercury03/08-03/19Norovirus
Celebrity CruisesMercury02/26-03/08Norovirus
Royal Caribbean InternationalJewel of the Seas02/22-03/05Unknown
Celebrity CruisesMillennium02/22-03/05Norovirus
Holland America LineMaasdam02/19-03/05Norovirus
Celebrity CruisesMercury02/15-02/26Norovirus
Fred Olsen Cruise LinesBalmoral01/05-02/04Unknown
Cunard Cruise LineQueen Victoria01/12-01/27Unknown
Cunard Cruise LineQueen Victoria01/04-01/12Norovirus
 

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2009
Cruise LineCruise ShipSailing DatesCausative Agent
Holland America LineAmsterdam12/02-12/23Norovirus
Regent Seven Seas CruisesSeven Seas Mariner12/02-12/20Norovirus
Norwegian Cruise LineNorwegian Spirit10/23-11/08Norovirus
Holland America LineNoordam10/16-11/1Norovirus
Holland America LineAmsterdam5/23-5/30Unknown
Princess CruisesCoral Princess5/18-5/25Unknown
Princess CruisesIsland Princess4/23-5/07Shigella sonnei and Enterotoxigenic E. coli (ETEC)
Carnival Cruise LineCarnival Liberty4/18-4/25Norovirus
Holland America LineAmsterdam4/2-4/24Cyclospora cayetanensis
Celebrity CruisesCelebrity Mercury2/28-3/15Norovirus
Holland America LineOosterdam2/21-2/28Norovirus
Holland America LineZaandam2/5-2/20Norovirus
Princess CruisesCoral Princess2/3-2/13Norovirus
Celebrity CruisesCelebrity Mercury1/3-1/17Norovirus
Holland America LineMaasdam1/2-1/9Unknown

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2008
Cruise LineCruise ShipSailing DatesCausative Agent
Holland America LineZuiderdam10/23-11/09Norovirus
Princess CruisesCaribbean Princess10/19-10/26Norovirus
Norwegian Cruise LineNorwegian Jewel10/8-10/18Norovirus
American Canadian Cruise LineGrande Caribe9/30-10/12Norovirus
Norwegian Cruise LineNorwegian Jewel9/28-10/8Norovirus
Regent Seven Seas CruisesSeven Seas Mariner8/27-9/3Norovirus
Holland America LineVeendam6/13-6/20Norovirus
Norwegian Cruise LineNorwegian Dream4/13-5/1Norovirus and Enterotoxigenic E. coli (ETEC)
Holland America LineZaandam3/19-4/3Norovirus
Holland America LineRyndam2/15-2/25Norovirus
Carnival Cruise LineHoliday1/24-1/28Norovirus
Norwegian Cruise LinesNorwegian Star1/19-1/27Norovirus
Holland America LineNoordam1/5-1/16Norovirus
Holland America LineVolendam1/2-1/12Norovirus
Princess CruisesPacific Princess12/15-1/10Enterotoxigenic E. coli (ETEC)

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2007
Cruise LineCruise ShipSailing DatesCausative Agent
Princess CruisesEmerald Princess12/16-12/26Norovirus
Norwegian Cruise LineNorwegian Pearl11/30-12/9Norovirus
Holland America LineZaandam11/5-11/20Norovirus
Norwegian Cruise LineNorwegian Dawn10/14-10/26Norovirus
Norwegian Cruise LineNorwegian Crown8/12-8/19Norovirus
Carnival Cruise LineCarnival Spirit6/13-6/20Norovirus
Royal Caribbean Cruise LineLiberty of the Seas5/26-6/2Norovirus
Norwegian Cruise LineNorwegian Star5/19-5/26Norovirus
Norwegian Cruise LineNorwegian Pearl4/13-4/22Specimens not obtained
Holland America LineVolendam4/12-4/22Specimens not obtained
Regent Seven Seas CruisesSeven Seas Navigator4/5-4/16Norovirus
Celebrity CruisesZenith4/2-4/13Norovirus
Majestic America LineEmpress of the North3/16-3/21Norovirus
Princess CruisesRegal Princess3/13-3/25Unknown
Regent Seven Seas CruisesSeven Seas Mariner2/25-3/9Shigella, Salmonella, Enterobacter, and Entameoba histolytica
Holland AmericaRyndam3/3-3/13Norovirus
2/21-3/3Norovirus
1/22-2/21Norovirus
Holland America LineWesterdam2/2-2/11Norovirus
Princess CruisesIsland Princess1/26-2/10Norovirus
Cruise WestSpirit of Nantucket1/27-2/3Unknown
Holland America LineVolendam1/22-2/1Specimens not obtained
Cunard LineQueen Elizabeth 21/8-1/22Norovirus

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2006
Cruise LineCruise ShipSailing DatesCausative Agent
Princess CruisesRegal Princess12/7-12/27Norovirus
Princess CruisesSun Princess11/30-12/10Norovirus
Norwegian Cruise LineNorwegian Wind11/29-12/9Norovirus
Holland America LineZaandam11/26-12/11Norovirus
Royal Caribbean Cruise LineFreedom of the Seas11/26-12/3/06Norovirus
12/3-12/10, No sail recommendationNorovirus
Royal Caribbean Cruise LineSerenade of the Seas11/18-11/25Norovirus
Celebrity CruisesSummit11/11-11/25Unknown, negative for norovirus
Royal Caribbean Cruise LineAdventure of the Seas11/5-11/12Norovirus
Carnival Cruise LineCarnival Liberty11/3-11/19Norovirus
Royal Caribbean Cruise LineSerenade of the Seas10/29-11/11Norovirus
Princess CruisesIsland Princess10/21-11/5Norovirus
Celebrity CruisesConstellation10/27-11/7 and Investigation Report [PDF - 31 KB]Norovirus
Celebrity CruisesConstellation10/16-10/27/06Norovirus
Princess CruisesDiamond Princess9/2-9/9Norovirus
Royal Caribbean Cruise LineRadiance of the Seas9/2-9/9Unknown, negative for norovirus
Royal Caribbean Cruise LineMariner of the Seas7/23-7/30 and Investigation Report [PDF - 24 KB]Norovirus
Celebrity CruisesInfinity7/9-7/16Norovirus
Celebrity CruisesMercury6/2-6/9Norovirus
Holland America LineRyndam5/28-6/4Norovirus
Holland America LineRyndam5/14-5/21Norovirus
Norwegian Cruise LineNorwegian Star5/14-5/21Norovirus
Norwegian Cruise LineNorwegian Sun5/13-5/20Norovirus
Holland America LineVeendam4/22 - 5/9Norovirus
Royal Caribbean Cruise LineExplorer of the Seas4/23-4/30Norovirus
Princess CruisesIsland Princess3/7-3/22Norovirus
Holland America LineAmsterdam3/7-3/22Norovirus
3/22-4/6Norovirus
Celebrity CruisesMercury3/6-3/17Norovirus
3/17-3/27 and Investigation Report [PDF - 24 KB]Norovirus
Royal Caribbean Cruise LineGrandeur of the Seas3/6-3/11Norovirus
Holland America LineVolendam3/3-3/13Norovirus
Regent Seven Seas CruisesSeven Seas Mariner2/28-3/13Unknown
Royal Caribbean Cruise LineExplorer of the Seas2/26-3/5Norovirus
Cunard LineQueen Mary 22/8-2/22Enterotoxigenic E. coli (ETEC)
P & O CruisesMinerva II1/12-1/26Unknown
Holland America LineZuiderdam12/30/05-1/7/06Norovirus

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2005
Cruise LineCruise ShipSailing DatesCausative Agent
Royal Caribbean Cruise LineSplendour of the Seas11/12-11/26Norovirus
Princess CruisesSun Princess5/9-5/16Norovirus
Princess CruisesDawn Princess4/29-5/14Norovirus
Celebrity CruisesHorizon4/23-4/30Unknown
Crystal CruisesCrystal Symphony4/14-4/25Unknown
Norwegian Cruise LineNorwegian Crown3/13-3/28Unknown
Princess CruisesRoyal Princess3/7-3/24Unknown
Holland America LineVeendam3/5-3/12Norovirus
Celebrity CruisesZenith2/27-3/13Norovirus
Carnival Cruise LineCelebration2/21-2/26Norovirus
2/17-2/21Norovirus
Regent Seven Seas CruisesSeven Seas Mariner2/12-2/24Salmonella
Royal Caribbean Cruise LineEmpress of the Seas1/17-1/28Norovirus
Royal Caribbean Cruise LineMariner of the Seas1/16-1/23Norovirus
Holland America LineRyndam1/13-1/29Norovirus
Princess CruisesSun Princess1/8-1/18Norovirus
Holland America LineVeendam1/3-1/15Norovirus
1/15-1/29Norovirus
Royal Caribbean Cruise LineEnchantment of the Seas1/3-1/8Norovirus

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2004
Cruise LineCruise ShipSailing DatesCausative Agent
Princess CruisesCoral Princess12/28-1/07Norovirus
Princess CruisesGolden Princess12/12-12/19Norovirus
SilverSea Cruise LineSilver Shadow12/4-12/14Specimens not obtained
Norwegian Cruise LineNorwegian Dream12/5-12/12Norovirus
Institute for Shipboard EducationM/V Explorer6/19-12/8Unknown
Holland America LineVeendam9/26-10/14Unknown
Princess CruisesRegal Princess9/11-9/20Unknown
Princess CruisesSun Princess9/13-9/20Unknown
9/6-9/13Norovirus
Clipper Cruise LineNantucket Clipper9/3-8/11Specimens not obtained
SilverSeas Cruise LineSilver Shadow7/26-8/6Unknown
Princess CruisesPacific Princess7/25-8/17Unknown
Royal Caribbean Cruise LineSerenade of the Seas6/6-6/13Unknown
Princess CruisesIsland Princess6/5-6/12Unknown
5/29-6/5Norovirus
Norwegian Cruise LineNorwegian Crown5/2-5/9Norovirus
4/17-5/2Norovirus
Holland America LineVeendam4/17-5/2Norovirus
Norwegian Cruise LineNorwegian Wind4/17-5/2Specimens not obtained
Holland America LineRotterdam4/2-4/15Unknown
Holland America LineAmsterdam3/31-4/17Enterotoxigenic E. coli (ETEC)
Celebrity CruisesZenith3/28-4/11Norovirus
Celebrity CruisesHorizon3/22-4/2Norovirus
Norwegian Cruise LineNorwegian Crown3/22-4/4Norovirus
3/7-3/22Unknown, negative for norovirus
Princess CruisesRoyal Princess3/8-3/25Unknown, negative for norovirus
Cunard LineQueen Mary 22/23-3/6Norovirus
Royal Caribbean Cruise LineBrilliance of the Seas2/16-2/27Norovirus
Cunard LineQueen Elizabeth 22/17-3/1Unknown
ResidenSea Cruise LineThe World2/3-2/24Specimens not obtained
P & O CruisesOriana2/20-3/5Norovirus
Carnival Cruise LineCarnival Celebration2/9-2/14Norovirus
Holland America LineRyndam2/7-2/14Norovirus
Princess CruisesCoral Princess1/12-1/22Norovirus
Cunard LineQueen Elizabeth 21/5-1/19Specimens not obtained
Windjammer Barefoot CruisesLegacy1/4-1/10Specimens not obtained

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2003
Cruise LineCruise ShipSailing DatesCausative Agent
Windjammer Barefoot CruisesLegacy12/27-1/3/2004Specimens not obtained
Holland America LineVolendam12/21-12/28Norovirus
Carnival Cruise LineCarnival Legend11/21-11/29Norovirus
11/13-11/21Norovirus
Clipper Cruise LineNantucket Clipper10/4-10/11Specimens not obtained
Carnival Cruise LineCarnival Holiday10/16-10/20Norovirus
10/11-10/16Norovirus
Norwegian Cruise LineNorwegian Star9/21-9/28Specimens not obtained
Clipper Cruise LineClipper Odyssey8/15-8/26Specimens not obtained
Princess CruisesRegal Princess8/18-9/2Norovirus
Princess CruisesStar Princess8/2-8/9Norovirus
7/26-8/2Norovirus
Royal Caribbean Cruise LineRhapsody of the Seas7/20-7/27Specimens not obtained
Norwegian Cruise LineNorwegian Sky5/17-5/24Norovirus
Princess CruisesRoyal Princess4/5-4/22Specimens not obtained
Norwegian Cruise LineNorwegian Dream3/16-3/31Norovirus
Clipper Cruise LineNantucket Clipper3/1-3/6Specimens not obtained
Sun CruisesSun Dream2/17-2/24Norovirus
Princess CruisesSun Princess1/25-2/9Norovirus
Sun CruisesSun Dream1/20-2/3Norovirus
Carnival Criuse LineCarnival Spirit1/27-2/4Norovirus
Royal Olympic CruisesOlympia Voyager1/15-2/3Unknown
Regal Cruise LineRegal Empress1/11-1/18Unknown
Classic Cruises of NewportArabella1/11-1/18Specimens not obtained
Cunard LineQueen Elizabeth 21/5-1/18Norovirus
Clipper Cruise LineNantucket Clipper12/28/2002-1/4Specimens not obtained
Norwegian Cruise LineNorway12/28/2002-1/4Specimens not obtained

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2002
Cruise LineCruise ShipSailing DatesCausative Agent
Carnival Cruise LineCarnival Conquest12/8-12/15Norovirus
P & O CruisesOceana11/29-12/12Norovirus
Radisson Seven Seas CruisesSeven Seas Mariner11/23-12/2Salmonella
Celebrity CruisesConstellation10/25-11/8Norovirus
Carnival CruisesFascination11/30-12/2Norovirus
Disney Cruise LineDisney Magic11/11-11/21Norovirus
Seabourn Cruise LineSeabourn Pride10/28-11/10Specimens not obtained
Holland America LineAmsterdam11/11-11/21Norovirus
Holland America LineAmsterdam10/1-10/22Norovirus
Clipper CruisesNantucket Clipper10/19-10/29Sappovirus
Norwegian Cruise LineNorwegian Sun9/28-10/5Norovirus
Norwegian Cruise LineNorwegian Dream9/10-9/25Shigella, Giardia
Norwegian Cruise LineNorwegian Sun8/3-8/10Specimens not obtained
Clipper Cruise LineYorktown Clipper7/27-8/3Specimens not obtained
Holland America LineRyndam7/25-8/1Norovirus
Princess CruisesOcean Princess5/25-6/1Norovirus
Holland America LineRyndam4/7-4/24Norovirus
Holland America LineAmsterdam1/4-4/28Specimens not obtained
Cunard LineCaronia3/24-4/5Enterotoxigenic E. coli (ETEC) / Shigella
Clipper Cruise LineNantucket Clipper3/23-3/30Norovirus
Carnival Cruise LineCarnival PrideMarchNorovirus

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2001
Cruise LineCruise ShipSailing DatesCausative Agent
Clipper Cruise LineNantucket ClipperSeptemberNorovirus
Delta Queen Steamboat CompanyMississippiAugustNorovirus
Cunard LineCoronia3/11-3/29Norovirus
P & O CruisesOriana2/20-3/14Specimens not obtained

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2000
Cruise LineCruise ShipSailing DatesCausative Agent
Disney Cruise LineDisney Magic6/2-6/5Salmonella
Cruise WestSpirit of Glacier Bay5/28-6/1Norovirus
Palm Beach Casino LinePalm Beach Princess5/18-6/1Specimens not obtained
Clipper Cruise LineNantucket Clipper2/5-2/12Norovirus
Clipper Cruise LineNantucket Clipper1/22-1/29Norovirus
1/15-1/22Norovirus

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1999
Cruise LineCruise ShipSailing DatesCausative Agent
Clipper Cruies LineNantucket Clipper1/30-2/6Norovirus
1/23-1/30Norovirus
1/16-1/23Norovirus
1/9-1/16Norovirus
1/2-1/9Norovirus

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1998
Cruise LineCruise ShipSailing DatesCausative Agent
Royal Caribbean Cruise LineVision of the Seas11/28-12/7Specimens not obtained
Norwegian Cruise LineNorway10/10-10/24Norovirus
Princess CruisesRegal Princess6/21-6/28Norovirus
6/14-6/21Norovirus
6/7-6/14Norovirus
Imperial Majesty CruisesOcean Breeze5/17-5/24Enterotoxigenic E. coli (ETEC)
Investigation done at the request of the cruise line outside the U.S.
Holland America LineStatendam3/29-4/8Specimens not obtained
Royal Caribbean Cruise LineLegend of the Seas2/28-3/11Norovirus

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1997
Cruise LineCruise ShipSailing DatesCausative Agent
Regal CruisesRegal Empress12/17-12/21Enterotoxigenic E. coli (ETEC)
Celebrity CruisesZenith12/5-12/15Specimens not obtained
Clipper Cruise LineNantucket Clipper10/23-10/30Norovirus
Princess CruisesRoyal Princess4/15-4/19Enterotoxigenic E. coli (ETEC)
Holland America LineNoordam3/29-4/5Cyclospora
Royal Cruise LineRoyal Odyssey3/25-4/4Norovirus
No sail recommendation
Royal Cruise LineRoyal Odyssey3/4-3/14Norovirus
Princess CruisesRegal Princess2/13-2/28Specimens not obtained
Clipper Cruise LineNantucket Clipper2/8-2/15Norovirus

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1996
Cruise LineCruise ShipSailing DatesCausative Agent
Carnival Cruise LineJubliee6/16-6/23Norovirus
Holland America LineNoordam4/27-5/11Norovirus
Princess CruisesRoyal Princess3/15-3/26Enterotoxigenic E. coli (ETEC)

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1995
Cruise LineCruise ShipSailing DatesCausative Agent
Celebrity CruisesHorizon7/15-7/22Salmonella
Carnival Cruise LineFantasy4/30-5/4Shigella sonnei
Orient LineCrown Odyssey1/12-1/26Enterotoxigenic E. coli (ETEC)

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1994
Cruise LineCruise ShipSailing DatesCausative Agent
Royal Caribbean Cruise LineViking Serenade8/29-9/1Shigella flexneri
Celebrity CruisesHorizon6/26-7/2Legionella
Premier Cruise LIneStarShip Oceanic6/13-6/17Norovirus
Regency CruisesRegent Rainbow3/18-4/1Viral gastroenteritis
American FamilyAmerican Adventure12/26/93-2/2/94Shigella flexneri

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