Investigation Update on the Adonia

Cruise Line:P&O Cruises

Cruise Ship: Adonia

Voyage Dates: October 16 - October 23, 2016

Number of passengers who have reported being ill during the voyage out of total number of passengers onboard: 23 of 668 (3.44%)

Number of crew who have reported being ill during the voyage out of total number of crew onboard: 2 of 388 (0.52%)

Predominant symptoms: diarrhea, vomiting

Causative agent: Unknown

Actions: In response to the outbreak, P&O Cruises and the crew aboard the ship are taking the following actions:

• Increasing cleaning and disinfection procedures according to their outbreak prevention and response plan,
• Collecting stool specimens from passenger and crew gastrointestinal illness cases for testing, and
• Making daily reports of gastrointestinal illness cases to the VSP.

A CDC Vessel Sanitation Program environmental health officer boarded the ship on arrival in Miami on October 23, 2016 to conduct an environmental health assessment and evaluate the outbreak and response activities. Stool specimens were collected and will be shipped to the CDC lab for testing.