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More than 200 people became sick and five were hospitalized in Australia after an outbreak of gastrointestinal illness aboard a cruise ship earlier this month.

Symptoms were reported by 209 guests among the 5,796 people aboard Ovation of the Seas ship, according to Royal Caribbean International cruise line spokeswoman Cynthia Martinez. The ship returned to Sydney on Dec. 7 at the end of a 14-night cruise that departed Singapore on Nov. 23. “Those affected by the short-lived illness were treated by our ship’s doctors with over-the-counter medication,” Martinez told The Associated Press in an email.

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