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MV Hondius Hantavirus Outbreak: Andes Virus on Cruise Ship 2026

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13 entriessince 2026-04-24

Multi-country cluster of Andes hantavirus (ANDV) cases originating on the Dutch cruise ship MV Hondius. First case acquired infection on land in South America, with documented human-to-human transmission aboard ship — only known hantavirus strain with this property. WHO Director-General Tedros led on-scene response in Tenerife; 6+ European/American countries plus Canada repatriating evacuated passengers. Public risk assessed low globally, moderate shipboard.

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Tracked Metrics

42%
acute fluid infectivity rate
101cases
argentina 2025 2026 season cases
32deaths
argentina 2025 2026 season deaths
8cases
confirmed cases
2026-05-13WHO DON601
3deaths
deaths
2026-05-13WHO DON601
27%
case fatality ratio
2026-05-13WHO DON601

Timeline

2026-05-13
report
WHO DON601: 8 confirmed + 2 probable cases, 3 deaths, CFR 27% — global risk low

WHO Disease Outbreak News 2026-DON601 (May 13) consolidates the case count: 11 cases total (8 laboratory-confirmed, 2 probable, 1 inconclusive); 3 deaths (2 confirmed Andes-virus-caused, 1 probable).…

who_don601case_fatality_ratioandes_virus11_cases3_deathsglobal_risk_lowbrazil_first_caseaustria_quarantine_lawthailand_screeningfrance_eu_coordination
2026-05-12
analysis
Genomic near-identity across 5 passenger sequences — single zoonotic spillover confirmed

A virological.org preprint (May 2026) and PCR.News (May 12) report that preliminary genomic sequencing of Andes virus isolates from five MV Hondius passengers shows near-identical full-genome…

genomic_sequencing5_passengersnear_identicalsingle_spilloverp2p_onboardmolecular_evidencevirological_preprintpcr_news
data
Secondary case map fills in: Spain, Switzerland, US, Israel; ~29 untracked passengers from 12 countries

By May 12, secondary-case map is firming up across continents. SPAIN: a quarantined passenger at Gómez Ulla military hospital in Madrid tested positive for Andes virus (Spain Health Ministry via…

secondary_casesspain_positiveus_positiveswitzerland_positiveisrael_casegermany_contactnetherlands_flight_attendantsaint_helena_disembarkation29_untracked12_countries
regulatory
CDC HAN advisory #528: US clinician notice for Hondius-linked Andes virus cluster

The US Centers for Disease Control and Prevention issued Health Alert Network advisory HAN00528 (May 2026): "2026 Multi-country Hantavirus Cluster Linked to Cruise Ship." The HAN system is CDC's…

cdc_han_00528us_clinical_alertrospotrebnadzorthailand_screeningaustria_notificationfrance_eu_coordinationregulatory_responsepost_covid_surveillance
2026-05-10
milestone
MV Hondius docks Tenerife — WHO Director-General Tedros leads disembarkation; passengers repatriated to 6 European countries + Canada

After approval from Spanish health authorities, the MV Hondius departed for Tenerife on May 6 with additional medical resources and 147 individuals on board, arriving May 10 (UN News). Disembarkation…

tenerifewhotedrosdisembarkationquarantine_42_daysspainihr_coordinationdiamond_princess_template
2026-05-09
data
Argentina's 2025-26 hantavirus season: 101 cases, 32 deaths — worst since 2018, climate driver flagged

Argentina's Health Ministry, as reported by CNN (May 9) and the Washington Post (opinion, May 13), confirms that the country's 2025-2026 hantavirus season — which began June 2025 — has reached 101…

argentinanational_outbreak2025_2026_seasonbuenos_aires_provinceclimate_driveroligoryzomys_longicaudatusministry_of_healthgeographic_shift
investigation
NY Post identifies "patient zero": Dutch ornithologist who observed birds at Argentine landfill pre-boarding

The New York Post, citing investigative sources (May 9, relayed by Izvestia), identifies Leo Schilperoord — a Dutch ornithologist who observed birds at a landfill in Argentina prior to boarding the…

patient_zeroschilperoordornithologistlandfill_exposureargentina_sourceny_postindex_caseoccupational_risk
2026-04-24
incident
First cases identified on MV Hondius — Andes virus cluster begins

The MV Hondius — a Dutch-operated expedition cruise ship registered under UK flag — became the index location for a multi-country Andes hantavirus (ANDV) cluster. Per the WHO Disease Outbreak News…

mv_hondiusandes_virusindex_casesaint_helenahuman_to_humancruise_shipzoonotic_spillover
2026-03-01
paper
Literature: No licensed vaccine or proven antiviral; Cell 2026 reports first ANDV glycoprotein tetramer structure + repRNA candidate

Treatment landscape as of the 2026 outbreak: (1) NO licensed vaccine for any New-World hantavirus (Brocato & Hooper 2019, Viruses; Szabó 2017). (2) NO proven antiviral therapy for HPS — ribavirin…

literaturevaccine_pipelineribavirin_inconclusiveguo_2026_cellglycoprotein_tetrameradi_65534reprnasupportive_care_onlystrella_2025_controversies
2024-04-07
paper
Literature: Ferrés 2024 — 42% of acute-phase saliva/oral-fluid samples from ANDV patients are infectious in cell culture

Ferrés et al. 2024 (Lancet Infectious Diseases) prospectively followed 131 confirmed Andes-virus patients in Chile (2008-2022). Key findings directly applicable to the Hondius outbreak: (1) ANDV RNA…

literatureferres_2024lancet_idviral_sheddingsaliva_infectivity42_percent_infectiouschile_cohortp2p_mechanismvero_e6
2019-12-13
paper
Literature: Pizarro 2019 — ANDV replicates in alveolar epithelium AND submandibular salivary glands

Pizarro et al. 2019 (Frontiers in Microbiology) — mechanistic paper explaining HOW Andes virus achieves person-to-person transmission. Using immunocytochemistry, multichannel immunofluorescence, and…

literaturepizarro_2019mechanismalveolar_macrophagessubmandibular_glandsp2p_biologyfrontiers_microbiologytemimmunocytochemistry
2018-11-01
paper
Literature: Epuyen 2018 — 29-case sustained P2P outbreak in Patagonian town; ARG-Epuyen strain isolated

Coelho et al. 2024 (medRxiv preprint) report on the most consequential P2P precedent for the Hondius cluster: in November 2018, an Andes-virus outbreak began in Epuyén (population ~3,000) in Chubut…

literatureepuyen_2018coelho_2024arg_epuyen_strain29_cases11_deathssustained_p2pchubut_provincepatagoniahamster_model
1996-01-01
paper
Foundational: Andes virus discovered 1995 El Bolsón; first hantavirus P2P transmission documented 1996

Foundational literature establishing Andes virus and its unique person-to-person transmissibility — the analytical framework for the 2026 Hondius event. (1) Enría et al. 1995 (Medicina, Buenos Aires)…

literaturefoundationalel_bolson_1995p2p_transmission_1996enrialazaroandv_historyargentine_patagonia