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CDC greets cruise ship
starbulletin.com ^ | Monday, January 29, 2007 | Alexandre Da Silva

Posted on 02/09/2007 5:49:57 AM PST by Calpernia

art
JAMM AQUINO /
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ALEXANDRE DA SILVA /

The Queen Elizabeth 2 made its way into Honolulu Harbor early yesterday morning. During its journey, the ship was hit with a norovirus outbreak on its Acapulco, Mexico-San Francisco leg and was met by the CDC after it docked in Honolulu. The stomach flu outbreak sickened at least 276 passengers and 28 crew members amid its around-the-world journey.

CDC greets cruise ship

A stomach flu virus seems to be under control aboard the Queen Elizabeth 2

Passengers and crew members aboard a cruise ship in which hundreds fell ill with a highly contagious stomach flu arrived at Honolulu Harbor early yesterday saying the spread of the virus had slowed.

The Queen Elizabeth 2, on a stop here from San Francisco, docked at Pier 2B about 7 a.m. When the ship left the mainland Wednesday night, only six guests were still being treated on board for norovirus, a gastrointestinal illness.

"It was not that bad," said Leonard Ciupak, 54, a Kahala resident who got sick but improved after taking some medicine.

"You wake up and, obviously, you have to make it to the bathroom and you get real dehydrated," added Ciupak, a television manager at the 963-foot vessel. "You have aches and pains for about a day, and then you are fine."

The QE2, operated by the Valencia, Calif.-based Cunard Line, departed Jan. 8 from New York on the first leg of its 106-day trip around the world. The Centers for Disease Control reported 276 passengers and 28 crew members had come down with the virus by the time the ship docked Wednesday in San Francisco for a regularly scheduled stop, though only four passengers remained sick.

CDC officials said they would meet with the ship's doctor yesterday. Cunard spokesman Brian O'Connor said enhanced sanitation measures led to a rapid decrease in the number of cases.

"We have been informed that norovirus is currently circulating widely throughout North America and the United Kingdom, and we suspect the illness was inadvertently brought on board by embarking passengers," O'Connor said.

Security officials at Honolulu Harbor directed passengers of the Queen Elizabeth 2 yesterday after the vessel docked at Honolulu Harbor.

Yesterday, some passengers, who were scheduled to re-board the vessel at about 9:30 p.m., declined to be interviewed and quickly left in cabs or in tour vans to enjoy the island for the day.

Janice Okubo, spokeswoman for the state Department of Health, said the outbreak seemed to be under control.

"Many of the people were going to be well by the time they reached Hawaii," she said.

While the vessel was being fumigated on the mainland, Stan and Leone Pollard, a Burlingame, Calif., couple, said they got free tours of a farmer's market and the Hollywood Walk of Fame.

"It was very, very serious," Stan Pollard said about the outbreak, noting that amenities like peanuts stopped being served. "They sanitized the complete ship. Now it seems to be fine, because they started serving snacks at the cocktail lounge."

The CDC boarded the QE2 on Jan. 19 in Acapulco, Mexico, to investigate the infections, which affected nearly 17 percent of the ship's 1,652 passengers, a particularly high percentage. The agency defines an outbreak as an illness that affects more than 3 percent of a ship's passengers.

Investigators said enhanced sanitation measures such as disinfecting casino chips, confining sick guests to their rooms and halting self-service at the ship's buffet were working.

The scare did not spoil the trip for June McRoberts, who boarded the vessel Jan. 10 at Fort Lauderdale, Fla. In fact, the Batavia, Ill., resident already signed up for another cruise with the company for next year, this time with the ship Queen Victoria.

"It was blown up a lot bigger than it really was," said McRoberts, who was met at the harbor by friend Ruth Johnsen, also a Chicago resident, who happens to be in the island visiting her daughter.

The two planned to see Pearl Harbor and Waikiki before McRoberts returned to board the ship, which was scheduled to leave for Lahaina last night. After its Maui stop, the QE2 heads to Tahiti, New Zealand and Australia.


TOPICS: Front Page News; News/Current Events
KEYWORDS: cdc; cruise; norovirus; qe2; queenelizabeth
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1 posted on 02/09/2007 5:49:59 AM PST by Calpernia
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To: KylaStarr; Cindy; StillProud2BeFree; nw_arizona_granny; Velveeta; Dolphy; appalachian_dweller; ...

My parents are on this ship.


2 posted on 02/09/2007 5:50:29 AM PST by Calpernia (Breederville.com)
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To: Calpernia
I'm trying to figure out why cruise ships have so many outbreaks while we never hear of Navy ships like aircraft carriers or destroyers having outbreaks. I have a couple of theories: 1) Naval personnel have stronger immune systems than civilians on cruise ships, 2) Naval food has less of a risk for those who eat it (since it is rarely exotic and often comes from cans), 3) Naval personnel operate in smaller groups and rarely tour the entire ship to interact with random people, and/or 4) Naval medical services are more proactive (including immunizations).

Having served in the Navy on submarines I can verify #4 since we had someone catch some random disease and we were all prescribed some powerful antibiotic that made you feel like your stomach was being ripped out for purely preventative reasons (and most of our crew faked taking it because of that). It also isn't uncommon to do other mass preventative medical maintenance such as penicillin shots in the bottoms during boot camp (which still gives me the shivers thinking about it).

3 posted on 02/09/2007 6:02:23 AM PST by burzum (Despair not! I shall inspire you by charging blindly on!--Minsc, BG2)
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To: burzum

Illegal immigrants are statistically higher in the Travel and tourism industry. I would combine that factor with your #4 and rank it under health concern.

http://www.comlinks.com/polintel/pi060410.htm
Illegal Immigration and Tourism


4 posted on 02/09/2007 6:07:17 AM PST by Calpernia (Breederville.com)
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To: Calpernia
My question is why are we seeing this now? Cruise ships have been plying the Caribbean and elsewhere for decades and only lately have they become stomach flu plague ships.
5 posted on 02/09/2007 6:23:41 AM PST by The Great RJ ("Mir we bleiwen wat mir sin" or "We want to remain what we are." ..Luxembourg motto)
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To: Calpernia
Illegal immigrants are statistically higher in the Travel and tourism industry. I would combine that factor with your #4 and rank it under health concern.

I have heard that reason before, but it only makes sense if the illegal immigrants were still living in a diseased area (which doesn't make sense if they are illegal immigrants since by definition they would be living in the US which doesn't really have any major places with high disease rates). When they leave the area their incidence of disease will drop to the levels of the area they move to (and I'll have to look for the reference I saw on that). Whether they spend a lot of time in places with high rates of disease when they start working for the cruise ship companies is something I do not know but many cruise ships may have native workers from outside the US that may live in places with less than sanitary conditions. I would assume they don't since the cruise ships tend to visit the nice areas that tourists want to go. But then again, many of the workers on cruise ships wouldn't be able to afford to live in those areas.

6 posted on 02/09/2007 6:24:30 AM PST by burzum (Despair not! I shall inspire you by charging blindly on!--Minsc, BG2)
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To: burzum

I don't know. What you say makes sense; but it tends to hold true in the food industry also.


7 posted on 02/09/2007 6:32:10 AM PST by Calpernia (Breederville.com)
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To: The Great RJ

Actually, it isn't just now. Let me look for the links and I'll post them. We have threads on this.


8 posted on 02/09/2007 6:33:03 AM PST by Calpernia (Breederville.com)
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To: The Great RJ

Even better. The CDC has a nice chart from 1994-2007 here:

http://www.cdc.gov/nceh/vsp/surv/GIlist.htm


9 posted on 02/09/2007 6:36:57 AM PST by Calpernia (Breederville.com)
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To: Calpernia

Wasn't one of these outbreaks a couple of years ago attributed to the on board water supply? That would certainly explain how it can spread so rapidly and efficiently.

The Olive Garden that was shut down a few weeks ago in Indy was from a norovirus. I don't recall if they every figured out the source.


10 posted on 02/09/2007 6:40:28 AM PST by IamConservative (Any man who agrees with you on everything, will lie to anyone.)
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To: Cindy; IamConservative

See that link I found at post 9. It is amazing.


11 posted on 02/09/2007 6:41:26 AM PST by Calpernia (Breederville.com)
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To: Dr. Eckleburg; flutters; genefromjersey; Ptarmigan

Interesting link at post 9.


12 posted on 02/09/2007 6:42:11 AM PST by Calpernia (Breederville.com)
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To: Calpernia

Gives the appearance that "if you cruise you ooze.."

More cruises or more illness you suppose?


13 posted on 02/09/2007 6:47:13 AM PST by IamConservative (Any man who agrees with you on everything, will lie to anyone.)
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To: burzum; BIGLOOK; IamConservative

I can't imagine that we have more cruises then MIL vessels. Look at what burzum posted. I've never heard of coast guard or navy having troubles like this. Have you Big Look?


14 posted on 02/09/2007 6:50:43 AM PST by Calpernia (Breederville.com)
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To: Calpernia

Dude, you could not PAY me to get on a cruise ship. Got to be one of the nastiest places on Earth/Sea.


15 posted on 02/09/2007 6:53:44 AM PST by devane617 (It's McCain and a Rat -- Now what?)
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To: The Great RJ

Group sex and Orgies


16 posted on 02/09/2007 7:16:29 AM PST by Domicile of Doom (Center amber dot on head and squeeze for best results)
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To: burzum
Having served in the Navy on submarines I can verify #4 since we had someone catch some random disease and we were all prescribed some powerful antibiotic that made you feel like your stomach was being ripped out for purely preventative reasons (and most of our crew faked taking it because of that). It also isn't uncommon to do other mass preventative medical maintenance such as penicillin shots in the bottoms during boot camp (which still gives me the shivers thinking about it).

Well, chalk up one for the military for contributing to the increase of drug-resistant bacteria. I thought prophylactic antibiotics were a no-no now.

17 posted on 02/09/2007 7:47:37 AM PST by TChris (The Democrat Party: A sewer into which is emptied treason, inhumanity and barbarism - O. Morton)
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To: The Great RJ
My question is why are we seeing this now?

Media bias.

I've been practicing Infectious Diseases for twenty-five years, and during that entire time cruise ship outbreaks of viral (mostly) diarrhea have been common.

This worldwide norovirus epidemic is a little unusual, but if you are worried about intestinal infections, cruise ships have never been a good choice.

18 posted on 02/09/2007 7:51:03 AM PST by Jim Noble
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To: Calpernia
Thanks for the ping, Cal. The virus is becoming more prevalent and on the fancier ships. I hope your parents avoided the illness. If not, I'm sure they are in very good hands. The staff on the QE2 are absolutely wonderful. My husband and I got sea sick when we left Holland. Even on such a big ship, the North Sea tossed us about like rag dolls. But a quick trip to the on-board hospital for a shot, about 12 hours sleep, an assortment of room service soups and we were back in business.
19 posted on 02/09/2007 9:02:02 AM PST by flutters (God Bless The USA)
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To: flutters

Thanks.

You saw that link at post 9? It is amazing.


20 posted on 02/09/2007 9:06:14 AM PST by Calpernia (Breederville.com)
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