The day of last exposure to a case is counted as day 0. & Conditions Package not available on sailings less Examples of NAATs include but are not restricted to reverse transcription polymerase chain reaction (RT-PCR), reverse transcription loop-mediated isothermal amplification (RT-LAMP), transcription-mediated amplification (TMA), nicking enzyme amplification reaction (NEAR), helicase-dependent amplification (HDA). How to Calculate 7-Day Crew or Passenger Attack Rates. Increase the introduction of outdoor air: Open outdoor air dampers beyond minimum settings to reduce or eliminate HVAC air recirculation. Proof of completed series of one-dose or two-dose primary vaccination regimen at embarkation. Norwegian Cruise Line recommends for all guests to follow, and where possible, sign up for notifications from their local government on international travel regulations that may prevent, restrict, or require additional documentation when traveling to another country for embarkation or during their cruise. The following procedures are recommended for isolation onboard a ship: Due to the high risk of secondary transmission onboard non-passenger carrying vessels and , the following isolation recommendations should be considered: The following table provides management options for non-passenger carrying vessels and their crew after a confirmed case of COVID-19 is identified. This guidance is based on the best available science regarding the subject areas covered. Boosters also are no longer required for passengers of any age, except on longer voyages, including those to Antarctica. Implement a working quarantine for all crew (i.e., crew perform job duties then return to cabin) policy. Filters with a higher number of Minimum Efficiency Reporting Value (MERV) have higher efficiency and ability to capture particles from the air. Use fans to increase the effectiveness of open windows: Avoid placing fans in a way that could potentially cause contaminated air to flow directly from one person to another. Do not shake dirty laundry; this minimizes the possibility of dispersing SARS-CoV-2, the virus that causes COVID-19, through the air. [6] Isolation through day 10 is recommended for people withmoderate illness(shortness of breath or difficulty breathing) orsevere illness(hospitalized) due to COVID-19, or who have a weakened immune system. Potential for COVID-19 cases to overwhelm on board medical center and/or public health resources, defined as the inability to maintain: Evaluate symptomatic travelers and their close contacts. Recommended PPE is described in the. Remind passengers and crew not to touch their masks when wearing them. This document provides guidance for preventing the spread of SARS-CoV-2 among passengers and crew during and after a voyage, including personal protective measures and cleaning and disinfection recommendations, management of sick or exposed persons on board, and reporting suspected orconfirmedcases to CDC. *The definition of fully vaccinated is having completed an approved (by the Medicines and Healthcare products Regulatory Agency (MHRA), European Medicines Agency (EMA), the Therapeutic Goods Administration or the World Health Organizations Emergency Use Listing (WHO EUL)) two-dose COVID19 vaccination course, or the approved single-dose Janssen COVID19 vaccine. This shows the details of each vaccination and the date given. Vaccination and Testing Requirements. A threshold cruise ship operators can consider is operating with least 90% passengers and 95% crew who are up to date with their COVID-19 vaccines. Anyone who develops symptoms of COVID-19 after an exposure should isolate until COVID-19 testing can be conducted and results are available according to the Isolation Proceduressection below. This means that there are no longer vaccination or testing requirements. We will accept the printed or digital version of the NHS Scotland vaccination status record. 5 July 2022 COVID-19 Refund and Cancellation Policy. Provide passengers and crew with information on how to. The text message received from the relevant laboratory or health authority which confirms the travel COVID-19 PCR test result. Cruise ship operators should ensure that high-quality, Consider instructing crew members to properly wear a high-quality. Guests sailing from Australia, please visit the Australia Have Fun. We will accept documented record of vaccination from the Armed Forces. page for protocols specific to those cruises. Clarification regarding CLIA-waived testing when procuring NAAT systems: All facilities in the United States that perform laboratory testing on human specimens for health assessment or the diagnosis, prevention, or treatment of disease are regulated by the Centers for Medicare and Medicaid Services (CMS) under the Clinical Laboratory Improvement Amendments of 1988 (CLIA). Close Contacts:Because of the potential for asymptomatic and pre-symptomatic transmission in this high-risk residential congregate setting, it is important that close contactsof individuals with SARS-CoV-2 infection be quickly identified and managed. If youre travelling on a holiday with additionalCOVID-19 vaccination requirements, you will need to show proof of your vaccination status which will also be checked against your photo ID at the terminal/airport prior to boarding. Yes, all ships have COVID-19 viral testing capabilities, including SARS-CoV-2 RT-PCR, RT LAMP and antigen tests. Use physical guides such as stanchions to direct flow and prevent crowding around beverage station machines and counters. Ship medical personnel and telemedicine providers should reference CDCs COVID-19 website, Additional considerations for isolation can be found. If youre symptomatic on the day of embarkation, we ask that you declare this to terminal or check-in staff. must take a self-administered COVID-19 lateral flow/ rapid-antigen test (RAT) within 24 hours of embarkation or a PCR test within 48 hours prior to embarkation. That in turn reduces the risk of visitors having to use Aotearoa New Zealands healthcare system, adding additional pressure. Cruise ship operators should report results in aggregate to CDC daily through the EDC form. Travelers should also isolate if they have COVID-19 symptoms but do not yet havetheir COVID-19 testresults. Specifically, neither CMS nor the state survey agencies on its behalf will require such foreign-flagged cruise ships to obtain a Certificate of Waiver to perform such testing. Supplies (e.g., paper towels, cleaners, disinfectants) can be provided to sick persons, to the extent possible, so they can clean their own cabins as necessary. Retesting of asymptomatic travelers who test positive for SARS-CoV-2 is generally not recommended (e.g., as part of a contact investigation) until 30 days post lab-confirmed diagnosis, unless they are symptomatic. There are different screens for each vaccination and booster. Test all passengers prior to the end of the voyage, regardless of their vaccination status. Gloves and gowns should be removed carefully to avoid contamination of the wearer and the surrounding area. Major cruise lines like Carnival, Celebrity, and Royal Caribbean are dropping vaccine requirements and easing COVID rules for pre-boarding testing. Plans should include the following components: Shipping involves the movement of people from different geographic areas in settings with inevitable close contact. At a minimum, the protocol should include the following: Plans for disembarking and housing persons with suspected or confirmed COVID-19 needing shore-based hospital care and their travel companion(s) for the duration of their isolation period. - Prior to boarding, guests sailing on any of Sea Cloud's three ships must take an antigen COVID-19 test within 48 hours of embarkation. To ensure safe and effective laboratory procedures, cruise ship operators should: If a traveler is known to be infected with or has symptoms compatible with COVID-19: Cruise ship operators should have clear protocols that avoid medical evacuations at sea to the extent possible for COVID-19 and other medical conditions. Ship operators and shipping agents are responsible for the medical care of sick or infected persons on board, including those who need hospitalization. All information these cookies collect is aggregated and therefore anonymous. Make hand sanitizer (containing at least 60% alcohol) available to passengers, crew, and port personnel throughout the ship and terminal. Ship operator or shipping agent should inform ship pilots and ground transportation of the situation and confirm the operators have plans in place to notify and protect the health and safety of their staff. Maintaining COVID-19 Surveillance Records: [3] Documentation of recovery from COVID-19 includes the following: [4] Back-to-back sailing refers to passengers who stay on board for two or more voyages. Designating isolation cabins in areas separate from other cabins. at 8:02 am. formulations Vaxzevria or Covishield, Moderna (Spikevax) vaccine, including For the purpose of this guidance document only, U.S. For more information about the Company's award-winning 18-ship fleet and worldwide itineraries, or to book a cruise, please call +1-888-NCL-CRUISE (625-2784), contact a travel professional or visit www.ncl.com. Below only applies while embarking in Australia. Regardless of vaccination status,travelers with COVID-19 should isolatefrom others. If isolated off the ship (i.e., post-disembarkation) in the United States: Travelers should follow the, Increased space and distance between crew, Frequently touched surfaces (e.g., door handles, handrails, light switches, phones) in shared spaces on board are, Additional symptomatic crew or confirmed cases (regardless of vaccination status) to be isolated in cabins. If they test positive for COVID-19, or become a Household Contact, they will need to isolate on board. Persons with symptoms of COVID-19, regardless of vaccination status or previous recovery from COVID-19, should be isolated using the same procedures as a person with confirmed COVID-19 until testing can be conducted and results are available. CDC has published an. Although a minimum of 5 days of isolation is recommended for most people with COVID-19 in community settings, cruise ships should consider 10 days of isolation due to their congregate nature and potential for limited access to higher levels of medical care.[6]. Acute respiratory distress syndrome (ARDS). If the cruise ship operator chooses to test for other infectious etiologies and testing identifies an alternate etiology (e.g., influenza, respiratory syncytial virus (RSV). All Expedition and Lakes & Oceans cruises require travelers to complete the ArriveCAN app, AQV health questionnaire and will be provided a free test at the pre-cruise hotel check-in one day before embarkation. Do not open windows and doors if doing so poses a safety or health risk. The following formats are acceptable proof of a negative COVID-19 test: For lateral flow/ rapid-antigen tests (RAT): Guests who are unable to provide their proof of vaccination status and a negative COVID-19 test result, as required, will unfortunately be denied boarding. Dirty laundry ; this minimizes the possibility of dispersing SARS-CoV-2, the virus that COVID-19. Care of sick or infected persons on board day of last exposure to a case is counted as 0..., the virus that causes COVID-19, or become a Household contact, they will need to isolate board! All ships have COVID-19 symptoms but do not shake dirty laundry ; this minimizes the possibility of SARS-CoV-2! 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