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 Red Alerts for GI Illness – Tier III
Cruising Healthy Voyage Red Alerts provide GI Illness information on cruise ships, cruise lines and cruise ports. Voyage Red Alerts are second highest tier of significant reportable percentages of GI Illness within the Cruising Healthy voyage color-coded alert system short of a formal outbreak.
A Red Alert indicates that, without proper risk management, the GI Illness is, under most conditions, already uncontrollable and more than likely will become an actual outbreak. This list includes all voyages that have at least twenty-one or as many as forty-three people per thousand with a physician confirmed diagnosis of GI Illness and can be either passengers or crew reached the Cruising Healthy GI Illness threshold for cruises.
For the cruise ship medical staff and passengers, a Red Alert for GI Illness indicates that the gastrointestinal disease is already out of control and little chance to contain it's spread. The Red Alert indicates the highest non-reportable incidence of GI Illness onboard a cruise ship. Note that given the associated risk, neither the cruise line nor the CDC has any obligation to inform the passengers or the general public that there is, or was, a GI Illness problem on the voyage.
One criteria for Red Alert inclusion is having a GI incidence that exceeds the Cruising Healthy Annual GI Illness Index by at least 24 times and can be as much as 33 times. This GI Illness Index applies to all cruise ships that 'touch', or enter, a U.S. port and participate in the CDC Vessel Sanitation Program.
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