The recent case of a cruise ship being denied access to certain ports because some passengers on the ship had swine flu brings up a frequently asked question. How healthy are cruise ships?
If you’re a cruise denizen, you probably know about noroviruses. This is a type of virus, sort of like the flu, that sometimes breaks out on a cruise ship. It causes flu-like symptoms.
One reason you may hear more about cruise ship outbreaks of illness than other types is that the law in the U.S. requires cruise ships to report such things, and the media generally picks up on them. If the same such illness broke out at a resort or in a casino or a health spa, it would not have to be reported in the same way.
While it’s good that the government keeps tabs on the health of cruise passengers, it can create the mistaken impression that some illnesses are unique to cruise ships. They’re not. Most of these viruses (the swine flu virus, noroviruses, even regular flu viruses) don’t really care where they are. They do the same thing on a cruise ship as in a casino. The only difference is that what happens in Vegas, stays in Vegas, and what happens ohn a cruise ship is on the 6 o’clock news.
Any time you are in close quarters with lots of other people, there is a risk of catching an infectious illness. Most of us are around people a good bit of the time: at work (particularly if you work at a big company), shopping, at school. When we travel, our time on airplanes, buses, taxis, and in hotels exposes us to germs left by other people. A cruise ship is like any of these crowded environments.
So what can you do? The first thing is not to get “cruise stupid.” Cruise stupidity occurs when you’re so glad to be in the somewhat “unreal” atmosphere of a cruise ship (away at sea among people who pamper you and wait on you hand and foot) that you forget common sense. I’ve seen people do things on cruise ships they would never do on land–like leave a purse unattended in a crowded club (for hours), get drunk with strangers in a remote location, and so on.
But there’s another “cruise stupid” thing you can do: stop washing your hands. Here are some tips that apply to you everywhere but especially if you are on a cruise (or in any crowded atmosphere):
- Use an alcohol-based handrub (the waterless hand sanitizers) whenever you come in contact with surfaces that could be germy–think of TV remote controls, countertops, railings, elevator buttons, doorknobs, and so on. Believe it or not, this stuff works better at killing germs than washing the hands–and it’s easier on the hands, too, if you use the kind with emollients.
- Wash your hands after using the bathroom and before you eat. I know, I know. If you’re on a cruise ship, you eat every hour or so … but do wash your hands. This removes soil, dirt, debris, and germs. If you wash your hands, don’t use the alcohol-based rub–it gets diluted and doesn’t work well at all.
- As much as possible, keep your hands out of your mouth and away from your nose and eyes. Most germs prefer to “hitch-hike” rather than travel by air so they would much rather go from surface to hand to mouth than to be airborne. By the way, a germ on your hand can also attack you if it gets in the tender tissue areas around your eyes and nose.
- Don’t think germs have short lifespans. Some types of pathogens (that medicalese for “bug that causes sickness”) can live on the most inhospitable surfaces for up to six months … or longer! That’s right! That means a guy with germy hands who used a phone back around Christmas may have left germs on that phone you picked up today–germs that can still make you sick.
- Chlorine in swimming pools is effective against germs, to a degree, but it’s not 100% perfect. However, most of the time, you don’t have to worry about swimming pools or even hot tubs on cruise ship.
- You’re more likely to get a handful of germs from railings, doors, counters, and so on. That doesn’t mean you can’t use them–just don’t touch your mouth, nose, or eyes afterward and get to some hand sanitizer as soon as you can.
- By the way, if you’re a nail-biter, give it up for your cruise. The germiest part of your hands is under the nails. If you bite your nails, you’re chowing down on a germ-burger.
- Last but not least: when you use hand sanitizer on your hands–be sure to get some under your nails, between your fingers, and on the thumbs. Those are the most frequently missed areas.
Although I don’t have any statistics, cruise ships are probably one of the safer places to be in terms of viruses but it’s not germ-free, either. Cruise ships are a good environment in that most cruise lines have crew members on constant clean-up. Cleaning products used on cruise lines are designed to help disinfect high-traffic areas. Many cruise ships offer hand sanitizer dispensers at high-traffic points, making it ultra-easy to reduce your contribution to the germ pool. Germs can live a long time on certain surfaces, but cleaning (particularly with certain products) will get rid of them. Thus, cruise travel is really not bad.
But remember, every new voyage brings a group of new passenger together and some of them may be sick, introducing new germs into the vessel. Use reasonable precautions, and you should be fine. And remember that cruise ships are scrutinized by the government and media when it comes to outbreaks of illness, but other places where sickness can and does occur (schools, hotels, etc.) are not.