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23 February 2025

Norovirus Outbreak Strikes P&O Iona Cruise Ship

Passengers report severe illness as crew works to manage outbreak swiftly and effectively.

A suspected norovirus outbreak has struck the P&O Iona, a British cruise ship carrying approximately 5,000 passengers and 1,800 crew members, currently on a seven-day voyage across northern Europe. Reports surfaced as the vessel passed through Belgium, indicating numerous passengers displaying symptoms associated with the highly contagious virus. According to Sky News, passengers have been "dropping like flies," with numerous witnesses describing scenes of extreme distress, as individuals vomited not only within restaurants but also on decks and outside their cabins.

One traveler painted a vivid picture of the situation, stating, "a large number" of guests and crew have been affected. A representative for P&O Cruises acknowledged these reports, confirming some passengers had described symptoms of gastrointestinal illness. Despite the alarming accounts, the company claimed the total number of those affected remained below one percent of the ship's capacity.

A spokesperson for P&O Cruises emphasized their commitment to maintaining health onboard: "P&O Cruises works with global, national, and regional public health authorities on approved and proven protocols across our ships to protect the health and well-being of all on board." They also pointed out the commonality of gastrointestinal illnesses like norovirus, which are often spread through person-to-person contact, contaminated food or water, or by touching infected surfaces.

Norovirus, often referred to as the "stomach flu" or "stomach bug," leads to gastroenteritis, which results in inflammation of the stomach and intestines. Symptoms commonly include sudden vomiting, diarrhea, and stomach cramps, with the potential for dehydration if not carefully managed. The illness typically manifests within 12 to 48 hours following exposure and usually lasts between one to three days.

Passengers aboard the P&O Iona have had to grapple with significant disruptions. One passenger remarked on the overwhelming impact of the outbreak, noting, "Even the entertainment has been adversely affected with many of the scheduled acts unable to perform and replaced with a cobbled-together entertainment program to placate the guests." Along with entertainment setbacks, passengers isolatiing reported difficulties as staff shortages affected basic services, including food deliveries, fresh linens, and towels.

Some passengers reported the lack of necessary medication to alleviate their symptoms, stating, "Not one shop or medical centre onboard could supply guests with gastrointestinal suspension medication or replacement salts/fluid sachets." Frustration has been palpable among those affected, leading to scrutiny over the ship's emergency preparedness.

P&O Cruises countered these claims by reitering their protocols and the availability of medication through the ship's medical center, ensuring guests had access to 24/7 emergency support. They maintained, "We are aware some guests have unfortunately reported gastrointestinal symptoms on board."

The company confirmed it would issue full refunds to any guests who had to isolate or could not join shore experiences due to their health. The cruise set sail from Southampton on February 15 and carries many families taking advantage of the half-term break.

This outbreak drew attention to the precarious nature of onboard health during cruises, particularly considering the close quarters passengers share. The captain of the Iona addressed the guests on Thursday, acknowledging the outbreak and assuring them of staff efforts to manage the situation. He implored passengers to understand the challenges posed by the outbreak, underscoring the need for cooperation during this pressing health issue.

Despite the prevailing circumstances, P&O Cruises has stated it is promoting enhanced protocols as it prepares for new journeys to Germany, Holland, and Belgium. These protocols include passengers declaring symptoms before boarding, improvements to ventilation systems, and increased cleanliness measures to safeguard the health of all guests.

While norovirus is classified as the "leading cause of foodborne illness" in the United States, as per medical studies, its outbreaks tend to occur seasonally, mostly during colder months. P&O's efforts to educate passengers on preventative measures, like frequent handwashing and proper food safety practices, continue to be emphasized alongside their rapid response to illnesses on board.

With past instances of similar outbreaks on cruise ships, health and safety protocols have taken center stage, reflecting broader public health concerns. Observers remain attentive to the response measures employed by P&O Cruises and the challenges they face amid rising cases of norovirus across various demographics.