Investigation Update on the Constellation

Cruise Line: Celebrity Cruises

Cruise Ship: Constellation

Voyage Dates: 10/27-11/7/06

Number of ill passengers out of total number of passenger: 72 of 1776 (4.05%)

Number of ill crew out of total number of crew: 13 of 967 (1.34%)

Predominant symptoms: diarrhea and vomiting

Actions: Celebrity Cruises and the crew aboard the ship took the following actions to respond to the outbreak:

• increased cleaning and disinfection procedures,
• provided daily updates throughout the following voyage until the number of ill people returned to expected levels,
• delayed embarkation for the following voyage,
• submitted stool specimens for analysis.

VSP staff boarded the ship on November 4th and sailed the remainder of the voyage. On board the ship VSP:

• conducted a targeted environmental health investigation,
• review medical logs,
• consult with medical staff,
• observe cleaning and disinfection procedures,
• surveyed ill passengers and crew,
• and make recommendations.

The number of ill people returned to expected levels by the voyage that ended on 11/27/06.