Beth Knowles and her family left on a Caribbean cruise in late December, but they missed every port. They got too sick to disembark during a norovirus outbreak on board. Knowles got an email from Cunard Line one day before their Dec.

Last year, there were 16 outbreaks on cruise ships, from norovirus, salmonella, E. coli or other unidentified pathogens that cause gastrointestinal symptoms such as diarrhea or vomiting. That's the largest number of cruise ship outbreaks in 12 years.

A virus known as the stomach bug that has surged across parts of the country is the cause of nearly all diarrhea outbreaks reported on cruise ships that docked at U.S. ports in 2024, federal data shows.

Norovirus, often coined the “cruise ship virus,” causes more than 90% of diarrheal disease outbreaks on cruise ships, according to the CDC. Still, norovirus outbreaks on cruise ships account for only a small percentage of all reported norovirus outbreaks.

Centers for Disease Control and Prevention. The majority of these outbreaks were a result of the highly contagious norovirus, the data said, which is spread through direct contact with an infected person,