Hantavirus-hit cruise ship evacuates 3 passengers, expected to head next to Spain
Hantavirus Outbreak on MV Hondius: Details and International Response
By Nellie Peyton and Bart H. Meijer
JOHANNESBURG/AMSTERDAM, May 6 (Reuters) - Three people, two of them seriously ill, were evacuated on Wednesday from a luxury cruise ship hit by a deadly hantavirus outbreak and marooned for days off the coast of Cape Verde, the World Health Organisation said.
The MV Hondius, which has nearly 150 people on board, is expected to head next to Spain's Canary Islands, ship operator Oceanwide Expeditions said. Three people have so far died in the outbreak.
Identification and Spread of the Virus
South Africa confirmed that it had identified among the victims the Andean strain of the virus that can - in rare cases - spread among humans. Since the start of the outbreak, the WHO has said the risk to the wider public is low, and it stressed that this continued to be the case.
The Swiss government said a man who returned to Switzerland after being a passenger on the Hondius was infected with the hantavirus and was being treated in Zurich. It said there was no danger to the broader population.
Evacuation and Medical Response
Three Evacuated Passengers
THREE EVACUATED
"Three suspected #hantavirus case patients have just been evacuated from the ship and are on their way to receive medical care in the Netherlands," WHO chief Tedros Adhanom Ghebreyesus said in a post on X.
The Dutch Foreign Ministry said those evacuated included a Dutch person, a German and a Briton. They will be transported to specialised hospitals in Europe, it added, without giving further details.
Two of those evacuated presented acute symptoms, Oceanwide Expeditions said. The third person was closely linked to the German passenger who died on the ship on May 2. The Dutch ministry said that person was possibly infected with the virus.
A Dutch couple on the ship have also died, while a British national remains in intensive care in South Africa.
International Monitoring and Contact Tracing
The Swiss case brings the hantavirus outbreak to a total of eight, three of them confirmed by laboratory testing, the WHO said, adding that it was helping countries with contact tracing to "ensure that those potentially exposed are monitored and that any further disease spread is limited".
Life Onboard and Passenger Experience
Passenger Accounts
'OUR DAYS HAVE BEEN CLOSE TO NORMAL'
Passenger Kasem Hato told Reuters the ship's captain was keeping passengers updated and that those on board had been advised to limit close contact with other passengers and use hand sanitizer regularly.
"People are taking the situation seriously but without any panic, trying to keep social distancing and wearing masks to be safe," he said.
"Our days have been close to normal, just waiting for authorities to find a solution, but morale on the ship is high and we’re keeping ourselves busy with reading, watching movies, having hot drinks, and that kind of things."
Port Restrictions and Next Steps
Cape Verde had been intended as the ship's final destination, but the archipelago nation off West Africa has not allowed the passengers to come ashore because of the outbreak.
Late on Tuesday, the Spanish Health Ministry said it had agreed, in accordance with international law and humanitarian principles, to a request from the WHO and the European Union to allow the Hondius to dock in Spain. Citing health ministry sources, the broadcaster TVE said that this would be in Tenerife.
The Spanish archipelago's leader Fernando Clavijo said he was opposed to the move and requested an urgent meeting with Prime Minister Pedro Sanchez. The decision ultimately belongs to the central government, not regional authorities.
Understanding Hantavirus Transmission
Transmission Pathways
HUMAN-TO-HUMAN TRANSMISSION IS RARE
People are usually infected by hantavirus through contact with infected rodents or their urine, their droppings or their saliva. Human-to-human transmission is rare.
Andes Strain and Previous Outbreaks
But a limited spread among close contacts has been observed in some previous outbreaks with the Andes strain, which has spread in South America, including Argentina, where the cruise trip started in March.
A presentation seen by Reuters said tests conducted by South Africa's National Institute for Communicable Diseases showed that the Andes strain was the cause of infection in the Dutch woman who died in Johannesburg as well as in the British man who is still in hospital there.
"This is the only strain that is known to cause human-to-human transmission, but such transmission is very rare and as said earlier, it only happens due to very close contact," the presentation said.
Contact Tracing and Ongoing Monitoring
South Africa's health ministry has identified 62 contacts including flight crew and healthcare workers. None have been diagnosed with the hantavirus so far.
(Reporting by Sfundo Parakozov and Nellie Peyton in Johannesburg, David Latona in Madrid, Bart Meijer in Amsterdam, Madeline Chambers in Berlin, Makini Brice in Paris, Olivia Le Poidevin in Geneva, Catherine Cartier; Writing by Ingrid Melander; Editing by Tim Cocks, Thomas Derpinghaus and Gareth Jones)
