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An outbreak of hantavirus on the MV Hondius cruise ship has resulted in three deaths and at least eight cases. Five US states are monitoring returning passengers. An infectious disease expert said the outbreak will likely subside within weeks because the virus transmits less efficiently than respiratory illnesses such as COVID.
mg.co.zaAn infectious disease expert said the hantavirus outbreak linked to an expedition cruise ship will likely fade within weeks because human-to-human transmission of the virus is far less efficient than that of COVID. Investigations continue into the outbreak that originated on the MV Hondius, which was traveling from Argentina across the Atlantic.
There have been three deaths and at least eight reported cases among passengers, several of them laboratory-confirmed, according to the World Health Organization and subsequent health reports. At least five states are now monitoring residents who returned from the vessel.
Those states are Texas, Virginia, Georgia, Arizona and California.
In the United States, there have historically been around 800 to 900 cases of hantavirus. CDC data shows that 890 cases of hantavirus disease were reported from 1993 through the end of 2023. "Most of these cases have been west of the Mississippi River, and classically the risk factors are being in contact with feces and urine from rodents," Luis Marcos, MD, professor of medicine and director of the Infectious Diseases Fellowship Program at Stony Brook Medicine in New York, told Fox News Digital.
The most common strain in the US is called Sin Nombre, which is not transmitted from human to human, Marcos said. Most strains spread through inhaling contaminated particles from rodent urine, droppings or saliva, or less commonly by touching contaminated surfaces and then touching the mouth, nose or eyes.
The only proven human-to-human transmission has been with the Andean virus from South America, and that is what is occurring in the current outbreak, Marcos told Fox News Digital. The cruise ship outbreak reportedly originated with a couple who contracted the virus while traveling in Argentina.
"They were not symptomatic at all – the incubation period can be one, two, three or four weeks," Marcos said. Symptoms are similar to flu and COVID, including fever and muscle pain. Some people may experience mild disease. In rare cases, hantavirus can lead to hantavirus pulmonary syndrome, which causes the lungs to fill with fluid and can be fatal.
The mortality rate among those with the syndrome is between 30 percent and 60 percent.
Those at highest risk are people in close contact, typically meaning living in the same environment where fluids can be exchanged. The longest incubation period has been 56 days. Marcos said transmission is not as effective as with COVID, influenza or cold viruses.
"For this cruise, it’s important to have people in quarantine for a period of time," he said. The quarantine duration will likely be several weeks because most cases will develop symptoms within two to three weeks. There are currently no antiviral treatments for hantavirus.
Patients receive supportive care, which may include use of a ventilator if lungs fill with fluid, until the virus runs its course. No vaccine is currently available in the US, though several are in development. Marcos said he believes the risk of the virus leading to a pandemic is nearly zero.
"I really think this is going to go away in the next two to three weeks, and we will know exactly the number of cases," he added. To prevent infection, Marcos recommends wearing gloves and a mask in environments where mice might be present, along with proper ventilation and frequent hand-washing.
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