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Norovirus outbreaks reported on 3 cruise ships this month, sickening hundreds

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Hundreds of cruise passengers and workers fell ill with norovirus on three different ships this month, the Centers for Disease Control and Prevention said.

The CDC has logged outbreaks in 2024 on 14 cruise voyages, but three ships were hit in December. This is the only month this year when the CDC has reported three confirmed norovirus outbreaks on cruise ships and there’s still more than a week to go before the month ends. In all, 301 passengers and crew members fell ill during the December outbreaks, health officials said.

Those on Princess Cruises’ Ruby Princess, on a trip around Hawaii’s island, and Holland America’s Rotterdam and Zuiderdam voyages, both in the Caribbean, mostly dealt with diarrhea and vomiting.

Cruise Ship Drops Anchor Off Santa Barbara
The Ruby Princess, a Grand-class cruise ship operated by Princess Cruises.

/ Getty Images


Two Holland America cruise ships hit by norovirus

The most recent outbreak was on Holland America’s Rotterdam ship, which set sail on Dec. 8 and is set to end its Caribbean 
trip Friday in Fort Lauderdale.

Officials said 83 of the 2,192 passengers on board and 12 of the 953 crew members were sickened. 

“At Holland America Line, the safety and well-being of our guests and crew is our top priority. During the current voyage, a number of guests on Rotterdam reported symptoms of gastrointestinal illness,” a Holland America spokesperson said. “The cases have mostly been mild and quickly resolving.”

Zaandam And Rotterdam Cruise Ships Carrying Coronavirus Patients Dock In Florida
The Rotterdam cruise ship arrives at Port Everglades on April 02, 2020 in Fort Lauderdale, Florida. 

/ Getty Images


In response to the outbreak, there was additional cleaning and disinfection. Sick passengers and crew members were isolated. Stool specimens were collected for testing. The cruise line also consulted with the CDC’s Vessel Sanitation Program.

Once the Rotterdam ship arrives in Fort Lauderdale on Friday, it will undergo a comprehensive sanitization process before its next trip, according to the cruise line. 

There was also a norovirus outbreak on Holland America’s Zuiderdam voyage earlier this month. Over the course of the Dec. 4-Dec. 11 voyage, 87 out of 1,923 passengers were reported ill, in addition to four of the 757 crew members, according to health officials.

A Holland America spokesperson declined to comment on the Zuiderdam outbreak because the voyage had already ended. 

Norovirus, the “cruise ship virus”

Princess Cruises also dealt with a norovirus outbreak this month on its Ruby Princess ship during a cruise that started on Dec. 2 and ended on Wednesday. The ship started its journey in San Francisco and toured around Hawaii, according to CruiseMapper.

 In all, 103 of 3,001 passengers and 12 of 1,142 crew members onboard reported being ill. 

The Ruby Princess was also subject to increased cleaning and disinfection procedures, according to the CDC. Stool specimens were collected for testing and sick passengers and crew members were isolated. The cruise line consulted with the CDC’s Vessel Sanitation Program.

CBS News has reached out to Princess Cruises for comment. 

There are about 2,500 reported norovirus outbreaks in the U.S. each year. Norovirus, which is sometimes called the “cruise ship virus,” causes more than 90% of diarrheal disease outbreaks on cruise ships, according to the CDC. However, norovirus outbreaks on cruise ships account for only a small percentage of all reported norovirus outbreaks.

“Norovirus can be especially challenging to control on cruise ships because of the close living quarters, shared dining areas, and rapid turnover of passengers,” according to the CDC. “When the ship docks, norovirus can be brought on board in contaminated food or water; or by passengers who were infected while ashore.”

This year, the CDC has logged outbreaks on 14 cruise voyages. Norovirus was listed as the causative agent for most of the outbreaks, though one was caused by salmonella and one was caused by E. coli. The causative agent of one outbreak remains unknown.

Norovirus outbreaks are usually more common during cooler months, typically happening from November to April in countries above the equator, according to the CDC.



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Biden’s top hostage envoy Roger Carstens in Syria to ask for help in finding Austin Tice

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Roger Carstens, the Biden administration’s top official for freeing Americans held overseas, on Friday arrived in Damascus, Syria, for a high-risk mission: making the first known face-to-face contact with the caretaker government and asking for help finding missing American journalist Austin Tice

Tice was kidnapped in Syria 12 years ago during the civil war and brutal reign of now-deposed Syrian dictator Bashar al-Assad. For years, U.S. officials have said they do not know with certainty whether Tice is still alive, where he is being held or by whom.

The State Department’s top diplomat for the Middle East, Barbara Leaf, assistant secretary of state for Near Eastern Affairs, accompanied Carstens to Damascus as a gesture of broader outreach to Hay’at Tahrir al-Sham, known as HTS, the rebel group that recently overthrew Assad’s regime and is emerging as a leading power.

Near East Senior Adviser Daniel Rubinstein was also with the delegation. They are the first American diplomats to visit Damascus in over a decade, according to a State Department spokesperson. 

They plan to meet with HTS representatives to discuss transition principles endorsed by the U.S. and regional partners in Aqaba, Jordan, the spokesperson said. Secretary of State Antony Blinken traveled to Aqaba last week to meet with Middle East leaders and discuss the situation in Syria. 

While finding and freeing Tice and other American citizens who disappeared under the Assad regime is the ultimate goal, U.S. officials are downplaying expectations of a breakthrough on this trip. Multiple sources told CBS News that Carstens and Leaf’s intent is to convey U.S. interests to senior HTS leaders, and learn anything they can about Tice.

Rubinstein will lead the U.S. diplomacy in Syria, engaging directly with the Syrian people and key parties in Syria, the State Department spokesperson added. 

Diplomatic outreach to HTS comes in a volatile, war-torn region at an uncertain moment. Two sources even compared the potential danger to the expeditionary diplomacy practiced by the late U.S. Ambassador Christopher Stevens, who led outreach to rebels in Benghazi, Libya, in 2012 and was killed in a terrorist attack on a U.S. diplomatic compound and intelligence post.

U.S. special operations forces known as JSOC provided security for the delegation as they traveled by vehicle across the Jordanian border and on the road to Damascus. The convoy was given assurances by HTS that it would be granted safe passage while in Syria, but there remains a threat of attacks by other terrorist groups, including ISIS.

CBS News withheld publication of this story for security concerns at the State Department’s request. 

Sending high-level American diplomats to Damascus represents a significant step in reopening U.S.-Syria relations following the fall of the Assad regime less than two weeks ago. Operations at the U.S. embassy in Damascus have been suspended since 2012, shortly after the Assad regime brutally repressed an uprising that became a 14-year civil war and spawned 13 million Syrians to flee the country in one of the largest humanitarian disasters in the world.

The U.S. formally designated HTS, which had ties to al Qaeda, as a foreign terrorist organization in 2018. Its leader, Mohammed al Jolani, was designated as a terrorist by the US in 2013 and prior to that served time in a US prison in Iraq. 

Since toppling Assad, HTS has publicly signaled interest in a new more moderate trajectory. Al Jolani even shed his nom de guerre and now uses his legal name, Ahmed al-Sharaa. 

U.S. sanctions on HTS linked to those terrorist designations complicate outreach somewhat, but they haven’t prevented American officials from making direct contact with HTS at the direction of President Biden. Blinken recently confirmed that U.S. officials were in touch with HTS representatives prior to Carstens and Leaf’s visit.

“We’ve heard positive statements coming from Mr. Jolani, the leader of HTS,” Blinken told Bloomberg News on Thursday. “But what everyone is focused on is what’s actually happening on the ground, what are they doing? Are they working to build a transition in Syria that brings everyone in?”

In that same interview, Blinken also seemed to dangle the possibility that the U.S. could help lift sanctions on HTS and its leader imposed by the United Nations, if HTS builds what he called an inclusive nonsectarian government and eventually holds elections. The Biden administration is not expected to lift the U.S.  terrorist designation before the end of the president’s  term on January 20th.

Pentagon spokesperson Pat Ryder disclosed Thursday that the U.S. currently has approximately 2,000 US troops inside of Syria as part of the mission to defeat ISIS, a far higher number than the 900 troops the Biden administration had previously acknowledged. There are at least five U.S. military bases in the north and south of the country. 

The Biden administration is concerned that thousands of ISIS prisoners held at a camp known as al-Hol could be freed. It is currently guarded by the Syrian Democratic forces, Kurdish allies of the U.S. who are wary of the newly-powerful HTS. The situation on the ground is rapidly changing since Russia and Iran withdrew military support from the Assad regime, which has reset the balance of power. Turkey, which has been a sometimes problematic U.S. ally, has been a conduit to HTS and is emerging as a power broker.

A high-risk mission like this is unusual for the typically risk averse Biden administration, which has exercised consistently restrained diplomacy. Blinken approved Carstens and Leaf’s trip and relevant congressional leaders were briefed on it days ago.

“I think it’s important to have direct communication, it’s important to speak as clearly as possible, to listen, to make sure that we understand as best we can where they’re going and where they want to go,” Blinken said Thursday.

At a news conference in Moscow Thursday, Russian President Vladimir Putin said he had not yet met with Assad, who fled to Russia when his regime fell earlier this month. Putin added that he would ask Assad about Austin Tice when they do meet. 

Tice, a Marine Corps veteran, worked for multiple news organizations including CBS News.



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Mangione appears in court on federal murder charges after being extradited to New York; EPA’s efforts to tackle pollution in disadvantaged communities could be under threat

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Delivering Tomorrow: talabat’s Evolution in the Middle East

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From a startup to a transformative tech leader, discover how talabat champions innovation, sustainability, and community connections in the MENA region

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