The Japan Times - 'Low' risk to public of hantavirus after cruise ship deaths, WHO says

"The risk to the wider public remains low. There is no need for panic or travel restrictions," the World Health Organization's director for Europe Hans Kluge said in a statement, adding that hantavirus infections were "uncommon and usually linked to exposure to infected rodents".

In its first statement on the crisis, the vessel's operator Oceanwide Expeditions confirmed three deaths on board the MV Hondius, travelling across from Ushuaia in Argentina to Cape Verde off the coast of west Africa.

Two died on board and one after disembarking the ship. One passenger is in intensive care in Johannesburg and two others "require urgent medical care", the statement said.

"Dutch authorities have agreed to lead a joint effort to organise the repatriation of the two symptomatic individuals on board MV Hondius from Cape Verde to the Netherlands," the operator said.

Such a repatriation would depend on several factors, including authorisation from local officials in Cape Verde, said Oceanwide Expeditions.

An AFP photographer saw the ship on Monday morning, anchored in the port of Praia, off the coast of Cape Verde.

In a statement sent to AFP, the Dutch foreign ministry said it was "busy looking at the possibilities to medically evacuate a few people from the ship".

"If this can take place, the ministry of foreign affairs will coordinate it," said a spokesperson.

- 'Acting with urgency' -

While local doctors have visited to assess the medical condition of the two sick passengers, no permission has been given to evacuate them to shore.

"Disembarkation and medical screening of all passengers require coordination with local health authorities and we are in close consultation with them," said the operator.

The WHO said it was "acting with urgency to support the response to the hantavirus event on board a cruise vessel in the Atlantic, following the tragic loss of life".

"WHO Europe is working with the countries involved to support medical care, evacuation, investigations and public health risk assessment."

Hantavirus, an illness usually transmitted to humans from rodents, has been confirmed in the passenger currently in intensive care in Johannesburg, the operator said.

However, it has not yet been established whether the virus caused the three deaths, said Oceanwide Expeditions.

There has also been no confirmation of hantavirus in the two symptomatic passengers still requiring attention on the ship.

"The exact cause and any possible connection are under investigation," said the ship's operator.

On Sunday, the WHO said one case of hantavirus had been confirmed and that there were "five additional suspected cases."

"While rare, hantavirus may spread between people, and can lead to severe respiratory illness and requires careful patient monitoring, support and response," the United Nations health agency said.

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Y.Mori--JT