In this guide
  1. Step 1: Look up every port
  2. Vaccines the CDC lists (Jamaica example)
  3. Mosquitoes: dengue and Zika
  4. Sun and heat
  5. Food, water and beaches in port
  6. Caribbean cruise health checklist
  7. Sources
General information, not medical advice. This guide explains common options and official guidance. It can't account for your health, medicines or itinerary. Talk to your own doctor or pharmacist before your cruise. Medical disclaimer.

Caribbean cruises often visit three or four countries in a week, and each has its own CDC health page. Here’s what CDC guidance has in common across many Caribbean ports, and how to check your own itinerary. Your doctor or a travel clinic can tell you what you personally need, ideally at least a month before you sail (CDC: Jamaica traveler page).

Step 1: Look up every port

CDC destination pages list recommended vaccines, disease risks and a packing list for each country. Search each port country on CDC Travelers’ Health. We use Jamaica below as a worked example; your ports may differ.

Vaccines the CDC lists (Jamaica example)

VaccineWhat CDC says for travelers to Jamaica
Routine vaccinesBe up to date before every trip, including MMR, chickenpox, tetanus-diphtheria-pertussis, polio, flu and shingles
Measles (MMR)All international travelers should be fully vaccinated. CDC has a global measles travel notice
COVID-19All eligible travelers should be up to date
Hepatitis ARecommended for unvaccinated travelers aged 1 year and older
Hepatitis BRecommended for unvaccinated travelers under 60
TyphoidConsider if visiting areas with poor sanitation, staying a month or more, or visiting friends or relatives
Yellow feverNot recommended by CDC. Only required if arriving from a country with yellow fever risk

Source: CDC: Jamaica. Ask your clinic how this applies to you; some vaccines need more than one dose or time to take effect.

The CDC’s cruise chapter adds a reason to check routine vaccines: outbreaks of measles, chickenpox, mumps, hepatitis A and other vaccine-preventable diseases have been reported on cruise ships, and crew vaccination policies vary by cruise line (CDC Yellow Book: Cruise Ship Travel).

Mosquitoes: dengue and Zika

CDC lists dengue and Zika for Jamaica, both spread by mosquito bites, and there’s no vaccine for most travelers. Zika can spread from a pregnant person to the baby (CDC: Jamaica). The cruise chapter notes that chikungunya and Zika both spread across the Caribbean in the last decade (CDC).

CDC bite-prevention tips include:

  • An EPA-registered repellent with DEET, picaridin, oil of lemon eucalyptus (OLE/PMD), IR3535 or 2-undecanone, used as directed.
  • Long sleeves and pants where practical.
  • Permethrin-treated clothing (not on skin).

Pregnant or planning pregnancy? The CDC advises pregnant travelers to reconsider travel to areas with a Zika outbreak. See our guide to pregnancy and cruising rules.

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Sun and heat

CDC advises sunscreen of at least SPF 15, protective clothing and shade during 10 a.m. to 4 p.m. Sun reflects off sand and water, which increases exposure. In heat, drink water, eat regularly and limit strenuous activity (CDC: Jamaica).

Food, water and beaches in port

  • Follow safe food and water habits when eating ashore (CDC cruise chapter).
  • Swim only in designated areas and obey lifeguards and flags.
  • Avoid swallowing water when swimming, and wear shoes on beaches where there may be animal waste (CDC: Jamaica).

Caribbean cruise health checklist

  • Look up each port on CDC Travelers’ Health
  • Book a travel health appointment at least a month before sailing
  • Check routine vaccines, including MMR
  • Ask about hepatitis A and other port-specific vaccines
  • Pack EPA-registered repellent and sunscreen
  • Pack your medicines plus extras (see our packing list)
  • Check your travel insurance and evacuation cover

Sources