2020 coronavirus pandemic on cruise ships
Passengers and crew who travelled on several cruise ships during the 2019–20 coronavirus pandemic were found to be infected with the novel SARS-CoV-2 virus that caused the pandemic. Although most ships involved did not have substantial spread of the disease, on the British-registered Diamond Princess, there was substantial spread of the virus amongst the passengers and crew. The ship was quarantined in February 2020 for nearly a month with about 3,700 passengers and crew on board; around 700 people were infected in the incident, and eight died.
The crisis management team of the German federal government said on 4 March 2020, following several actual and suspected outbreaks on cruise ships, "The Federal Foreign Office has included in its travel advice that there is an increased risk of quarantine on cruise ships." 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 Grand Princess, suspended operations for all future cruises on its 18-ship fleet for 60 days. The Federal Transport Minister of Canada announced on 13 March that ships carrying more than 500 people cannot dock in Canada through 1 July 2020.
Average age of cruise passengers
A report from Cruise Lines International Association from 2019 is quoted to indicate the average age of cruise passengers as 46.9 years, with a median age between 60 and 69 years. Research from 2001 studying the epidemiology of passenger mortalities on 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.
|First outbreak||Wuhan, Hubei, China|
|Index case||Diamond Princess|
|Arrival date||5 February 2020|
(1 month, 3 weeks and 2 days)
|Date||Arrive||Depart||Port||80 y/o index case|
|20 January||17:00||Yokohama, Japan||embarked|
|22 January||7:00||21:00||Kagoshima, Japan|
|25 January||7:00||23:59||Hong Kong, China||disembarked|
|27 January||7:00||16:00||Chan May, Vietnam|
|28 January||8:00||18:00||Hạ Long Bay, Vietnam|
|31 January||7:00||17:00||Keelung, Taiwan|
|1 February||12:00||23:00||Okinawa, Japan||tested positive|
|3 February||Yokohama, Japan|
|Notes and ref(s)|
|3 February||Berthed at the Port of Yokohama|
|6 February||102||20||Calculated from reports|
|12 February||492||174||Calculated from reports|
|15 February||930||285||Includes 73 asymptomatic cases|
|16 February||1,219||355||Includes 111 asymptomatic cases|
|17 February||1,723||454||Includes 189 asymptomatic cases|
|18 February||2,404||542||Includes 254 asymptomatic cases|
|19 February||3,011||621||Includes 322 asymptomatic cases|
|20 February||3,063||634||Includes 328 asymptomatic cases|
|26 February||4,061||705||Includes 392 asymptomatic cases|
|5 March||3,618*1||696*2||Includes 410 asymptomatic cases|
|*1: Actual number of individuals tested. *2: Excluding cases found after disembarkation.|
Diamond Princess is a cruise ship registered in Britain owned and operated by Princess Cruises (incorporated in Bermuda and with headquarters in Santa Clarita, California, US), a brand of Carnival Corporation & plc.
SARS-CoV-2 was confirmed on 4 February 2020 to have spread within Diamond Princess during cruise M003, which had departed on 20 January 2020 from Yokohama (in Tokyo Bay near Tokyo) for a round trip. By the time passengers disembarked into quarantine, the number of confirmed cases on the ship was more than in most countries.
On 20 January 2020, an 80-year-old passenger from Hong Kong, China, embarked in Yokohama, and disembarked in Hong Kong on 25 January. On 1 February, six days after leaving the ship, he visited a Hong Kong hospital, where he tested positive for SARS-CoV-2. The ship was due to depart Yokohama for its next cruise on 4 February, but announced a delay the same day to allow Japanese authorities to screen and test passengers and crew still on board. On 4 February, the authorities announced positive test results for SARS-CoV-2 for ten people on board, the cancellation of the cruise, and that the ship was entering quarantine.
A total of 3,700 passengers and crew were quarantined by the Japanese Ministry of Health, Labour and Welfare for what was expected to be a 14-day period, off the Port of Yokohama. On 7 February, the total number of people on board with confirmed SARS-CoV-2 infections grew to 61. Another 3 cases were detected on 8 February, bringing the total to 64. On 9 February 6 cases were detected, while another 65 were detected on 10 February, bringing the total to 135.
On 11 February, 39 more people tested positive for the virus, including one quarantine officer, bringing the total to 174. Passengers with confirmed cases were reported to be taken ashore for treatment. On 13 February, 44 more people tested positive for the virus, bringing the total to 218. On 15 February 67 more people were reported to be infected, bringing the total to 285. On 16 February 70 more people were reported to be infected, bringing the total to 355. The next day on 17 February, the Ministry of Health, Labour and Welfare confirmed 99 more cases, raising the total to 454, 33 of whom were crew members; on 18 February, another 88 cases were confirmed, bringing the total to 542. By late March it was stated that 712 of 3,711 people on the Diamond Princess, or 19.2% had been infected by COVID-19.
Kentaro Iwata, an infectious diseases expert at Kobe University who visited the ship, strongly criticised the management of the situation in two widely circulated YouTube videos published on 18 February. He called Diamond Princess a "COVID-19 mill". He said that the areas possibly contaminated by the virus were not in any way separated from virus-free areas, there were numerous lapses in infection control measures, and that there was no professional in charge of infection prevention—the bureaucrats were in charge of everything. Japanese officials denied the accusations. While the U.S. Centers for Disease Control and Prevention commended the efforts to institute quarantine measures, their assessment was that it may have not been sufficient to prevent transmission among people on the ship. Anthony Fauci, director of the U.S. National Institute of Allergy and Infectious Diseases, said that the quarantine process had failed. A day later, Yoshihiro Takayama, an acquaintance of Iwata and a doctor working on Diamond Princess, pointed out what he described as errors in Iwata's description of the situation in a Facebook post that went viral. The next day on 20 February, Iwata removed his videos and apologised to those involved, but still insisted the situation on the ship had been chaotic.
A preliminary report based on the first 184 cases by Japan's National Institute of Infectious Diseases (NIID) estimated that most of the transmission on the ship had occurred before the quarantine. The cruise line, Princess Cruises had first assumed there was only minimal risk and had initiated only the lowest-level protocols for outbreaks before the quarantine. By 27 February, at least 150 of the crew members had tested positive for the virus. Dr. Norio Ohmagari, top government adviser and director of Japan's Disease Control and Prevention Center admitted that the quarantine process might not have been perfect. A crew member reported that many of the crew had been expected to still work and interact with passengers even under the quarantine. Princess Cruises stated that Japan's ministry of health was the lead authority defining and executing quarantine protocols, yet Japan's ministry of foreign affairs stated that a criteria of behavior was presented but the ultimate responsibility for safe environment rested with the ship operator. Food service workers were found to have likely been the main early route of spread. 46.5% of the infected passengers and crew members had no symptoms at the time of testing.
By 1 March, all passengers and crew members had disembarked from the ship. On 8 March, an Indonesian, a former crew member of Diamond Princess, tested positive for SARS-CoV-2 during the mandatory quarantine period in Indonesia.
Two passengers died on 20 February and a third on 23 February, all three of whom were Japanese citizens in their 80s. A fourth passenger, an elderly Japanese man, was reported on 25 February to have died. The fifth fatality, a Japanese woman in her 70s, and the sixth fatality, a British national in his 70s, both died on 28 February. A 78-year-old Australian national, who was evacuated from the ship, died on 1 March in Australia, making him the seventh. A Hong Kong national from the ship died on 6 March, making him the eighth. A Canadian man in his 70s died on 19 March, making him the ninth coronavirus-related death from the ship. Two Japanese passengers in their 70s died on 22 March making them the 10th and 11th death.
The cruise ship World Dream (registered in the Bahamas, operated by Dream Cruises) was on a journey from Nansha Port, Guangzhou, Guangdong, China to Nha Trang and Da Nang in Vietnam during 19–24 January 2020 with 6903 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.
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.
In February 2020, Netherlands' ship MS Westerdam, 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 (CDC) initially stated that the woman had never been infected by SARS-CoV-2, but withdrew the claim, clarifying that the CDC "[has] 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.
Public health officials from Placer County, California 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 cruise from San Francisco to Mexico and back on Grand Princess between 11 and 21 February. This marked the first death in California attributable to the virus. The source of the new case's infection appeared to be the same as that of a resident of Sonoma County who tested positive on 2 March and who was also aboard Grand Princess on the same dates.
Consequently, Princess Cruises, the owner and operator of Grand Princess, working with the Centers for Disease Control and Prevention (CDC), 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.
After Grand Princess docked in San Francisco on 21 February, 62 passengers who had been on the previous cruise to Mexico reboarded the ship as it set sail for Hawaii, making stops at Kauai, Oahu, Maui, and Hilo (on the Big Island) between 26 and 29 February. These passengers, who may have made been exposed to the same environment as were the Placer or Sonoma County cases during the previous cruise, were quarantined in their own on-board staterooms on 4 March by order of the CDC. In addition, eleven passengers and ten 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 5 March, Princess Cruises confirmed that there were 3,533 people on board the ship—2,422 passengers and 1,111 crew members—representing 54 nationalities in total.
On 6 March, U.S. Vice President Mike Pence announced that of the 46 tests run on selected passengers and crew members on Grand Princess, 19 crew members and two passengers had tested positive, 24 had tested negative, and one test was inconclusive. Pence announced at a White House Coronavirus Task Force briefing that the ship would be brought to a non-commercial port, and that everyone on the ship would be tested and quarantined as necessary. On 6 March, President Trump said that, despite what experts told him about limiting the spread of COVID-19, he 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 7 March, Princess Cruises confirmed that Grand Princess was still at sea roughly 50 miles (80 km) from San Francisco, and that it was scheduled to dock in Oakland on 9 March, with its passengers to be transferred to facilities on land while the crew would be quarantined and treated on board. The United States Coast Guard had airlifted supplies, including personal protective equipment, to the ship, and had medivacked a critically ill passenger and his travel companion for treatment unrelated to COVID-19.
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. As of 22:00, 407 people had disembarked.
- California: The Sonoma County Department of Health confirmed that a former passenger of Grand Princess, on the cruise from San Francisco to Mexico, was a (presumptive) case.
- California: Placer County officials confirmed that a former passenger of Grand Princess, also on the cruise from San Francisco to Mexico, was a (presumptive) case. Officials confirmed the next day that the passenger had died.
- United States:
- Placer County: Officials reported an additional three presumptive positive cases, with all three having travelled on the same cruise on the same dates.
- Sonoma County: Health officials announced another positive presumptive case who was a passenger on the same cruise between 11 and 21 February.
- Sunnyvale: Department of Public Safety officers reported that they performed CPR on an unconscious 72-year-old patient who was not breathing, but were ultimately unsuccessful in reviving him. After the man died, a family member informed officials that the victim had been a passenger on Grand Princess with two other people currently suspected of being infected.
- Nevada: The Washoe County Health District announced that a presumptive positive patient, a male in his 50s, has been linked to Grand Princess. He self-isolated at home. An elementary school in Reno was closed because one of the man's family members is a student there.
- United States:
- Alameda County: Officials confirmed that a former passenger of Grand Princess, an older patient with underlying health problems, has tested positive. The former passenger was on the ship during the trip to Mexico from 11–21 February 2020. The patient was hospitalised and family members were quarantined.
- Contra Costa County: Health officials announced that two new cases have been identified, with both having traveled on the same cruise on the same dates.
- Marin County: The health department announced that two Marin County residents that were on the cruise and displayed symptoms have also been tested, but Governor Gavin Newsom has prioritised the testing of the passengers currently aboard Grand Princess, and all the tests are going through the same lab.
- Hawaii: Governor David Ige announced the state's first case, a male Oahu resident who was a passenger on Grand Princess. Although the ship stopped in Hawaii in late February, the man disembarked Grand Princess in Mexico earlier in February (before it returned in San Francisco on 21 February) and flew back home to Honolulu from Mexico.
- Illinois: The Illinois and Chicago public-health departments announced that a former passenger of Grand Princess tested (presumptive) positive. The passenger, a woman in her 50s, had traveled on the same cruise to Mexico and disembarked at San Francisco on 21 February. She was hospitalized and isolated in stable condition. She is a special education assistant in the Chicago public school system, and the school where she worked was to be closed the following week, with all at-risk staff requested to self-quarantine for 14 days.
- Utah: The Department of Health confirmed that the first (presumptive) case in Utah is a former passenger of Grand Princess living in Davis County.
- United States:
21 and 23 March
Two passengers from Grand Princess died from complications of coronavirus: one on 21 March and the other on 23 March. Both were in their early sixties. Of the 1,103 passengers who elected to be tested, 103 tested positive, 699 tested negative. The remaining results are pending, the Department of Health and Human Services (HHS) said.
MS River Anuket
A Taiwanese-American tourist, who had been a passenger on a Nile River cruise ship variously known as MS River Anuket 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.
On 13 March 2020, five passengers tested positive for the COVID-19 virus aboard MS Braemar. 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.
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 its passengers. On 19 March 2020, Ruby Princess, 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. 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 that 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 28 March, 284 passengers (162 in New South Wales, the rest elsewhere in Australia) had tested positive for the virus.
Other ships with confirmed cases on board
On 12 March, two passengers aboard Costa Magica were reported to be tested positively for COVID-19 while quarantined in Martinique. The ship that departed from Guadeloupe with 3,300 people on board had been disallowed entry in several sea ports including in Grenada, Tobago, Barbados and Saint Lucia, due to over 300 Italian nationals on board.
All the passengers were disembarked, and 930 crew members stayed aboard. Eventually, the ship stopped three miles offshore from Miami, and on 26 March, the U.S. Coast Guard reported evacuation of six sick crew members from Costa Magica.
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 March, an Italian woman was quarantined in the U.S. Territory of Puerto Rico while being tested for the virus. She had arrived there via 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.
On 21 March local news in Puerto Rico reported the death of the woman, aged 68.
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.
Silversea Cruises ship Silver Shadow 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.
The Holland America cruise ship Zaandam was stranded off the coast of Chile after being denied entry to ports since 14 March. Of the 1,829 people (1,243 passengers, 586 crew) aboard, 13 passengers and 29 crew members fell ill with "flu-like symptoms". The vessel is sailing for Port Everglades, Florida 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.
Ships without confirmed cases on board
- AIDAmira: Six passengers on the ship were isolated, after flying on a plane with a sailor who later tested positive with the virus. More than 1,700 are now trapped on the cruise ship, docked at Cape Town, South Africa.
- Costa Diadema: On 24 March 2020, the ship docked at Limassol, Cyprus, and a crew member suspected of suffering from the coronavirus was taken to hospital. Several other crew members were also reported to be ill. Costa Diadema was sailing from Dubai to Savona, Italy, without passengers.
- Golden Princess: At least three passengers have been quarantined by the ship's doctor, according to local health officials. It is en route for Melbourne.
- Mahabaahu: Several passengers and crew members were quarantined after an American passenger who have traveled in the ship in Brahmaputra River in Assam, India was tested positive in Bhutan.
- MSC Magnifica: More than 250 suspected cases are on board. As of 23 March 2020, the ship is heading for Fremantle, Australia to disembark patients to hospitals and isolation. Later that day, the cruise ship was denied entry into Australia.
No currently suspected cases
- AIDAaura: The German cruise ship AIDAaura, with about 1,200 people on board, was held on 3 March 2020 in the harbour of Haugesund, Norway, while two asymptomatic German passengers were tested who had been in contact with a person who subsequently developed COVID-19; their test results were negative.
- Carnival Panorama: On 7 March 2020, the Centers for Disease Control and Prevention (CDC) halted passengers disembarking from the cruise ship Carnival Panorama docked at Long Beach Cruise Terminal in California when a female passenger was reported to be sick. The sick passenger was transported to a hospital to be tested, and all passengers were held on board the ship pending test results. The test came back negative late that evening, and disembarkation was scheduled to resume the next morning. Carnival Panorama was returning from a trip to Mexico with scheduled stops at Cabo San Lucas, Mazatlán and Puerto Vallarta, which were also scheduled stops for Grand Princess during the previous month.
- Costa neoRomantica: On 26 March 2020, the ship with no passengers on board, previously quarantined at Nagasaki, Japan, anchored at the roadstead of Vladivostok, Russia to refresh the ship with water, fuel, and food. However, it was denied entrance as the Russian sanitary officials stipulated the dock workers to be quarantined for 14 days. No COVID-19 cases on board were reported.
- Costa Fortuna: The Italian cruise ship Costa Fortuna attempted to dock at Phuket, Thailand, on 6 March 2020, but was denied by Thai officials because it was carrying passengers who had left Italy within the past two weeks. On 7 March, the ship attempted to dock at Penang in northern Malaysia, but was denied pursuant to a complete ban on cruise ships. The vessel docked in Singapore on 10 March and the passengers disembarked, with some being bused directly to the airport. There were no confirmed cases of COVID-19 aboard the ship.
- Costa Serena: Fifteen passengers aboard Costa Serena on 24 January were suspected to have SARS-CoV-2. The ship arrived at its destination, Tianjin, China, on 25 January. With 17 suspected cases, and 146 (of 3,706) passengers from Hubei province where the disease originated, an emergency was declared. The cruise ship was locked down for 19 hours before the passengers were allowed to disembark; no confirmed cases were found.
- Costa Smeralda: In January, Costa Smeralda and her 6,000 passengers were quarantined at the port of Civitavecchia in Rome, Italy, following two suspected cases. A spokesperson from Costa Cruises stated that a 54-year-old woman aboard the ship was suffering from a fever and that she and her husband were both being tested. They were found to be uninfected, and passengers were allowed to go on shore the next day.
- Grandeur of the Seas: On 12 March 2020, Grandeur of the Seas was denied a request to berth at the Austin "Babe" Monsanto Marine Terminal in the United States Virgin Islands because a crew member had travelled to Japan within the previous two weeks, even though no confirmed cases of coronavirus were on board. The ship, however, was eventually allowed to return to transport a seriously-injured passenger to a hospital for treatment.
- Maasdam: 842 guests and 542 crew members from Holland America Line's Maasdam were not allowed to disembark in Honolulu on 19 March 2020.
- MS Monarch: On 14 March, Panama repatriated 1,504 Colombian tourists from the cruise ship Monarch. Since the port of Cartagena, Colombia is closed, the people have to fly from Colón, Panama. About 300 people were still waiting to buy tickets.
- MSC Meraviglia: On 26 February, Mexican authorities granted permission for MSC Meraviglia, registered in Malta, to dock in Cozumel, Quintana Roo, because she carried a passenger presumed to be infected with the coronavirus. The ship was previously denied access to ports in Jamaica and the Cayman Islands. Two cases of common seasonal flu were found.
- Norwegian Jewel: The cruise ship was stranded in the middle of the Pacific Ocean, after being denied entry into Papeete, French Polynesia and Lautoka, Fiji, due to fears of possible infection. On 19 March the 1,700 passengers were prevented from disembarking in Honolulu. On 23 March, the passengers were allowed to disembark in Honolulu in order to catch chartered flights to return to the home locations. There were no confirmed cases of COVID-19 aboard Norwegian Jewel.
- Pacific Princess: Though there have been no confirmed cases on board, the ship has been rejected to dock at numerous destinations including Bali, Singapore, Phuket, Thailand, and Sri Lanka. The ship is currently en route to an uncertain future for Fremantle, Australia.
- Regal Princess: On 7 March, two crew members of Regal Princess were tested and the docking of the ship at Port Everglades in Fort Lauderdale, Florida, U.S., was delayed for about a day while waiting for test results. The tests were negative, and the crew did not have respiratory complications, so the ship was allowed to dock.
- Royal Princess: As a crew member from Grand Princess had transferred to Royal Princess fifteen days earlier, the CDC issued a "no-sail order" for Royal Princess on 8 March 2020, prompting Princess Cruises to cancel the ship's seven-day cruise to Mexico before it departed Los Angeles.
- 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.
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.
- "Coronavirus: Außenministerium warnt Deutsche vor Kreuzfahrten" [Coronavirus: crisis team advises against cruises]. Berliner Morgenpost (in German). 5 March 2020.
- "My Trip – Updates on Current Sailings". www.vikingrivercruises.com.au.
- Bostock, Bill (12 March 2020). "Viking Cruises suspended operations worldwide due to the coronavirus, as infections ravage the cruise industry". Business Insider.
- Cruises, Princess (12 March 2020). "Princess Cruises: Voluntary 60 Day Pause of Global Ship Operations – Notices & Advisories". www.princess.com.
- Yasharoff, Hannah; Hines, Morgan. "Princess Cruises suspends operations for 60 days; Viking Cruises cancels all cruises due to coronavirus". USA Today.
- "What you need to know about COVID-19 in B.C. on March 13, 2020". CBC.ca. Retrieved 14 March 2020.
- Darcy Alexander: How Old is the Average Cruise Passenger?, Cruise 1st, 23 August 2019
- Eilif Dahl: Passenger mortalities aboard cruise ships, University of Oslo, Department of Surgery, The National Hospital (Rikshospitalet), Norway, published in International Maritime Health, 2001
- "Diamond Princess Updates:Confirmed Cases of Coronavirus on Diamond Princess (4th of February, 2020)". Princess.com. 4 March 2020. Retrieved 16 March 2020.
- "Coronavirus outbreak: The countries affected". Pharmaceutical Technology. Retrieved 16 March 2020.
- "3,700 on Dream Cruises ship undergoing testing after 3 confirmed coronavirus cases". USA Today. Retrieved 16 March 2020.
- "World Dream". dreamcruiseline.com. Retrieved 17 March 2020.
- "Updated Statement Regarding Westerdam (Update: 2/20/2020 2 am Pacific Time)". USA Today. Retrieved 16 March 2020.
- Eddin, Mai Shams; Hassan, Samar; Lewis, Aidan; Liffey, Kevin (7 March 2020). "Egypt confirms 33 new cases of coronavirus on Nile cruise ship". Reuters. Retrieved 17 March 2020.
- "MS A'Sara". Gate1 Travel. Retrieved 17 March 2020.
- "COVID-19 (Coronavirus) statistics". NSW Government. Retrieved 23 March 2020.
- "Voyager of the Seas". Royal Caribbean. Retrieved 23 March 2020.
- "Grand Princess Update (March 6, 2020)". Princess.com. 16 March 2020. Retrieved 16 March 2020.
- "Coronavirus: cruise ship docked in isolation in Brazil, as operators suspend trips out of US". South China Morning Post. Retrieved 16 March 2020.
- "Royal Caribbean Completes Acquisition of Silversea Cruises Shares". Silversea.com. Retrieved 17 March 2020.
- "Silver Shadow". Silversea.com. Retrieved 17 March 2020.
- "Multiple cruise ships are left stranded as coronavirus cases increase". CNN.com. Retrieved 16 March 2020.
- "Silver Explorer". Silversea.com. Retrieved 17 March 2020.
- "Coronavirus-hit cruise ship in diplomatic scramble to find somewhere to dock". CNN.com. Retrieved 16 March 2020.
- "Updated: Ms Braemar To Dock In Cuba". The Tribute. Retrieved 17 March 2020.
- "Braemer". fredolsencruises.com. Retrieved 17 March 2020.
- "Thousands of cruise ship passengers told to self-isolate due to coronavirus days after disembarking". ABC News. Retrieved 23 March 2020.
- "Voyager of the Seas". Royal Caribbean. Retrieved 23 March 2020.
- Three Small Cruise Ships Have Known COVID-19 Cases On Board
- "Multiple cruise ships have been denied entry to port and are stranded at sea — some with coronavirus cases on board". Business Insider. Retrieved 17 March 2020.
- "The Cruise Industry Pressured Caribbean Islands to Allow Tourists Onto Their Shores Despite Coronavirus Concerns". TheIntercept.com. Retrieved 17 March 2020.
- "Covid-19: Costa Luminosa cruise ship docks in Marseille, France". Ship Technology. Retrieved 20 March 2020.
- "Costa Luminosa". CostaCruises.com. Retrieved 20 March 2020.
- "Officials are scrambling to round up 3,800 passengers and staff who disembarked from the Ruby Princess cruise in Sydney after 4 people tested positive for coronavirus". Business Insider. Retrieved 20 March 2020.
- "Ruby Princess Cruise Ship". Princess.com. Retrieved 20 March 2020.
- "Solstice". Celebrity Cruises. Retrieved 23 March 2020.
- "Virus-Affected Costa Magica Cruise Ship In Caribbean Carrying 38 Russians - Embassy". UrduPoint.com. Retrieved 17 March 2020.
- Bartiromo, Michael (26 March 2020). "2 Costa cruise ships heading toward Florida with dozens of sick crew members on board". Fox News. Retrieved 27 March 2020.
- "Costa Magica". costacruises.com. Retrieved 17 March 2020.
- "Costa Magica". costacruises.com. Retrieved 27 March 2020.
- "Coronavirus: Fears on cruise ship docked at Italian port after case confirmed". The Local Italy. AFP. 25 March 2020. Retrieved 27 March 2020.
- "Costa Victoria". costacruises.com. Retrieved 27 March 2020.
- Harris, Sophia (23 March 2020). "'Get us the hell off': Canadians on board stranded cruise ship with 42 sick passengers, crew". CBC News. Retrieved 23 March 2020.
- "新型コロナウイルス感染症の現在の状況と厚生労働省の対応について（令和２年３月19日版）". Ministry of Health, Labour and Welfare (in Japanese). Retrieved 19 March 2020.
- Moriarty, Leah F. (23 March 2020). "Public Health Responses to COVID-19 Outbreaks on Cruise Ships — Worldwide, February–March 2020". MMWR. Morbidity and Mortality Weekly Report. 69 (12): 347–352. doi:10.15585/mmwr.mm6912e3. PMID 32214086.
- "横浜港で検疫中のクルーズ船に関連した患者の死亡について". Ministry of Health, Labour and Welfare (in Japanese). Retrieved 23 March 2020.
- "横浜港で検疫中のクルーズ船に関連した患者の死亡について". Ministry of Health, Labour and Welfare (in Japanese). Retrieved 23 March 2020.
- "横浜港で検疫中のクルーズ船に関連した患者の死亡について". Ministry of Health, Labour and Welfare (in Japanese). Retrieved 23 March 2020.
- "Coronavirus: man evacuated from Diamond Princess becomes first Australian to die of Covid-19". Guardian. 1 March 2020. Retrieved 1 March 2020.
- "Diamond Princess Itinerary". Archived from the original on 16 February 2020. Retrieved 18 February 2020.
- "横浜港に寄港したクルーズ船内で確認された新型コロナウイルス感染症について". www.mhlw.go.jp.
- "横浜港に寄港したクルーズ船内で確認された新型コロナウイルス感染症について". www.mhlw.go.jp.
- "横浜港に寄港したクルーズ船内で確認された新型コロナウイルス感染症について（第４報）". www.mhlw.go.jp.
- "横浜港で検疫中のクルーズ船内で確認された新型コロナウイルス感染症について（第５報）". www.mhlw.go.jp.
- "横浜港で検疫中のクルーズ船内で確認された新型コロナウイルス感染症について（第６報）". www.mhlw.go.jp.
- "横浜港で検疫中のクルーズ船内で確認された新型コロナウイルス感染症について（第８報）". www.mhlw.go.jp.
- "横浜港で検疫中のクルーズ船内で確認された新型コロナウイルス感染症について（第９報）". www.mhlw.go.jp.
- "横浜港で検疫中のクルーズ船内で確認された新型コロナウイルス感染症について（第１０報）". www.mhlw.go.jp.
- "横浜港で検疫中のクルーズ船内で確認された新型コロナウイルス感染症について（第１１報）". www.mhlw.go.jp.
- "横浜港で検疫中のクルーズ船内で確認された新型コロナウイルス感染症について（第１２報）". www.mhlw.go.jp.
- "横浜港で検疫中のクルーズ船内で確認された新型コロナウイルス感染症について（第１３報）". www.mhlw.go.jp.
- "横浜港で検疫中のクルーズ船内で確認された新型コロナウイルス感染症について（第１４報）". www.mhlw.go.jp.
- "横浜港で検疫中のクルーズ船内で確認された新型コロナウイルス感染症について（2月26日公表分)". www.mhlw.go.jp.
- "横浜港で検疫中のクルーズ船の乗客・乗員に係る新型コロナウイルス感染症ＰＣＲ検査結果について". www.mhlw.go.jp. 5 March 2020.
- "Timeline: coronavirus epidemic". 23 January 2020. Retrieved 3 March 2020.
- "Roundtrip Tokyo cruise on Diamond Princess, Princess Cruises departing 20th Jan 2020 (M003)". Princess. Retrieved 1 March 2020.
- "Updates on Diamond Princess". Princess. 4 March 2020. Archived from the original on 2 March 2020. Entries from 1 to 27 February 2020
- "Coronavirus: Dozens more catch virus on quarantined cruise ship". BBC. 7 February 2020. Archived from the original on 11 February 2020. Retrieved 11 February 2020.
- Peel, Charlie; Snowden, Angelica (6 February 2020). "Coronavirus: Cases double on Diamond Princess overnight, still in lockdown". The Australian. Archived from the original on 9 February 2020.
- McCurry, Justin; Ratcliffe, Rebecca (5 February 2020). "Coronavirus: cruise ship carrying 3,700 quarantined in Japan after 10 test positive". The Guardian. Archived from the original on 6 February 2020. Retrieved 18 February 2020.
- "Coronavirus: Japan reports 41 more positive cases on cruise ship, total cases on Diamond Princess now 61". The Straits Times. 7 January 2020. Archived from the original on 7 February 2020. Retrieved 7 January 2020.
- Nussey, Sam; Maxwell, Kenneth (8 February 2020). "Japan confirms 3 more coronavirus cases on cruise liner; total now 64". Reuters. Archived from the original on 8 February 2020. Retrieved 8 February 2020.
- Hodo, Chikafumi (9 February 2020). "Japan Finds Six More Coronavirus Cases on Cruise Ship". Bloomberg. Archived from the original on 13 February 2020. Retrieved 9 February 2020.
- "At least 65 more people confirmed with coronavirus on cruise ship in Japan". The Straits Times. 10 February 2020. Archived from the original on 10 February 2020. Retrieved 11 February 2020.
- "クルーズ船で新たに39人感染確認 検疫官も". www3.nhk.or.jp (in Japanese). NHK News Web. 12 February 2020. Archived from the original on 12 February 2020. Retrieved 12 February 2020.
- Feuer, William (4 February 2020). "Princess Cruises quarantines 3,700 for two weeks on ship after 10 aboard test positive for coronavirus". CNBC News. Archived from the original on 6 February 2020. Retrieved 12 February 2020.
- "44 more on Diamond Princess cruise ship test positive for COVID-19". The Japan Times Online. 13 February 2020. Archived from the original on 13 February 2020. Retrieved 13 February 2020.
- 共同通信 (15 February 2020). "クルーズ船で新たに67人感染確認 ｜ 共同通信". 共同通信 (in Japanese). Archived from the original on 15 February 2020. Retrieved 15 February 2020.
- Leung, Hillary (17 February 2020). "Inside Life on the Crew Decks on Coronavirus-Stricken Diamond Princess Cruise Ship". Time Magazine. New York. Retrieved 23 February 2020.
- "横浜港で検疫中のクルーズ船内で確認された新型コロナウイルス感染症について（第１２報）". www.mhlw.go.jp.
- Feuer, William (23 March 2020). "CDC says coronavirus RNA found in Princess Cruise ship cabins up to 17 days after passengers left". CNBC. Retrieved 24 March 2020.
- Moriarty, Leah F.; et al. (23 March 2020). "Public Health Responses to COVID-19 Outbreaks on Cruise Ships — Worldwide, February–March 2020". MMWR. Morbidity and Mortality Weekly Report. 69 (12): 347–352. doi:10.15585/mmwr.mm6912e3. PMID 32214086.
- Bhattacharya, Suryatapa (19 February 2020). "'I Was So Scared': Infectious Disease Doctor's Day on Japan's Coronavirus Cruise Ship". The Wall Street Journal. Retrieved 20 February 2020.
- McCurry, Justin (19 February 2020). "Coronavirus: Diamond Princess exodus begins amid criticism over quarantine". The Guardian. Retrieved 20 February 2020.
- Normile, Dennis (19 February 2020). "Scientist decries 'completely chaotic' conditions on cruise ship Japan quarantined after viral outbreak". Science. Retrieved 20 February 2020.
- Yoshida, Reiji (19 February 2020). "Expert stirs controversy with video on 'inadequate' virus controls on Diamond Princess". Japan Times. Retrieved 20 February 2020.
- Sim, Walter (19 February 2020). "Coronavirus: Did Japan miss the boat in containing Diamond Princess outbreak?". The Straits Times. Retrieved 3 March 2020.
- Hui, Mary (19 February 2020). "An expert booted off the Diamond Princess says Japan's coronavirus control is "completely chaotic"". Quartz. Retrieved 20 February 2020.
- "Japan disease expert pulls videos blasting situation on virus-hit ship". Kyodo News. 20 February 2020. Retrieved 20 February 2020.
- "Coronavirus: Passengers leave Diamond Princess amid criticism of Japan". BBC. 19 February 2020. Retrieved 20 February 2020.
- "Update on the Diamond Princess Cruise Ship in Japan". CDC. 18 February 2020. Retrieved 20 February 2020.
- Yoshida, Reiji (20 February 2020). "COVID-19 spread on Diamond Princess before quarantine, report suggests". Japan Times. Retrieved 20 February 2020.
- Apuzzo, Matt; Rich, Motoko; Yaffe-Bellany, David (8 March 2020). "Failures on the Diamond Princess Shadow Another Cruise Ship Outbreak". The New York Times. Retrieved 12 March 2020.
- Essig, Blake; Swails, Brent; Wakatsuki, Yoko; Westcott, Ben (27 February 2020). "Top Japanese government adviser says Diamond Princess quarantine was flawed". CNN. Retrieved 3 March 2020.
- McFall-Johnsen, Morgan (28 February 2020). "How the 'failed' quarantine of the Diamond Princess cruise ship started with 10 coronavirus cases and ended with more than 700". Business Insider. Retrieved 3 March 2020.
- Ratcliffe, Rebecca; Fonbuena, Carmella (6 March 2020). "Inside the cruise ship that became a coronavirus breeding ground". The Guardian. Retrieved 8 March 2020.
- Patton, Elaina (11 March 2020). "A Cruise-Ship Crew Member Describes a Failed Effort to Contain the Coronavirus". New Yorker. Retrieved 12 March 2020.
- Bendix, Aria (17 March 2020). "The earliest coronavirus cases on the Diamond Princess cruise ship likely spread via workers who prepared food, a new investigation found". Business Insider. Retrieved 24 March 2020.
- Vera, Amir; Erdman, Shelby Lin (24 March 2020). "Nearly half of Diamond Princess cruise ship passengers and crew who had coronavirus were asymptomatic when tested, CDC report says". CNN. Retrieved 24 March 2020.
- "All passengers and crew leave virus-hit Diamond Princess cruise ship". The Japan Times. 2 March 2020. Retrieved 3 March 2020.
- Media, Kompas Cyber. "Kasus 6 di Indonesia, Pasien Covid-19 Kerja di Kapal Diamond Princess". KOMPAS.com (in Indonesian). Retrieved 8 March 2020.
- "Two Diamond Princess passengers infected with coronavirus die as Japan reports new cases". Japan Times. 20 February 2020. Retrieved 20 February 2020.
- Buckland, Kevin (23 February 2020). "Third death from Japan cruise ship as health minister vows to set virus strategy". Reuters. Retrieved 23 February 2020.
- "Fourth Diamond Princess cruise ship passenger has died, reports". USA Today.
- "British man dies from coronavirus in Japan". BBC News. 28 February 2020. Retrieved 29 February 2020.
- "クルーズ船の香港の男性が死亡 乗船者で7人目：朝日新聞デジタル". 朝日新聞デジタル (in Japanese). Retrieved 7 March 2020.
- "70-year-old Canadian man who was on Diamond Princess cruise ship dies". The Mainichi. 21 March 2020. Retrieved 21 March 2020.
- "世界梦号邮轮已有11人确诊 途中最后一夜狂欢视频曝光". 新京报. 8 February 2020.
- 李云蝶 (7 February 2020). "危险无人察觉："世界梦号"豪华邮轮疫情始末". 新京报.
- "【武漢肺炎】世界夢號三次旅程資料未明週末遊至少三千人登港岸". HK01. 6 February 2020.
- "China scrambles to locate passengers on cruise after at least four diagnosed with coronavirus". South China Morning Post. 4 February 2020.
- ""世界梦号"邮轮驶入柬埔寨海域 船员接受新冠病毒筛查". CRI online. 17 February 2020.
- Denyer, Simon (7 February 2020). "Honeymooner among 61 people on cruise ship confirmed as having coronavirus". The Washington Post. Archived from the original on 7 February 2020. Retrieved 7 February 2020.
- "Passengers leave Hong Kong cruise ship after coronavirus quarantine lifted". CBC News. 9 February 2020. Retrieved 9 February 2020.
- "Cruise ship that visited Hong Kong searches for a port after Philippines, Japan deny entry". USA Today. 6 February 2020. Retrieved 6 February 2020.
- Jerick Sablan (7 February 2020). "Guam denies entry to ship over coronavirus concerns". Pacific Daily News. Retrieved 9 February 2020.
- "Thailand bars Westerdam cruise ship, China virus toll tops 1,000". Bangkok Post. 11 February 2020. Retrieved 11 February 2020.
- "Thailand refuses entry to cruise ship with no coronavirus cases". Reuters. 11 February 2020. Retrieved 11 February 2020.
- "Nederlanders vast op cruiseschip Westerdam: 'We hebben behoorlijk spijt'". nos.nl (in Dutch). Retrieved 11 February 2020.
- "Cruise ship rejected by five ports docks at last". BBC News. 13 February 2020. Retrieved 13 February 2020.
- Narim, Khuon (16 February 2020). "Health Ministry asks Malaysia to re-test specimens of US woman from MS Westerdam confirmed positive for coronavirus". Khmer Times. Archived from the original on 16 February 2020. Retrieved 16 February 2020.
- Harris, Ebrahim; Sriring, Orathai; Setboonsarng, Chayut; Johnson, Kay; Feast, Lincoln (16 February 2020). "Scramble to Track Cambodia Cruise Ship Passengers After Coronavirus Case Reported". The New York Times. Reuters. Archived from the original on 17 February 2020. Retrieved 17 February 2020.
- "Coronavirus: Westerdam cruise passenger infected, Malaysia confirms". South China Morning Post. 15 February 2020. Retrieved 15 February 2020.
- Tostevin, Matthew; Harris, Ebrahim; Ananthalakshmi, A.; Anantharaman, Muralikumar (16 February 2020). "American woman from cruise ship tests positive again for Covid-19 in Malaysia". Reuters. Retrieved 16 February 2020.
- "Passenger from Westerdam confirmed by Malaysia to have coronavirus". Kyodo News. 16 February 2020. Archived from the original on 16 February 2020. Retrieved 16 February 2020.
- "American Woman from Cruise Ship Tests Positive Again for Coronavirus in Malaysia". The New York Times. 16 February 2020. Retrieved 16 February 2020.
- "Westerdam passenger tests positive twice for virus: Malaysia". Kyodo News. 16 February 2020. Archived from the original on 16 February 2020. Retrieved 16 February 2020.
- Beech, Hannah (17 February 2020). "Cambodia's Coronavirus Complacency May Exact a Global Toll". The New York Times. ISSN 0362-4331. Retrieved 18 February 2020.
- Hines, Morgan; Mandell, Andrea (25 February 2020). "Westerdam cruise ship passenger now negative for coronavirus". USA Today. Archived from the original on 25 February 2020. Retrieved 25 February 2020.
- Jaime Ducharme (24 February 2020). "An American Westerdam Cruise Ship Passenger Does Not Have COVID-19". Time Magazine.
- Ar, Zurairi (22 February 2020). "Health Ministry explains American Covid-19 patient recovering after treatment, after US, Cambodia insist she wasn't infected at all". The Malay Mail. Archived from the original on 23 February 2020. Retrieved 23 February 2020.
- "Locals on same cruise ship as man who died from coronavirus concerned about spread". Santa Rosa Press Democrat. 5 March 2020.
- Morgan Hines (4 March 2020). "Coronavirus: Californian who died likely got it on Princess Cruise". USA Today.
- Yoon-Hendricks, Alexandra (4 March 2020). "Placer County reports 2nd coronavirus case. 'Critically ill' patient was on cruise ship". The Sacramento Bee. Retrieved 4 March 2020.
- "Placer County Confirms Second Case of COVID-19; Declares Local Health Emergency to Ensure Adequate Resources" (Press release). Placer County, California. 4 March 2020. Retrieved 4 March 2020.
- "Death of Patient with COVID-19" (Press release). Placer County, California. 4 March 2020. Retrieved 4 March 2020.
- Johnson, Julie (3 March 2020). "Sonoma County coronavirus patient was passenger on Princess Cruises ship". The Press Democrat, Santa Rosa, Calif. Retrieved 4 March 2020.
- Maxouris, Christina; Hanna, Jason; Almasy, Steve (4 March 2020). "California county says person who died from coronavirus had recently taken cruise to Mexico". CNN. Retrieved 4 March 2020.
- Hines, Morgan (4 March 2020). "Thousands may have been exposed to coronavirus on Princess cruise ship; 62 passengers confined". USA Today. Retrieved 5 March 2020.
- Consillio, Kristen (4 March 2020). "Gov. David Ige issues emergency proclamation in response to coronavirus". Star Advertiser. Star Advertiser. Retrieved 6 March 2020.
- Mattison, Sara (4 March 2020). "California man on same cruise ship that came to Hawaii has died from COVID-19". KHON2. Honolulu, HI: KHON. Retrieved 6 March 2020.
- "Cruise Ship Held Off California Becomes New Focus of Concern". 6 March 2020 – via NYTimes.com.
- Simpson, Hannah (4 March 2020). "Princess Cruises ship held up off California coast with sick passengers, awaiting coronavirus tests". The Washington Post. Retrieved 5 March 2020.
- "See Air National Guard members board a cruise ship with coronavirus test kits | Newsbreak". Military Times.
- "Grand Princess Updates & Health Advisory". Princess Cruise Lines.
- Pence, Mike (6 March 2020). "Vice President Pence and Members of the Coronavirus Task Force Hold a Press Briefing". The White House. Youtube.
- Morgan McFall-Johnsen (7 March 2020). "Trump wants to keep people on coronavirus-hit Grand Princess cruise ship". Business Insider.
- "Disembarkation will continue Monday for other guests. According to Governor's Office of Emergency Services, following health screenings, guests who are California residents will go to a federally operated facility within California for testing and isolation..." Twitter.com.
- "Exact timing is still being determined in a coordinated manner with all operations resources. These guests will be transported to medical facilities in California". Twitter.com.
- "The logistics plan went into further review by the state and federal authorities and the ship will not berth in Oakland on Sunday. It will now be Monday – time to be determined". Twitter.com.
- "Coronavirus-Stricken Grand Princess Arrives At Port Of Oakland; Passenger Says 'It Looks Like A War Zone'". 9 March 2020. Retrieved 10 March 2020.
- Albergotti, Reed. "Grand Princess cruise ship carrying coronavirus patients docks in Oakland". Washington Post. Retrieved 10 March 2020.
- "Local Emergency Declared for COVID-19 | Press Releases | Health Services | County of Sonoma". sonomacounty.ca.gov.
- "Placer County confirms second case of COVID-19; declares local health emergency to ensure adequate resources | Placer County, CA". www.placer.ca.gov.
- "Alberta reports 1st presumptive case of COVID-19". CBC. 5 March 2020. Retrieved 7 March 2020.
- "Placer County Public health confirms 3 new COVID-19 cases, all with ties to cruise ship | Placer County, CA". www.placer.ca.gov.
- "Former cruise ship passenger from Sonoma County tests presumptive positive for coronavirus". 5 March 2020.
- "Sunnyvale officers possibly exposed to coronavirus while giving CPR to dying man". 6 March 2020.
- "Washoe County Has Presumptive Case of COVID-19". www.washoecounty.us.
- "Ontario Confirms New Positive Cases of COVID-19". news.ontario.ca. 6 March 2020. Retrieved 7 March 2020.
- "Second coronavirus case confirmed in Alameda County". East Bay Times. 7 March 2020. Retrieved 7 March 2020.
- "Coronavirus: Contra Costa has three new cases, including two cruise ship patients". The Mercury News. 6 March 2020. Retrieved 7 March 2020.
- "50 Marin cruise passengers exposed to coronavirus". 6 March 2020.
- "VIDEO: Hawaii resident, passenger aboard Grand Princess confirmed as first coronavirus case in Hawaii". 7 March 2020.
- The Civil Beat Staff. "Cruise Ship Passenger Is Hawaii's First Coronavirus Case". Civil Beat. Honolulu, HI: Honolulu Civil Beat. Retrieved 7 March 2020.
- "2019-2020 Hawaii, Mexico & California coast" (PDF). book.princess.com.
- "Coronavirus update: CPS employee is 6th confirmed case of COVID-19 in Illinois, mayor says". ABC7 Chicago. 6 March 2020. Retrieved 7 March 2020.
- "Utah Health Officials Announce First Case of COVID-19 - Utah Department of Health". health.utah.gov.
- "B.C. declares COVID-19 outbreak at North Vancouver care home, 6 new cases announced". Global News. 7 March 2020. Retrieved 8 March 2020.
- "Health officials confirm first case of COVID-19 in Fresno County, second in Central Valley". Your Central Valley. 7 March 2020. Retrieved 7 March 2020.
- Hines, Morgan & Mandell, Andrea (25 March 2020). "Two Grand Princess cruise passengers with coronavirus die; 103 have tested positive for COVID-19". USA Today. Retrieved 27 March 2020 – via Yahoo News.
- Michael, Maggie; Magdy, Samy (7 March 2020). "Egypt says cruise ship quarantined over new virus cluster". Washington Post. AP.
- Raghavan, Sudarsan; Kornfield, Meryl (7 March 2020). "On the Nile, American tourists are among those quarantined on ship hit by coronavirus". Washington Post.
- @DailyNewsEgypt (7 March 2020). "The total number of infected cases from the Nile cruise" (Tweet) – via Twitter.
- "Cruise Ship Carrying Persons With Coronavirus 'Will Not Be Permitted To Dock'". The Tribune. 13 March 2020.
- "St. Maarten denies 'MS Braemar' request to allow passengers to fly out". The Daily Herald. 12 March 2020.
- "Coronavirus-infected cruise ship stranded at sea for weeks to dock in Cuba". ABC News. 17 March 2020.
- "Ruby Princess Advisory". Princess Cruises. 20 March 2020. Retrieved 20 March 2020.
- Noble, Freya (20 March 2020). "Four people test positive for COVID-19 after Ruby Princess cruise". 9News.com.au. Retrieved 20 March 2020.
- "Positive virus tests on Aust-NZ cruise". The Canberra Times. 20 March 2020. Retrieved 20 March 2020.
- "Ruby Princess passenger dies after coronavirus diagnosis". WA Today. 24 March 2020. Retrieved 24 March 2020.
- "Coronavirus infections in NSW pass 800, Australia's eighth death confirmed". ABC News. 24 March 2020. Archived from the original on 24 March 2020. Retrieved 24 March 2020.
- "BREAKING NEWS: Two passengers on ship turned away from St. Lucia test positive for coronavirus". St. Lucia News Online. 12 March 2020. Retrieved 13 March 2020.
- Massarelli, Katelyn (27 March 2020). "Multiple sick crew members on Costa Magica, Costa Favolosa to be evacuated off Miami". NBC2. Retrieved 27 March 2020.
- Hines, Morgan (26 March 2020). "Two Costa cruise ships to anchor with sick crew in Miami for 'life-critical' care". USA Today. Retrieved 27 March 2020.
- "Puerto Rico takes Preventative Measures for Possible Case of COVID-19". NBC 6 South Florida. Retrieved 9 March 2020.
- "Tres pacientes arrojan positivo a coronavirus en Puerto Rico". elnuevodia.com (in Spanish). 13 March 2020. Retrieved 15 March 2020.
- "Fallece la turista italiana que dio positivo a coronavirus en Puerto Rico" [Italian tourist who tested positive for coronavirus dies in Puerto Rico]. elnuevodia.com (in Spanish). 22 March 2020. Retrieved 22 March 2020.
- Le Messurier, Danielle (26 March 2020). "West Live: Perth couple stranded on Costa Victoria cruise ship where COVID-19 case confirmed". Retrieved 27 March 2020.
- "Idoso passa mal em cruzeiro, e navio com centenas de pessoas atracado no Recife é isolado por suspeita de coronavírus". globo.com (in Portuguese). 12 March 2020. Retrieved 13 March 2020.
- Dolven, Taylor (24 March 2020). "A cruise ship with 77 sick on board hopes to dock in Port Everglades on March 30". Miami Herald. Retrieved 24 March 2020.
- Harris, Alex (27 March 2020). "Four passengers died on Zaandam cruise ship with 148 people sick with flu-like symptoms". Bradenton Herald. Retrieved 27 March 2020.
- Harris, Sophia (27 March 2020). "4 passengers die on stranded cruise ship carrying 247 Canadians". CBC News. Retrieved 27 March 2020.
- "Zaandam cruise ship denied crossing Panama Canal due to quarantine". Prensa Latina. 27 March 2020. Retrieved 27 March 2020.
- "1,700 trapped on Cape Town cruise ship in Covid-19 drama". The Sunday Times. 18 March 2020.
- "Coronavirus: crew member from Italian cruise liner taken to Limassol hospital". CyprusMail. 24 March 2020. Retrieved 27 March 2020.
- Zdanowicz, Christina (18 March 2020). "Multiple cruise ships are left stranded as coronavirus cases increase". CNN. Retrieved 25 March 2020.
- "Foreign tourists in Assam face hassles amid fear of coronavirus spread". Hindustan Times. 13 March 2020. Retrieved 20 March 2020.
- "Coronavirus Outbreak: Crew, Passengers of M V Mahabaahu Quarantined". G Plus. Retrieved 20 March 2020.
- "Cruise ship with more than 250 suspected COVID-19 patients steams for Fremantle". WA Today. 23 March 2020.
- "WA resists cruise ship with sick on board". The Canberra Times. 23 March 2020.
- "Coronavirus: German cruise ship held in Norwegian harbour as passengers tested". The Local De. 3 March 2020. Retrieved 3 March 2020.
- "UPDATE: Coronavirus test comes back negative • Long Beach Post News". lbpost.com.
- "Official City Statement from the City of Long Beach Regarding Carnival Cruise Ship". longbeach.gov.
- City of Long Beach (7 March 2020). "1236401838682804225". @LongBeachCity. Twitter.
- "CCL_2019_2020_Katalog_IS". www.carnivalcruiseline.is.
- "Лайнер Costa Neoromantica прибыл в Приморье на "карантин"" (in Russian). PrimPress. 26 March 2020. Retrieved 27 March 2020.
- "Во Владивостоке лайнеру Costa Neoromantica предложили пройти карантин" (in Russian). RIA Novosti. 26 March 2020. Retrieved 27 March 2020.
- Corcoran, Kieran (7 March 2020). "An Italian cruise ship was turned away from ports in Malaysia and Thailand even though it has no cases of coronavirus on board". Business Insider.
- Mahmud, Aqil Haziq; Kit, Tang See (10 March 2020). "Costa Fortuna cruise ship docks in Singapore; some passengers immediately bussed to airport". Channel News Asia. Retrieved 25 March 2020.
- "The fate of the three cruise ships amidst the global COVID-19 outbreak". China Global Television Network. CGTN.
- "6,000 passengers stuck on cruise ship in Italy over coronavirus fears". theguardian.com. Retrieved 30 January 2020.
- James Griffiths; Angela Dewan; Gianluca Mezzofiore; Livia Borghese. "7,000 held on cruise ship in Italy as global fears spread over coronavirus". CNN. Retrieved 30 January 2020.
- "VIPA Confirms That Coast Guard Denied Entry To Grandeur Of The Seas Cruise Ship". United States Virgin Islands Department of Health. 13 March 2020. Retrieved 21 March 2020.
- "Virgin Islands Deny Grandeur of the Seas Call". Cruise Industry News. 12 March 2020. Retrieved 21 March 2020.
- Carrega, Christina (19 March 2020). "Despite no reported coronavirus, Hawaii won't let cruise ship passengers disembark". ABC News. Retrieved 20 March 2020 – via Yahoo News.
- "Panamá repatria a turistas de crucero por nuevo coronavirus" [Panama repatriates cruise tourists for new coronavirus]. AFP/MSN Noticias (in Spanish). 14 March 2020. Retrieved 15 March 2020.
- "MSC Meraviglia cruise ship to dock in Cozumel, Mexico despite coronavirus fears". El Universal (English). 26 February 2020. Retrieved 15 March 2020.
- "Mexico: No Coronavirus on MSC Meraviglia". The Maritime Executive. 29 February 2020. Retrieved 15 March 2020.
- Sinco Kelleher, Jennifer (23 March 2020). "Norwegian Jewel cruise ship passengers disembark at Honolulu Harbor, bused to airport". Honolulu Star Advertiser. Associated Press. Retrieved 25 March 2020.
- "Cruise out of Port of LA canceled after CDC issues 'no-sail order' over coronavirus concerns". ABC7 Los Angeles. 8 March 2020.
- Munguia, Hayley (8 March 2020). "Finally! Cruise passengers eagerly disembark the Carnival Panorama in Long Beach". Press Telegram.
- "Interim Guidance for Ships on Managing Suspected Coronavirus Disease 2019". U.S. Centers for Disease Control and Prevention. 18 February 2020. Retrieved 21 March 2020. This article incorporates text from this source, which is in the public domain.