Technical instructions for CDC\u2019s COVID-19 program for cruise ships operating in U.S. waters

CDC\u2019s Temporary Extension & Modification of Framework for Conditional Sailing Order (CSO) expired on January 15, 2022. CDC recommends that cruise ships operating in U.S. waters choose to participate in CDC\u2019s COVID-19 Program for Cruise Ships.This document provides instructions for cruise lines operating foreign-flagged cruise ships[1] in U.S. waters that have chosen to opt in to CDC\u2019s COVID-19 Program for Cruise Ships. For the purposes of this program, cruise ships are defined as all commercial, non-cargo, foreign-flagged, passenger-carrying vessels subject to the jurisdiction of the United States with the capacity to carry 250 or more individuals (passengers and crew) with an itinerary anticipating an overnight stay on board or a twenty-four (24) hour stay on board for either passengers or crew. This program is designed to ensure health and safety protections for travelers (crew and passengers) in a way that mitigates the risk of spreading COVID-19.Opting in/out of CDC\u2019s COVID-19 Program -- COVID-19 Response Plans -- Surveillance for COVID-19 -- Port Agreements -- COVID-19 Testing of All Crew -- COVID-19 Testing for Symptomatic Travelers and Close Contacts -- Isolation of Symptomatic Travelers and Quarantine of Close Contacts -- Medical Management of COVID-19 -- Disembarking Travelers to Obtain Medical Care -- Discontinuation of Isolation for Travelers -- Disembarking Travelers who Test Positive and Close Contacts -- Screening Testing of Newly Embarking Crew -- Routine COVID-19 Screening Testing of Crew -- Crew Screening Testing Specifications -- Embarking Overnight Contractors, Vendors, and Visitors -- Embarking Day Contractors, Vendors, and Visitors -- Crew Monitoring -- Disembarking Crew for Repatriation and Shore Leave -- Preventive Measures -- Cleaning and Disinfection -- COVID-19 Color-coding System.20221151