Investigation Update on the Adventure of the Seas

Cruise Line: Royal Caribbean Cruise Line

Cruise Ship: Adventure of the Seas

Voyage Dates: 11/5-11/12

Number of ill passengers out of total number of passenger: 129 of 3260 (3.96%)

Number of ill crew out of total number of crew: 1 of 1174 (0.08%)

Predominant symptoms: diarrhea and vomiting

Actions: Royal Caribbean Cruise Line and the crew aboard the ship took the following actions to respond to the outbreak:

• increased cleaning and disinfection procedures,
• provided daily updates to VSP and will continue to do so until the number of ill people returns to expected levels,
• submitted stool specimens for analysis.

The number of ill people returned to expected levels on the voyage that ended on 11/18/06.