Flu

An ‘overpowering sewage smell’ was reported on board, along with flies seen around uncovered food. Passengers have been complaining about various stomach issues

A group of 12 passengers who fell seriously ill onboard a P&O ship are taking legal action after their dream Mediterranean cruise turned into a “nightmare” holiday from hell. The British passengers were struck down with gastric illness and flu-like symptoms while travelling around the Greek islands on the P&O Azura.

The holidaymakers, who paid up to £3,000 each, claim they encountered an “overpowering sewage smell” on board and raised concerns about hygiene in buffet restaurants where flies could reportedly be seen around uncovered food. Many were confined to their cabins during the eight-night voyage between May 28 and June 4 this year, while others were left hospitalised upon returning to the UK and some say they are still feeling the effects now.

The group, who had been celebrating a 60th birthday, have now instructed international injury lawyers to investigate their illnesses. Julie Stones, 53, from Bolton, was among those who says the cruise left her battling a catalogue of health problems.

She first became ill on June 2 with a sore throat and diarrhoea before her condition spiralled. She suffered vomiting, severe stomach pain, fever, headaches, dizziness, exhaustion, a persistent cough, and pain in her back and legs.

After returning home, she attended A&E, was diagnosed with a chest infection and later required further GP and hospital treatment. Julie, who has several underlying health conditions and uses a powered wheelchair, said she spent weeks largely confined to bed and relied on help from her husband and daughter.

Julie said: “This holiday was supposed to be a special celebration with friends and something I’d been looking forward to for months. Instead, it turned into a complete nightmare. It felt as though one thing after another kept going wrong and, as the holiday went on, I just got worse and worse.

“One thing that really stood out was the overpowering sewage smell near the Manhattan Bar. It was so noticeable that other passengers were commenting on it. I also had concerns about hygiene in the buffet areas. I remember seeing food left uncovered with flies around it and people entering the restaurant without sanitising their hands.

“Even after returning home, the symptoms didn’t go away. I’ve needed hospital treatment, GP appointments, and medication, but I’m still not back to normal. More than two months later, I’m still dealing with fatigue and headaches. I just want to understand what happened.”

Linda Chapman, from Bury, who was celebrating her 60th, also became seriously ill after developing symptoms on the final evening of the cruise. The mum and grandmother suffered chills, vomiting, breathlessness, wheezing, a sore throat, and a persistent cough.

Her condition worsened so badly after landing back in Manchester that she contacted NHS 111 and was taken to A&E, where she was prescribed antibiotics. Linda, who works as a housekeeper on an NHS stroke ward, was forced to take two weeks off work.

Linda said: “I remember being on the plane. The flight was only a few hours, but it felt like forever. People kept asking if I was okay and I must have looked as awful as I felt. I just kept telling myself that I’d be home soon and could finally go to bed.

“What I didn’t realise was that I’d end up spending weeks like that. In my view, hygiene onboard wasn’t up to scratch and the food often didn’t seem fresh at all, despite the cruise being very expensive. What did surprise me was just how ill I became. I was struggling to breathe and, combined with the stomach problems, I just couldn’t work out what was wrong with me. It was a very frightening and disorientating experience.”

Sharon Robinson, 51, from Wigan, was the first member of the group to fall ill. She initially believed she had a chest infection but later suffered stomach pain, nausea, diarrhoea, headaches, fever-like symptoms, and extreme fatigue.

Despite feeling unwell, Sharon tried to continue with the group’s planned celebrations but says she spent the rest of the cruise exhausted. Sharon said: “I’m unbelievably disappointed.

“Even though I felt awful, I kept trying to take part in as much as I could because I’d been looking forward to this cruise for a year. I was the first in our group to become ill, but after the first few days it felt as though everyone was dropping like flies.

“One thing that’s burned into my memory is the strong sewage smell onboard. It still makes me feel sick when I think about it. So many people in our group became unwell that it’s difficult not to have concerns about what caused it. I still feel very sad about the whole experience and I’m still suffering because of it.”

Jatinder Paul, the lawyer at Irwin Mitchell representing the passengers, said: “Cruise holidays should provide passengers with an opportunity to relax and enjoy their time away. However, they also involve large numbers of passengers sharing restaurants, bars and other facilities in confined space so robust hygiene measures are vital in helping to prevent illnesses from spreading.

“What’s particularly concerning for our clients is that so many from the same party became unwell, with several still having their lives affected by symptoms. Our clients understandably have questions about their illnesses and whether more should have been done to protect them.

“Nothing will make up for what they’ve been through, but we’re determined to provide them with the answers they deserve.”

P&O has been approached for comment.

Full list of outbreaks as Foreign Office-backed Travel Health Pro website revealed scores of new cases, including some deaths

A ‘potentially serious’ infection outbreak has been reported in 16 European countries, sparking warnings about taking preventative measures. New figures released by the Foreign Office-backed Travel Health Pro website show that in 6 countries there have been serious numbers in the last month – including a number of deaths.

West Nile virus (WNV) is a type of flavivirus (like dengue or Zika) that can cause a potentially serious infection in humans and is spread by mosquitoes. Most people infected with WNV do not any have symptoms or experience a very mild illness and fully recover. If symptoms are present, they are usually mild; a flu-like illness with fever, headache, muscle pain and a red, bumpy rash.

However, about one in 150 people infected with WNV develop a more serious, potentially fatal illness, with a high fever, severe headache, neck stiffness, confusion, muscle weakness, trembling, convulsions and coma. Meningitis (inflammation of the protective lining surrounding the brain and spinal cord), encephalitis (brain inflammation) or acute flaccid paralysis (weak/floppy limbs) can also occur.

Latest outbreaks:

• In 2026, up to 23 September, 4 locally acquired human cases of West Nile virus has been reported in Germany. Cases have been reported from Berlin, Leipzig Kreisfreie Stadt and Rhein-Pfalz-Kreis.
• 44 cases of West Nile virus, including 5 deaths, have been reported in the Netherlands. Cases have been reported from South Holland, Utrecht, North Holland, North Brabant, Gelderland and Overijssel provinces.
• In France 117 cases of West Nile virus have been recorded in Provence-Alpes-Cote d’Azur, Occitanie, Ile-de-France, Auvergne-Rhone-Alpes, Nouvelle-Aquitaine, Pays de la Loire and Centre-Val de Loire.
• North Macedonia has seen 69 locally acquired human cases of West Nile virus have been reported in North Macedonia, in 5 areas.
• Up to 23 September, 2 locally acquired human cases of West Nile virus have been reported in Kosovo and 91 locally acquired human cases of West Nile virus have been reported in Romania, across 22 areas.

The European Centre for Disease Prevention and Control’s latest update shows that 86 areas affected by West Nile virus (WNV) have been identified in 16 countries across Europe. These are Italy, Greece, Romania, France, the Netherlands, Serbia, Spain, Croatia, North Macedonia, Belgium, Hungary, Austria, Germany, Kosovo, Albania and Cyprus.

Travel Health Pro said: “Some people, including older travellers, those with long term health problems and anyone with a weakened immune system (immunosuppression) are more at risk of getting seriously ill.

“There is no specific drug or treatment for WNV infection. Supportive care in a hospital is essential for people with severe WNV. While a bite from an infected mosquito is the commonest way to catch WNV, there are rare reports of non-mosquito spread, including during a blood transfusion or organ transplant.”

The only way to reduce the risk of getting infected is by avoiding mosquito bites as much as possible.

Key points to reduce insect and tick bites:

• Avoid areas of stagnant or standing water, where mosquitoes are likely to breed.
• Keep to footpaths and avoid long grass when walking to avoid tick bites.
• Check body for ticks after outdoor activity and remove them promptly
• Wear loose-fitting clothing, with long sleeves, long trousers, tucked into socks.
• Clothing can be sprayed or impregnated with insecticide or purchased pre-treated to reduce biting through clothing
• Use insect repellents on exposed skin
• In areas with vector-borne diseases, use air conditioning where available or sleep in screened accommodation, under a mosquito net impregnated with insecticide.
• Insecticide vaporisers can be used to inhibit mosquito bites and mosquito coils can be used outdoors (they are not recommended indoors).
• For those staying long-term in areas with vector-borne diseases it is possible to reduce mosquito breeding sites around the home by removing any pools of water in ditches, plant pots, gutters, drains and rubbish collected in the area.