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 cruise passenger died following a norovirus outbreak on a US -bound ship that confined dozens of travellers to their cabins. Alan Forster, 77, from Paignton, died from suspected kidney failure last October after falling ill with norovirus during a cruise with his wife.

A norovirus outbreak aboard the P&O Cruises' Arcadia ship last fall left dozens of passengers confined to their cabins and is now linked to the death of a 77-year-old British passenger.

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