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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Reportable Case Definition
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Violation:
Many vomit and fecal incidents were not all followed-up by medical staff for evaluation to determine if they met the AGE case definition and needed to be isolated. Additionally, some medical follow-up phone conversations did not assess the need for isolation. For example: (1) on 2 November, a vomit incident was identified in cabin 11021 and medical follow-up recorded that the person reported feeling better; (2) on 2 November, a vomit incident was identified in cabin 14021 and medical follow-up recorded that the person took personal medication and felt better; (3) on 2 November, a vomit incident was identified in cabin 9031 and medical follow-up recorded that the person reported to be seasick; (4) on 2 November, a fecal incident was identified in cabin 12219 and there was no medical follow-up documented; (5) on 2 November, a vomit incident was identified in cabin 12271 and there was no medical follow-up documented; (6) on 3 November, a vomit incident was identified in cabin 10090 and there was no medical follow-up documented; and (7) on 4 November, a fecal incident was identified in the life jacket locker located in the Deck 7 Humidor Cigar Bar and there was no medical follow-up for the identified individual documented.
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Recommendation:
Ensure a reportable case of AGE is a case reported to the master of the vessel, the medical staff, or other designated staff by a passenger or a crew member and meets the case definition based on the following symptoms: (1) Diarrhea (three or more episodes of loose stools in a 24 hour period or what is above normal for the individual. See section 4.1.2.1.3, illness symptoms); or (2) vomiting and one additional symptom including one or more episodes of loose stools in a 24-hour period, or abdominal cramps, or headache, or muscle aches, or fever (temperature of greater than or equal to 38°C [100.4°F]).
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Item No.:
08
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Site:
Potable Water-Aft Evaporator
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Violation:
The reduced pressure zone assembly was in disrepair and water was continuously leaking out the atmospheric relief vent. Staff stated they were not producing water and there was a lot of pressure in the system.
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Recommendation:
Maintain backflow prevention devices in good repair.
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Item No.:
08
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Site:
Galley-Deck 6 - Shanghai's Dishwash
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Violation:
The backflow prevention device was missing on the port side rinse spray arm. Corrections started immediately.
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Recommendation:
Provide backflow prevention devices on all fixtures using potable water and that have submerged inlets.
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Item No.:
11
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Site:
Medical-Acute Gastroenteritis (AGE) Isolation
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Violation:
The review of the AGE logs disclosed that three crew members had an onset of AGE symptoms and delayed their reporting to the medical center for evaluation. Specifically, (1) a nonfood worker had an AGE symptom onset on 18 October at 2:30pm and reported to medical at 7:58pm the same day; (2) a nonfood worker had an AGE symptom onset on 18 October at 6:00am and reported to medical at 11:35am the same day after working for some time; and (3) a food worker had an AGE symptom onset on 27 October at 6:45am and reported to medical at 10:30am the same day after working for some time. The crew members received disciplinary action because medical care is always available and the crew members knew that AGE symptoms needed to be reported immediately to medical. Food handled by the food worker was also discarded as a result of the food employee assessment.
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Recommendation:
When food employees meet the case definition for AGE, ensure the following actions are taken: (1) isolate in cabin or designated restricted area until symptom-free for a minimum of 48 hours; (2) follow-up with and receive approval by designated medical personnel before returning crew to work; (3) document date and time of last symptom and clearance to return to work. When nonfood employees meet the case definition for AGE, ensure the following actions are taken: (1) isolate in cabin or designated restricted area until symptom-free for a minimum of 24 hours; (2) follow-up with and receive approval by designated medical personnel before returning crew to work; (3) document the date and time of last symptom and clearance to return to work. Ensure the food employee's supervisor or person in charge conducts an assessment of food prepared or served by the food employee while symptomatic and take appropriate corrective actions. Document corrective actions taken as a result of the assessment. Maintain records for 1 year and make them available for review during inspections. Review [when possible] any AGE cases among passengers or crew reported after the ill food employee?s symptom onset for epidemiologic link/connection. Appropriate corrective actions could include discarding ready-to eat food, thoroughly cooking raw food, and disinfecting the food area and equipment.
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Item No.:
16
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Site:
Galley-Deck 14 - La Cucina
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Violation:
A small pan of lasagna was measured at 45°F by the inspector's thermometer and 44-47°F by a crew member's thermometer. The cooling log showed the food was properly cooled the day prior to the inspection. All other potentially hazardous foods in the refrigerator were measured at 41°F or below, and the refrigerator's temperature was below 41°F. The lasagna was discarded.
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Recommendation:
Except during preparation, cooking, or cooling, or when time is used as the public health control, maintain potentially hazardous foods at 57°C (135°F) or above, except that roasts may be held at a temperature of 54°C (130°F); or 5°C (41°F) or less.
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Item No.:
19
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Site:
Buffet-Deck 15 - Garden Cafe Port Side Main Line
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Violation:
The handles of the self-service tongs were touching the green apples out for the passengers.
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Recommendation:
Ensure consumer self-service operations, such as salad bars and buffets, for unpackaged ready-to-eat foods are provided with suitable utensils or effective dispensing methods that protect the food from contamination and are monitored by food employees trained in safe operating procedures.
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Item No.:
19
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Site:
Buffet-Deck 15 - Garden Cafe Port Side Main Line
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Violation:
No serving utensil was provided for the red apples offered for passenger self-service.
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Recommendation:
Ensure consumer self-service operations, such as salad bars and buffets, for unpackaged ready-to-eat foods are provided with suitable utensils or effective dispensing methods that protect the food from contamination and are monitored by food employees trained in safe operating procedures. Ensure that if there is self service of scooped frozen dessert, service is out of shallow pans no deeper than 4 inches (100 millimeters) and no longer than 12 inches (300 millimeters).
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Item No.:
20
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Site:
Galley-Deck 7 - Wasabi Show Galley
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Violation:
Two slotted fasteners were inside the food-splash zone of sushi display case #1.
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Recommendation:
Use only low profile, nonslotted, noncorroding, and easy-to-clean fasteners on food-contact surfaces and in splash zones. Prohibit the use of exposed slotted screws, Phillips head screws, or pop rivets in these areas.
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Item No.:
21
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Site:
Buffet-Deck 15 - Great Outdoors Port Side
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Violation:
The gaskets on the pizza ovens were damaged and in disrepair. Staff provided documentation showing this was reported in June and parts were on order.
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Recommendation:
Ensure nonfood contact equipment is maintained in good repair and proper adjustment including: (1) Equipment maintained in a state of repair and condition that meets the materials, design, construction, and operation specifications of these guidelines; (2) Equipment components such as doors, seals, hinges, fasteners, and kick plates are kept intact, tight, and adjusted in accordance with manufacturer's specifications.
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Item No.:
21
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Site:
Buffet-Deck 15 - Great Outdoors Starboard
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Violation:
The sealant inside the technical compartment of time control unit #6 was peeling and in disrepair.
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Recommendation:
Ensure nonfood contact equipment is maintained in good repair and proper adjustment including: (1) Equipment maintained in a state of repair and condition that meets the materials, design, construction, and operation specifications of these guidelines; (2) Equipment components such as doors, seals, hinges, fasteners, and kick plates are kept intact, tight, and adjusted in accordance with manufacturer's specifications.
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Item No.:
27
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Site:
Galley-Deck 15 - Spice H2O Show Galley
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Violation:
The handle of refrigerator 167346 was soiled with brown debris. This was cleaned immediately.
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Recommendation:
Ensure nonfood-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
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Item No.:
27
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Site:
Galley-Deck 15 - Garden Cafe
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Violation:
Condensate dripped continuously from the deckhead onto the soiled landing of the rack-type glasswash.
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Recommendation:
Ensure nonfood-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
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Item No.:
29
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Site:
Galley-Deck 7 - Teppanyaki
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Violation:
The handwashing station was partially blocked by a trash bin near the entrance to the galley. Staff stated a smaller trash bin would be placed in the area to allow better access to the handwashing station. The area was not in operation at the time of the inspection.
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Recommendation:
Ensure handwashing facilities are used for no other purpose and are accessible at all times.
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Item No.:
29
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Site:
Housekeeping-Pantry
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Violation:
Trolleys blocked the handwashing stations in housekeeping areas 1786 and 0794.
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Recommendation:
Ensure handwashing facilities are used for no other purpose and are accessible at all times.
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Item No.:
29
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Site:
Bar-Deck 5 - Atrium Bar
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Violation:
The handwashing station was more than 8 meters from the furthest employee workstation. Starbucks and the Atrium Bar share only one handwashing station. The crew stated that Starbucks will be moved to another location which will have its own handwashing station during the next dry dock around April 2025.
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Recommendation:
Ensure a handwashing facility is within 8 meters (26 feet) of all parts of the area and is not located in an adjacent area that requires passage through a closed door where the user makes hand contact with the door. Ensure handwash sinks are at least 750 millimeters (30 inches) above the deck so that employees do not have to reach excessively to wash their hands.
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Item No.:
30
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Site:
Galley-Deck 14 - La Cucina Show Galley
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Violation:
There were no paper towels at the handwashing station. The area was not in service at the time of the inspection and paper towels were brought immediately.
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Recommendation:
Ensure each handwashing facility has a supply of hand-cleansing soap or detergent and a supply of single-service paper towels available.
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Item No.:
33
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Site:
Galley-Deck 6 - Cagney's Food Elevator
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Violation:
Water was pooled on the deck under the food elevator.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
33
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Site:
Provisions-Deck 3 - Vegetable Walk-In Refrigerator #0267
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Violation:
Half an inch of water was in the deckhead light fixture to the left of the entryway.
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Recommendation:
Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
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Item No.:
33
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Site:
Galley-Deck 5 - Room Service
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Violation:
The metal guard around the light fixture, located in front of the condenser, was missing fasteners. This was corrected before the end of the inspection.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
33
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Site:
Galley-Deck 5 - Soup Station
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Violation:
An open penetration on the bulkhead behind kettle #2 created a gap into a void space. This was corrected before the end of the inspection.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
33
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Site:
Food Service General-Deck Grouting
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Violation:
The grouting around the deck tiles were pitted or recessed in the following areas: port side waiter stations 5 & 8, main galley hot line, and crew galley.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
33
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Site:
Galley-Deck 5 - Soup Station
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Violation:
An open penetration into a void space on the bulkhead was behind the left soup kettle. This was corrected before the end of the inspection.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
34
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Site:
Galley-Deck 15 - Spice H2O Show Galley
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Violation:
The drain in front of refrigerator 167436 had old time control stickers and other debris in it. This was cleaned immediately.
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Recommendation:
Ensure a plumbing system in a food area is maintained in good repair.
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Item No.:
37
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Site:
Galley-Deck 15 - Garden Cafe
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Violation:
Condensate dripped continuously from the deckhead above the soiled side of the rack-type glasswash.
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Recommendation:
Ensure exhaust ventilation hood systems in food preparation and warewashing areas--including components such as hoods, fans, guards, and ducting--are designed to prevent grease or condensation from draining or dripping onto food, equipment, utensils, linens, and single-service and single-use articles.
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Item No.:
38
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Site:
Galley-Deck 7 - Cagney's
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Violation:
The milk dispenser was out of order and scheduled to be removed during the 2025 dry dock.
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Recommendation:
Ensure only articles necessary for the food service operation are stored in food preparation, food storage, and warewashing areas.
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Item No.:
39
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Site:
Galley-Deck 5 - Pantry
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Violation:
A fly was in the area near the walk-in refrigerator.
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Recommendation:
Effectively control the presence of insects, rodents, and other pests to minimize their presence in the food storage, preparation, and service areas and warewashing and utensil storage areas aboard a vessel.
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Item No.:
39
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Site:
Galley-Deck 5 - Bakery
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Violation:
A fly was around the dough sheeter.
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Recommendation:
Effectively control the presence of insects, rodents, and other pests to minimize their presence in the food storage, preparation, and service areas and warewashing and utensil storage areas aboard a vessel.
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Item No.:
39
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Site:
Bar-Deck 6 - The Cavern Bar
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Violation:
A fly was in the area.
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Recommendation:
Effectively control the presence of insects, rodents, and other pests to minimize their presence in the food storage, preparation, and service areas and warewashing and utensil storage areas aboard a vessel.
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Item No.:
40
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Site:
Pantry-Deck 16 - Spice H2O
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Violation:
The pantry door was propped open with a bucket at 11:15am for the bar employees to go into the pantry without opening the door. When the inspector returned at 12:45pm the door was ajar. This allowed an entry point for pest.
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Recommendation:
Protect entry points where pests may enter the food areas.
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Item No.:
44
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Site:
Medical-Isolation Letter
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Violation:
The isolation letter provided to crew meeting the AGE definition states that they need to isolate because they tested positive for Norovirus; however, medical staff reported no tests are conducted.
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Recommendation:
Ensure the supervisor or person in charge of medical operations related to AGE on the vessel demonstrates to VSP?during inspections and on request?knowledge of medical operations related to AGE, is able to demonstrate this knowledge by compliance with Section 4 of the VSP 2018 Operations Manual or by responding correctly to the inspector?s questions as they relate to the specific operation, and properly trains employees to comply with Section 4 of the VSP 2018 Operations Manual as it relates to their assigned duties.
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