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Dirty ice machines. Malfunctioning refrigerators and dishwashers. Flies in areas where food is prepared and stored.

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Dirty water leaked onto passengers’ dishes onboard the Holland America Veendam.

It’s just the tip of the iceberg in a long list of sanitary problems that U.S. Centers for Disease Control and Prevention inspectors discovered last month on Holland America’s Veendam.

In what is a rare occurrence for modern day cruise ships, the health agency failed the 1,350-passenger vessel during the surprise inspection, which took place on Aug. 19.