Don't splash out for this coveted cruise ship extra — it's a breeding ground for disease, experts warn
Cruising toward disaster?
Cruise ship passengers splash out big bucks for private hot tubs in their own staterooms all the time — but the Center for Disease Control is warning against the exclusive amenity, calling them a bubbling breeding ground for Legionnaires' disease.
In a damning statement reported on by Travel + Leisure, the CDC linked 12 cases of the severe pneumonia caused by the Legionella bacteria to private hot tubs on two cruise ships between November 2022 and June 2024.
Ten passengers were hospitalized in those incidents.
'Epidemiologic, environmental, and laboratory evidence suggests that private balcony hot tubs were the likely source of exposure in two outbreaks of Legionnaires disease among cruise ship passengers,' the shocking report notes.
'These devices are subject to less stringent operating requirements than are public hot tubs, and operating protocols were insufficient to prevent Legionella growth.'
Unlike public hot tubs, private hot tubs weren't required to meet certain rigorous cleaning standards, according to insiders.
Hot tubs can be a source of Legionella growth and transmission when they are inadequately maintained and operated, a CDC spokesperson told T+L.
'It is important for cruise ship operators to inventory hot tub–style devices across their fleets, evaluate the design features that increase the risk for Legionella growth and transmission, and test for Legionella,' they told the outlet.
For cruise-goers, the CDC advises testing the cleanliness of the hot tub before use.
'Travelers can use test strips to test hot tub water to find out if the hot tub is being properly operated,' the CDC spokesperson added.
Meanwhile, Legionnaires isn't the only unwelcome guest on deck. Norovirus — a notorious cruise ship nemesis — is also making waves.
This year, a new strain called GII.17 has fueled a surge in outbreaks, accounting for nearly 80% of the 2,400 reported norovirus cases in the U.S. since last summer, according to the CDC.
'It's new to the population,' Lee-Ann Jaykus, a food microbiologist and virologist at North Carolina State University, recently told the Associated Press.
Most people don't have immunity to the germ, so it can spread more widely, she explained.
And it spreads fast.
People infected with norovirus typically shed 'literally billions of viral particles,' Donald Schaffner, a food safety expert at Rutgers University, said, per the AP.
'And it only takes a few viral particles to make someone sick,' he informed the news agency company.
If you see someone vomiting, Schaffner suggests, 'immediately walk away from them, ideally into the wind.'
Adding insult to injury, the CDC's Vessel Sanitation Program — the watchdog that inspects cruise ships and investigates outbreaks — recently lost key staffers due to federal budget cuts.
'If you want to have no disease outbreaks, all you have to do is fire all the epidemiologists,' Schaffner quipped. 'And there'll be no one there to investigate.'
So, next time you book a cruise, consider skipping the hot tub — or at least bring your own test strips and plenty of soap.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


New York Times
32 minutes ago
- New York Times
Cincinnati Reds place starter Hunter Greene on IL, sign veteran lefty Wade Miley
CINCINNATI — Just minutes before a scheduled MRI, the Cincinnati Reds placed starter Hunter Greene on the injured list with a right groin strain. Greene said he felt discomfort on his last two pitches in the fifth inning of Tuesday's victory over the Milwaukee Brewers and left the game. Tuesday was his third start back from the IL, which was one of the reasons the team returned him to the IL. Advertisement 'We stayed here for a while last night, we talked to him, we talked to trainers,' Reds manager Terry Francona said. 'Since it happened once and this is twice, we've got to figure this out. And then his lower back was starting to (affect him) and we're trying to figure out if it's related. We've got to get him healthy. It was kind of an easy decision even without seeing the MRI.' The Reds signed veteran left-hander Wade Miley to fill Greene's spot in the rotation and transferred right-hander Rhett Lowder to the 60-day injured list. Sunday, Miley exercised the opt-out of his minor-league deal and became a free agent. The 38-year-old is coming back from a hybrid ulnar collateral ligament surgery, which combines traditional Tommy John surgery with an internal brace, that he underwent last May while with the Brewers. Miley made seven minor-league starts this year, including a five-inning, two-run performance last Friday for the Triple-A Louisville Bats. Because he wouldn't be ready to pitch again until Wednesday, Miley said Reds president of baseball operations Nick Krall told him he'd have a place in the team's bullpen, but wanted to let Miley explore an opportunity to start elsewhere. Miley said he talked to a couple of other teams, but was happy to return to the Reds. Miley's family is in Cincinnati for the season, so he spent the time 'being dad' and coaching baseball games and practice for his son Jeb. Miley was already expected to be in the Reds' bullpen on Wednesday, but Greene's injury created an opening for him in the rotation. Francona said Miley would be available to pitch out of the bullpen Wednesday, but if he didn't, he'd start Monday in Cleveland. In 2021, Miley threw a no-hitter for the Reds against then-Cleveland manager Francona's Guardians at Progressive Field. Advertisement 'It was a situation where the five starters here were throwing the ball great, and I was pretty open with Nick, like I don't want to mess with that,' Miley said. 'Physically, I think I'll be fine in the bullpen, but they allowed me to see if there were any starting jobs out there, and at the end of the day, here we are.' Miley, a Red in 2020 and 2021, was a consistent and popular figure in spring training, and Wednesday's news generated excitement in the Reds' clubhouse. 'He was in full uni at 8:30 this morning when I thought I was the only one here,' Francona said. 'It's really welcome. We've been waiting for him, there's no getting around it. He's a bright light, man.'


Medscape
32 minutes ago
- Medscape
Uncovering Unhealthy Drinking in ‘Normal' Patients
Nathaniel Chin, MD Associate Professor, Department of Medicine, Division of Geriatrics and Gerontology; Associate Program Director, UW Health Memory Clinic; Medical Director, Wisconsin Alzheimer's Disease Research Study; Medical Director, Wisconsin Registry for Alzheimer's Prevention Study; Medical Director, ADRC Consortium for Clarity in ADRD Research Through Imaging (CLARiTI), University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin Disclosure: Nathaniel Chin, MD, has disclosed the following relevant financial relationships:Serve(d) as a consultant or advisor for: New Amsterdam Pharma Inc (1-day advisory panel, July 2023); Eli Lilly Inc (2-day advisory panel, January 2025) Serve(d) as a volunteer board member for: Medical and Scientific Board, Wisconsin Alzheimer's Association; Alzheimer's Foundation of America

Associated Press
35 minutes ago
- Associated Press
Air quality worsens in eastern US as Canadian wildfire smoke hangs over Midwest
PORTLAND, Maine (AP) — Smoke from Canadian wildfires started making air quality worse in the eastern U.S. on Wednesday as several Midwestern states battled conditions deemed unhealthy by the federal government. The fires have forced thousands of Canadians to flee their homes and sent smoke as far as Europe. In the U.S., the Midwest is bearing the brunt. Smoke lingered on the skylines of cities from Kansas City to Minneapolis, and a swath of the region had unhealthy air quality Wednesday, according to an Environmental Protection Agency map. Iowa issued a statewide air quality alert through early Thursday, urging residents to limit certain outdoor activities and warning of possible health effects due to the thick smoke. Wisconsin officials made similar suggestions as the smoke drifted southeast across the state. In Michigan's Upper Peninsula, authorities advised people shut windows at night, avoid strenuous activity outside and watch for breathing issues. Parts of Maine, Vermont, New Hampshire and New York had areas of moderate air quality concern, and officials advised sensitive people to consider reducing outdoor activity. New Hampshire authorities hoped conditions would improve by late Wednesday. 'The particle air pollution event is the result of extensive wildfires in central and western Canada,' the state's Department of Environmental Services said. 'Wind patterns are forecasted to transport plumes of smoke from these fires across much of New England and New Hampshire.' Unhealthy conditions persist in Midwest The Minnesota Pollution Control Agency issued an alert for almost the entire state into Wednesday, but the Twin Cities area got the worst of it in the Midwest on Tuesday. 'As the smoke continues to move across the state Tuesday, air quality will slowly improve from northwest to southeast for the remainder of the alert area,' the agency said. 'The smoke is expected to leave the state by Wednesday at noon.' The Iowa Department of Natural Resources warned that air quality in a band from the state's southwest corner to the northeast could fall into the unhealthy category through Thursday morning. The agency recommended that people, especially those with heart and lung disease, avoid long or intense activities and to take extra breaks while doing strenuous actions outdoors. Conditions at ground level are in the red The U.S. Environmental Protection Agency's AirNow map showed a swath of red for 'unhealthy' conditions across Wisconsin and northern Iowa. Northern Michigan was also the site of many unhealthy zones, the agency said. The Air Quality Index was around 160 in many parts of the upper Midwest, indicating unhealthy conditions. The Air Quality Index — AQI — measures how clean or polluted the air is, focusing on health effects that might be experienced within a few hours or days after breathing polluted air. It is based on ground-level ozone, particle pollution, carbon monoxide, sulfur dioxide, and nitrogen dioxide. Particulates are the main issue from the fires The index ranges from green, where the air quality is satisfactory and air pollution poses little or no risk, to maroon, which is considered hazardous. That level comes with health warnings of emergency conditions where everyone is more likely to be affected, according to AirNow. There were areas of reduced air quality all over the U.S. on Wednesday, with numerous advisories about moderate air quality concerns as far away as Kansas and Georgia. The Canadian fire situation Canada is having another bad wildfire season. Most of the smoke reaching the American Midwest has been coming from fires northwest of the provincial capital of Winnipeg in Manitoba. Canada's worst-ever wildfire season was in 2023. It choked much of North America with dangerous smoke for months. The smoke even reaches Europe Canada's wildfires are so large and intense that the smoke is even reaching Europe, where it is causing hazy skies but isn't expected to affect surface-air quality, according the European climate service Copernicus. ___ Karnowski reported from Minneapolis. Associated Press writers Jack Dura in Bismarck, North Dakota; Kathy McCormack in Concord, New Hampshire; Tammy Webber in Fenton, Michigan; and Scott McFetridge in Des Moines, Iowa, contributed to this report.