Exclusive: U.S. considers discouraging some travelers from cruises – sources

By David Shepardson, Alexandra Alper and Ted Hesson

WASHINGTON (Reuters) – The United States is considering ways to discourage U.S. travelers from taking cruises as part of a broader Trump administration effort to limit the spread of coronavirus, according to four officials familiar with the situation.

The officials, who asked to remain anonymous, said no decision had been made. The discussions were taking place ahead of a meeting this weekend between Vice President Mike Pence, who is in charge of leading the U.S. response to the coronavirus, and the cruise industry.

The administration could advise some or all U.S. travelers to temporarily avoid taking cruises in the face of a growing number of coronavirus cases on cruise ships or potentially impose travel restrictions related to cruises, officials said.

Pence’s office did not immediately comment.

Shares of cruise operators in U.S. trading turned negative after the Reuters report. Carnival Corp  and Royal Caribbean  shares dropped nearly 2% and Norwegian Cruise Lines  stock was down nearly 1%.

Shares in Royal Caribbean Cruises, Carnival and Norwegian Cruise Line Holdings have fallen around 50% since January.

U.S. President Donald Trump signed a bill on Friday allocating $8.3 billion to bolster the country’s capacity to test for the new coronavirus and fund other measures to stem an outbreak that has now infected some 100,000 people worldwide.

Democrats have said Trump – a Republican who faces re-election on Nov. 3 – has not adequately prepared the country for the possibility of a pandemic.

Trump said during a visit to a tornado-stricken area in Tennessee on Friday that his administration was exploring options to help airlines and other industries hurt by the coronavirus outbreak, according to a pool report. White House economic adviser Larry Kudlow also told CNBC that the administration was considering “targeted and timely” tax relief for such industries.

DEBATING MEASURES

Trump said on Friday that he had spoken to Democratic California Governor Gavin Newsom about a cruise ship that was barred from docking in San Francisco after at least 35 people developed flu-like symptoms. The ship has been linked to two confirmed cases of the illness caused by the virus.

The administration is urgently debating measures aimed at reducing outbreaks on board cruise ships with several officials confirming the administration has reviewed potential restrictions on U.S. cruise ship travel.

Officials differed on whether the dramatic step of temporarily barring new cruises was being seriously considered. Cruise lines in recent days have liberalized cancellation and rebooking policies and some cruise travelers reported ships are traveling with far less than maximum capacity.

The Cruise Lines International Association said this week cruise lines would take steps to limit coronavirus concerns, denying boarding to all persons who had traveled from hot spots including South Korea, Iran, China and parts of Italy. The group also said cruise lines would conduct illness screening for U.S. citizens who have recently visited those destinations.

The cruise industry contributed nearly $53 billion to the U.S. economy in 2018 and generated more than 420,000 jobs, according to an analysis by the association.

Senior Trump administration officials discussed the cruise ship issue on Thursday and expected to revisit it during a meeting on Friday, according to a White House official.

The official called the ships “huge incubators” and said older cruise ship passengers could be especially vulnerable.

The U.S. Centers for Disease Control and Prevention (CDC) has said its current information suggests that older people and people with severe chronic health conditions such as heart disease, lung disease and diabetes, have a higher risk of developing a serious illness as a result of the virus.

The U.S. State Department said in guidance last month that Americans should reconsider travel on cruise ships in Asia due to the coronavirus outbreak.

The department said the situation remained “dynamic” and that any travel by ship could be subject to restrictions and quarantine by local authorities.

(Reporting by David Shepardson, Alexandra Alper and Ted Hesson in Washington; Editing by Chris Sanders and Howard Goller)

Explainer: Low vaccination rates, global outbreaks fuel U.S. measles spread

A measles poster is seen at Venice Family Clinic in Los Angeles, California February 5, 2015. REUTERS/Lucy Nicholson

By Steve Gorman

(Reuters) – A measles outbreak that has stricken at least 225 people in New York state since October began with a traveler who visited Israel during the Jewish high holidays and returned to a predominantly ultra-Orthodox Jewish neighborhood of Rockland County.

A similar pattern unfolded three months later and nearly 3,000 miles (4,800 km) away when a person who visited Eastern Europe returned to a community with strong ties to a local church group in Vancouver, Washington. More than 50 people fell ill there.

In both instances, U.S. travelers picked up measles in foreign countries where the highly contagious disease was running rampant and brought it back to places where vaccination rates were too low by U.S. public health standards, setting off the worst outbreaks seen in those states in decades.

The U.S. Centers for Disease Control and Prevention says New York’s outbreak marks the highest tally of imported cases since measles was declared eradicated in the United States in 2000.

The two outbreaks appear to be winding down, health officials say, after concerted efforts to pinpoint the origins and isolate and inoculate those who were exposed but unprotected and educate parents who had resisted vaccines.

The disease has spread mostly among school-age children whose parents declined to get them vaccinated. Most cited philosophical or religious reasons, or concerns – debunked by medical science – that the three-way vaccines against measles, mumps and rubella (MMR) could cause autism, authorities said.

New York State Health Commissioner Dr. Howard Zucker said another key factor was mere “complacency” in an age where the potential ravages of measles are unfamiliar to parents who came of age after the vaccine was introduced in 1957.

In Rockland County, the suburb north of Manhattan accounting for the bulk of cases, the state has vaccinated 15,000 children since the outbreak began there last autumn, Zucker said. The Brooklyn borough of New York City was another hot spot.

Still, officials say the measles crisis in New York and Washington states offer a lesson about the importance of maintaining a minimum level of “herd” immunization against dangerous, preventable diseases such as measles.

It also highlights the global nature of disease control, in which a hot spot of infection in one country can ignite a distant outbreak in an immunization-weak spot of another, said Dr. Scott Lindquist, Washington’s top epidemiologist.

Here are some key facts about measles and immunization, according to public health experts and the CDC.

WHAT IMMUNIZATION RATES ARE IDEAL?

A 95 percent rate of immunization is required to provide sufficient “herd” protection in a given population. Rates as low as 60 percent were found in parts of New York where measles spread, Zucker said.

HOW BAD CAN MEASLES GET?

Symptoms typically include high fever, cough, runny nose and watery eyes, followed by tiny white spots inside the mouth and a red rash that can cover the body.

Serious and potentially fatal complications, especially in young children and pregnant women, can include pneumonia and swelling of the brain. Ear infections occur in about 10 percent of children with measles and can lead to permanent hearing loss.

One rare but fatal complication is subacute panencephalitis (SSPE), which can attack the central nervous system seven to 10 years after a person has recovered from measles.

HOW CONTAGIOUS IS MEASLES?

Measles is spread through casual contact with the virus, which can linger and remain infectious in the air of an enclosed space for up to two hours after it is breathed out by someone carrying the disease. The rate of transmission from an infected person to another individual nearby who lacks immunity is about 90 percent.

ORIGINS OF LATEST OUTBREAKS?

Health authorities say the strain of the virus identified in Washington state matches the one circulating widely in Ukraine since last year. The New York outbreak has been tracked back to separate flare-ups of measles in Israel and in Eastern Europe.

(Reporting by Steve Gorman in Los Angeles; Editing by Bill Tarrant and Peter Cooney)