Q&A

How to Stay Healthy at Sea

Norovirus facts--and fictions--and ways that cruise passengers can avoid getting sick.

Jaret Ames, acting chief of the vessel sanitation program at the Centers for Disease Control and Prevention (CDC), sheds light on the contagious gastrointestinal virus.

Q: What are some of the symptoms of norovirus, and why have there been more cases in recent years?

A: The standard symptoms that you find are vomiting or diarrhea--sometimes both--and there may be some associated symptoms like stomach cramps and nausea. It usually lasts about 24 hours, and then the symptoms dissipate and you come back to a normal status. As far as the cases and what's going on, I don't really have a good answer to that question. It is, in my view, absolutely a universal matter. Essentially, we're having increased outbreaks onshore just like we're having them on the ships. It's not something isolated to a ship or one part of the world.

Q: How does the virus spread?

A: The transmission routes are a fecal-oral route, a contaminated food or water source, or a sick person; those are the three ways you typically transmit the virus. It could be an ill food worker or just an ill person who happens to share the same living space as you. Obviously if it's a tighter space like a ship or a school, then you may see clusters of cases. It's transmitted through the food people contact or, the common one we see, transmitted through a surface. Maybe someone who is ill didn't wash his hands at all when he had a bowel movement and he touched surfaces and inanimate objects, whether a handrail or a button for an elevator, and when someone who is well touches that surface, the virus is transmitted to his hands.

Q: What are some of the ways that people can stay healthy while on a cruise?

A: If you're a person who's on a ship and you're trying to prevent transmission, hand-washing is the primary way to do that, and that means a good 30 seconds. It needs to happen quite often throughout the day even if you just have a snack, especially if from a self-service source. If you're a smoker, you should certainly do a hand-washing before that hand-to-mouth activity. Products like Purell can be of some use, but they don't replace hand-washing. Even if you do carry something like that, you should make sure that you still wash your hands often.

If you're a person who's ill, the key is to stay in your cabin and keep washing your hands throughout the day. When you do have to circulate with other people, wash your hands. Even at home when you're ill, you need to do a very good, 30-second hand wash.

Of course, you can have water or foodstuffs with contaminated fecal matter. Normally those cause quite large cluster outbreaks. We had some highly suspect waterborne outbreaks, but they were back in 2000 or 2001.

Q: What are some of the myths about norovirus?

A: One of the primary misconceptions people have is that the only people who need to really do proper and thorough and regular hand-washing is the crew aboard. They think that's where the breakdown is and don't see themselves as people who could transmit illness, but they are.

The second one is that people think that because they wash their hands once a day that will cover it. People don't truly understand the timing of it. Some people turn the water on, pass their hands under it, and quickly turn it off.

People should pay close attention when they use the hand-wash sink faucets; ideally they should shut the faucet off with a paper towel and use a paper towel to open the door when they leave the bathroom.

Habits make you a more risky person--a person who bites his nails or chews and plays with his gum or smokes. From a transmission perspective, those people are going to be more likely cases.

Q: How do cruise ships typically react when passengers become sick?

A: One response that's very common when there are elevated illness counts is for a ship to do increased cleanings. You'll see people with a rag that has a disinfectant chemical that they're wiping on surfaces that people touch routinely. The ships will position people there to have them wiping those surfaces continually throughout the day. Passengers will also notice that the self-service buffet that they used to go to freely and serve themselves has been replaced with served buffets once the crew sees elevated cases (which are typically reported to medical staff by sick people).

Q: What determines a ship's medical staff and capabilities?

A: It's generally a decision by each company or cruise line as to how many doctors or nurses to provide. Some will have literally what amounts to an EMT as their medical person and they may only have 100 passengers, but that's probably a ship that visits a port of call every day and is sailing through U.S. river systems, so they're never more than 24 hours away from pulling into a port and getting hospital care as needed.

Note:This story was accurate when it was published. Please be sure to confirm all rates and details directly with the companies in question before planning your trip.
 
Follow Us!

Booking Tool

Check Current Prices

  1. Hotels
  2. Flights
  3. Cars
  4. Cruises

Choose Sites

Choose Sites

Choose Sites

Choose Sites

Travel Tips

Tagged
Packing
395236

Grab-rails and nonskid surfaces aren't common in European bathtubs and showers. I pack a few decorative rubber pads that have non-adhesive suction cups, so I can use them when needed to prevent a slip or fall, and then I take them with me to the next hotel.

— Fran Plewak
Tagged
Dining
342257

Going to a place where you don't speak the language? Take along a picture booklet filled with examples of common food items (chicken, cow, rice, bottled water, coffee, wine, etc.) and use it to find dishes you like—you only have to point to the picture of what you want. We did this during a recent trip to Asia and always had wonderful meals.

— Mario Gonzalez
Tagged
Dining
370262

If you're looking for authentic street food--whether you're in New York or Bangkok--don't buy from the pitifully lonely vendor who has no customers. Head to the cart with the longest line of hungry people in front of it. Locals know which vendors serve the best (and safest) food. Even if you have to wait, your stomach will thank you.

— Bryan Thao Worra
Tagged
Planning
342245

Certified scuba divers who take prescription medications should keep a doctor's permission-to-dive statement with their certification cards. On a recent trip to Jamaica, I truthfully completed a lengthy questionnaire about my health, revealing that I have medically controlled high blood pressure and cholesterol. I was told I could not dive without a doctor's OK, even though I exercise regularly, am very fit, and have no other health issues. I now carry a letter from my doctor attesting to my fitness for scuba diving.

— Ginny Ganthner
Tagged
Safety
440318

Don't be afraid to go to a foreign pharmacy. I forgot to pack my prescription medication on a recent trip to France. When my problem acted up, I went to a local pharmacy. (Look for the green cross.) The pharmacist provided my medication without a prescription and at a fraction of what it would have cost in the United States. In fact, one could benefit by stocking up abroad on medications that would normally be acquired at home at a much higher price.

— Mainard Tom
Tagged
Technology
404273

Download the most up-to-date airline schedules from the individual airline Web sites to your PDA before you leave home. Should you encounter a delay or cancellation at the airport, you'll have all the information needed to find another flight quickly.

— Neal Green
Tagged
Packing
374288

When I travel for business, I usually tack on a few extra days to do something active like hike in a nearby national park. I find that by taking two small suitcases instead of a single large one, I stay better organized and less burdened. I keep my business clothes, papers, and laptop in one bag and hiking clothes and gear in another. I leave the suitcase I'm not using at the time in the rental car and easily carry the lightweight case with the equipment and clothes I need into my hotel.

— Ellen Worthing
Tagged
Packing
385303

After looking for years for the perfect toiletries bag and being frustrated by many that were less than ideal, I finally discovered one that is just right: a soft-sided lunch box I bought at the supermarket. It has an outer zipped pocket with small compartments and slots perfect for often-used items like a toothbrush and toothpaste. There's a small removable zipper pouch inside (meant for a small ice pack) for those smaller, hard-to-find items like nail files and pill bottles. The remaining space inside is just right for larger items like shampoo and hand lotion. Other helpful features include both a small handle and shoulder strap and a waterproof, easy-to-clean interior. As an elementary school teacher, I know firsthand that it'll last: It was designed to withstand daily use by kids!

— Jennifer Minton
Tagged
Packing
370290

On a trip to Molokai, the plane we were on was small, and luggage was crammed in every which way. At baggage claim, we noticed that someone had packed a bottle of Pine-Sol, and it had broken and leaked everywhere. Now we line our suitcases with garbage bags to protect our clothes—just in case. (It's also smart in case your bag gets left on the tarmac in a downpour.)

— Aaron Lisle
Tagged
Planning
376255

I teach a Tulane University seminar on independent European travel for first-timers. Until recently, I advocated Europe's great rail networks as the way to go. Now, with the plethora of budget airlines, I recommend a combination of the two. But it makes the planning stage—which I find almost as much fun as actually taking the trip—more involved. Thank goodness for whichbudget.com, a Web site that lists, by city, which budget airlines serve which cities. Then, to find links to all of Europe's state railway Web sites, visit railfaneurope.net. Each site generally features a travel planner and, almost invariably, an English-language option.

— Brian Hughes
Tagged
Safety
440300

A simple but effective anti-pickpocketing measure is to fasten a safety pin across the opening of the pants pocket on the inside. Leave enough room to pull your wallet out with some effort, but not enough for a quick hand to lift it in a second or two.

— Rusty Cartmill
Tagged
Technology
399280

Tell me I'm not alone: Almost every time I park my car at the airport, I have trouble finding it when I return. (I even reported my car stolen once after searching for hours, only to discover I was in the wrong lot!) I now use my cell phone to leave myself a message as to where I've parked my car.

— Perry Babel
Tagged
Technology
557592

If you're even slightly tech savvy and have a cell phone that will work overseas, check with your service provider about the cost of text messages. Some carriers offer free incoming text messages, and several Internet search engines (Yahoo, MSN, etc.) will send free text-message "alerts" to your phone while you're away. Prior to your trip, log on and request that weather forecasts and news updates be sent to your number daily. Even if you never use your phone for costly overseas calls, you can receive up-to-the-minute information, in English, about your hometown or cities on your itinerary.

— Brian Mosteller
Tagged
Packing
356241

Everyone knows that duct tape is great for helping out in travel emergencies, but no one wants to lug around a bulky roll of the stuff. By wrapping a few feet onto a pencil or ballpoint pen, you'll get a miniature roll that does not take up much in the way of additional space.

— Randy Hartselle
Tagged
Family Travel
368272

When traveling with your kids, give each child his or her own small carry-on bag. Fill it with new, surprise treats to occupy the downtime--layovers, long flights, time in hotels--as well as a few familiar items from home. Include a notebook and encourage your child to keep a travel diary.

— Joan White
Tagged
Air Travel
380249

We were told by an airport security official to tape a business card onto the cover of our laptop. Turns out he has an average of six laptop computers left behind each day! There are so many more procedures now--removing shoes, removing coats--that people forget when they send their laptop through in a separate bin. The official added that it's very difficult to return them because most laptops have passwords that keep the owners' personal information hidden.

— Liz Nealon
Tagged
Technology
382283

My daughter and I bought disposable digital camcorders at a CVS pharmacy before going to Europe. It was a nice way to document our trip--each camera stored about 20 minutes of video. Once home, we dropped the cameras off at the pharmacy. The next day, our DVD was ready. We were very pleased with the quality and the cost: $30 for the camera and $13 for each DVD.

— Maria B. Murad
Tagged
Planning
368266

Sending a flat-rate Priority Mail box costs $8.10, no matter how much it weighs or which state it's going to. After accumulating too much stuff to fit in my suitcase during a trip to Atlanta, I filled a box with laundry, souvenirs, and gifts for my grandchildren, and mailed it to my home address.

— Eleanor Waterhouse
Tagged
Packing
386270

Bring your own linens. They're useful in a million different ways. Obviously a soft cotton pillowcase makes those scratchy airplane pillows bearable, but it can also be used to gather loose items when deplaning. A nice sheet will cover up an ugly bedspread or sofa, and makes a great tablecloth or picnic blanket.

— Dori Egan
Tagged
Hotels
436325

The magnets you use on a refrigerator will also stick well to most hotel and motel room doors, turning them into makeshift bulletin boards. Post theater tickets, itineraries, reminder notes, and any other useful information, then grab what you need before you leave the room for the day.

— Karen Hartz
Tagged
Packing
360268

Use an empty M&M's Minis tube to carry quarters. The top holds tightly, but still pops open easily enough, and the size is perfect to slip into a car door or bag. I find it very useful when traveling by car (for tolls and parking meters) and by airplane (for luggage carts or newspapers).

— Judi McDowell
Tagged
Hotels
433313

A shoe organizer hung over the bathroom door is my solution for hotel-room clutter. The compartments are perfect for stashing everything from room keys and travel documents to toiletries and, of course, shoes. The extra storage space came in especially handy on a recent cruise, when we needed all the room we could get in our tiny cabin.

— Jane Tague
Tagged
Packing
379274

Ziploc now makes extra-large bags with handles. They're nearly two feet by two feet, and although Ziploc advertises them as being good for storage, they're also useful for traveling. Bring one on long shopping excursions and then use it as an extra carry-on for souvenirs on the way home.

— Meredith McCulloch
Tagged
Transportation
345252

My husband and I always travel around Europe by train. When we arrive in any city, we first stop at a ticket window and get all the information we'll need for the next leg of our journey. This gives us plenty of time to find an English-speaking ticket agent who'll print out departure times and platform numbers for us. Before leaving the station, we can note the location of the platform we'll be looking for that morning. One wrong move when you're rushing for a train and you could end up in the wrong city!

— Betty Lynn
Tagged
Transportation
349263

Read the fine print on your rail pass. You can often use it to save money on other modes of public transportation. With a Scandinavian rail pass, for example, you'll pay less to ride the ferries. In Switzerland, a rail pass can get you free bus rides, as well as complimentary entrance to museums and discounts on funiculars and hotel accommodations.

— Jessica Lees
Tagged
Packing
355266

Whenever my husband and I get new pairs of eyeglasses, we relegate the old ones to our luggage, along with an inexpensive repair kit from the drugstore. If something happens while we're away from home, we can hopefully fix the glasses ourselves. If they're beyond saving, we have the backup pairs to get us through the rest of the trip.

— Carol Alabaster
Tagged
Planning
359263

My friends and I contribute to a kitty and use that money to pay for group expenses such as taxis and meals. It saves us from having to figure out each person's share at every stop. At the end of the trip, we split what remains.

— Carol Moran
Tagged
Air Travel
386278

Though they're often the best deals around, don't assume that packaged vacations always offer the biggest bang for your buck. My wife and I were ready to book an air/hotel package to Maui when we noticed a sale on Aloha Airlines ($280 round trip from Oakland). I added up the total cost of the trip if purchased separately and saved $400 over comparable packages from various tour operators. We used the extra money to stay in a nicer hotel and to rent a convertible!

— Kleem Chaudhary
Tagged
Family Travel
540596

At a theme park, tie a brightly colored scarf to the handle of your stroller before you enter a ride. When you return, you'll be able to quickly pick out your stroller from a sea of look-alikes.

— Katrina Shelton
Tagged
Packing
391247

My hearing loss once made it impossible to hear any alarm clock. Then I found the Shake Awake, an alarm clock that vibrates. I no longer stare at the ceiling all night prior to an early flight in fear of oversleeping. I clip Shake Awake to my pillow or place it on a hard surface near my bed, where its rattling definitely gets my attention.

— Kathy Hopkins

Custom Search

Select the details relevant to your trip to see a list of articles that match your needs — it's the best way to get ideas!
SELECT YOUR DESTINATION
SELECT YOUR ACTIVITIES