Health

Protecting and maintaining the health of our guests and crew is a priority.

2020

Goal Update

Guest & Crewmember Health, Safety, & Security

Striving to be free of injuries, we continue to build on our commitment to protect the health, safety and security of our guests, employees and all others working on our behalf.

Health

  • We continued to implement a series of initiatives to prevent guest and crew injuries.

  • We continued to enhance our health procedures.

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Here is what we are doing to protect the health of our guests and crew

Public Health Training

In 2019, additional interactive food safety training modules were developed and launched on all…

Public Health Inspections

All of our ships that call on U.S. ports are subject to unannounced, twice-yearly public health…

Guest & Crew Care Team

Our Care Team continues to provide compassionate care for guests and crew in the event of…

Seacare

Enhancements to our fleetwide standard electronic health record (EHR) platform were made…

Measles

In 2019, a worldwide increase in measles cases was widely reported with significant outbreaks…

Officer Wellness Program

The 2018 executive health assessment pilot program provided by the clinic and medical…

Maritime Medical Procedure Development

Our entire suite of comprehensive medical procedures was reviewed and improved in 2019. The key…

Industry Communication and Best Practice Sharing

As members of the Cruise Lines International Association (CLIA), we regularly discuss…

HESS Event Reporting System

In 2019, we completed the fleetwide rollout of a new health, environment, safety and…

Public Health Training icon

Public Health Training

In 2019, additional interactive food safety training modules were developed and launched on all of our ships. New innovative training videos using a combination of live action and animation have been added to the training library.

Public Health Inspections icon

Public Health Inspections

All of our ships that call on U.S. ports are subject to unannounced, twice-yearly public health inspections from the Center of Disease Control (CDC) – Vessel Sanitation Program (VSP). In 2019, two of our ships received a perfect score of 100 and one of our ships received a failing score of 77 in July. Immediate corrective actions were implemented and when the ship was inspected again in October it received a score of 99. In 2019, four of our ships received a perfect score from the Public Health Agency of Canada (PHAC).

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Guest & Crew Care Team

Our Care Team continues to provide compassionate care for guests and crew in the event of an emergency while on board. Care Team employees have received specialized training on how to sensitively and appropriately support guests, crew and their families during an emergency. They are available 24 hours a day, seven days a week and respond to a variety of guest and crew emergencies, primarily medical related situations, and are dispatched to locations throughout our cruising regions to provide personalized support and assistance as needed to all of our brands.

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Seacare

Enhancements to our fleetwide standard electronic health record (EHR) platform were made and SeaCare now helps support many aspects of our medical operations and services.

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Measles

In 2019, a worldwide increase in measles cases was widely reported with significant outbreaks occurring in the United States, Europe and the Pacific regions. We proactively provided our ships with additional procedures and guidance for the prevention and control of measles cases on board including:

  • Recommendations for crew and passenger vaccinations.

  • Specific health information and advice.

  • Measures to ensure identification and management of any possible measles cases and their close contacts.

  • Information on country-specific requirements and control measures.

In 2019, no significant health impacts from measles were reported on any of our ships.

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Officer Wellness Program

The 2018 executive health assessment pilot program provided by the clinic and medical wellness facility at the Arison Maritime Center (known as CSMART) for Deck and Technical Officers was adopted by all our Operating Lines. This program promotes long-term health improvements among our officers over time.

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Maritime Medical Procedure Development

Our entire suite of comprehensive medical procedures was reviewed and improved in 2019. The key enhancements included:

  • Providing a more user-friendly procedure structure and formats to help effective use by our medical teams.

  • Updating clinical guidance and requirements in line with recognized international healthcare best practices.

  • Providing additional and enhanced fleetwide procedures and guidance covering issues such as clinical pathways, the provision of medical assistance ashore, use of X-rays, management of controlled drugs, onboard emergency medical response, and the management of measles cases.

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Industry Communication and Best Practice Sharing

As members of the Cruise Lines International Association (CLIA), we regularly discuss health matters and communicate with all member lines to share best practices. In 2019, we participated in several CLIA health programs and initiatives such as:

  • Consultation on changes to the ANVISA Brazilian ship sanitation manual.

  • The development of European Union Healthy Gateways joint action provisions for grading of ship inspections.

  • Proposals to provide a new score grading approach to ship inspections conducted by the U.S. Vessel Sanitation Program.

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HESS Event Reporting System

In 2019, we completed the fleetwide rollout of a new health, environment, safety and security (HESS) event reporting system. This platform has allowed us to standardize our HESS event reporting and analysis capabilities across the entire fleet.

Our

Commitment

We have established comprehensive health standards that go beyond regulatory requirements to help protect the health of our guests, crew and port employees. These standards are implemented and enforced by each of our brands on all of our ships and within the port facilities that we own and operate. As part of our commitment, we also lead and participate in health-related cruise industry task forces and working groups.

We have taken a proactive role in addressing the quality of shipboard medical care. All of our medical personnel are expected to meet the qualification standards outlined in our medical and public health procedures. Our onboard facilities are designed to be able to provide emergency medical care for guests and crew, stabilize patients and initiate reasonable diagnostic and therapeutic intervention and facilitate the evacuation of seriously ill or injured patients when deemed necessary.

Our

Strategy

Our public health programs have been developed from worldwide health and sanitation regulations, best practices and ship operating experience. Our programs are audited both internally by public health specialists and externally by officers from health authorities worldwide. We coordinate internal cross-brand and external cross-company Medical and Public Health Working Groups, which help to drive our ongoing health strategies and focus on continuous improvement. Through these forums, we are able to leverage the extensive health expertise and experience that exists both within our individual brands and across the cruise industry. In the U.S., we collaborate with the Centers for Disease Control and Prevention (CDC), an agency of the U.S. Department of Health and Human Services, which oversees health and sanitary conditions on all passenger vessels visiting U.S. ports. The CDC provides guidelines, reviews plans and conducts unannounced ship inspections. We continue to work with the CDC throughout a ship’s life to maintain safe standards through regular inspections, crew training, and guest education.

One of our priorities remains promoting the prevention of gastrointestinal illness on board our ships and the port facilities we own and operate. Our fleetwide Outbreak Prevention and Response Plan guides our actions to prevent and respond to outbreaks of illness on board our ships. The strategy detailed in the plan addresses health screening and surveillance measures, the communication and provision of health advice, isolation of ill guests and crew, medical treatment, reporting to health authorities and the use of proven sanitation and infection control measures.

Additionally, we collect relevant data on all cases of gastrointestinal illness and report this information to international health agencies. This information helps with identification of types of infection, potential sources, and the likely methods of transmission, thereby allowing us to implement even more effective risk mitigation strategies.