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Run: Cruise Ship Norovirus Outbreak Response SOP

Cruise Ship Norovirus Outbreak Response SOP template for confirming an outbreak, isolating symptomatic people, tightening sanitation, and coordinating CDC Ve...

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Steps

The medical officer verifies that the case count meets the outbreak threshold: ≥2 confirmed cases with symptom onset within 72 hours in the same location (cabin deck, dining venue, or crew area). Record case count, onset dates, and affected locations in the outbreak log. If threshold not met, document the event and continue monitoring.
Notify the medical officer, sanitation manager, food and beverage manager, guest services manager, security lead, and communications lead. Assign a single incident coordinator and open the outbreak response log. Confirm communication channels and reporting intervals.
Deploy outbreak cleaning teams to affected cabins and common areas. Clean and disinfect high-touch surfaces, shared restrooms, and any contaminated areas using the approved contact time. Replace cleaning cloths and dispose of waste as biohazard waste per ship procedure. Record areas cleaned and time completed.
Identify symptomatic passengers and crew from the case line list. Coordinate cabin confinement or designated isolation, symptom monitoring, and meal delivery arrangements. Instruct affected persons to avoid public areas until cleared by medical staff. Document each isolation decision and follow-up interval.
Remove symptomatic food handlers from duty and notify medical staff. Reinforce hand hygiene, glove changes, and separation of raw, ready-to-eat, clean, and dirty zones. Restrict self-service items if required by the outbreak plan. Verify sanitizer concentration and document any menu or service modifications.
Prepare the outbreak summary, including case counts, symptom onset dates, affected areas, and control measures initiated. Submit notification to CDC Vessel Sanitation Program through the required reporting channel. Save confirmation details in the outbreak log and retain all supporting documentation.
Distribute approved passenger notices through onboard channels. Explain symptom reporting, handwashing expectations, cabin confinement instructions if applicable, and any dining or venue changes. Use plain language, avoid identifying affected individuals, and provide a contact point for questions.
If the threshold is not met, continue active surveillance for gastrointestinal symptoms among passengers and crew. Review medical visits, cabin reports, and crew health reports at the defined interval. Escalate immediately if the threshold is reached or if cases cluster in a shared location.
Confirm that the incident log, line list, cleaning records, notification records, and passenger communication copies are complete. Record any deviations, corrective actions, and open follow-up items. Handoff unresolved items to the next shift or designated owner.

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