Cruise Ship Gastrointestinal Illness Publications

Find selected publications related to gastrointestinal illness and cruise ships.

• Crisp C, Jenkins K, Dunn I, Kupper A, Johnson J, White S, et al. Notes from the field: cruise ship norovirus outbreak associated with person-to-person transmission — United States jurisdiction, January 2023. MMWR. 2023;72(30):833-4. (Moritz E, Rodriguez L)
• Jenkins KA, Vaughan GH Jr, Rodriguez LO, Freeland A. Acute gastroenteritis on cruise ships — Maritime Illness Database and Reporting System, United States, 2006–2019. MMWR Surv. Summ. 2021;70(6):1–9.
• Park G, Ng T, Freeland AL, Marconi VC, Boom JA, Staat MA, et al. CrAssphage as a novel tool to detect human fecal contamination on environmental surfaces and hands. Emerg Infect Dis. 2020;26(8):1731-9. (Treffiletti A)
• Rispens JR, Freeland A, Wittry B, Kramer A, Barclay L, Vinjé J, et al. Notes from the field: Multiple cruise ship outbreaks of norovirus associated with frozen fruits and berries—United States, 2019. MMWR. 2020;69(16):501-2. (Treffiletti A, Houston K)
• Centers for Disease Control and Prevention. Vessel Sanitation Program 2018 operations manual. [PDF – 5 MB] Atlanta: U.S. Public Health Service; 2018.
• Centers for Disease Control and Prevention. Vessel Sanitation Program 2018 construction guidelines. [PDF – 4 MB] Atlanta: U.S. Public Health Service; 2018.
• Freeland AL, Vaughan GH Jr, Banerjee SN. Acute gastroenteritis on cruise ships—United States, 2008–2014. MMWR. 2016;65(1):1–5.
• Park GW, Lee D, Treffiletti A, Hrsak M, Shugart J, Vinjé J. Evaluation of a new environmental sampling protocol for detection of human norovirus on inanimate surfaces. Appl Environ Microbiol. 2015;81(17):5987–92.
• Centers for Disease Control and Prevention. Notes from the field: Emergence of new norovirus strain GII.4 Sydney—United States, 2012. MMWR. 2013;62(3):55.
• Centers for Disease Control and Prevention. Vessel Sanitation Program 2011 operations manual. [PDF – 4.9 MB] Atlanta: U.S. Public Health Service; 2011.
• Centers for Disease Control and Prevention. Vessel Sanitation Program 2011 construction guidelines. [PDF – 2.9 MB] Atlanta: U.S. Public Health Service; 2011.
• Wikswo ME, Cortes J, Hall AJ, Vaughan G, Howard C, Gregoricus N, Cramer EH. Disease transmission and passenger behaviors during a high morbidity norovirus outbreak on a cruise ship, January 2009. Clin Infect Dis. 2011;52(9):1116-22.
• Hall AJ, Vinjé J, Lopman B, Park GW, Yen C, Gregoricus N, et al. Updated norovirus outbreak management and disease prevention guidelines. MMWR. 2011;60(RR03);1-15.
• Chimonas MA, Vaughan GH, Andre Z, Ames JT, Tarling GA, Beard S, et al. Passenger behaviors associated with norovirus infection on board a cruise ship–Alaska, May to June 2004. J Travel Med. 2008;15(3):177-83
• Neri AJ, Cramer EH, Vaughan GH, Vinjé J, Mainzer HM. Passenger behaviors during norovirus outbreaks on cruise ships. J Travel Med. 2008;15(3):172-6.
• Cramer EH, Blanton C, Otto, Charles, Vessel Sanitation Program Environmental Health Inspection Team. Shipshape: Sanitation Inspections on Cruise Ships, 1990–2005, Vessel Sanitation Program, Centers for Disease Control and Prevention. [PDF – 555 KB] J Environ Health, 70(7):15-23.
• Cramer EH, Blanton C, Browne L, Vaughan G, Bopp C, Forney D. Epidemiology of gastroenteritis on cruise ships, 2001-2004: the impact of noroviruses. Am J Prev Med. 2006;30(3):252-7.
• Centers for Disease Control and Prevention. Vessel Sanitation Program Operations Manual 2005. [PDF – 1.64 MB] Atlanta; U.S. Public Health Service 2005.
• Isakbaeva ET, Widdowson M-A, Beard RS, Bulens SN, Mullins J, Monroe SS, et al. Norovirus transmission on cruise ship. Emerg Infect Dis. 2005:154-7.
• Widdowson M-A, Cramer EH, Hadley L, Bresee JS, Beard RS, Bulens SN, et al. Outbreaks of acute gastroenteritis on cruise ships and on land: identification of a predominant circulating strain of norovirus – United States 2002. J Infect Dis. 2004;190(1):27-36.
• Cramer EH, Gu DX, Durbin RE, Vessel Sanitation Program Environmental Health Inspection Team. Diarrheal disease on cruise ships, 1990–2000: the impact of environmental health programs. Am J Prev Med. 2003;24(3):227-33.
• Centers for Disease Control and Prevention. Outbreaks of gastroenteritis associated with noroviruses on cruise ships — United States, 2002 — United States, 2002. MMWR. 2002;51(49):1112-5.
• Centers for Disease Control and Prevention. Vessel Sanitation Program Operations Manual 2000. [PDF – 2.36 MB] Atlanta; U.S. Public Health Service 2000.
• Herwaldt BL, Lew JF, Moe CL, Lewis DC, Humphrey CD, Monroe SS, et al. Characterization of a variant strain of Norwalk virus from a food-borne outbreak of gastroenteritis on a cruise ship in Hawaii. J Clin Microbiol. 1994;4:861-6.
• Khan AS, Moe CL, Glass RI, Monroe SS, Estes MK, Chapman LK, et al. Norwalk virus-associated gastroenteritis traced to ice consumption aboard a cruise ship in Hawaii: comparison and application of molecular method-based assays. J Clin Microbiol. 1994;2:318-22.
• Centers for Disease Control and Prevention. Outbreak of Shigella flexneri 2a infections on a cruise ship. MMWR. 1994;43(35):657.
• Lew JF, Swerdlow DL, Dance ME, Griffin PM, Bopp CA, Gillenwater MJ, et al. An outbreak of shigellosis aboard a cruise ship caused by a multiple-antibiotic-resistant strain of Shigella flexneri. Am J Epidemiol. 1991;134(4):413-20.
• Merson MH, Tenney JH, Meyers JD, Wood BT, Wells JG, Rymzo W, et al. Shigellosis at sea: an outbreak aboard a passenger cruise ship. Am J Epidemiol. 1975;101:165-75.
• Nguyen, CH, Qualls NL, O’Toole TE. A cost-effectiveness analysis of the Vessel Sanitation Program. Atlanta: Centers for Disease Control and Prevention, U.S. Public Health Service 1989.
• Ho MS, Glass RI, Monroe SS, Madore HP, Stine S, Pinsky PF, et al. Viral gastroenteritis aboard a cruise ship. Lancet. 1989 Oct 21;2(8669):961-5.
• Addiss DG, Yashuk JC, Clapp DE, Blake PA. Outbreaks of diarrhoeal illness on passenger cruise ships, 1975-85. Epidemiol Infect. 1989;103(1):63-72.
• Centers for Disease Control and Prevention. Vessel sanitation scores. MMWR 1988;37(7):114-7.
• Sawyer LA, Murphy JJ, Kaplan JE, Pinsky PF, Chacon D, Walmsley S, et al. 25- to 30-nm virus particle associated with a hospital outbreak of acute gastroenteritis with evidence for airborne transmission. Am J Epidemiol. 1988;127:1261-71.
• Centers for Disease Control and Prevention. Gastroenteritis outbreaks on two Caribbean cruise ships. MMWR 1986;35(23):383-4.
• Centers for Disease Control and Prevention. Staphylococcal food poisoning on a cruise ship. MMWR. 1983;32(22):294-5.
• Dannenberg AL, Yashuk JC, Feldman RA. Gastrointestinal illness on passenger cruise ships, 1975-1978. Am J Publ Health. 1982;72:484-8.
• Gunn RA, Terranova WA, Greenberg HB, Yashuk J, Gary GW, Wells JG, et al. Norwalk virus gastroenteritis aboard a cruise ship: an outbreak of five consecutive cruises. Am J Epidemiol. 1980;1122:820-7.
• Merson MH, Hughes JM, Wood BT, Yashuk JC, Wells JG. Gastrointestinal illness on passenger cruise ships. JAMA. 1975;723-7.