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I get my flu shot in October, sooner if I am on a cruise that month. I make a special effort to stay away from anyone who is coughing, sneezing and blowing his/her nose in the weeks before a cruise. I take vitamins daily anyway. Did also get my pneumonia shots and shingles vaccine. Of course, once on the ship, you can't escape those who are sick who come to the shows or movies and cough throughout the event. My husband & I have on occasion moved to a different seat because a person sitting behind us had a hacking cough and looked flushed. If I have a bad cold & am coughing, I stay home or away from people. So far, I have not been sick on a cruise.