If you are planning a cruise vacation, or any overseas travel, be certain to come see us for a pre-travel consultation in plenty of time before your trip to discuss your specific travel plans. You don’t want to risk spoiling your trip with an unexpected illness.
For additional information, read the following tips from the Centers for Disease Control for a safe and healthy trip.
Regardless of your itinerary, you should be up-to-date on routine vaccines, such as measles/mumps/rubella, varicella, and seasonal flu. Crewmembers and fellow travelers often come from countries where these diseases are more common than in the United States and where vaccination is not routine. Consequently, outbreaks of chickenpox and rubella (German measles) have been reported on cruise ships.
Additional vaccines you’ll need depend on where you’ll be stopping and what you’re going to do there. However, discuss the cruise itinerary and your specific travel plans with your doctor. If you’re stopping in a country only for a short time, or if you don’t plan to leave the tourist area around the dock, certain vaccines may not be necessary.
Even if you are not at risk for yellow fever during port calls, some countries in Africa and South America may require proof of yellow fever vaccination if you have previously visited a country with yellow fever. Visit the destination pages for a country’s yellow fever requirements. Cruise ship companies sometimes have requirements that differ from those of the countries you will be visiting, so be sure to check with the cruise line about those requirements as well.
Nausea, Vomiting, and Diarrhea
Cruise ship outbreaks of nausea, vomiting, and diarrhea, primarily caused by norovirus, have been reported. The best way to prevent illness is frequent hand washing with soap and water. Wash your hands before eating and after using the bathroom, hanging diapers, or touching things that other people have touched, such as stair railings; it is also a good idea to avoid touching your face.
If soap and water are not available, alcohol-based hand sanitizer (containing at least 60 percent alcohol) is a good second choice. You will see hand sanitizer dispensers throughout your cruise ship—use them.
While on shore excursions, especially in developing countries, follow basic food and water precautions: eat only food that is cooked and served hot, drink only beverages from sealed containers, avoid ice, and eat fresh fruit only if you have washed it with clean water and peeled it yourself.
If you are feeling sick before your voyage, ask your cruise line if alternative cruising options are available. Consult your doctor to find out whether it is safe for you to sail. If you feel sick during your voyage, report your symptoms to the ship’s medical facility and follow their recommendations.
Other Health Concerns
Respiratory diseases are also common on cruise ships. Frequent hand washing can keep you from getting sick, and coughing or sneezing into a tissue (not your hand) can prevent you from spreading germs. Getting a flu shot is the best way to keep from getting the flu.
Seasickness is a common complaint of cruise ship passengers. If you are (or think you might be) prone to seasickness, talk to your doctor about medicine to decrease your symptoms. Note that many common medications (including some antidepressants, painkillers, and birth control pills) can worsen the nausea of seasickness.
Various stressors associated with cruising—changes in diet, variation in climate, changes to sleep and activity patterns—can worsen a chronic illness. If you have been diagnosed with such an illness, you should be prepared to monitor your health while on a cruise (for example, frequently testing your blood sugar if you have diabetes). If you regularly take medicine for a chronic illness, make sure you bring enough for the duration of the cruise, plus extra in case of delays, and take it on the same schedule as you would at home.