分类: health

  • Vitamins over vaccines: misinformation entrenched amid Indonesia measles surge

    Vitamins over vaccines: misinformation entrenched amid Indonesia measles surge

    Indonesia is grappling with one of the world’s worst measles outbreaks in recent years, a public health crisis fueled by plummeting childhood vaccination rates that have dropped sharply since the COVID-19 pandemic and deep-rooted misinformation spreading across social media platforms.

    For many parents like Fitri Fransiskha, a 40-year-old stay-at-home mother of four based in Banten province on the western tip of Java, fear of vaccines took root after her first child developed a mild fever following an infant tuberculosis shot. That initial anxiety was amplified by viral falsehoods circulating online that claim routine vaccines cause paralysis, developmental behavioral disorders, and even death. Instead of immunizing her children against the highly contagious, potentially fatal measles virus, Fitri relies on nutrient-dense diets and vitamin supplements to keep her family healthy. Even the ongoing surge in cases has not changed her mind.

    Fitri is far from alone. As the world’s fourth most populous nation, Indonesia has seen a steady rise in vaccine refusal among parents, even as public health officials race to contain the growing outbreak. Data from the Indonesian Paediatrics Association confirms the country now has the second-highest number of measles cases globally, outranked only by conflict-ravaged Yemen.

    Official health data underscores the severity of the crisis: in the first three months of 2026 alone, authorities recorded more than 8,000 suspected measles cases and 10 confirmed deaths. From 2024 to 2025, annual cases more than doubled to over 63,000, resulting in 69 fatalities. A January research paper published in the *Indonesian Journal of Internal Medicine* noted that measles, once on the brink of global elimination, has re-emerged as a major public health danger across Indonesia.

    Public health experts trace the crisis to widespread vaccine misinformation amplified by vocal anti-vaccine activists across popular Indonesian social platforms. A recent study from local data analytics firm Drone Emprit found anti-vaccine content on nearly all of the country’s largest social media networks, reaching a very large share of the population. Ismail Fahmi, founder of Drone Emprit, explained that while anti-vaccine advocates make up a smaller share of users, they are far more vocal and active online than pro-vaccine communities. Many popular influencers, he added, use their platforms to push unproven herbal alternatives to routine vaccination, amplifying distrust in immunization. In March, AFP’s fact-checking team debunked a widespread viral falsehood claiming that natural infection with measles provides stronger protection than approved vaccines.

    Religious concerns have also deepened vaccine hesitancy in the Muslim-majority nation, where pork products are forbidden under Islamic law. Some parents refuse vaccines because certain products contain gelatine derived from pigs, which they argue violates halal dietary rules. Yusran, a 46-year-old entrepreneur based in Makassar, South Sulawesi, has refused to vaccinate any of his five children over halal concerns, saying his children remain healthy without immunization. Even so, Indonesia’s highest Islamic authority, the Indonesian Ulema Council, issued a 2018 fatwa ruling that vaccines are permissible for protecting public health even when they contain porcine gelatine, a clarification that has failed to reach all hesitant communities.

    The combination of misinformation and religious hesitancy has done severe damage to the country’s herd immunity, the threshold of vaccination required to stop measles from spreading easily through communities. “Our herd immunity has been compromised,” explained Riris Andono Ahmad, an epidemiologist at Gadjah Mada University in Yogyakarta. Currently, only around 76% of Indonesian children receive both required doses of the measles-rubella (MR) vaccine, far below the 95% coverage needed to hit herd immunity and eradicate the virus.

    The Indonesian government has made urgent moves to reverse the trend: with a goal of eradicating measles and rubella by the end of 2026, authorities launched an emergency mass vaccination campaign in March across more than 100 regencies and cities, including MR booster shots for over 220,000 frontline health workers. The government has also partnered with leading religious organizations to spread accurate information and encourage parents to vaccinate their children. Indri Yogyaswari, the country’s director of immunization, told reporters that the campaign has already helped reduce measles transmission significantly. Even so, official health ministry data shows that infant first-dose MR vaccination coverage dropped 10 percentage points between 2024 and 2025, leaving the 2026 eradication goal well out of reach at current coverage levels.

  • How worried should we be about hantavirus?

    How worried should we be about hantavirus?

    A hantavirus outbreak aboard the expedition cruise ship MV Hondius has triggered a mass international evacuation of passengers and crew, with global health authorities moving quickly to contain the spread of the virus while reassuring the public that the risk of widespread community transmission remains extremely low.

    Three passengers who traveled on the vessel have died, two of whom have been confirmed to have been infected with the Andes strain of hantavirus. To date, nine total cases have been linked to the outbreak, seven of which have been confirmed via laboratory testing. The origin of the outbreak is still under active investigation. Hantavirus is most commonly transmitted to humans from rodents, through inhalation of air contaminated with viral particles from rodent urine, feces, or saliva. Since the cruise sailed through remote, wildlife-rich regions, public health experts say an infected passenger could have picked up the virus either during an onshore excursion or before boarding the ship.

    Unlike highly contagious respiratory viruses such as COVID-19 or influenza, the Andes hantavirus does not spread easily through casual contact. While limited human-to-human transmission is possible through prolonged, close physical contact, World Health Organization (WHO) technical lead Dr. Maria Van Kerkhove emphasized in a Thursday update that this outbreak does not signal the start of a new global pandemic. “This is not Covid, this is not influenza, it spreads very, very differently,” she stated, adding that the overall risk of global infection remains low. UK health officials have echoed this assessment, confirming the virus cannot spread through routine social interactions in public spaces such as shops, offices, or schools.

    Experts note that the cramped, shared living quarters common to even large cruise ships create conditions that could enable limited transmission between passengers in close contact, such as cabin mates. The first recorded death linked to the outbreak was a passenger who died on board the vessel on April 11; his wife, a Dutch national who disembarked when the ship stopped at St. Helena on April 24, later died, and officials are still working to confirm the cause of the first passenger’s death.

    All passengers and crew have now been evacuated and repatriated to their home countries for medical monitoring and isolation. Some passengers departed on earlier connecting flights, and global contact tracing efforts are underway to track every potential exposed individual as a precaution. UK Health Security Agency (UKHSA) chief scientific officer Prof. Robin May described the massive contact tracing operation as “quite a mammoth effort,” noting the work would continue for an extended period.

    Due to the virus’s incubation period, which can range from two weeks to more than a month, exposed passengers face a recommended isolation period of more than 40 days. Multiple countries have implemented formal quarantine protocols for repatriated citizens: 14 Spanish nationals are undergoing mandatory quarantine at a military hospital in Madrid, 20 British passengers arrived in the UK on a chartered flight Sunday and will spend 72 hours in quarantine at Arrowe Park Hospital before completing an additional 42 days of self-isolation at home. Prof. May confirmed all British evacuees are currently healthy and showing no symptoms, and added that the isolation period may be adjusted in the coming days as new scientific data emerges.

    As of the latest updates, new symptomatic and confirmed cases continue to be identified among evacuated passengers. One French passenger developed symptoms during repatriation and is currently isolating in Paris, where her health is reported to be deteriorating; 22 of her close contacts have already been traced. Two British citizens with confirmed cases are receiving treatment in the Netherlands and South Africa, respectively. Spanish health authorities announced Monday that one quarantined passenger in Madrid has received a preliminary positive test result. Two U.S. passengers also reported potential exposure: one has developed mild symptoms, while the other received a weak positive test result for the Andes strain. Both were transported in specialized biocontainment units on their repatriation flight out of an abundance of caution, U.S. health officials confirmed.

    Common symptoms of Andes hantavirus mirror early influenza, including fever, fatigue, and muscle aches, and can progress to shortness of breath, abdominal pain, nausea, vomiting, and diarrhea. While diagnostic testing is available, there is no specific antiviral treatment for hantavirus infection; clinical care focuses on managing symptoms, though early supportive hospital care has been shown to improve survival rates.

    Global health authorities have repeatedly stressed that the risk of infection for members of the general public with no direct connection to the MV Hondius outbreak remains extremely low, and there is currently no cause for widespread public alarm.

  • Hantavirus ship heads to Netherlands after passengers flown home

    Hantavirus ship heads to Netherlands after passengers flown home

    A Dutch-flagged cruise vessel that experienced a deadly hantavirus outbreak that killed three people departed the Canary Islands of Spain on Monday, heading toward its home port of Rotterdam after all remaining passengers were disembarked, repatriated and placed in quarantine across multiple countries.

    The outbreak on the MV Hondius, operated by Netherlands-based cruise firm Oceanwide Expeditions, triggered a global public health alert after the rare rodent-borne virus was detected on board. Unlike the Covid-19 pandemic, global and national health officials have repeatedly emphasized that the general public faces a very low risk of transmission, and that no broad public alarm is warranted, despite the fact that no targeted vaccine or specific curative treatment exists for hantavirus infections.

    According to on-site reporting from Agence France-Presse, the last 28 passengers and personnel were removed from the vessel before it set sail from the port of Granadilla on the island of Tenerife on Monday evening. Cruise operator Oceanwide Expeditions confirmed in an official statement that the 6-day voyage to Rotterdam is scheduled to arrive at the port on the evening of May 17, 2026. The vessel remains crewed by 25 full-time staff and two medical personnel, and is also transporting the remains of a German passenger who died during the outbreak.

    The multi-day, large-scale evacuation wrapped up on Sunday, when 94 people representing 19 nationalities were safely removed from the ship. Spanish health authorities originally only granted permission for the vessel to anchor offshore due to public health protocols, but unfavorable weather conditions forced the ship to dock at the Granadilla industrial port. Spanish officials stressed that all public safety measures were strictly enforced to prevent any contact between people on the ship and local communities. Medical teams escorted all evacuees directly from the vessel to the Tenerife airport for repatriation flights, following mandatory health screenings at every step. The final group of evacuees removed on Monday included citizens of Australia, New Zealand, the United Kingdom and remaining crew members.

    As of Monday, eight confirmed cases of hantavirus and two additional probable cases have been recorded across the outbreak, with people from six countries affected, according to data from the World Health Organization and national health agencies. Multiple countries have already reported confirmed infections among repatriated passengers: A French woman repatriated to Paris tested positive for the virus after developing symptoms Sunday night; one Spanish evacuee has also tested positive, while 13 other Spanish evacuees returned negative results. U.S. health authorities confirmed one American evacuee with mild symptoms and a second positive case of the Andes virus, the only strain of hantavirus that can spread from human to human.

    In the Netherlands, 12 staff members at Radboud University Medical Center have been placed in six-week preventive quarantine after procedural errors occurred when handling blood work and disposing of urine samples from an infected evacuee being treated at the facility. Hospital officials noted the quarantine is a precautionary measure, as the overall risk of infection remains low.

    Health agencies around the world are currently conducting contact tracing operations, tracking all passengers who disembarked the vessel before the full evacuation, as well as any individuals who may have had close contact with infected evacuees.

    The origin of the outbreak remains a point of discussion between international health authorities. The MV Hondius departed Ushuaia, Argentina – where hantavirus is endemic – on April 1 for an Atlantic cruise bound for Cape Verde. The WHO has stated it believes the initial infection occurred before the voyage departed, with secondary human-to-human transmission taking place on board the ship. However, Argentine health officials have raised questions about this timeline, pointing to the virus’s multi-week incubation period and other epidemiological factors to cast doubt on the theory that the outbreak originated in Ushuaria.

    In a video address shared by the cruise line on Monday, MV Hondius Captain Jan Dobrogowski praised the resilience of everyone on board during the weeks-long crisis, highlighting the “unity and quiet strength” of passengers and the “courage and selfless resolve” of the crew that remained on the vessel to sail it back to Rotterdam.

  • US passengers from ship quarantined as officials say public risk ‘very low’

    US passengers from ship quarantined as officials say public risk ‘very low’

    Eighteen American passengers evacuated from the Dutch cruise vessel MV Hondius over potential hantavirus exposure are now under close public health supervision in the United States, with federal and state authorities repeatedly emphasizing that the overall risk to the general American public remains extraordinarily low.

    The current incident marks the first confirmed case of Andes virus — a rare strain of hantavirus — detected in an American passenger who was aboard the ship, which is currently docked in Spain’s Canary Islands. One passenger received a positive test result for the virus, while a second individual has developed mild, non-specific symptoms that could be consistent with infection. More than 90 passengers from the ship are in the process of being repatriated to their home countries following the outbreak.

    Of the 18 monitored Americans, 16 are being held at the United States’ only national quarantine facility located in Nebraska, while the remaining two, including the symptomatic passenger and their travel partner, have been transferred to monitoring sites in Atlanta to avoid overcrowding the Nebraska unit, according to Centers for Disease Control and Prevention (CDC) official Brendan Jackson. “No-one who poses a risk to public health is walking out the front door onto the streets of Omaha,” Nebraska Governor Jim Pillen confirmed during a joint press conference with state and federal health leaders on Monday morning.

    Admiral Brian Christine of the U.S. Department of Health and Human Services (HHS) reinforced the official risk assessment, saying, “Let me be crystal clear: the risk of hantavirus to the general public remains very, very low. The Andes variant of this virus does not spread easily, and it requires prolonged close contact with someone who is already symptomatic.”

    Unlike most hantavirus strains, which are carried by rodents and cannot spread between human hosts, public health experts confirm that the Andes variant — the strain detected in multiple passengers on the MV Hondius — is capable of person-to-person transmission. The outbreak on the ship has already resulted in three deaths, two of which have been confirmed by the World Health Organization to be linked to hantavirus infection. To date, two British nationals have also tested positive for the virus, and are receiving treatment in the Netherlands and South Africa respectively. One British-U.S. dual national is among the passengers quarantined in Nebraska.

    Michael Wadman, medical director of the National Quarantine Unit in Nebraska, reported that the 16 passengers held at the facility are in good physical condition and positive spirits. The passenger who received the confirmed positive test result has been placed in a specialized biocontainment unit, and is currently not experiencing any symptoms of infection.

    Jackson explained that the CDC is taking an overly cautious approach to monitoring: even mild cold-like symptoms trigger further evaluation, as these can overlap with early signs of hantavirus infection. Earlier confusion over a “mildly positive” PCR test result from one passenger was clarified by Jackson, who noted the original sample was collected on the ship rather than in the U.S., and that one of two collected samples returned positive while the other was negative. “With these PCR tests… there’s sort of a range in where they can fall,” Jackson said. “And so for that reason, we just want to make sure there’s further testing to evaluate that.”

    U.S. health officials are currently prioritizing active symptom monitoring for all quarantined passengers. Wadman added that passengers in Nebraska will undergo full clinical assessment after they have had time to rest following their travel, and will remain at the facility for several days of evaluation. Officials will then review each case individually to decide whether passengers need to complete the full 42-day quarantine period before being released.

  • US health officials: Hantavirus risk to Americans ‘very low’

    US health officials: Hantavirus risk to Americans ‘very low’

    U.S. national health authorities have moved to calm public anxiety after a single case of hantavirus was detected among a group of cruise ship passengers repatriated to the country. According to official statements, 18 travelers who were aboard the MV Hondius have completed their return to the United States, and routine public health screening following the voyage identified one passenger who received a positive test result for the rare rodent-borne virus.

    In the wake of the confirmation, public health leaders have moved quickly to downplay widespread concerns, stressing that the overall level of risk hantavirus poses to the general American population remains extremely low. Hantavirus infections are rare in the United States, typically transmitted to humans through contact with infected rodent droppings, urine, or saliva, rather than through sustained person-to-person spread in most common scenarios. Health agencies note they are continuing to monitor the situation and conduct follow-up with close contacts of the infected patient to prevent any potential further transmission, while urging the public to avoid unnecessary panic over the isolated case.

  • BBC visits Argentine city in hunt for hantavirus outbreak origins

    BBC visits Argentine city in hunt for hantavirus outbreak origins

    A team from the British Broadcasting Corporation has launched an on-site investigation in the southern Argentine city of Ushuaia, working to unpack the origins of a dangerous hantavirus outbreak linked to the Dutch expedition vessel MV Hondius. Located on the edge of Tierra del Fuego, billed as the world’s southernmost city, Ushuaia has emerged as the key suspect in the spread of the virus that has already sickened multiple people who sailed on the vessel.

  • Hantavirus scare exposes US-China mRNA gap

    Hantavirus scare exposes US-China mRNA gap

    In late May 2026, a dramatic incident unfolded at sea that has reframed global conversations about pandemic preparedness and biotech investment: the Dutch expedition cruise ship MV Hondius, which had been adrift for weeks amid a growing public health emergency, finally docked in Tenerife. By the time the vessel reached port, three people had died from the outbreak, and eight passengers and crew had tested positive for Andes virus, a strain of hantavirus. Critically, this is the only known hantavirus variant that can spread between people. While the World Health Organization has labeled the outbreak a serious cluster, the organization has assessed the overall global risk of widespread transmission as low.

    This small but deadly scare offers more than just a reminder of emerging pathogens; it holds a valuable lesson for global health strategy that extends far beyond hantavirus itself. When any new or little-known pathogen surfaces, public discourse too often swings to unhelpful extremes: either widespread panic or outright dismissal. Hantavirus deserves neither. While it can be lethal in symptomatic cases, it does not spread at the same rate as influenza or SARS-CoV-2, the virus that caused the COVID-19 pandemic. It is precisely this low but persistent risk that makes it a perfect case study for how countries should approach future health threats.

    The core takeaway from this incident is not that the world needs to rush a hantavirus vaccine into mass distribution immediately. Instead, it highlights that modern vaccine development platforms represent a critical form of strategic health insurance – and countries around the world are now valuing this insurance in dramatically different ways.

    Hantavirus vaccine research is still in its early stages. Biotech firm Moderna has already disclosed preclinical and early-stage work on a candidate, developed in partnership with the U.S. Army Medical Research Institute of Infectious Diseases and Korea University. Still, public health experts uniformly caution that a fully approved, widely available hantavirus vaccine is likely years away without an extraordinary coordinated global push. This combination – low immediate outbreak risk, high potential catastrophic consequence, and limited commercial market incentive – is exactly the space where intentional public policy becomes indispensable.

    Against this backdrop, the growing divergence in mRNA technology strategy between China and the United States has become impossible to ignore. China has framed mRNA not merely as a short-term technology for the COVID-19 pandemic, but as a flexible, general-purpose platform that can advance everything from infectious disease control to oncology, while also supporting Beijing’s goal of biomedical sovereignty.

    Today, China’s domestic mRNA development pipeline spans multiple high-priority areas: cancer immunotherapy, influenza vaccines, respiratory syncytial virus (RSV) preventives, and countermeasures for emerging pathogens. The country has steadily expanded investment in core enabling technologies, including lipid nanoparticle delivery systems and AI-assisted antigen sequence design. In 2023, China approved its first domestically developed mRNA COVID-19 vaccine, establishing a critical domestic manufacturing baseline even though the approval came after the first major global wave of the pandemic.

    The United States, by contrast, is moving in the opposite direction. In August 2025, the U.S. Department of Health and Human Services announced it would wind down mRNA vaccine development projects administered by the Biomedical Advanced Research and Development Authority (BARDA), terminating 22 separate projects that represented nearly $500 million in public investment.

    Administration officials framed the decision as a strategic redirection, arguing that public funds would be better allocated to platforms with more proven track records against upper respiratory viruses. But many leading vaccine scientists have criticized the move as a damaging strategic retreat from a transformative technology that the United States itself originally pioneered.

    This trend is not a simple narrative of China rising and America retreating. The U.S. still retains unmatched global advantages in biomedical innovation: world-leading research universities, a rigorous regulatory system, deep capital markets, and decades of advanced manufacturing expertise. It also has legitimate policy reasons to scrutinize public spending, require rigorous evidence of efficacy, and avoid framing any single technology as a cure-all.

    For its part, China still faces significant structural challenges in expanding its mRNA ecosystem: questions around regulatory credibility, transparency of clinical data, uneven global public trust, and the ongoing difficulty of translating pipeline projects into safe, effective products that gain widespread international acceptance. Still, the divergence in long-term strategic framing between the two powers is clear and consequential.

    China’s policy approach centers on a core question: how can mRNA be embedded into a sustained long-term strategy for industrial development and national health security? The U.S. approach, by contrast, centers on a different question: how much public support for mRNA remains politically and fiscally justifiable in the aftermath of the COVID-19 pandemic? These different starting questions lead to vastly different long-term outcomes for global health.

    The deeper misstep in global discussions of mRNA is that the technology is almost always framed too narrowly. mRNA is not just a new type of vaccine. It is a programmable manufacturing platform for biological products. Once a country has established core infrastructure – reliable delivery platforms, accumulated safety data, scalable production lines, standardized quality controls, and established regulatory pathways – developing a new product for a new target can be accomplished far faster than with most traditional vaccine development approaches.

    This inherent speed does not eliminate the hard work of rigorous science. Any vaccine candidate still needs to identify the correct antigen, generate long-lasting durable immunity, prove safety through large-scale trials, and navigate clinical testing challenges that are particularly acute for rare, sporadic outbreaks. But a country that maintains a standing, robust mRNA ecosystem starts the race to counter a new threat several laps ahead of nations that treat the platform as an emergency tool to be built from scratch only after a crisis hits.

    The most productive way to frame the global mRNA conversation is to stop treating it as a narrow debate about vaccines. Instead, it is more accurately compared to the global race for semiconductor leadership. Nations do not invest billions in semiconductor design and manufacturing capacity because they know exactly which specific chips they will need a decade from now. They invest because having domestic design capacity, fabrication infrastructure, skilled talent, and resilient supply chains creates critical strategic options that can be adapted to whatever demand emerges.

    mRNA offers exactly the same kind of option value for global health. It enables faster responses to newly emerging viruses, more adaptable annual influenza vaccines, individualized cancer immunotherapies, and targeted countermeasures for threats that are too small to attract commercial investment but too dangerous to leave unaddressed.

    This is why the comparison between Chinese and U.S. strategy should not be framed as a simplistic ideological competition. Instead, it should be viewed as a lesson in institutional learning. China can learn from the U.S. model that breakthrough biomedical science depends on open inquiry, rigorous peer review, strictly controlled clinical trials, and building global public trust in data. The U.S., in turn, can learn from China that transformative platform technologies require sustained investment in long-term infrastructure, not just episodic emergency funding during acute crises.

    Both nations can benefit from the shared lesson that global biomedical leadership is not won through slogans and political posturing. It is secured through unglamorous, durable systems: a well-trained workforce, reliable public procurement pathways, transparent clinical data, flexible scalable manufacturing, and sustained public trust in health institutions.

    A balanced, effective policy approach avoids two dangerous extremes. The first is undisciplined blanket funding for every mRNA candidate, assuming all projects deserve public backing regardless of evidence. The second is a full retreat from the platform, driven by post-COVID political fatigue, unmet early expectations, or narrow metrics that obscure the broader long-term value of the ecosystem. Even the most common critique of COVID-19 mRNA vaccines – that vaccinated people could still contract and transmit the virus – misses the core point: the primary benefit of those shots was always their ability to prevent severe disease, hospitalization, and death, a goal they achieved with remarkable success.

    For countries across Asia, the implications of this divergence are immediate and actionable. Nations do not need to choose between aligning with the U.S. or Chinese model. Instead, they can pursue a middle path of building regional mRNA manufacturing capacity, participating in multinational clinical trials, requiring transparent public data from all developers, and negotiating technology partnerships that reduce dependence on any single global power. The end goal should not be divisive vaccine nationalism. It should be widespread vaccine optionality: the ability to respond rapidly to whatever threat emerges.

    It is unlikely that hantavirus will ever become the next global pandemic. In fact, the world should hope it never does. But the next unexpected pathogen, the next breakthrough cancer therapy, or the next major respiratory virus threat will test whether countries used the post-COVID years to build durable adaptive platforms – or merely spent that time re-litigating the last crisis.

    China is investing heavily as if mRNA is a core part of the world’s long-term health future. The United States would be wise to avoid treating one of its own most transformative scientific breakthroughs as nothing more than a temporary tool for wartime emergency. The real question at stake is not which country will win an mRNA race. It is whether the world will have enough trusted, distributed, and adaptable biomedical capacity when biology surprises us again. This article was written by Y. Tony Yang, an Endowed Professor at the George Washington University in Washington, DC.

  • US national on repatriation flight tests positive for hantavirus

    US national on repatriation flight tests positive for hantavirus

    A deadly hantavirus outbreak aboard the expedition cruise ship MV Hondius has triggered a coordinated global repatriation operation, with multiple nations arranging emergency evacuations after three passengers died and new positive cases were detected among returnees. The vessel, which completed a voyage through South America, is currently anchored off the coast of Tenerife in Spain’s Canary Islands, where authorities have overseen the gradual disembarkation of more than 90 international passengers since Sunday.

    The U.S. Department of Health and Human Services confirmed Monday that one American national returning on a government-chartered repatriation flight tested positive for hantavirus, while a second passenger is experiencing mild symptoms consistent with the infection. Out of an abundance of caution, both patients were transported in specialized biocontainment units during the flight. All 17 U.S. citizens on the charter, plus one British national residing in the U.S. who joined the evacuation, are now undergoing comprehensive clinical assessment and further screening at the University of Nebraska Medical Center. Seven additional U.S. passengers returned to the country earlier and are currently under active monitoring by public health officials in their home states. Officials from the U.S. have emphasized that the risk of a large-scale community outbreak remains extremely low.

    Three passengers have already died from complications linked to the outbreak: a Dutch couple and a German woman, two of whom have been officially confirmed to have contracted hantavirus. The Andes strain of hantavirus, which the World Health Organization (WHO) suspects infected passengers during a stop in South America, is most commonly carried by rodents, but limited human-to-human transmission is possible. Typical symptoms of infection include high fever, extreme muscle fatigue, body aches, abdominal pain, vomiting, diarrhea and progressive shortness of breath.

    The outbreak has sparked public disagreement between global health leaders and U.S. public health officials over safety protocols. WHO Director-General Tedros Adhanom Ghebreyesus has warned that the U.S. decision to deviate from WHO-recommended guidelines carries potential public health risks. The global health body has mandated a 42-day isolation period for all passengers disembarking the MV Hondius. However, Dr. Jay Bhattacharya, acting head of the U.S. Centers for Disease Control and Prevention (CDC), pushed back against the strict measures, saying he sought to avoid unnecessary public panic. He noted that human-to-human transmission of the virus is rare, and it should not be managed using the same strict protocols implemented during the COVID-19 pandemic.

    Photographs captured Sunday showed disembarking passengers donning full personal protective equipment, including blue medical gowns, bouffant caps and surgical face masks, as they entered the port of Granadilla de Abona in Tenerife. Multiple countries have launched their own repatriation and quarantine operations for their citizens:
    – French health authorities confirmed a French passenger who returned to Paris tested positive for hantavirus, and is currently in isolation as her health condition deteriorates. She was one of five French nationals on board the ship, and contact tracers have already identified 22 close contacts who are being monitored.
    – A charter flight carrying 20 British nationals landed at Manchester Airport on Sunday, with all passengers transported to Arrowe Park Hospital in Merseyside for a 72-hour precautionary isolation period. No passengers have reported symptoms so far, though two other British citizens with confirmed hantavirus are receiving treatment in the Netherlands and South Africa respectively.
    – Fourteen Spanish nationals repatriated to Madrid are currently undergoing mandatory quarantine at a military hospital, with two additional evacuation flights scheduled for Monday afternoon.
    – A separate flight carrying 26 passengers and crew, including eight Dutch nationals, landed in the Netherlands on Sunday. Six passengers are scheduled to travel to Australia, while another 18 will be repatriated to the Netherlands on additional flights. Both of these final flights will also carry passengers from other nations that did not arrange their own independent repatriation missions.

  • French woman evacuated from cruise ship tests positive for hantavirus

    French woman evacuated from cruise ship tests positive for hantavirus

    In recent developments linked to a global cruise evacuation operation, two passengers from the MV Hondius have tested positive for hantavirus, with one of the patients in declining health, French health authorities confirmed this week. French Health Minister Stephanie Rist shared updates with public broadcaster France-Inter on Monday, noting that the first confirmed case is a French national who was repatriated to Paris alongside four other compatriots on Sunday. The patient first began exhibiting noticeable symptoms during the return flight to the French capital, and after being admitted to a local hospital, her condition deteriorated overnight, according to Rist’s statement.

    The MV Hondius anchored off the coast of the Canary Islands earlier this week following reports of potential hantavirus exposure among those on board, prompting an international repatriation effort organized by multiple national governments. On Sunday, the first groups of passengers began departing the vessel for home aboard military and government-chartered aircraft. The disembarkation process, which was still ongoing as of Monday, saw passengers escorted from the ship to the shore of Tenerife by emergency personnel wearing full-body protective suits and filtration respirator masks to reduce the risk of virus transmission.

    Global health authorities have issued guidance for handling the evacuated passengers, with the World Health Organization recommending that all former passengers from the MV Hondius undergo close medical monitoring following their return. In response to this guidance, many countries have implemented mandatory quarantine measures for every passenger repatriated from the vessel. Late on Sunday, United States health officials confirmed a second positive case: an American national who was among 17 passengers being flown to a medical facility in Nebraska for monitoring and treatment. Unlike the French patient, this American case is currently asymptomatic, officials reported.

  • US citizen from hantavirus ship tests positive

    US citizen from hantavirus ship tests positive

    A multi-day international repatriation operation for passengers and crew of the cruise ship MV Hondius, the center of a deadly hantavirus outbreak, stretched into Monday, with U.S. health officials confirming one American passenger has tested positive for the rare virus.

    The outbreak has already claimed three lives: a Dutch couple and a German citizen, with multiple other people falling ill. Hantavirus, a pathogen most commonly carried and spread by rodents, has no licensed vaccines or targeted treatments currently available. The strain confirmed among infected people on board is the Andes virus, the only hantavirus variant capable of human-to-human transmission, a detail that has spurred global public health concern. The ship originally departed Ushuaia, Argentina in early April, where the virus is endemic.

    Despite the outbreak, global and Spanish public health officials have emphasized that the broader risk to global public health remains low, pushing back against unnecessary comparisons to the global COVID-19 pandemic. The Canary Islands regional government had initially refused to allow the vessel to dock, only granting permission for it to anchor offshore when it arrived early Sunday, with authorities stressing there would be no uncontrolled contact between evacuees and the local population of Tenerife.

    On Sunday, 94 people from 19 different nationalities were evacuated from the ship, which carries a total of nearly 150 passengers and crew spanning 23 nationalities. Spanish Health Minister Monica Garcia confirmed that all passengers who disembarked on Sunday were asymptomatic and passed a final medical screening before leaving the vessel. AFP journalists on the ground observed evacuees, clad in blue protective medical suits, disembarking at Granadilla de Abona’s industrial port before being transported via Spanish military buses in a convoy to Tenerife South Airport for repatriation flights.

    Evacuation operations were scheduled to conclude by Monday, after which the ship will refuel and depart for the Netherlands with roughly 30 remaining crew members that evening. Adverse weather forecast for later Monday forced authorities to accelerate the repatriation timeline to avoid endangering the operation.

    Even with pre-departure screenings in place, multiple countries have reported cases among evacuees. Shortly after the first evacuations began, French Prime Minister Sebastien Lecornu announced on social platform X that one of five French evacuees returning to Paris showed active hantavirus symptoms, and all five were placed into immediate strict isolation. Late Sunday, U.S. health authorities confirmed the positive mild PCR test result for one American passenger, noting a second American passenger has mild symptoms.

    By Sunday evening, repatriation flights had already carried groups of passengers to dozens of countries across the globe. A flight carrying dozens of passengers of multiple nationalities landed in the Netherlands, while other flights departed for Canada, Turkey, the United Kingdom, Ireland, and the U.S., among other destinations. A plane carrying 20 UK passengers landed in Manchester Sunday, with all passengers transferred to a Liverpool-area hospital for testing and 72 hours of quarantine. Greece’s health ministry confirmed a Greek male evacuee will complete a 45-day mandatory quarantine in an Athens hospital, while 14 Spanish citizens will isolate at a military hospital in Madrid.

    The World Health Organization has recommended a 42-day quarantine period and active daily symptom monitoring for all evacuees, per Maria Van Kerkhove, the WHO’s director of epidemic and pandemic preparedness and prevention. However, the U.S. has adopted a more flexible approach: acting CDC Director Jay Bhattacharya noted that the 17 American passengers on board would not be required to quarantine at Nebraska’s specialized medical center by default. Instead, passengers will be able to complete isolation at home based on individual risk assessment, as long as they do not put other people at risk during travel. WHO Director-General Tedros Adhanom Ghebreyesus, who was on Tenerife observing the evacuation operation, warned that this U.S. policy carries potential public health risks. A group of American passengers was expected to land in Omaha, Nebraska early Monday local time.

    Investigations into the origin of the outbreak are still ongoing. The WHO believes the initial infection occurred before the cruise departed Argentina, with subsequent spread between passengers on the cramped vessel. However, Argentine provincial health official Juan Petrina pushed back on this narrative, arguing that based on the virus’ multi-week incubation period and other evidence, the Dutch patient linked to the initial outbreak had an almost zero chance of contracting the virus in Ushuaia. Health authorities across multiple nations are currently tracking all passengers who have already disembarked the vessel, as well as any close contacts that may have been exposed to the virus.