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Travellers also travel on cruise ships, which can have their own disease risks. There have certainly been outbreaks of gastrointestinal and respiratory illnesses reported on cruise ships with significant attack rates. The Centres for Disease Control and Prevention (2004) has an interesting site dealing with recent hygiene inspections of cruise ships visiting US ports. It makes for interesting reading for both the traveller and the travel health adviser. Practical considerations include the risks of seasickness and exacerbation of illnesses, which may be difficult to manage at sea.

http://www.cdc.gov/nceh/vsp/default.htm