Name: American Express® Gold Card
Brand: American Express

Quick summary

Norovirus cases have surged this winter, with cruise ships experiencing a notable increase compared to previous years.
Cruise ships, due to their enclosed and communal environments, can facilitate the rapid spread of gastrointestinal illnesses like norovirus.
Key prevention measures include frequent handwashing, using hand sanitizer, avoiding buffets, not sharing drinks or utensils and being responsible if feeling unwell.
Cruise lines implement strict sanitation protocols, preboarding health screenings, food handling training and water purification to minimize outbreaks.

What to consider

Handwashing with soap and water is more effective than hand sanitizer for norovirus prevention.
Passengers who develop symptoms may be isolated in their cabins and could miss part or all of their voyage.
Cruise lines may cancel subsequent sailings for deep cleaning if outbreaks occur on multiple voyages.

What you'll miss from the article

Detailed strategies for reducing norovirus risk and insights into cruise line protocols for managing outbreaks.

Generated by AI with support from our editorial team.

Gastrointestinal illnesses are on the upswing this winter. Norovirus is chief among them, raising concerns for many travelers — particularly cruisers — that they might end up on the toilet instead of a sun lounger on their next vacation.

Although cruises account for fewer than 1% of all annual norovirus cases in the United States, the enclosed communal spaces on ships provide environments that can facilitate rapid spread of the virus. Sharing confined spaces with ill people is one of the main ways norovirus spreads; that's why it's most common in nursing homes, hospitals and schools.

The U.S. Centers for Disease Control and Prevention reports that between Aug. 1, 2024, and Jan. 15, 2025, the number of nationwide cases reported was nearly double that of the same six-month period the prior year (both land-based and on cruise ships that call on U.S. ports). This year, the number of cases on cruise ships for the first six weeks of 2025 is more than triple the number it was during the same time frame in 2024.

So, what can you do to lessen the chances of contracting norovirus when you cruise?

Tips to avoid catching and spreading norovirus on a cruise

Two sets of arms -- one child and one adult -- washing hands at a sink — TAIYOU NOMACHI/GETTY IMAGES

Wash your hands

The single most important thing you can do to avoid many illnesses, including norovirus, is to wash your hands — especially before eating, after using the restroom and after coming in contact with high-touch surfaces, such as stair rails and elevator buttons.

All cruise ship bathrooms are equipped with sinks, and most dining venues have restrooms nearby. Following the onset of the COVID-19 pandemic, most cruise lines also outfitted their buffets with sinks near the entrances for passenger convenience.

You should use hot water and soap, scrub for at least 20 seconds and make sure to clean between your fingers and under your fingernails before rinsing and drying thoroughly.

Apply hand sanitizer

Hand sanitizer is not a substitute for thorough and frequent handwashing, but it works well in a pinch when a sink with water and soap isn’t available. Ships have dispensers stationed in many highly trafficked areas on board. It’s also good to carry a small bottle with you when you travel and to get into the habit of using it between handwashing sessions.

Create a buffer

Using a tissue, paper towel or even an upper part of your sleeve to open doors and push elevator buttons is a great way to avoid coming in contact with potentially contaminated surfaces. When used in conjunction with handwashing and sanitizing, it can help to keep you even safer.

Cover your nose and mouth

The CDC says norovirus is spread when particles from an infected person land on a surface and are then accidentally ingested by someone else. Although norovirus doesn't cause coughing or sneezing, that doesn't mean you won't cough or sneeze when you have it. It's important to cover your nose and mouth properly; you don’t want to be the person who spreads their germs to others.

To make sure that you don’t stifle your cough or sneeze only to spread particles onto surfaces with your hands, make sure to cover your mouth and nose by leaning into your shoulder or by shielding them with the crook of your arm instead of your hands.

Skip the buffet

Crew do an excellent job of keeping food service areas clean, but buffets are one of the easiest places for germs to spread, due to their self-service nature. If you want to take extra precautions against norovirus, opt instead for meals at onboard restaurants where waiters serve you at your table or hand you your food at a counter.

If you do decide to brave the buffet, it’s a good idea to wash your hands both before you fill up your plate (so you don’t contaminate the communal serving utensils) and after you get your food but before you eat (to clean your hands after touching said utensils).

And, whatever you do, never grab food from the buffet with your bare hands. Not only is it rude, but it’s also unsanitary.

Don't share drinks or utensils

Because norovirus is spread through particles from ill people, it’s a good practice to avoid sharing drinks, utensils, food and other items that could be infected with bodily fluids — even with those in your travel party.

Be responsible

If you’re feeling sick, do your fellow passengers a favor and stay home. Your travel insurance (or qualifying credit card) might be able to reimburse you for your missed sailing if you fall ill before embarkation, including with norovirus. Be honest on your health form on boarding day. After all, it’s far less frustrating to be stuck in the comfort of your home than in a cruise ship cabin in the event that you need to isolate.

If you become ill after you set sail, stay in your cabin and alert the medical center. They’ll make sure your needs are met.

How cruise lines fight norovirus on ships

Two hands wearing rubber gloves -- one holding a spray bottle of sanitizer and the other holding a cleaning rag to wipe down a table — GUIDO MIETH/GETTY IMAGES

Precruise screening

Prior to boarding, your cruise line will ask you to fill out a health questionnaire, either via the mobile app or at the terminal when you arrive. Expect to answer questions about whether you’ve had symptoms commonly associated with gastrointestinal illnesses — including norovirus — such as vomiting and diarrhea. Please answer them truthfully, as they could prevent you from spreading misery to others.

Sanitizing of high-touch areas

Cruise ships employ entire teams of crew members to keep public areas clean and sanitized. You’ll likely see them throughout your vessel, cleaning bathrooms, wiping down tables and scrubbing elevator buttons, all of which help to quell the spread of illness.

Food handling training for crew

One of the ways norovirus is transmitted is through food that has been contaminated with germs from an ill person. With that in mind, cruise lines are strict about their food storage and handling procedures. They also go to great lengths to train crew in proper hygiene, including thorough and frequent handwashing, especially after using the toilet.

As part of the CDC’s Vessel Sanitation Program, training is available to help cruise ship supervisors teach their staff about stopping the spread of foodborne illnesses. The VSP lays out guidelines for sanitation and cleanliness procedures on cruise ships; as part of this program, the CDC conducts unannounced inspections to ensure compliance.

Water filtration and purification

Another way noroviruses are transmitted is through contaminated water. Every cruise ship has its own extensive water filtration and purification system, which removes contaminants and pathogens, including norovirus. That means water from dispensers in the buffet and from taps in cabin bathrooms is safe to drink.

Isolation and quarantine

If passengers begin reporting norovirus symptoms, cruise ship staff will isolate them in their cabins for several days (or possibly for the duration of the voyage, depending on its length) and quarantine those in their travel party. They will deliver meals to them at regular intervals and might post someone outside the door to ensure that they don’t leave and potentially infect other cruisers.

Although it’s a huge disappointment to miss your vacation if you’re sick, you likely wouldn’t feel well enough to be out and about anyway. Plus, it allows other people to continue to enjoy their time on board with less of a chance of catching what you have.

Cancellation of next sailing(s)

If enough people become sick with gastrointestinal illness or if a ship has outbreaks on several voyages in a row, the cruise line might opt to cancel one or two of the subsequent cruises on that ship in order to conduct an intense cleaning of the vessel. Sanitation teams spray, scrub and disinfect all areas in a way that’s more thorough than what would be possible with passengers on board, ensuring that the spread stops before the next group of cruisers embark.

Read more about staying healthy and safe when you sail:

TPG featured card

American Express® Gold Card

TPG editor's rating

Pros + cons

Pros

Valuable dining and food-related credits
Flexible rewards with airline and hotel transfer partners
Multiple travel and purchase protections
No foreign transaction fees
Access to Amex Offers for additional savings (enrollment required)

Cons

Not as useful for those living outside the U.S.
Some may have trouble using Uber and other dining credits

More details

You may be eligible for as high as 100,000 Membership Rewards® Points after you spend $8,000 in eligible purchases on your new Card in your first 6 months of Card Membership. Welcome offers vary and you may not be eligible for an offer. Apply to know if you’re approved and find out your exact welcome offer amount – all with no credit score impact. If you’re approved and choose to accept the Card, your score may be impacted.
Earn 4X Membership Rewards® points per dollar spent on purchases at restaurants worldwide, on up to $50,000 in purchases per calendar year, then 1X points for the rest of the year.
Earn 4X Membership Rewards® points per dollar spent at US supermarkets, on up to $25,000 in purchases per calendar year, then 1X points for the rest of the year.
Earn 5X Membership Rewards® points on prepaid hotel stays booked through AmexTravel.com or the Amex Travel App™.
Earn 3X Membership Rewards® points on flights booked through AmexTravel.com, the Amex Travel App™, or purchased directly from airlines.
Earn 2X Membership Rewards® points on prepaid car rentals booked through AmexTravel.com or the Amex Travel App™ and cruises booked and paid through AmexTravel.com.
Earn 1X Membership Rewards® point per dollar spent on all other eligible purchases.
Pay It® lets you tap in the American Express® App to quickly pay for small purchase amounts throughout the month and still earn rewards the way you usually do. Plan It® gives you the option to split up big purchases into equal monthly payments with a fixed fee. You’ll know upfront exactly how much you’ll pay.
$120 Dining Credit: Earn up to a total of $10 in statement credits monthly when you pay with the Gold Card at Grubhub (including Seamless), Buffalo Wild Wings, Five Guys, The Cheesecake Factory, and Wonder. This can be an annual savings of up to $120. Enrollment required.
$100 Resy Credit: Get up to $100 in statement credits each calendar year at over 10,000 qualifying U.S. Resy restaurants after you pay for eligible purchases with the American Express® Gold Card. That’s up to $50 in statement credits semi-annually. Enrollment required.
$84 Dunkin' Credit: Earn up to $7 in monthly statement credits after you pay with the American Express® Gold Card at U.S. Dunkin’ locations. Enrollment required.
$120 Uber Cash on Gold: Enjoy up to $120 in Uber Cash annually with your Gold Card. Just add your Card to your Uber account and you'll get $10 in Uber Cash each month to use on orders and rides in the U.S. when you select an Amex Card for your transaction.
Enjoy complimentary Hertz Five Star® Status benefits like skipping the counter at select locations, adding an additional driver at no additional cost*, and vehicle upgrades**. Benefit enrollment and Hertz Gold+ registration are required. *Additional drivers must meet standard rental qualifications and must be a spouse or domestic partner to qualify as complimentary. Other additional drivers subject to fees. **Benefits are subject to availability and vary by location. Additional Hertz program Terms and Conditions including age restrictions apply.
Book two nights or more with The Hotel Collection through AmexTravel.com or the Amex Travel App™ and receive a $100* credit towards eligible charges at over 1,400 upscale hotels worldwide. *Eligible charges vary by property.
Book your travel through the Amex Travel App™ with added peace of mind – backed by American Express® service and support. Only for American Express® Card Members.
Whenever you need us, we're here. Our Member Services team will ensure you are taken care of. From lost Card replacement to statement questions, we are available to help 24/7.
No Foreign Transaction Fees.
Annual Fee is $325.
Terms Apply.

Pros

Valuable dining and food-related credits
Flexible rewards with airline and hotel transfer partners
Multiple travel and purchase protections
No foreign transaction fees
Access to Amex Offers for additional savings (enrollment required)

Cons

Not as useful for those living outside the U.S.
Some may have trouble using Uber and other dining credits

You may be eligible for as high as 100,000 Membership Rewards® Points after you spend $8,000 in eligible purchases on your new Card in your first 6 months of Card Membership. Welcome offers vary and you may not be eligible for an offer. Apply to know if you’re approved and find out your exact welcome offer amount – all with no credit score impact. If you’re approved and choose to accept the Card, your score may be impacted.
Earn 4X Membership Rewards® points per dollar spent on purchases at restaurants worldwide, on up to $50,000 in purchases per calendar year, then 1X points for the rest of the year.
Earn 4X Membership Rewards® points per dollar spent at US supermarkets, on up to $25,000 in purchases per calendar year, then 1X points for the rest of the year.
Earn 5X Membership Rewards® points on prepaid hotel stays booked through AmexTravel.com or the Amex Travel App™.
Earn 3X Membership Rewards® points on flights booked through AmexTravel.com, the Amex Travel App™, or purchased directly from airlines.
Earn 2X Membership Rewards® points on prepaid car rentals booked through AmexTravel.com or the Amex Travel App™ and cruises booked and paid through AmexTravel.com.
Earn 1X Membership Rewards® point per dollar spent on all other eligible purchases.
Pay It® lets you tap in the American Express® App to quickly pay for small purchase amounts throughout the month and still earn rewards the way you usually do. Plan It® gives you the option to split up big purchases into equal monthly payments with a fixed fee. You’ll know upfront exactly how much you’ll pay.
$120 Dining Credit: Earn up to a total of $10 in statement credits monthly when you pay with the Gold Card at Grubhub (including Seamless), Buffalo Wild Wings, Five Guys, The Cheesecake Factory, and Wonder. This can be an annual savings of up to $120. Enrollment required.
$100 Resy Credit: Get up to $100 in statement credits each calendar year at over 10,000 qualifying U.S. Resy restaurants after you pay for eligible purchases with the American Express® Gold Card. That’s up to $50 in statement credits semi-annually. Enrollment required.
$84 Dunkin' Credit: Earn up to $7 in monthly statement credits after you pay with the American Express® Gold Card at U.S. Dunkin’ locations. Enrollment required.
$120 Uber Cash on Gold: Enjoy up to $120 in Uber Cash annually with your Gold Card. Just add your Card to your Uber account and you'll get $10 in Uber Cash each month to use on orders and rides in the U.S. when you select an Amex Card for your transaction.
Enjoy complimentary Hertz Five Star® Status benefits like skipping the counter at select locations, adding an additional driver at no additional cost*, and vehicle upgrades**. Benefit enrollment and Hertz Gold+ registration are required. *Additional drivers must meet standard rental qualifications and must be a spouse or domestic partner to qualify as complimentary. Other additional drivers subject to fees. **Benefits are subject to availability and vary by location. Additional Hertz program Terms and Conditions including age restrictions apply.
Book two nights or more with The Hotel Collection through AmexTravel.com or the Amex Travel App™ and receive a $100* credit towards eligible charges at over 1,400 upscale hotels worldwide. *Eligible charges vary by property.
Book your travel through the Amex Travel App™ with added peace of mind – backed by American Express® service and support. Only for American Express® Card Members.
Whenever you need us, we're here. Our Member Services team will ensure you are taken care of. From lost Card replacement to statement questions, we are available to help 24/7.
No Foreign Transaction Fees.
Annual Fee is $325.
Terms Apply.

So, what can you do to lessen the chances of contracting norovirus when you cruise?