Fodors Turns to Dr. Green to Explain the Skin Risks of Cruise Ship Hot Tubs

Cruise ship hot tubs may promise pure relaxation, but they can also expose travelers to more than warm bubbles and sea views. In the Fodor’s article “Bubbles or Bacteria? What’s Really Lurking in Cruise Ship Hot Tubs,” New York City–based board-certified dermatologist Dr. Michele Green explains the skin concerns that can arise from improper sanitation.

“Hot tubs can be safe if they are properly maintained and sanitized,” Dr. Green notes. “However, many skin conditions can arise from contamination.” Among the most common is folliculitis, or “hot tub rash,” which she says “can be caused by bacterial infections such as Pseudomonas aeruginosa, or fungal infections including tinea versicolor or Malassezia.”

Dr. Green also cautions that high chlorine or bromine levels may irritate the skin, while warm, damp environments can worsen yeast infections or athlete’s foot. Individuals with chronic skin conditions, she adds, should take extra care: “Those with eczema or psoriasis may want to avoid cruise ship hot tubs, since exposure can exacerbate flare-ups.”

Even minor cuts or scrapes can create entry points for bacteria, increasing the risk of infection. Dr. Green recommends steering clear of any tub that looks cloudy or poorly maintained, and keeping soaks brief to protect the skin’s natural barrier.

View the full article at: Bubbles or Bacteria? What’s Really Lurking in Cruise Ship Hot Tubs