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Hantavirus risk

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About Hantavirus risk

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Hantavirus MV Hondius, a cruise ship with 148 passengers Deaths, 3 Confirmed infections, 2 Suspected, 8 At least 29 passengers (12 nationalities) left 24 April (after the first fatality). Many parts of US (Georgia, California and Arizona) ?Canada, Australia, Tiawan, Germany, Netherlands, Spain 2 Brits self-isolating at home for 45 days One woman (non-passenger) in Netherlands being assessed KLM stewardess, (symptomatic) is in an isolation ward at an Amsterdam hospital Anchored (not docked) in Tenerife Passengers confined to small rooms Two tropical disease doctors have boarded No rats found on board History Gene Hackman and Arakawa, March 2025, New Mexico Korean haemorrhagic fever (3,000 cases, 1950 - 1953) Virus isolated 1976 Hanton river area SK Andes strain of hantavirus Endemic in Argentina, host is long-tail pygmy rice rat Andes human to human has been documented in the past WHO https://www.who.int/news-room/fact-sheets/detail/hantavirus CDC https://www.cdc.gov/hantavirus/about/index.html UKHSA https://ukhsa.blog.gov.uk/2026/05/05/what-is-hantavirus-how-is-it-transmitted-and-what-are-the-symptoms/ European https://www.ecdc.europa.eu/en/hantavirus-infection Mayo https://www.mayoclinic.org/diseases-conditions/hantavirus-pulmonary-syndrome/symptoms-causes/syc-20351838 JAMA https://jamanetwork.com/journals/jama/fullarticle/2834395 “Seoul virus”, (Seoul Olympics) Affects the kidneys rather than the lungs in humans Found in wild brown rats worldwide (very rarely, pet rats) Not transmitted from person-to-person Isolated incidents since 2012. Transmission to humans Mainly through contact with infected rodents, and their waste products. Breathing in contaminated particles, dried urine, droppings, or saliva. Old dusty places, (sweeping a shed, barn, attic, or cabin) Virus-containing particles become airborne and inhaled. (Hantavirus pulmonary syndrome) Touching contaminated surfaces — then to mouth, nose, or eyes. Rodent bites, possible Eating contaminated food, rare Human-to-human transmission Close contacts, household, people sharing cabins US, CDC Identified 864 cases (1993 - 2023) Cases identified in 40 states, most are from rural areas in the western US, including California, Washington, Arizona, New Mexico, and Colorado. Rodents Infected for life, often asymptomatic Clusters on infection in some breeding areas Incubation Typically, 1 to 8 weeks Pathology Immune reaction in the lungs  inflammation  pulmonary oedema Symptomatic mortality 5% to 15% to 33% Most people with antibodies don’t know they have had the disease Hantavirus symptoms and severity depend on the specific virus causing infection. Hantavirus Pulmonary Syndrome Western hemisphere (including the US) Hantavirus pulmonary syndrome. Starts with flu-like symptoms Fever, chills, fatigue, muscle aches, headache, abdominal pain, nausea, vomiting, or diarrhea. About 4 to 10 days later, patients may develop cough and shortness of breath that can rapidly worsen Haemorrhagic Fever With Renal Syndrome Primarily in Europe and Asia Starts with fever, chills, headache, back pain, abdominal pain, and nausea, and some may develop blurred vision, eye redness, rash, and facial flushing. Later, internal bleeding, low blood pressure, and kidney failure. Mortality’ from hemorrhagic fever with renal syndrome ranges from 1% to 15% Management Optimise immunity Limited general antiviral Supportive https://www.telegraph.co.uk/health-fitness/conditions/cold-flu/hantavirus-how-contagious-deadly-infection-outbreak-cruise/ https://www.theguardian.com/world/2026/may/07/global-race-under-way-to-trace-passengers-who-left-hantavirus-ship-before-outbreak-confirmed

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