COVID-19 pandemic on cruise ships


The COVID-19 pandemic spread to a number of cruise ships, with the nature of such ships—including crowded semi-enclosed areas, increased exposure to new environments, and limited medical resources—contributing to the heightened risk and rapid spread of the disease.
The British-registered was the first cruise ship to have a major outbreak on board, with the ship quarantined at Yokohama from 4 February 2020 for approximately one month. Over 700 people became infected, and 14 people died. At the time, the ship accounted for over half the reported cases of SARS-CoV-2 outside of mainland China.
Governments and ports responded by [|preventing] many cruise ships from docking and [|advising] people to avoid travelling on cruise ships. Similarly, [|many cruise lines suspended] their operations to mitigate the spread of the pandemic.
, over 40 cruise ships have had [|confirmed positive cases] of coronavirus on board. The last cruise ship with passengers aboard during the pandemic,, docked at its home port with its last eight passengers on 8 June 2020. In addition, over 40,000 crew members remained on cruise ships, some in isolation, as of mid-June 2020. Many are unable to be repatriated because cruise lines refuse to cover the cost of doing so, and because countries have different and changing rules. The condition is stressful to many employees. Multiple suicides have been reported.

Summary of confirmed cases on board

Note: The section symbol left of the ship name in the table below links to the appropriate section on this page, if it exists.

Ships with confirmed cases on board

''World Dream''

The cruise ship World Dream was on a journey from Nansha Port, Guangzhou, Guangdong, China, to Nha Trang and Da Nang in Vietnam during 19–24 January 2020 with 6,903 persons on board including 108 from Hubei, in which 28 were from Wuhan.
On 24 January 2020, the ship returned to Nansha Port. Port customs performed a temperature check for all disembarking passengers and crew, with 31 people sampled and tested for the virus, including those who had fever during the cruise and those who were in close contact with confirmed cases before they boarded for the cruise. All the test results were negative though some of them were later confirmed to be infected.
Between 24 January 2020 and 2 February 2020, the ship made three additional cruises out of Guangzhou or Hong Kong, including two "cruises to nowhere" and one to the Philippines, although passengers from the journey were not disembarked at Manila due to local resident protests over fear on the virus.
; Confirmed cases
On 2 February 2020, the ship departed from Hong Kong for Taiwan with around 3,800 persons on board. On the same night, the cruise company was notified that there were confirmed cases from the ship's former passengers. On the next day, the Guangdong government officially announced that three former passengers from the Vietnam journey had been confirmed infected by the novel coronavirus after they were disembarked. Former passengers from the cruise in China were told to contact local health authority and observer quarantine.
As of 11 February 2020, 12 cases associated with the cruise were confirmed, including 1 ground worker who had temporarily worked on the ship, and 4 relatives of passengers.
; Quarantine and preventive actions
After the Guangdong government official announcement of confirmed cases among former passengers, on 4 February 2020, Taiwan blocked the ship's port of call in Kaohsiung due to concern on the virus. On 5 February 2020, World Dream returned to Hong Kong and all 3,800 passengers and crew on board the ship at the time were put under quarantine at Kai Tak Cruise Terminal. The quarantine was lifted on 9 February 2020 after all 1,800 crew members tested negative for the virus. The majority of the passengers were not tested as they had had no contact with the infected Chinese passengers who had been on the ship during 19–24 January.
; Evacuation of crew members
After all passengers were disembarked, World Dream cruised to Malaysia. The crew were not allowed to leave the ship in several countries, after one passenger who had disembarked tested positive for COVID-19. The ship finally anchored near Bintan Island, Indonesia. The evacuation of 188 Indonesia crew members from the cruise ship was performed by an Indonesian naval hospital ship and all tested negative for COVID-19. On 28 February 2020 they were quarantined for 14 days on the uninhabited Sebaru Kecil Islet, Thousand Islands, Jakarta.

''Diamond Princess''

On 4 February 2020, Japan's Ministry of Health, Labour and Welfare announced that, which had docked at Yokohama the previous day, was quarantined at sea with 10 positive cases on board.
Diamond Princess had originally departed from Yokohama on 20 January 2020 for a roundtrip cruise. On 20 February 2020, the World Health Organization stated that the ship accounted for more than half of the reported infections around the world outside of China.

''Westerdam''

In February 2020, the Holland America Line ship, departing after a stop in Hong Kong on 1 February, was not allowed to call in the Philippines, Japan, and Guam over concerns regarding coronavirus infections. After initially receiving approval on 10 February to let the passengers disembark in Thailand, as the ship was heading to Laem Chabang port near Bangkok, permission to dock was refused the next day. However, the ship was still maintaining its course to Bangkok and at around 10:30 am CET on 11 February, Westerdam sailed around the southern tip of Vietnam. According to Flip Knibbe, a Dutch passenger on the ship, all the passengers had their temperatures checked a second time. Speaking to NOS on 11 February, Knibbe said "Dit schip is virusvrij": 'This ship is virus-free'. Unlike Diamond Princess, those on board were not in quarantine. Everyone could move freely, shops and restaurants were open and the entertainment programme continued.
After Westerdam was refused at several points of call, on 13 February, the ship was allowed to dock in Sihanoukville, Cambodia. At this point, only the 20 passengers who reported feeling ill were tested, and all of them tested negative.
On 15 February, Malaysia reported that an 83-year-old US citizen who disembarked from Westerdam and flew into Malaysia on 14 February had tested positive for SARS-CoV-2. In a second test, requested by both the Holland America Line and Cambodian authorities the woman tested positive again. Despite these findings, Cambodian Prime Minister Hun Sen visited the ship, discouraged use of masks, and encouraged the passengers to tour the city, sparking concerns that another spoke was being added to the contagion network. Further cruise passengers were denied entry to Malaysia from Cambodia as a result.
On 22 February, after treatment with antiviral medications that were speculated to have an effect against COVID-19, the woman's medical condition improved and she was tested negative for SARS-CoV-2. The United States Centers for Disease Control and Prevention initially stated that the woman had never been infected by SARS-CoV-2, but withdrew the claim, clarifying that the CDC " no visibility on whether the initial test of the woman was anything other than positive". Due to possible background politics, it is uncertain whether these results were a false negative, or whether the passenger cleared the virus from her system after 72 hours of intensive treatment.

''Grand Princess''

Public health officials from Placer County, California, U.S., reported that an elderly resident with underlying health conditions who had died on 4 March 2020 had tested positive for SARS-CoV-2 after returning from a Mexican Riviera cruise on between 11 and 21 February.
As a result of increasing reports of former passengers of Grand Princess testing positive, Princess Cruises, the owner and operator of Grand Princess, working with the Centers for Disease Control and Prevention, the government of California, and public health officials in San Francisco, terminated a port call in Ensenada, Mexico, planned for 5 March and ordered the ship to return to San Francisco over concerns about the potential for an outbreak on board. Some passengers were quarantined in their own on-board staterooms on 4 March by order of the CDC. In addition, out of the 3533 people on board the ship, 11 passengers and 10 crew members were exhibiting potential symptoms, and Grand Princess was ordered by the government of California to remain offshore while the California National Guard's 129th Rescue Wing airlifted test kits by helicopter to the ship.
On 6 March, U.S. Vice President Mike Pence announced that, of the 46 tests conducted, 19 crew members and 2 passengers had tested positive, and added that the ship would be brought to a non-commercial port, with everyone on the ship being tested and quarantined as necessary, while President Trump, ignoring expert advice, wanted those on board Grand Princess to stay on the ship so that they would not be counted as American cases, which would otherwise "double because of one ship that wasn't our fault".
On 9 March, the ship docked at the Port of Oakland and passengers started disembarking. More than 3,000 people on board were to be quarantined, with passengers at land facilities and the crew on board.
By 25 March 2020, the Department of Health and Human Services said that, of the 1,103 passengers who elected to be tested, 103 tested positive, 699 tested negative, and the remaining results were pending.
As of 20 April 2020, neither Princess Cruises, nor the CDC, nor the HHS appeared to have made any subsequent test results public. In addition, some passengers complained about waiting for weeks without getting test results back, and some passengers have not been tested at all even though they showed symptoms upon disembarkation, despite Vice President Pence's earlier claim that all passengers would be tested.
The first known person in California to die of the virus at the time, as well as the first cases in Alberta, Hawaii, and Utah, were all former passengers of Grand Princess.

''River Anuket''

A Taiwanese-American tourist, who had been a passenger on a Nile River cruise ship variously known as or Asara, discovered that she was positive for SARS-CoV-2 after she returned to Taiwan. World Health Organization officials informed Egyptian authorities of the situation, and all crew members and 150 passengers aboard the cruise ship were tested for SARS-CoV-2. On 7 March 2020, health authorities announced that 45 people on board had tested positive despite being asymptomatic, and that the ship had been placed in quarantine at a dock in Luxor.

''Costa Magica''

On 12 March, two passengers aboard were reported to be tested positively for COVID-19 while quarantined in Martinique. The ship, which departed from Guadeloupe with 3,300 people on board, had been disallowed entry at several sea ports including Grenada, Tobago, Barbados and Saint Lucia, due to the presence of over 300 Italian nationals on board.
All the passengers were disembarked, and 930 crew members stayed aboard. Eventually, the ship stopped offshore from Miami, and on 26 March, the U.S. Coast Guard reported evacuation of six sick crew members from Costa Magica.

''Braemar''

On 13 March 2020, five passengers tested positive for the COVID-19 virus aboard. As a result, the ship was denied entry into its destination, the Bahamas. The infected patients were discovered after a former passenger of the cruise tested positive in the Canadian province of Alberta. The infected passenger disembarked off the cruise in Kingston, Jamaica, but it was unknown where they contracted the disease.
Sint Maarten also denied a request from the cruise to allow passengers to fly out. Cuba finally allowed the ship to dock and evacuated all travelers to the United Kingdom on 17 March.

''Costa Luminosa''

On 29 February 2020, a 68-year-old Italian man in critical condition was transferred from to a hospital in the Cayman Islands due to heart issues. On 12 March, the Health Services Authority of the Cayman Islands announced that the man was their first confirmed coronavirus case. His death was announced two days later.
On 8 March, a 68-year-old Italian woman was quarantined in the U.S. Territory of Puerto Rico while being tested for the virus. She had arrived there via the Costa Luminosa, a cruise ship that had departed from Fort Lauderdale, Florida, U.S.. On 13 March she, her husband and a third person's tests came back positive for the virus, the first confirmed cases in Puerto Rico.
On 19 March the ship disembarked more than 350 passengers, from the United States and Canada only, at Marseille, France. Buses and then a chartered plane were used to fly them back to Atlanta, Georgia, U.S., without testing for COVID-19. While in flight, the results from those who were tested in Marseille were positive, so those whose results were positive were sat in separated seats. At Hartsfield-Jackson Atlanta International Airport, the passengers were met by people with hazmat suits to check their body temperatures, perform visual assessment and ask if any had COVID-19 symptoms. Those without symptoms were to go to customs and then take their baggage. Several of the passengers became positive for COVID-19 later and some of them died. On 23 March there were 36 confirmed cases of COVID-19 out of those who disembarked from the ship.
On 21 March local news in Puerto Rico reported the death of the quarantined Italian woman.

''Silver Explorer''

docked in Castro, Chile, with 111 passengers and 120 crew, after an 83-year-old man fell ill and tested positive for the virus.

''Silver Shadow''

ship was blocked from disembarking its 608 passengers and crew at the port of Recife in Brazil, as a 78-year-old Canadian aboard had been suspected of having the virus. Two passengers were later medically disembarked, and one of them tested positive for the virus. A Canadian man died of the disease on 26 March. His wife also tested positive for the virus.

''Norwegian Bliss''

On 18 March 2020, it was reported that Norwegian Cruise Line had sent a letter to passengers who had booked a cruise on that "a 2-year-old who traveled aboard the vessel on the 1 March 2020 voyage of the Norwegian Bliss tested positive for COVID-19". Although passengers receiving that letter stated that they wanted to reschedule, Norwegian Cruise Line refused to honor their requests. As a result, some people who decided not to embark on the cruise lost thousands of dollars, while others who chose to risk infection by joining the cruise ended up displaying symptoms of the disease while on the cruise.

''Norwegian Breakaway''

On 19 March 2020, it was reported that Norwegian Cruise Line had sent a letter on 18 March to passengers of the cruise that began on 7 March and ended on 14 March that someone who had been on the same cruise had tested positive for coronavirus. After showing symptoms and being placed in the ship's ICU, the guest was taken by ambulance to a hospital at Ocho Rios, Jamaica, during a scheduled stop on 10 March 2020, and was eventually medically evacuated to Broward Hospital in Fort Lauderdale, Florida, U.S., on 13 March, where she tested positive on 15 March. Many other passengers started showing symptoms but had difficulty getting tested.
Passengers were wondering why the company took so long to inform passengers of the initial positive test, as they had started learning about the result through local news sources and social media instead. Passengers complained that, had they been informed earlier of the test, they could have taken precautions to avoid spreading the virus any further. It was also reported that the disembarkation process was "surprisingly routine", with one former passenger stating that there was "o temperature check, no screenings, no questions asked, nothing", and that he "just walked away from the ship, got on a shuttle and left".
On 24 March 2020, the Pittsburgh Post-Gazette reported that two former passengers from Westmoreland County had tested positive. At the time, there were 11 confirmed cases in the county.
On 9 April 2020, the passenger who was airlifted to Florida died in isolation at the hospital, after being on a ventilator for nearly 30 days.

''Celebrity Solstice''

The New Zealand Ministry of Health announced on 20 March 2020 that a man from Auckland in his 60s that was on had tested positive for the virus. He had boarded the ship in Auckland on 10 March and disembarked at Port Chalmers, a suburb of Dunedin, on 15 March. All New Zealanders on board who returned to New Zealand were considered close contacts and put in isolation.
On 23 March 2020, Tasmania's Department of Health reported a positive case who disembarked at Sydney on 20 March. On 26 March, a man from Perth in his 70s who was a passenger of Celebrity Solstice, died of the disease at Joondalup Health Campus. New South Wales' Ministry of Health had reported 11 cases from the ship by 2 April, and 17 cases from the ship as of 9 April.
The ship left Australia during the weekend of 4 April 2020 with its crew as did four other vessels.

''Ruby Princess''

From 15 March 2020, Australia banned cruise ships arriving from foreign ports. However, exemptions were granted to allow four ships, already en route to Australia, to dock and disembark their passengers. On 19 March 2020,, which was one of the four ships given the exemption, docked at the Overseas Passenger Terminal in Sydney, Australia, after a cruise to New Zealand. The cruise ship was forced to return to Sydney early after some passengers reported respiratory problems, but when disembarking passengers were not told that anyone on board presented any symptoms during the voyage. On 20 March, it was announced that three passengers and a crew member of Ruby Princess had tested positive for the virus. The ship had docked in Sydney Harbour, and the passengers had disembarked before the results came back positive. The ship had returned to Sydney with 1,100 crew members and 2,700 passengers, and 13 people who were sick were tested for the virus.
On 24 March, one person who was a passenger on the 8–19 March cruise aboard Ruby Princess died after a coronavirus diagnosis. As of 30 March, at least 440 passengers had tested positive for the virus. As of 31 March 2020, five of them had died, one in the Australian Capital Territory, two in Tasmania, one in New South Wales and one in Queensland. As of 2 April, the number of cases in New South Wales had risen to 337 passengers and 3 crew members, so total passenger cases in Australia had risen to at least 576 cases. As of 4 April the total cases rose to 662 with 7 passengers have died. It is a ninth of the national total of 5,548 confirmed COVID-19 cases, increase from a tenth, five days before. This did not include about 900 passengers who left Australia without being tested. Another three passengers from the ship were reported dead in New South Wales and a fourth in Queensland on 5 April. A man was reported to have died in Western Australian on 6 April. An additional death was announced in Tasmania on 7 April, bringing total deaths to 13. 11 cases of secondary transmission from people infected on the ship had been reported, which had not led to any deaths. By 13 April, the number of deaths among the roughly 1,700 Australians who had been passengers on the ship had reached 18. The death toll reached 22 on 13 May 2020, including two deaths in the United States.
Australian Border Force is responsible for passport control and customs, while the federal Department of Agriculture is responsible for biosecurity in Australia under the Biosecurity Act 2015; however, it is up to each state's health department to prevent illness in the community. Responsibility for the breakdown in communications will be determined by a later enquiry.
The ship was allowed to dock at Port Kembla on 6 April after having been at sea outside of Sydney since 20 March. As of 8 April, the ship's crew of about 1,000 remained on board, with 200 exhibiting flu-like symptoms; 18 had tested positive for COVID-19. On 11 April, NSW Health announced that from 88 crew who were tested, 44 of them or 50 percent, tested positive to COVID-19. 542 crew members were taken of the ship for repatriation between 21 and 23 April. 190 members of the crew have tested positive for the virus. The ship left Port Kembla on 23 April. A criminal investigation was begun by New South Wales Police to determine why the ship had been permitted to dock, and passengers to disembark, without quarantine. Investigators from Task Force Bast seized the vessel's "black box" voyage data recorder.

''MSC Bellissima''

On 21 March 2020, officials from the Indian state of Telangana reported that a 33-year-old crew member of had tested positive for the virus. The crew member was also reported to have been to Dubai, and was stable at the time of the report.
On 24 March 2020, it was reported that three Azoreans who were former passengers of MSC Bellissima during its cruise to Dubai from 7 March 2020 to 14 March had tested positive.
On 2 April 2020, a 22-year-old crew member of MSC Bellissima, who had quarantined himself at home in Trappeto, Sicily, after returning from Dubai, announced that he had tested positive that day.
On 10 April 2020, a dancer from Klagenfurt, Austria, who performed in Cirque du Soleil shows aboard MSC Bellissima, tested positive for the virus while she was still on board the ship. The crew member was tested a day before she was scheduled to leave for home, and the result came as a surprise as she had been asymptomatic. As of 4 May 2020, she has been stuck aboard MSC Bellissima for 50 days.

''Ovation of the Seas''

In March 2020 thousands of passengers were ordered to self-isolate after disembarking from in Sydney, Australia on 18 March due to COVID-19 fears. NSW Health reported the first positive case associated with Ovation of the Seas on 21 March 2020. 79 passengers subsequently tested positively for the virus. As of 1 April, the ship was located off the coast of New South Wales. The International Transport Workers' Federation had called on the Australian government to allow the crew members to be disembarked so that could be flown to their countries of residence.
On 2 April, a 75-year-old man died in Wollongong Hospital. The ship departed Australia on 4 April 2020 with its crew.

''Voyager of the Seas''

Passengers disembarked from in Sydney, Australia on 18 March. NSW Health reported the first positive cases associated with Voyager of the Seas on 21 March 2020.
A man from Toowoomba, Queensland, was infected on the ship and was sent into intensive care unit of a Toowoomba hospital after disembarking but died. On 2 April 34 passengers and 5 crew members had tested positively for the virus in New South Wales alone.
The ship departed Australia on 4 April 2020 with its crew.
On 23 April, a 79-year-old Kāpiti man named Bob James died from the disease while his wife has been infected and sick.

''Costa Victoria''

left Dubai on 7 March 2020. A female Argentine national was tested positive and disembarked in Crete. 726 passengers were quarantined and managed to leave only after the ship docked in Civitavecchia, near Rome, Italy, on 25 March.

''Artania''

It was announced on 26 March 2020 that seven passengers on, moored off the coast of Western Australia, had tested positive for coronavirus. The ship docked at Fremantle in Western Australia on 27 March. Most of the 850 passengers flew home from Perth to Germany on 28–29 March. 41 passengers and crew tested positive to COVID-19 and are being treated in Perth hospitals. On 1 April, the ship had 450 crew and about a dozen passengers on board. The Australian Government directed Artania to leave port, but the ship demanded to stay another 14 days, presumably so that they could be treated if COVID-19 symptoms developed. According to the Australian Attorney-General, Christian Porter, "there are still 12 passengers on board some of whom are very unwell. And their level of either illness or frailty is such that they cannot get in a plane."
The Artania left Fremantle on 18 April. The cruise line stated that it was travelling back to Germany with eight passengers aboard. It was first scheduled to stop at Bali, Indonesia, on 23 April 2020, and Manila, Philippines, on 28 April 2020, to drop some crew members home before heading to Bremerhaven, Germany, with a skeleton crew of 75 crew members, and arriving around 31 May 2020.
On 23 April, a German man in his 70s, who was a former passenger of Artania, died in Perth at Sir Charles Gairdner Hospital, marking the fourth death linked to Artania.
On 24 April 2020, 57 Indonesian crew members came ashore at Port of Tanjung Priok, North Jakarta, and were taken to the emergency field hospital set up at Kemayoran Athletes Village to be tested for the virus and monitored for 14 days. Later that day,, Commander of Indonesia's, announced that 8 of the crew members had tested positive, while the other 49 members tested negative.
It is likely that 8 passengers and 346 crew members were still on board when Artania left Indonesian waters. It arrived in Manila Bay around 30 April, where 236 crew members disembarked before the ship left the bay later on 1 May.
Artania arrived at its home port of Bremerhaven with its last eight passengers on 2020.06.08.

''Celebrity Apex''

On 26 March 2020, the Regional Health Agency of the French region Pays de la Loire reported that seven crew members aboard had tested positive for coronavirus. At the time, Celebrity Apex was docked at Chantiers de l'Atlantique in Saint-Nazaire, where it had been built, and was waiting to be delivered to Celebrity Cruises. There were 1407 crew members already on board at the time.
Before the first positive cases were reported, practices aboard Celebrity Apex did not reflect the seriousness of the progression of the pandemic at the time. For example, a large party was held on 21 March 2020, even though the whole country of France had been under lockdown since 17 March 2020, four days earlier. However, once the first seven crew members tested positive, the whole crew was placed in isolation and forbidden to leave the ship.
The next day, on 27 March 2020, the ship was delivered virtually to Celebrity Cruises in what was believed to be the first virtual delivery of a cruise ship, necessitated due to the pandemic and the travel restrictions that were in place. That night, it was reported that 29 people had tested positive for the virus, and one person had been brought to a hospital with breathing issues.
By 31 March 2020, 157 persons had tested positive and 2 had been hospitalized; by the next week, on 7 April 2020, 217 persons had tested positive, with 4 hospitalized and 2 in intensive care; and by the following week, on 15 April 2020, 224 persons had tested positive, out of a total of 1444 people tested.
Because of how Celebrity Cruises treated the crew of Celebrity Apex during the pandemic, a crew member of Celebrity Apex, who tested positive for the virus on 30 March 2020, filed a class action lawsuit against the cruise line on 14 April 2020 "on behalf of all... similarly situated crewmembers working aboard vessels." The lawsuit alleged that Celebrity Cruises failed to provide proper personal protective equipment, allowed independent contractors to freely enter and exit the ship, failed to test people boarding the ship for symptoms of coronavirus, failed to enact appropriate lockdown measures, and failed to provide "prompt, proper, and adequate medical care" to its employees, amongst other claims.

''Costa Favolosa''

departed from Guadeloupe. Six of the disembarked occupants of the ship were tested positive for COVID-19. On 26 March, as the ship stopped three miles offshore from Miami, the U.S. Coast Guard reported evacuation of seven sick crew member, out of 1,009 who stayed aboard. On 8 April 2020 an Indian crew member died from the disease after being hospitalised in a Miami Hospital on 29 March.

''MSC Splendida''

On 23 March 2020, around 14:00 CET, a Thai crew member working aboard as a buffet attendant was medically evacuated via lifeboat after she exhibited symptoms consistent with the coronavirus disease and was having difficulty breathing. At the time, the ship was near the island of Sardinia and headed to Marseille to disembark all of its passengers.
On 24 March 2020, MSC Cruises informed the crew that the sick crew member had tested negative. However, two days later, on 26 March, it was reported that the sick crew member had been tested again, and this time, the test had returned positive. As a result, 16 crew members were placed under quarantine. The ship later docked in Genoa so that some of its crew members could disembark.
By 1 April 2020, 26 crew members had been placed under quarantine, with 3 crew members running high temperatures.

''Sun Princess''

Princess Cruises ship Sun Princess was not allowed to dock at a port in Madagascar on 13 February 2020, as it had visited Thailand less than 14 days before. The ship docked at the French island of Réunion on 1 March, but passengers were met by a crowd of about 30 who insisted that the passengers be tested and tried to prevent them from leaving the port area. Objects were thrown at passengers, and the police deployed tear gas. Princess Cruises said that there was no evidence of SARS-CoV-2 on the ship.
On 26 March 2020, the Department of Health of Western Australia announced that a passenger from Sun Princess had tested positive for the virus.

''Zaandam'' and ''Rotterdam''

The Holland America cruise ship was stranded off the coast of Chile after being denied entry to ports from 14 March. Of the 1,829 people aboard, 13 passengers and 29 crew members fell ill with "flu-like symptoms". The vessel sailed for Port Everglades, Florida, U.S., hoping to dock on 30 March with a total of 77 sick persons aboard as of 24 March. Four passengers died while waiting for permission to transit the Panama Canal, while the number of sick aboard climbed to 148. Two passengers tested positive for COVID-19. However, on 27 March, the ship was denied transit through the Panama Canal due to the number of sick people on board. On 28 March 2020, both Zaandam and the accompanying vessel were cleared by the Panama Department of Health to transit through the Panama Canal towards their destination in Florida. Asymptomatic passengers and some medical staff were transferred from Zaandam to Rotterdam while they were both anchored offshore on 28 March. 53 guests and 85 crew members aboard Zaandam reported flu-like symptoms. By 31 March 2020, the number reported as being "ill" had increased to 193.
Rotterdam followed Zaandam on its way to Florida. An unstated number of passengers from Zaandam were transferred to the second vessel on 28 March 2020. At that time, the crew of Zaandam included four physicians and four nurses while Rotterdam had two physicians and four nurses.
As of 30 March 2020, Holland America had not received permission to dock either vessel at Port Everglades in Fort Lauderdale as planned. According to an Associated Press report, the city's mayor, Dean Trantalis, "said he didn't want the ship to dock near his city, at least without extensive precautions". The governor of Florida was also hesitant to accept Zaandam at Fort Lauderdale because the state already had so much to deal with during the pandemic; as of 31 March 2020, a decision had not yet been made. The president of Holland America made a public plea for acceptance of the ship and expressed concern that various ports in several countries had been reluctant to provide provisions and medical supplies.
President Donald Trump said on 1 April 2020 that "we have to help the people" and that discussions were underway about Canada and the United Kingdom "arranging flights to retrieve their citizens from the ship". News reports on 2 April stated that the ships would be allowed to dock at Port Everglades that afternoon. The cruise line was making arrangements for passengers who were fit to travel to their home countries to leave via chartered aircraft, directly from the ship to bus and then to airplane. From the 442 passengers on Zaandam and 808 passengers on Rotterdam there are 107 passengers and 143 crew from 1,186 crew that had influenza-like symptoms, those who had mild symptoms were quarantined in staterooms, and will be released later. All crew, no matter their condition, must stay on board.
A report on 4 April stated that "14 critically ill people" were taken to area hospitals while the others were allowed to disembark when flights to their destinations were available.

'' Horizon''

An anonymous crew member of the reported on 28 March 2020 that a member of the crew had tested positive on 26 March 2020. With about 250 crew members and contractors aboard, the ship had docked at Port Rashid in Dubai on 15 March 2020, and the crew has been isolated and under lockdown since.
On 20 March 2020, another crew member reported that out of 20 crew members tested, 11 were confirmed positive. Another crew member reported on 4 April 2020 that, starting on 2 April 2020, all the crew members were being tested, and on 4 April 2020, results were delivered to crew members individually. Almost half or more than half of the crew had tested positive.

''Oasis of the Seas''

On 29 March 2020, the Miami Herald reported that 14 crew members of the Oasis of the Seas had tested positive for coronavirus. At that time, the vessel had been at anchor near Port Miami since mid-March. The passengers had disembarked for flights to their home countries but the ship remained in the area. As of 10 April 2020, seven crew members had been taken to nearby hospitals within a week. One member of the crew, a Filipino bartender, died of COVID-19 on 18 April. Another crew member, a 41-year-old Indonesian waiter, died of the disease in a hospital in Fort Lauderdale on 2020.04.20. A third crew member, a long-term employee who worked in the incinerator room, died in a Broward County hospital during the morning of 3 May 2020.

''Liberty of the Seas''

officials confirmed on 30 March 2020 that two crew members of had tested positive for coronavirus. One was asymptomatic, and remained in quarantine on board the ship, while the other, who showed visible symptoms, disembarked and was hospitalised in Galveston, Texas. The ship left port on the same day, and returned to port on 15 April 2020 after spending roughly two weeks off the coast of Texas.

''Coral Princess''

News reports in early April 2020 indicated that, with 1,020 passengers and 878 crew, with some suffering flu-like symptoms, was hoping to be allowed to dock at Port Everglades in Fort Lauderdale to allow passengers to disembark. A news item on 2 April 2020 stated that "Passengers have been confined to their rooms...when the company noticed a higher than normal number of flu-like cases on board". Reports then specified that "out of 13 passengers and crew tested for COVID-19 on board the Coral Princess, 12 were positive." Officials in Broward County, Florida, said that a plan was not yet in place to handle the situation.
Coral Princess was diverted and finally docked at the Port of Miami on the afternoon of 4 April with its over 1,000 passengers and 878 crew members. A CNN report that evening indicated that two passengers had died and some others were ill, including the 12 that had tested positive for COVID-19. Those who were not ill were to disembark when flights to their destinations were available; this was expected to take some days. A subsequent news report later that evening stated that four passengers were scheduled to be taken to Florida hospitals and added that 67 persons would not be allowed to disembark.
On 6 April, the death of a third passenger was announced. By that afternoon, 684 passengers had disembarked, those who needed medical care had been taken from the vessel and 274 were still on the Coral Princess. Charter flights had departed to Canada, California, Australia and the United Kingdom; others were expected to leave Florida the next day.
The vessel left Port Miami on 10 April 2020 with its crew and 13 international passengers who were unable to return to their home countries due to travel restrictions. No destination was revealed but it appeared that the ship would initially remain at sea for a period of quarantine.

''Disney Wonder''

arrived at the Port of San Diego on 19 March 2020, where 1,980 passengers disembarked; there were no reports that any had flu-like symptoms. By 5 April, 38 crew members had reportedly tested positive, according to a report by Cruise Law News, based on discussions with unnamed individuals on the ship. Disney Cruise Line, however, told other news media that none of the crew had tested positive.
A passenger who disembarked at San Diego on 20 March reported that no health screening activities, such as the asking of health-related questions or the taking of temperatures, occurred upon disembarkation, and that the only health screening that occurred was during the check-in process two weeks prior.
The crew was tested for the virus again in the middle of May, with around 200 crew members testing positive.

''Greg Mortimer''

On 7 April 2020, the Greg Mortimer, which holds up to 216 passengers, was stranded in Uruguay for a week and asking for help after people exhibited symptoms such as fever, which prompted authorities to ban them from disembarking. After the Uruguayan medical teams boarded the cruise ship to test passengers on 1 April, 81 people tested positive for COVID-19, with six people being evacuated and transferred to hospitals having become seriously ill with the coronavirus.
A news report on 8 April stated that the ship had not yet received permission to dock, although an evacuation flight to Australia and New Zealand was being arranged by Uruguayan authorities. By that time, 128 persons on the vessel had tested positive for COVID-19. Six had been transferred to a hospital in Montevideo. Passengers from Europe and America who had positive tests would not be allowed to travel to their home countries until their subsequent tests indicated negative results.
Greg Mortimer was eventually able to dock in Montevideo on 10 April 2020. A total of 112 passengers were transported via a humanitarian corridor of ambulances and buses to Montevideo's Carrasco International Airport, where they boarded a chartered Hi Fly Airbus A340-300 flight to Australia. The plane landed in Melbourne early on 12 April 2020, and all passengers subsequently entered a 14-day quarantine in a hotel.
Two Australians remained in Uruguay as they remained in intensive care at a hospital. Passengers of other nationalities also remained on board the ship pending negotiations with their home countries.

''Pride of America''

The Hawaii Department of Transportation reported on 8 April 2020 that six crew members of MS had tested positive for coronavirus. Two of the crew members were taken to a hospital for treatment, while the other patients were isolated on board the ship. Another positive case was later announced, bringing the total number of cases to seven.
Following the suspension of cruise operations to mitigate the effect of the pandemic, Pride of America has not carried passengers since 14 March 2020, and is currently docked at Honolulu Harbor, its home base, with a complement of roughly 500 crew members. It is scheduled to travel to the mainland to enter dry dock with about 200 crew members, with the other 300 crew members heading directly back to their home states.

''Celebrity Flora''

The Provincial Emergency Operations Committee in the Galápagos Islands of Ecuador reported on 14 April 2020 that 69 crew members of were tested, and 48 tests returned positive for coronavirus. The positive crew members remained isolated on board the ship, located at Baltra Island. The new cases increased the total case count of the islands to 72.

''Monarch''

On 14 March, Panama repatriated 1,504 Colombian tourists from the cruise ship. Since the port of Cartagena, Colombia, was closed, the people had to fly from Colón, Panama. About 300 people were still waiting to buy tickets.
On 17 April 2020, a Honduran crew member died of the virus in a hospital in Panama City. He had been medically evacuated after having trouble breathing, and tested positive at the hospital.

''Costa Atlantica''

On 20 April 2020, a positive case was reported aboard the, currently docked at the Koyagi Factory of in Nagasaki where it was under repairs from 20 February to 25 March 2020. A doctor had collected samples from four suspected cases and conducted PCR tests, with three negative results and one positive. The positive case had suffered a fever beginning on 14 April 2020. About 20 other crew members had started developing fevers in the week before the first case was reported.
Costa Atlantica had 623 crew members and no passengers at the time the first positive case was first reported. There were a total of 56 crew members that have had heavy contact with the positive case. They have all been quarantined, and PCR tests have been planned for all of them. The prefecture has considered requesting assistance from the Self-Defense Forces to help manage the situation.
On 22 April 2020, officials of the prefecture announced that, of the 56 additional tests conducted, an additional 33 crew members had tested positive, bringing the total number of positive cases to 34. The other 23 tests returned negative. On 23 April, it was announced that 48 tests in total have returned positive, with 14 of the positive cases being cooks or people serving food. On 24 April, officials stated that 91 people had tested positive, with one patient being hospitalized. Officials also noted that even though Costa Atlantica had been quarantined upon its arrival in Japan, with its crew ordered not to leave the quay unless they needed to visit a hospital, some crew members had left without informing the officials.
On 25 April, Television Nagasaki announced that 57 new cases had been discovered, bringing the total number of positive cases to 148.

''MSC Seaview''

On 30 April 2020, reported that the Brazilian Health Regulatory Agency confirmed the notification of 10 crew members aboard that had tested positive for the virus. The ship entered quarantine at the Port of Santos on the same day, shortly after the notification.
On 5 May 2020, Empresa Brasil de Comunicação reported that there were 80 confirmed cases of the virus at that point, with another 30 suspected cases, out of a total of 615 crew members aboard. Later that day, the number of confirmed cases rose to 86.

''Mein Schiff 3''

On 1 May 2020, TUI Cruises confirmed that a crew member aboard their ship had tested positive for the virus. At the time, the ship was located at Cuxhaven, Germany, with 2899 crew members aboard, a number normally highly unusual for a cruise ship, but was a result of the company deciding to transfer crew members from other ships, including and, to this ship. Crew members aboard Mein Schiff 3 have strongly complained about the mismanagement and general cluelessness of those higher up, and about the difficulty of attempting to isolate on such a crowded ship. It has also been pointed out that TUI Cruises' statement contained factual inaccuracies.
By 3 May 2020, the entire crew of Mein Schiff 3 had been tested, with 8 tests returning positive and about a third of the tests still being processed. The rest of the tests were processed by 6 May 2020, at which point a total of 9 positive cases had been found.

''MSC Preziosa''

On 1 May 2020, CrewCenter reported that two crew members aboard had tested positive for the virus. The first positive result was announced to the crew on 30 April 2020 and the second on 1 May. The positive results came as a surprise for many of the crew, as no one had boarded the ship since 23 March, well over a month earlier, and all crew members had been isolating themselves in guest cabins since 11 April, nearly three weeks earlier.

''Seven Seas Navigator''

On 21 May 2020, it was reported that a female crew member aboard had tested positive for the virus, and that a second crew member was also showing symptoms of the virus. The ship had subsequently requested entry to the Port of Barcelona, and the Ministry of Health granted them an exception to do so. After docking, both sick crew members were given serological tests, and both returned positive. Both crew members have been isolated, and the rest of the roughly 450 crew members of the ship have been placed under quarantine.

''Adventure of the Seas''

On 22 May 2020, Loop Jamaica reported that 5 crew members of recently repatriated to Jamaica had tested positive for the virus. The ship had docked at Falmouth, Jamaica, on 19 May 2020 after drifting in Caribbean waters waiting for clearance to dock because Jamaica had closed its borders. Aboard were 1044 Jamaican crew members, all to be repatriated and tested for the virus, and over 300 crew members who were foreign nationals, who would not be allowed to disembark.
By 24 May 2020, 9 crew members in total had tested positive; by 26 May, 19 in total had tested positive, and 624 negative.

''Mein Schiff 1''

On, Cruise Law News reported that crew members aboard stated that seven crew members had tested positive for the virus.
TUI Cruises had planned to restart its cruise schedule with a series of "Blue Cruises", short cruises of a few days in length that made no stops aside from arriving at its port of departure. Mein Schiff 1 was to have launched from the Port of Kiel on, but TUI Cruises cancelled the trip, citing issues assembling a crew in time due to coronavirus travel restrictions. However, Cruise Law News requested additional information from crew members, and two responded stating that the crew had already been assembled, but the real reason the trip was cancelled was because of the seven positive test results, all from crew members that had only recently joined the crew. Der Kreuzfahrttester suggested a third possible reason for the cancellation: TUI Cruises was unable to find enough people willing to work for the company due to how badly the company handled the coronavirus crisis.
The first Blue Cruise aboard Mein Schiff 1 was rescheduled for.
Eventually, on, TUI Cruises admitted that five crew members had tested positive for the virus.

''Roald Amundsen''

On, the University Hospital of North Norway announced that four crew members aboard had tested positive for the virus.
Norwegian cruise line Hurtigruten AS was the first ocean cruise line in the world to resume cruise operations, with sailing from Bergen to Kirkenes on. Hurtigruten's Roald Amundsen resumed its cruises on with a seven-day roundtrip cruise from Tromsø to Svalbard, followed by another that departed on.
Several days before arriving back in Tromsø on, two crew members became sick and were isolated. Upon arrival at Tromsø, they were tested for coronavirus, and both test results were positive. As a result, all 160 crew members were to be tested.
Many passengers had already disembarked and had been making their way home before the news broke about the infected crew, with one bus driver stating that he had driven 28 passengers from Roald Amundsen to the airport hours before the news broke. Some passengers stated that they first learned of the news via online news media. Hurtigruten stated that they would inform the passengers of both cruises about their potential exposure to the virus via SMS. There were 209 passengers aboard the cruise, and 177 aboard the cruise.
Later that evening, it was revealed that a passenger from Vesterålen aboard the cruise had tested positive for the virus days earlier, and that on, an official from Vesterålen clearly informed at least four people in Hurtigruten, as well as the Norwegian Institute of Public Health, about the positive case, and recommended that all passengers be informed on the same day. However, Hurtigruten had believed there was no need to worry.
All 177 passengers aboard the cruise and all 160 crew members were required to enter quarantine. Roald Amundsen was originally scheduled to set sail for Svalbard again that afternoon, but the cruise was cancelled, and the ship's next planned voyage was scheduled for the beginning of September.
The next day, on, Tromsø Mayor announced that an additional 29 crew members had tested positive, meaning that 33 people had tested positive in total so far. Later that evening, Mayor Wilhelmsen confirmed that 36 people had tested positive so far, including one passenger. The mayor disapproved of how Hurtigruten had handled the situation, stating that he believed the passengers should have been informed and quarantined before the ship had docked in Tromsø, and that he worried that a major outbreak might occur because passengers had wandered around the city before they were notified about the sick crew members. Troms Parliament Member Kent Gudmundsen expressed shock over Hurtigruten's management of the situation, and Minister of Health and Care Services Bent Høie praised the efforts of Tromsø and the NIPH in containing the virus. Up to 69 municipalities might have been affected by the outbreak, and officials had still been unable to contact 20 of the 177 passengers aboard the cruise by evening.

Ships without confirmed cases on board

Suspected cases

World Dream was turned away from Taiwan on 4 February. Zaandam was turned away from Chile on 14 March, then was delayed passage through the Panama Canal and had to negotiate to disembark at Port Everglades, United States.
In response to the delayed action over the coronavirus outbreak aboard Diamond Princess and the confusion over the outbreak aboard Costa Atlantica, Japan has budgeted about 60 million JPY for research into developing a set of international rules to govern outbreaks of infectious diseases aboard cruise ships. Since countries would be dissuaded from allowing ships with outbreaks on board from docking if they were entirely responsible for a ship docking in their ports, and jurisdiction is unclear when a ship docks in a country other than its flag state, the Japanese government believed that a set of rules should be drafted to address such issues. The government hoped to have the rules adopted by other countries as well as international bodies such as the International Maritime Organization and the World Health Organization.

Cruise line suspensions

On 11 March 2020, Viking Cruises suspended operations for its 79-vessel fleet until the end of April, cancelling all ocean and river cruises, after it was revealed that a passenger on a cruise in Cambodia had been exposed to the virus while in transit via plane, placing at least 28 other passengers in quarantine.
Similarly, on 12 March, Princess Cruises, owner of virus-stricken ships Diamond Princess and, suspended operations for all future cruises on its 18-ship fleet for 60 days.
All cruise lines suspended departures from the United States on 14 March.
On, Celestyal Cruises announced that it was voluntarily extending its suspension of all cruise operations until.

Crew strandings and repatriations

After disembarking passengers, many cruise ships remained docked or at sea near ports with crew members still aboard, in some cases unpaid though with free room and board. Crew members are generally citizens of many different countries, aside from those where the ship is registered, based, or temporarily stopped. Especially with pandemic-related travel restrictions and concerns about onboard outbreaks, crew members could not simply disembark and fly home. After some negotiations, most cruise companies made special arrangements to allow crew members to take charter flights to their home countries. In some cases, the ships themselves were used to transport crew members to home countries directly. According to the Miami Herald, Royal Caribbean has been slower than other companies to make these arrangements; in the meantime two crew members have died after jumping overboard, and some crew on Navigator of the Seas have gone on hunger strike demanding to be released. The government of Grenada complained that cruise companies that promised to pay for on-shore quarantines failed to do so, and some were concerned about crew members being released into Haiti from Royal Caribbean ships without testing or on-shore quarantine.

Suspected suicides or suicide attempts

§DateShipOwnerNotesRef.
§2020.04.29Royal Caribbean Cruises
§2020.05.09Carnival Corporation & plc
§2020.05.10Carnival Corporation & plc
§2020.05.10Royal Caribbean Cruises
§2020.05.18Carnival Corporation & plc
§2020.05.19Cruise & Maritime Voyages
§2020.05.22Virgin Voyages

Incidents

According to the U.S. Centers for Disease Control and Prevention, proper hazard controls for cruise ships and other commercial vessels include postponing travel when sick, and self-isolating and informing the onboard medical center immediately if one develops a fever or other symptoms while on board. Ideally, medical follow-up should occur in the isolated person's cabin.
A new regulation issued by the CDC on 6 April 2020 stated that passengers on cruise ships would not be able to travel home on commercial flights. They were to travel only by "charter flights and private transportation".

Resuming cruise operations

Cruise line stock fell sharply on 27 March 2020 when the US$2 trillion relief package passed by the U.S. Congress and signed by President Trump excluded companies that are not "organized" under United States law. Carnival Corporation & plc is registered in Panama, England and Wales; Royal Caribbean International is chartered in Liberia, and Norwegian Cruise Line Holdings is domiciled in Bermuda. Senator Sheldon Whitehouse,, tweeted: "The giant cruise companies incorporate overseas to dodge US taxes, flag vessels overseas to avoid US taxes and laws, and pollute without offset. Why should we bail them out?" Senator Josh Hawley tweeted that cruise lines should register and pay taxes in the United States if they expect a financial bailout. U.S-based employees and American-owned passenger ships will still be eligible for financial assistance. Carnival Cruise Line stock fell 75% between 1 January and 31 March 2020 and dividend payments to shareholders were suspended. On 13 March the company drew down its $3 billion revolving credit line and Moody's and S&P Global downgraded Carnival's debt rating. On 31 March Carnival announced plans to issue $1.25 billion in stock and $4.75 billion in notes due in 2023. The Cruise Lines International Association, a cruise line trade association, claims that the cruise industry supports 400,000 jobs in the United States.

Average age of cruise passengers

A report from Cruise Lines International Association from 2019 states the average age of cruise passengers is 46.9 years, while the largest age bracket is 60–69 years followed by 50–59 years. Research from 2001 studying the epidemiology of passenger mortalities on two cruise ships, indicated a median age of 65 years of cruise participants. It also stated, that between April 1995 to April 2001 "there was an average of one death every six months per ship", with an average of 800 passengers on each ship.