Cheap package cruises have become very popular in Great Britain, but the ships used for these cruises are often not suitable for elderly, handicapped, and mentally unfit people. The cruises run to very tight schedules with many strenuous shore excursions, and do not necessarily constitute restful holidays at sea. Many passengers who embark on these cruises are suffering from pre-existing diseases, which may become exacerbated during the voyage. Such patients should be forewarned and should be equipped by their doctors with a covering letter giving full details of their medical condition and its treatment.
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