Cruise ship hantavirus strain can spread among humans, says South Africa

A luxury cruise ship hit by a deadly hantavirus outbreak and marooned for days off the coast of Cape Verde with close to 150 people onboard was due to head to Spain, while South Africa confirmed it had identified among the victims a strain of the virus that can – in rare cases – spread among humans.The Swiss government said a man who returned to Switzerland after being a passenger on the MV Hondius was infected with the hantavirus and was being treated in Zurich. It said there was no danger to the broader population.A Dutch couple and a German national who had been on the ship have died, while a British national is in intensive care in South Africa. The Netherlands is preparing to evacuate three patients who are onboard. There are also at least four Australian nationals on the ship.Since the start of the outbreak, the World Health Organization has stressed that the risk to the broader public is low.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.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 done by South Africa’s National Institute for Communicable Diseases revealed 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.South Africa’s health ministry also said that contact tracing was under way, with 62 contacts identified including flight crew and healthcare workers. The contacts will be monitored until an incubation period has passed. None have been diagnosed with the hantavirus so far.Cape Verde was meant to be the ship’s final destination, but the nation off West Africa has not allowed the vessel to put passengers ashore because of the outbreak.Late on Tuesday, the Spanish health ministry said it had been asked by the World Health Organization and the European Union to take the MV Hondius and had given its agreement “in accordance with international law and humanitarian principles”.The ship will dock at the Canary island of Tenerife, Spanish state broadcaster TVE reported on Wednesday, citing sources from the country’s health ministry.The Spanish archipelago’s leader, Fernando Clavijo, said he was opposed to the move and requested an urgent meeting with Spain’s prime minister, Pedro Sánchez. The decision ultimately belongs to the central government.Meanwhile, the Dutch foreign ministry said it was coordinating the evacuation of three patients, one of them with Dutch nationality, to The Netherlands, where they would be provided with care.“All efforts are aimed at making this happen as soon as possible,” it said. “Exact details of the timing and logistics of this operation can only be shared once they are definitively established.”