What's sneaky, super contagious and bound to cause diarrhea and vomiting? If you answered "norovirus," you'd be correct. But what is it, and why is it so often associated with cruises?

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.

Last year was the cruise industry's worst in more than a decade for outbreaks of gastrointestinal illness on ships in the U.S., according to the CDC. December was a particularly bad month.

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Alan Forster, a retired teacher from Paignton, England, fell sick with norovirus two weeks into the month-long voyage with his wife, and later died from suspected kidney failure, his family said. The outbreak aboard the Arcadia is part of a larger trend in rising norovirus cases on cruise ships.

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