Cruising Healthy Voyage Alerts for GI Illness
Cruising Healthy Voyage Alerts relate to cruise ships, cruise lines, and cruise ports that experience some amount of GI Illness and self-report that illness to the CDC Vessel Sanitation Program in Atlanta, GA.
The Disease Strategies Alert system consists of four colors that correspond with 'increasing' levels of gastrointestinal illness. A Voyage Yellow Alert means passengers should use the first level of caution when touching any public surfaces, including common utensils in the ship cafeterias. A Voyage Orange Alert means that passengers should use some extra caution and avoid crowds, and a Voyage Red Alert means that cruise passengers should avoid crowds when dining, inaminate objects (fomites) including slot machines, while onboard and exiting the voyage.
Voyage Orange Alerts for GI Illness – Tier II
Cruising Healthy Voyage Orange Alerts provide GI Illness information on cruise ships, cruise lines and cruise ports. Voyage Orange Alerts is the middle tier of significant reportable percentages of GI Illness within the Cruising Healthy voyage color-coded alert system. An Orange Alert indicates that, without proper risk management, the GI Illness may become uncontrollable. This list includes all voyages that have at least fifteen or as many as twenty-nine people per thousand with a physician confirmed diagnosis of GI Illness and can be either passengers or crew that reach this threshold.
For cruise ship physicians and passengers alike, an Orange Voyage Alert for GI Illness should be taken much more seriously than a Yellow Alert. Of course, as more and more people become ill with gastrointestinal sickness, the Voyage Alert levels may change rapidly from Yellow to Orange to Red and even Black under CDC Outbreak conditions.
One criteria for Orange Alert inclusion is having a GI incidence that exceeds the Cruising Healthy Annual GI Illness Index by at least 18 times but is less than 24 times. This GI Index applies to all cruise ships that 'touch', or enter, a U.S. Port and participate in the CDC Vessel Sanitiation Program.
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