Friday, May 15, 2026

#UK Health Security Agency #update on the #hantavirus #outbreak (May 15 '26)

 


Latest update

    -- The UK government continues to work with the NHS, local authorities and UK Overseas Territories in response to the hantavirus outbreak

    -- UKHSA and NHS staff have been closely monitoring those currently at Arrowe Park and those isolating at home to provide them with all necessary support.   

    -- As part of the outbreak response, UKHSA has deployed a rapid response mobile laboratory to the British Overseas Territory of St Helena.   

    -- Three members of the UK Public Health Rapid Support Team (UK-PHRST), a partnership between UKHSA and London School of Hygiene & Tropical Medicine, funded with UK aid by the Department of Health and Social Care, have been deployed with the laboratory in response to a request for support from the St Helena Government.   

    -- This includes 2 microbiologists who will provide PCR testing for hantavirus on the island, as well as supporting local testing to exclude other conditions. 

    -- An infection prevention and control (IPC) expert will also support Jamestown General Hospital to prepare and respond to any potential cases, providing IPC assessments and training.   

    -- Dr Edmund Newman, Director of the UK Public Health Rapid Support Team, said: 

        ''This deployment reflects UKHSA’s commitment to responding rapidly to health threats wherever they emerge and to supporting our international partners in protecting public health globally. 

        ''Our teams continue to work closely with all those affected by this outbreak, both in the UK and overseas, to ensure all necessary support is in place. The risk to the general public remains very low. 

    -- Further information on the rapid response mobile laboratory can be found in the recent blog from UKHSA.

Source: 


Link: https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak

____

Rapid #scientific #advice on IPC measures for patients in #healthcare settings with #Andes virus (ANDV) disease In the context of the M/V Hondius cruise ship outbreak (ECDC, 15 May 2026, summary)

 


Key messages  

    -- This document aims to provide advice on infection prevention and control (IPC) measures for healthcare facilities providing care to patients with suspected or confirmed ANDV disease.  

    -- The advice is an update of previous recommendations in the ‘Threat Assessment Brief: Hantavirus-associated cluster of illness on a cruise ship: ECDC assessment and recommendations, of 6 May 2026’ and the ‘Rapid Scientific Advice on the management of passengers in the context of the Andes virus outbreak on the cruise ship M/V Hondius, of 9 May 2026’, with a focus on the application of IPC measures in healthcare facilities [1,2].  

    -- ECDC rapid scientific advice disclosure statement

        - ECDC issues rapid scientific advice to meet an emergent or urgent public health need or to quickly reply to external requests. 

    - To accommodate the accelerated timeline, the process and methods used for the development of rapid scientific advice may be modified from those of standard assessments and recommendations. 

    - Potential limitations are described in the document. 

(...)

Source: 


Link: https://www.ecdc.europa.eu/en/publications-data/rapid-scientific-advice-infection-prevention-and-control-measures-patients

____

#DRC confirms new #Ebola #outbreak, #WHO scales up support (#WHO Regional Office for Africa, May 15 '26)

 


    Kinshasa/Brazzaville — The World Health Organization (WHO) is rapidly scaling up support to the Government of the Democratic Republic of the Congo following confirmation of an outbreak of Ebola Bundibugyo in the country’s north-eastern Ituri Province.  

    Laboratory analysis conducted by the National Institute of Biomedical Research (INRB), the country’s reference laboratory in the capital Kinshasa, confirmed the Ebola outbreak caused by the Bundibugyo species in 13 of 20 samples collected from suspected cases linked to a cluster of severe illness and deaths reported in  Mongbwalu  and  Rwampara health zones in Ituri  Province.

     The Bundibugyo species was first identified in 2007 in Bundibugyo district in western Uganda, during which 131 cases were reported with 42 deaths (case fatality rate of 32%).  

    In the current outbreak in the Democratic Republic of the Congo, a total of 67 community deaths suspected to be due to Ebola Bundibugyo have been reported so far. 

    Patients presented with symptoms including fever, generalized body pain, weakness, vomiting and, in some cases, bleeding

    Several cases deteriorated rapidly and died

    Given the uncertainties and severity of the illness, there is  concern about the scale of transmission in affected communities.  

    A WHO mission including the WHO representative, the emergency preparedness and response team had already been deployed in Ituri  to support the provincial authorities with investigations that led to the confirmation of the outbreak in the two health zones.

     The team is also working with the national and provincial health authorities to strengthen outbreak control measures and prevent further spread of the virus.

     National authorities have activated emergency coordination mechanisms and deployed additional multidisciplinary rapid response teams to affected areas.  

    Additional WHO experts in epidemiology, infection prevention and control, laboratory diagnostics, clinical care, logistics, risk communication and community engagement are being mobilized to reinforce the frontline response. 

    Priority actions include strengthening disease surveillance, active case finding, contact tracing, infection prevention and control in health facilities, expanding access to safe care, laboratory testing capacity, ensuring safe burials and community sensitization to prevent further spread of the disease.    

    “The Democratic Republic of the Congo has extensive experience responding to Ebola outbreaks, and WHO is rapidly scaling up support to the ongoing response,” said Dr Mohamed Janabi, WHO Regional Director for Africa. 

    "Working closely with national authorities and partners, we are mobilizing swiftly, deploying additional expertise and resources to halt the spread of the virus, protect and save lives.”  

    WHO is airlifting 5 metric tonnes of supplies, including infection prevention and control, materials, laboratory sample transportation equipment, case management, tents and other supplies currently available in Kinshasa to Bunia to support frontline health workers and treatment facilities.    

    The outbreak is affecting areas that present significant operational challenges, including urban areas with intense population movements associated with mining activities, insecurity, and frequent cross- border movement—all of which increase the risk of further transmission.  

    In neighbouring Uganda, the Ministry of Health confirmed Ebola Bundibugyo in a patient from the Democratic Republic of the Congo who was being treated at a health facility but later died

    Ugandan health authorities have activated outbreak control measures, including disease surveillance, screening and response readiness.  

    This marks the 17th recorded outbreak of Ebola disease in the Democratic Republic of the Congo since the virus was first identified in 1976 in Yambuku, in Equateur Province.

    The last one was an outbreak of Ebola virus disease that ended in December 2025.  

    Ebola disease is a severe and often fatal illness transmitted through direct contact with the blood, secretions, organs or other bodily fluids of infected people, as well as contaminated surfaces and materials. 

    Early detection, supportive treatment and rapid public health measures significantly improve survival and are critical to stopping transmission.

Source: 


Link: https://www.afro.who.int/countries/democratic-republic-of-congo/news/democratic-republic-congo-confirms-new-ebola-outbreak-who-scales-upsupport

____

#WHO DG's opening #remarks at the media #briefing – 15 May 2026 (about #Ebola in #DRC and #Andes Virus #Outbreak, edited)

 


{Edited}

    Good morning, good afternoon and good evening,

    Today, I had a call with the Minister of Health of the Democratic Republic of the Congo concerning the new outbreak of Ebola disease in the country’s north-eastern Ituri Province

    Currently, WHO is aware that 13 cases of Ebola have been confirmed by the L'Institut National de Recherche BiomĂ©dicale, I.N.R.B., in Kinshasa. 

    On the fifth of May, WHO received a signal of suspected cases and sent a team to Ituri to support DRC health officials in their investigation of the outbreak and collect samples in the field, which initially tested negative for Ebola. 

    Samples were subsequently sent to I.N.R.B., which yesterday confirmed some as positive for Ebola. 

    This is the 17th recorded Ebola outbreak in DRC since the virus was first identified in 1976. DRC has a strong track record in Ebola response and control, and I have also assured the Minister of our full support. 

    The World Health Organization’s Representative to DRC, and other WHO experts, are in Ituri and working side-by-side with DRC health authorities to respond to, and contain the outbreak. 

    Additional WHO experts in risk communication and community engagement, infection prevention and control, clinical care and logistics will join the WHO team already on the ground in coming days. 

    We have deployed medical supplies and protective equipment for infection prevention and control to Bunia, the Ituri provincial capital. 

    Today, I have released US$ 500 000  from WHO’s Contingency Fund for Emergencies to immediately support the response. 

    Priority actions include: 

        ° risk communication and community engagement, 

        ° strengthening disease surveillance, 

        ° active case finding and contact tracing, 

        ° infection prevention and control in health facilities, 

        ° expanding access to safe clinical care, and increasing laboratory testing capacity.   

    WHO will continue working to support the Democratic Republic of the Congo to bring this Ebola outbreak under control, and will deploy resources, and work with and mobilize partners across the region, to contain its spread and care for those affected. 

    The outbreak is a reminder of the persistent threat to human health of disease outbreaks, and the importance of cooperation and solidarity to continually strengthen global health security.

    The response to the hantavirus outbreak is a recent, prime example of what can happen when the world comes together to confront a disease threat. 

    Yesterday, I wrote again to the people of Tenerife to thank them for the solidarity they showed to the passengers and crew of the MV Hondius affected by the hantavirus outbreak.

    WHO worked together with approximately 30 governments, the ship’s captain, crew and passengers, the cruise ship operator and, crucially, the people of Tenerife to manage this crisis.

    This show of support from Tenerife will not be forgotten. 

    Today, I hope the rest of world is inspired by the spirit of the Tenerife and Spanish people.

    At a time of great division, tension and uncertainty, we must respond jointly to common challenges that our global community faces, in the spirit of cooperation.

    For as we at WHO always say, solidarity is the best immunity. 

    I am pleased to report that the operation to transfer the ship’s passengers from Tenerife has been successfully completed, with more than 120 people now being cared for in their home countries, or quarantined in host countries enroute to their final destination.

    Captain Jan Dobrogowski and his 26-member crew are still onboard the MV Hondius and are expected to dock in the Netherlands on Monday. 

    I remain in regular contact with Captain Jan and again salute him and his crew for their dedication to their passengers, and each other.  He has informed me that there are still no symptomatic persons on board as of today. 

    WHO repeats that the risk from this event to the global population is low, and we will continue to issue updates as needed. 

    As of today, a total of 10 cases, including three deaths, have been reported to WHO, including eight people who were laboratory-confirmed for Andes virus infection and two probable. There have been no further deaths reported since the second of May. 

    Because of the long incubation period of up to 6 weeks, more cases may be reported in coming days as passengers return to their countries, where they are being quarantined and tested in specialized facilities or at home. 

    This does not mean the outbreak is expanding; it shows that the control measures are working, that laboratory testing is ongoing, and that people are being cared for with support from their governments. 

    It is incredible to think that it was less than two weeks ago, on the second of May, that WHO was first notified by the United Kingdom, through channels established under the International Health Regulations, of an unknown respiratory disease onboard the ship.  

    WHO immediately convened affected countries, shared information with all Member States, worked with the governments in Cabo Verde, Spain, the Netherlands and beyond, to coordinate the medical evacuation of sick patients and repatriation of passengers and crew. 

    WHO rapidly developed and shared technical guidance for the disembarkation of the people on board and their repatriation home, for quarantine and follow up. 

    WHO continues to coordinate the global response and our work is not finished. 

    Our current priorities are to continue actively following up on the status of confirmed and suspected cases; to continue to better understand the epidemiology of Andes hantavirus, including how this outbreak began and spread; and to foster scientific collaboration for optimal clinical care of patients infected with this virus.  

    In addition, we are working with more than 20 countries to coordinate studies to better understand the natural history of the disease. 

    Today, an open scientific consultation on Andes virus medical countermeasures was convened by the UK Health Security Agency, and supported by the WHO R&D Blueprint, to identify gaps, improve coordination and establish priorities for research and development into potential hantavirus therapeutics and vaccines. 

    The importance of vaccines for protecting health cannot be underestimated. 

(...)

Thank you and Tarik, back to you.

Source: 


Link: https://www.who.int/news-room/speeches/item/who-director-general-s-opening-remarks-at-the-media-briefing---15-may-2026

____

#USA, #Wastewater Data for Avian #Influenza #H5 (CDC, May 15 '26)

 


{Excerpt}

(...)

Time Period: May 03, 2026 - May 09, 2026

-- A(H5) Detection6 site(s) (1.4%)

-- No Detection416 site(s) (98.6%)

-- No samples118 site(s)


{Click on Image to Enlarge}



(...)

Source: 


Link: https://www.cdc.gov/wastewater/emerging-viruses/h5.html?

____

#Andes #hantavirus #outbreak - multi-country, 15 May 2026 (#ECDC, edited): No New Cases since last update

 


    ECDC was notified on 2 May 2026 of a cluster of severe respiratory illness on MV Hondius, a Dutch-flagged cruise ship with passengers and crew from 23 countries, including nine EU/EEA countries. 

    The virus has been identified as Andes hantavirus.

    As of 15 May, a total of eleven cases have been reported, including eight confirmed, two probable, and one inconclusive

    No new cases or deaths have been reported since the previous update. 

    The risk to the EU/EEA general population remains very low.

___

    -- Confirmed cases***: 8

    -- Probable cases**: 2

    -- Suspected cases*: 0

    -- Inconclusive cases****: 1

    -- Number of deaths3


Notes

{*} A suspected case is a person who has been on or visited the same transport (e.g. ship or plane) where a confirmed or probable Andes hantavirus (ANDV) case was present, 

    - OR - 

has been in contact with a passenger or crew member of the MV Hondius since 5 April, 

    - AND - 

has a fever (currently or recently), plus at least one of the following symptoms: 

        ° muscle aches

        ° chills

        ° headache

        ° stomach problems (such as nausea, vomiting, diarrhoea, or abdominal pain)

        ° breathing problems (such as cough, shortness of breath, chest pain, or difficulty breathing)


{**} A probable case is a person who has the symptoms listed above, and is known to have been in contact with a confirmed or probable ANDV case


{***} A confirmed case is a person who meets the suspected or probable case definition, and has a laboratory test that confirms ANDV infection (PCR or antibody test)


{****} An inconclusive case means awaiting further laboratory investigations.


Non-case: A non-case is a person who was initially considered a suspected or probable case, but tests negative for ANDV using laboratory tests (PCR or antibody test).

Source: 


Link: https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak

____

#Taiwan CDC stated that a New Zealand #passenger from the MV Hondius international cruise #ship tested negative for #Hantavirus (May 15 '26)

 


Release Date: 2026-05-15

    The Taiwan Centers for Disease Control (CDC) announced today (May 15) that New Zealand notified Taiwan through the International Health Regulations (IHR) window on May 13, 2026, that a New Zealand passenger who had traveled on the MV Hondius international cruise ship in April was currently staying in Taiwan but had no related symptoms

    The CDC immediately initiated contact tracing, assigned an epidemiologist to contact the passenger, and arranged for the passenger to go to the hospital for testing and observation on the same day. 

    After testing blood, urine, saliva, and nasopharyngeal samples, the results yesterday (May 14) showed that the Hantavirus Andean PCR and serum IgM and IgG antibodies were all negative, temporarily ruling out infection.

    The CDC explained that the passenger disembarked on Saint Helena Island on April 24, and the last exposure day with other passengers was April 25

    The passenger entered Taiwan on May 7 and stated that he has not experienced any physical discomfort or health abnormalities to date. 

    To respond prudently and appropriately to this incident, the Taiwan Centers for Disease Control (CDC) has taken preventative measures in accordance with professional guidelines from the World Health Organization (WHO), the European Union CDC, and the US CDC. 

    Today, an expert consultation meeting was held to discuss relevant prevention and control measures for suspected Hantavirus Andean strain cases. 

    Based on a comprehensive review of expert recommendations, and considering the passenger's status as a high-risk contact, the passenger has been placed in a single-room hospital room under the guidance of a medical team for "enhanced self-health management" until June 6th (the maximum incubation period is 42 days from the last exposure date of April 25th). 

    The passenger is required to monitor their health daily by taking their temperature and to maintain good respiratory and hand hygiene. 

    Taiwan has notified the WHO of the passenger's situation through the IHR window and has also proactively contacted the New Zealand representative office in Taiwan to provide necessary assistance. 

    Weekly testing is planned until the enhanced self-health management period ends.

    The CDC emphasizes that the passenger's test results are negative, ruling out infection. 

    The enhanced self-health management in the hospital poses no risk to the domestic community. 

    The Centers for Disease Control and Prevention (CDC) will continue to work with the WHO and the New Zealand government to properly handle all aspects of the response measures taken during this passenger's stay in Singapore. Singaporeans can rest assured.

Source: 

____

Thursday, May 14, 2026

#UK Health Security Agency #update on the #hantavirus multi-country #outbreak (May 14 '26, Edited)

 


Latest update

    -- Yesterday, UKHSA confirmed that 6 individuals from Arrowe Park had returned home, or to other suitable accommodation, to complete their 45 day isolation period

    -- A further individual is leaving Arrowe Park today, who will complete their 45 day isolation period at home after a clinical and public health assessment confirmed it was safe for them to do so.

    -- Working closely with FCDO and UK overseas territories, UKHSA is also supporting the relocation of 9 asymptomatic people from the UK overseas territories of St Helena and Ascension Island

    -- These people will be brought to the UK to complete their self-isolation as a precautionary measure. 

    -- This will ensure they can be provided with the best possible support from England’s High Consequence infectious disease network should they become unwell. 

    -- They are expected to arrive in the UK on Sunday and will be transferred to Arrowe Park where they will be closely monitored and offered all necessary support. 

    -- The chartered flight will operate under strict infection prevention and control measures and medical checks will be carried out before the flight to ensure passengers are asymptomatic.

    -- One contact, a medic on Ascension Island who developed symptoms, will be medically evacuated to the UK separately for specialist assessment in the UK and they will be cared for at a High Consequence Infectious Disease Unit in the South of England as a highly precautionary measure. 

    -- Their samples were taken to the UK on 8 May and tested negative

    -- We continue to work closely with the FCDO to provide support to UK Overseas Territories.

    Dr William Welfare, Director Health Protection in Regions at UKHSA, said:

    ''UKHSA continues to work with FCDO, DHSC and NHS colleagues on the repatriation of British nationals currently isolating on St Helena and Ascension Island. We expect the flight to land on Sunday, with all individuals then safely transported to Arrowe Park where they will receive clinical assessment testing and follow up.

    ''We would like to thank those who remain in isolation at Arrowe Park, as well as those now self-isolating at home, for their cooperation and we’re pleased to see further people heading home today to continue their self-isolation. Our teams will continue to work closely with all those affected by this outbreak, ensuring everyone has the necessary support in place.

    -- The risk to the general public remains very low.

Source: 


Link: https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak

____

#Reassortant High Pathogenicity Avian #Influenza #H5N1 Viruses During the Reemergence in #Uruguay Suggest Increasing #Genetic Diversity in South #America

 


Abstract

Highly pathogenic avian influenza (HPAI) H5N1 viruses of the goose/Guangdong (Gs/GD) lineage have driven a global panzootic since 2020, with clade 2.3.4.4b establishing sustained transmission in wild birds. In South America, early outbreaks were largely associated with the North American-derived B3.2 genotype, which showed limited diversification after its introduction. Here, we report the genomic characterization of eight H5N1 viruses detected in Uruguay during the reemergence of avian influenza in February–March 2026. Complete genomes were obtained from wild birds exhibiting neurological signs, predominantly Coscoroba coscoroba. All viruses belong to clade 2.3.4.4b but exhibit a reassortant genomic constellation distinct from B3.2. The HA, NA, and MP segments retain the Eurasian backbone, whereas internal genes derive from both South American and North American low-pathogenicity avian influenza lineages. PB2 variation distinguishes two closely related viral groups differing in PB2 origin, whereas the remaining genomic segments retain a shared background. Sequence variation in the neuraminidase gene reduced the sensitivity of a widely used N1-specific RT-qPCR assay, highlighting limitations of existing diagnostic tools during viral evolution. These findings confirm the presence of reassortant H5N1 viruses in Uruguay and, together with recent reports from Argentina and Brazil, support an emerging pattern of genomic diversification in southern South America.

Source: 


Link: https://www.mdpi.com/1999-4915/18/5/558

____

#Diagnostic and #clinical #challenges of #hantavirus-associated acute #kidney injury

 


Abstract

Introduction

Hantavirus infection is an uncommon zoonosis in Europe but remains an important cause of acute kidney injury, particularly in patients with environmental exposure to rodents. Renal involvement is the hallmark of the disease, although pulmonary manifestations may coexist and mimic immune-mediated pulmonary–renal syndromes, leading to diagnostic challenges in internal medicine.

Case description

A 46-year-old previously healthy man living in a rural area was admitted for acute febrile illness with asthenia and myalgia. Initial investigations revealed severe thrombocytopenia and acute kidney injury with proteinuria and microscopic haematuria. A computed tomography scan of the chest and abdomen showed bilateral pulmonary abnormalities, consistent with an acute pulmonary–renal syndrome. Extensive immunological and infectious investigations excluded autoimmune disease and alternative infectious causes. Hantavirus infection was confirmed by positive IgM and IgG serology, with molecular identification of Puumala virus. Renal biopsy demonstrated moderate acute tubular necrosis with minimal interstitial inflammation and preserved glomeruli. The patient was treated with supportive care only, resulting in rapid clinical improvement and complete recovery of renal function.

Conclusion

Hantavirus infection should be considered in patients presenting with acute pulmonary–renal syndrome, thrombocytopenia, and compatible epidemiological exposure. Early diagnosis allows appropriate supportive management, avoids unnecessary immunosuppressive therapy, and is associated with an excellent renal prognosis in Puumala virus infection.

Source: 


Link: https://www.ejcrim.com/index.php/EJCRIM/article/view/6159

____

#Advice on laboratory #testing of #Andes virus (ANDV) for high-risk #contacts under the MV Hondius #outbreak, 14 May 2026 (ECDC, summary)

 


Scope of this document

    This document provides practical considerations for public health authorities in European Union/European Economic Area (EU/EEA) countries on laboratory testing for Andes virus (ANDV), with a focus on asymptomatic high-risk contacts of cases from the cruise ship MV Hondius [1].  

    The aim of this document is to support informed decision-making around testing, with a focus on the potential benefits, limitations and consequences of testing asymptomatic high-risk contacts, based on the available scientific evidence. 

    This document does not prescribe a single approach and is intended to help national public health authorities decide if, when, and how laboratory testing could be used in this context, considering the local epidemiological situation, resources and public health policies. 

    This document complements case finding and contact tracing activities as well as guidelines on contact management [1], and assumes regular and active symptom monitoring

    In this document, ECDC provides the following support to countries in the decision-making process: 

        Recommendations for testing symptomatic and asymptomatic contacts

        Advantages and disadvantages of PCR testing for ANDV in asymptomatic high-risk contacts from the MV Hondius outbreak; 

        A decision tree with more information on the testing strategy proposed. 


Recommendations for testing symptomatic and asymptomatic contacts 

    In this document, Day 0 refers to the date of last known possible exposure to ANDV. 

    For cruise ship passengers and crew who disembarked in Tenerife, this is defined as 10 May 2026

    For others, the last known date of possible exposure (Day 0) may differ between individuals depending on their specific exposure history (e.g. passengers and crew who disembarked at different locations or subsequent close contacts). 

    The quarantine period starts on Day 0 and lasts six weeks


Symptomatic contacts

    We recommend testing symptomatic contacts as soon as possible after the onset of symptoms, combined with active monitoring during the six-week quarantine period, as this remains the most evidence-based approach.  


Asymptomatic contacts

    Testing asymptomatic contacts for ANDV can in some cases detect infection before symptom onset, but the results do not predict infectiousness or disease progression

    Asymptomatic testing can be considered if resources allow, providing the results are interpreted cautiously and communicated to patients clearly. 

    Testing asymptomatic contacts in the context of the ANDV disease outbreak on the MV Hondius could provide data on the timing from testing positive to developing symptoms. 

    If repeat testing is offered, data on peak viral load, viral clearance, seroconversion and potentially other findings, depending on the research protocols, can also be collected. 

    These data could support the risk assessment in subsequent outbreaks.  

(...)

Suggested citation: European Centre for Disease Prevention and Control. Advice on laboratory testing of Andes virus (ANDV) for high-risk contacts under the MV Hondius outbreak – 14 May 2026. Stockholm: ECDC; 2026. 

Source: 


Link: https://www.ecdc.europa.eu/en/publications-data/advice-laboratory-testing-andes-virus-andv-high-risk-contacts-under-mv-hondius

____

#Andes #hantavirus multi-country #outbreak, 14 May 2026 Update (ECDC, edited)

 


    ECDC was notified on 2 May 2026 of a cluster of severe respiratory illness on MV Hondius, a Dutch-flagged cruise ship with passengers and crew from 23 countries, including nine EU/EEA countries. The virus has been identified as Andes hantavirus.

    As of 14 May, a total of eleven cases have been reported, including eight confirmed, two probable, and one inconclusive

    No new cases or deaths have been reported since the previous update

    The risk to the EU/EEA general population remains very low.

___

    ° Confirmed cases***: 8

    ° Probable cases**: 2

    ° Suspected cases*: 0

    ° Inconclusive cases****: 1

    ° Number of deaths3

___

{*} A suspected case is a person who:

    - Has been on or visited the same transport (e.g. ship or plane) where a confirmed or probable Andes hantavirus (ANDV) case was present, 

    - OR - 

    - Has been in contact with a passenger or crew member of the MV Hondius since 5 April,

    - AND - 

        ° Has a fever (currently or recently),

        ° Plus at  least one of the following symptoms: 

            - muscle aches

            - chills

            - headache

            -stomach problems (such as nausea, vomiting, diarrhoea, or abdominal pain)

            - breathing problems (such as cough, shortness of breath, chest pain, or difficulty breathing)


{**} A probable case is a person who:

    ° Has the symptoms listed above

    - and - 

    ° Is known to have been in contact with a confirmed or probable ANDV case


{***} A confirmed case is a person who:

    ° Meets the suspected or probable case definition

    - and -

    ° Has a laboratory test that confirms ANDV infection (PCR or antibody test)


{****} An inconclusive case means awaiting further laboratory investigations.

Non-caseA non-case is a person who was initially considered a suspected or probable case, but tests negative for ANDV using laboratory tests (PCR or antibody test).

Source: 




Link: https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak

____

Concurrent #Detection of #Swine-Origin #Influenza #H1N1 Virus in #Pigs and #Farmer, #Switzerland

 


Abstract

We report zoonotic transmission of Eurasian avian-like swine influenza A(H1N1) virus from pigs to a farmer. The pigs and farmer experienced influenza-like illness. Whole-genome sequencing revealed >99.9% isolate sequence identity between hosts. Our findings highlight the risk posed by enzootic swine influenza A virus and the need for genomic and epidemiologic surveillance.

Source: 


Link: https://wwwnc.cdc.gov/eid/article/32/6/25-1487_article

____

#USA, #Andes #Hantavirus Update: No Cases in #California (Dept. of Health, May 14 '26)

 


May 13, 2026​ | NR26-020


One additional Californian with possible exposure, no cases of Andes hantavirus disease in the state


    SACRAMENTO – The U.S. Centers for Disease Control and Prevention (CDC) has notified the California Department of Public Health (CDPH) of a fifth California resident with potential exposure to Andes hantavirus as a result of the outbreak aboard the MV Hondius cruise ship. 

    This individual disembarked the MV Hondius before the outbreak was identified, returned briefly to California and left for additional travel also before the outbreak was identified. 

    The individual is currently in the Pitcairn Islands, a British Overseas Territory in the South Pacific. Their health is being monitored by the CDC, in coordination with British health officials, and they remain asymptomatic. 


Andes Hantavirus Investigation in California 

    There are currently no reported cases of Andes hantavirus disease in California or in California residents, nor in United States residents.  ​

    In total, there are now five possibly exposed Californians undergoing monitoring for their health status. 

    In addition to the person in the Pitcairn Islands, two individuals are in California in Santa Clara and Sacramento counties, and two are in the National Quarantine Unit at the University of Nebraska Medical Center (UNMC) in Omaha, Nebraska. 

    At this time, CDPH does not have additional information to share regarding the two Californians in Nebraska, including when they will return to the state. 

    Currently, to our knowledge, all five individuals undergoing public health monitoring do not have any symptoms of illness from hantavirus, and the two individuals in California are in close contact with local public health officials to assure they remain healthy and following public health direction to limit interaction with others.    ​

    CDPH remains in close contact with the CDC and the World Health Organization (WHO). This is an evolving situation, and information is current as of May 13. New or changing information will be updated as it becomes available.   


Helpful Language for Media and Communicators 

    CDPH, in coordination with its partners, is monitoring five individuals with possible exposure. There are no cases in California or among California residents. 


Table of California Possible Exposures 

    1) ​Exposure Location​: Onboard MV Hondius

        - ​Current Location: Santa Clara County

        - ​Current Status: ​Undergoing monitoring; asymptomatic

        - ​Number of California Residents: 1

    2-3) ​Exposure Location: ​Onboard MV Hondius  ​

        - ​Current Location: Nebraska

        - Current Status: ​Undergoing monitoring; asymptomatic

        - ​Number of California Residents: ​2

    4) ​Exposure Location: On Flight with Known non-CA Case

        - ​Current Location: Sacramento County

        - Current Status: ​Undergoing monitoring; asymptomatic

        - ​Number of California Residents: ​1

    5) ​Exposure Location: ​Onboard MV Hondius  ​

        - Current Location: ​Pitcairn Islands  

        - Current Status: ​Undergoing monitoring; asymptomatic  

        - Number of California Residents: 1

    -- ​Total: ​5

Source: 


Link: https://www.cdph.ca.gov/Programs/OPA/Pages/NR26-020.aspx

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#USA, Transcript - #Update on #CDC's #Hantavirus #Response (May 14 '26)

 


Please Note: This transcript is not edited and may contain errors.


    -- Operator:

    - Good afternoon and thank you for standing by for the duration of today's call. All listeners are in a listen only mode until the question and answer session. At that time, credentialed members of the media press can press star one to ask a question or star two to withdraw a question. Today's call is being recorded. If you have any objections, you may disconnect at this time. I would now like to introduce Mr. Benjamin Haynes. Thank you, sir. You may begin.

    

    -- Benjamin Haynes:

    - Thank you, Shirley. And thank you all for joining us today for CDC's Hantavirus response update. Here to discuss the response is CDC's hantavirus response lead, Dr. David Fitter and CDC's Nebraska team lead, Dr. Brendan Jackson. Both will share brief remarks before we take your questions and at this time I'd like to turn the call over to Dr. Fitter.

    

    -- Dr. David Fitter:

    - Thank you, Ben and good afternoon everybody and thank you for joining us. My name is Dr. David Fitter and I'm with the Centers for Disease Control and Prevention and I am the Incident Manager for the hantavirus response here. 

    - I want to start by saying hantavirus is a known pathogen. While Andes virus has some distinct characteristics including rare person-to-person transmission, our experts have allowed us to respond effectively while remaining vigilant about its unique features. 

    - At this moment I want to emphasize that the risk to the general public is low. Our top priority is both the passengers who are on the ship and American communities. 

    - From the earliest stages of this outbreak, CDC has been working in close coordination with state and public health authorities with federal partners including ASPR and the State Department and international health partners, including countries that have been impacted by this. 

    - CDC activated our emergency response in Atlanta immediately and has more than 100 staff actively working on this response. Operationally, we've been engaged at every step. As soon as we were notified by the IHR, we responded and connected with international partners and developed guidance for the American passengers in the ship. 

    - We provided information about the Andes virus to the passengers on board and also have kept them updated here in the United States through our staff on the ground as well as through calls with them to answer their questions. 

    - CDC team was deployed to the Canary Islands to provide public health expertise on site, including speaking with each individual U.S. citizen about their potential exposure. 

    - Two members of that team actually then joined the American passengers on the repatriation flight back to Nebraska. The additional CDC team met the plain when it landed in Nebraska and is conducting assessments and supporting the passengers now that they've returned to the United States. 

    - CDC also published a HAN prior to the repatriation of the American citizens. In addition, CDC has posted a toolkit, an FAQ document, current situation overview, and fact sheet on our updated web page. 

    - We've held two Hill briefings, and have just completed a call with the governors from the States with repatriated Americans. We've also held daily calls with state health officials. 

    - Our role now is to continue our conversations with each passenger about their potential exposure and work with partners to ensure appropriate monitoring

    - We're sharing real-time information with state and federal partners so decisions are based on the health assessments of each passenger and the best available evidence. 

    - CDC currently recommends testing only for people with symptoms. There is a blood test specifically for Andes that has been validated as well as a PCR test for Andes, but it's currently for research use only and not used for patient care yet. And of course, we will continue to work with state and local health departments if needed. 

    - We are focusing on delivering safe, respectful care and transparent communication to the individuals who returned and their families. 

    - To the American public, please know we are here to protect your health and based on current information the risk to the general population remains low

    - So far our response has followed our playbook. A swift action across federal, state, and local public health. The systems and partnerships that we've built exist precisely for situations like this. The work isn't always visible. Sharing information with state and local health departments and coordinating guidance and monitoring, but it never stops. It's deliberate. It's coordinated and essential to keep our community safe. I'll now turn it over the call to Dr. Brendan Jackson, who's leading the CDC team in Nebraska.


    -- Dr. Brendan Jackson:

    - Great, thanks David. My name is Brendan Jackson, and as David said, I'm CDC's team lead in Nebraska, and I'm a medical epidemiologist. So we currently have a dedicated team of CDC health, health professionals deployed here in Nebraska responding. 

    - Our team's been working around the clock to ensure the health and safety of everyone involved. We're currently conducting public health assessments on site. These in-depth health assessments include asking each passenger about their exposure to the confirmed cases. And the University of Nebraska team here is conducting regular temperature monitoring, symptoms screening, and general wellness evaluations

    - This particular virus has a long incubation period, so the monitoring period is 42 days, and the 42 days started with the departure of the ship. 

    - So May 11th was the day one. We're here to support the people who have returned from the ship and the excellent Nebraska team here in Omaha. Thank you.


    -- Benjamin Haynes:

    - Thank you, Dr. Jackson and Dr. Fitter. At this time I'd like to open it up for questions.


    -- Operator:

    - Thank you. If you are a credentialed member of the media and would like to ask a question during the call, please press star one on your touch tone phone. Press star two to withdraw your question. You may queue up at any time. Our first question comes from Erika Edwards with NBC News. Your line is open, you may ask your question.


    -- Erika Edwards:

    - Okay, thanks so much for doing this. I was curious whether the passenger who was considered a mildly positive case has been retested back here in the U.S. Was that test, the one that Dr. Fitter mentioned and I'm curious what the turnaround time for those test results are. And also if you could just talk a little bit about the decisions being made about possibility of quarantining at home, any more specifics you have about what those people might be able to do or cannot do if they are determined to be able to quarantine at home. Thank you.


    -- Dr. David Fitter:

    - The initial test that we received was from abroad and it was inconclusive in its results. So we're in the process of testing currently and we hope to have those results back in a day or so. With regards to home monitoring, we're working very closely with states and jurisdictions as well as with the passengers themselves and other contacts to ensure that they have the information they need. We're taking a conservative approach on this and we really are encouraging people to stay at their homes and work very closely with the state and local health departments to ensure that they are appropriately monitored in that space.


    -- Benjamin Haynes

    - Next question please.


    -- Operator

    - Thank you one one moment please for our next question. Question comes from Wale Aliyu from Atlanta News First. Your line is open. You may ask your question.


    -- Wale Aliyu:

    - Hi, I have two questions. The first, can you hear me okay?


    -- Benjamin Haynes

    -  Yes, please go on.


    -- Wale Aliyu

    - Okay. First question, can you just elaborate on the couple taken to Emory and just their current conditions?


    -- Dr. David Fitter:

    - Yes, we don't talk about the specific individuals really to respect the privacy of everybody.


    -- Wale Aliyu:

    - I figured so totally understandable. The second question I had is I know most reports have said there's very low risk to the general public at this point. What would you say to people who have concerns about the comparison to COVID-19, if you remember some of those early reports also said low risk to the general public.


    -- Dr. David Fitter:

    - Yeah, this is not a novel virus. This is a known virus and we've seen this in the United States before and we know how to respond to it. And that's what we're doing and we're putting into action all the things that we have in place to ensure that American communities remain safe and healthy. What we really want to do is ensure that we're also communicating about this. We'll continue to update the U.S. about everything that we're doing in multiple ways through our websites and other endeavors like this.


    -- Benjamin Haynes:

    - Next question, please.


    -- Operator:

    - Thank you. Our next question then comes from Pien Huang with NPR. Your line is open, you may ask your question.


    -- Pien Huang:

    - Hi, thanks so much for doing this. I have two questions as well, both about quarantine. So first of all, I'm wondering if any federal or state authorities are currently being used to quarantine any of the people exposed to hantavirus or if it's all voluntary at this point. And secondly, I want to ask about the home quarantine situation because the people's homes don't have isolated negative air pressure rooms. It's hard to guarantee 100% adherence. I'm wondering if that worries you or concerns you at all about the people who are or will be monitoring from home.


    -- Dr. David Fitter:

    - So currently, there are no state or federal quarantine orders that have been drawn. We're working really closely with all contacts to ensure that they understand what is expected for them to appropriately monitor themselves. But we also want to make sure that they have the right information so that they can understand the situation as best as possible. I can't tell you how much I appreciate our state and health local partners, what they've been doing. They've been doing multiple checks daily to ensure that everything is going well for people. They've been explaining the situation to them as well. I think everybody should be extraordinarily proud of the network of partners, of state and local health partners that we have in the United States. Our goal is to ensure that we're able to follow our monitoring guidelines, but to work with passengers to ensure that they're able to do it. And if they need to do it somewhere else, we will work with them, will work with state and local health departments to ensure that that happens as well. Again, I just really want to reiterate the safety and health of the passengers is critical to us as well as the safety and health of the American communities.


    -- Benjamin Haynes:

    - Next question please.


    -- Operator:

    - Thank you. Our next question comes from Maggie Vespa with NBC News, your line is open. You may ask your question.


    -- Maggie Vespa:

    - Hi there. Yeah. Thank you so much for this. I have two questions. The first is a clarification of my colleagues' question. Did you say that specific to the asymptomatic patients or passengers in quarantine in Nebraska that you are encouraging them to isolate at home or just what can we know about whether they'll be encouraged to stay here during the full six week incubation period?


    -- Dr. David Fitter:

    - The people that are in Nebraska currently, they have been encouraged that they can, to stay in Nebraska. It is a fantastic facility. We really appreciate the state of Nebraska as well as the University of Nebraska Medical Center for everything they have done. And that is a great place for them to be able to do this, but also as we continue to coordinate the best monitoring for them.


    -- Maggie Vespa:

    - And there's no version of keeping them here? And I'm using that verbiage really intentionally.


    -- Dr. David Fitter:

    - Our goal is to continue to work with them for the best possible place for them and we encourage them to be there.


    -- Maggie Vespa

    - Okay, I really appreciate it. My question prior to needing that clarification, and thank you so much for that. A number of exposures popping up in other states came from residents, according to health officials, who said they were traveling with exposed passengers inadvertently. So my question is, why weren't the exposed cruise ship passengers transported in a way that kept them away from the general public, like on a private plane or something like that?


    -- Dr. Brendan Jackson

    - I can jump in here. This is Brendan Jackson. So the passengers that are being monitored were on shared flights were passengers were separate from the passengers who were on the ship at the time the outbreak was detected. So they had actually left the ship before the outbreak was detected. All the passengers that were on the ship after that detection phase were transported just several days ago on a private plane directly from the Canary Islands to here in Omaha, Nebraska.


    -- Maggie Vespa

    - Okay. In other words, if they were inadvertently on the same flight, it would be because those passengers had left early and didn't yet know about the outbreak.


    -- Dr. Brendan Jackson 

    - Correct.


    -- Maggie Vespa:

    - Okay, thank you so much for that. I really appreciate it.


    -- Benjamin Haynes

    - We're ready for the next question. Could you also remind the reporters how to raise their hand for a question, please?


    -- Operator

    - Certainly, you can press star one to ask a question. Our next question comes from Michael Erman with Reuters. Your line is open. You may ask your question.


    -- Michael Erman

    - Hi, this is Mike Irman from Reuters. You know, I just wanted, you know, a little bit of clarification on the passenger and the biocontainment unit in Nebraska. On Monday, the briefing said that that passenger had tested positive. I think mildly positive was the language used. And now you call that test inconclusive. So I'm wondering if you could give us some clarification or understanding why that test is being called inconclusive now instead of positive. And then the other question is, will that passenger remain in the biocontainment unit if they test negative again?


    -- Dr. David Fitter:

    - Thank you. The test that we initially got, there was a positive and a negative. From our standpoint, we wanted to redo the test to ensure that we had a test that was done here and we had the results. And thus, that's what we are waiting for. We want to make sure that we have the best possible information so that we can help that passenger.


    -- Michael Erman

    - And if they test negative, will they remain in the Bio Containment Unit or will they be moved to the quarantine unit with the rest of the passengers?


    -- Dr. David Fitter

    - We're coordinating with the University of Nebraska Medical Center to ensure appropriate disposition.


    -- Benjamin Haynes

    - Next question please.


    -- Operator:

    - Thank you. And as question comes from John LaPook with CBS News, your line is open.


    -- John LaPook:

    - Yeah, hi, thanks a lot. Two questions. First, quick, you say only you're only testing people with symptoms. Why not collect and store blood for research purposes or are you already doing that. And then do you believe you have all the potentially exposed people identified how many are outside of Nebraska and Atlanta and has anybody elected not to stay at home? And finally if you know it, can you tell us the cycle time for that PCR that was sort of inconclusive?


    -- Dr. David Fitter

    - So I'll start from the top and thank you for the questions. We are recommending that symptomatic people with an exposure risk get tested. However, we're also working with states and partners on ways to better understand the virus, for other testing modalities. We are working very closely with the states and local health departments and the passengers that are home and the contacts that are home. Everybody is working well together to ensure monitoring follows our recommendations.


    -- John LaPook:

    - And for the PCR? Do we have the actual number on that?


    -- Dr. David Fitter:

    - We're working to get all the information from the country where that test was run.


    -- John LaPook:

    - Okay, and we don't know the number of people who are outside of Nebraska and Atlanta?


    -- Dr. David Fitter:

    - With respect for privacy of all individuals, we're not sharing locations.


    -- Benjamin Haynes:

    - Next question please.


    -- Operator

    - Thank you and this question comes from Kevin Stewart with WAGA TV Fox 5 Atlanta. Your mic is open, you may ask your question.


    -- Kevin Stewart:

    - Good afternoon, regarding the Atlanta passengers. We know yesterday that one of the passengers tested negative. Will that person and the asymptomatic person be clear to leave before the 42 days are up? And also where, what is the status of the two Georgia passengers who got back home last week and are being monitored by the Department of Health here in Georgia?


    -- Dr. David Fitter

    - So again, with respect for the passengers that are in monitoring right now, I'm not going to go into a lot of details, but we're working very closely with Emory to ensure that they have the appropriate disposition. With regards to Georgia and the contacts that are here, we're working very closely with the state of Georgia health department and the local health departments to ensure that they are appropriately monitored.


    -- Kevin Stewart:

    - Will they be cleared, they can lead before the 42 days, correct?


    -- Dr. David Fitter:

    - They'll continue to be monitored.


    -- Kevin Stewart:    

    - But whether that is at Emory or at home.


    -- Dr. David Fitter:

    - Currently we're working on the appropriate disposition for them.But again, as you can imagine, out of respect for privacy for them, I'm going to stop there.


    -- Kevin Stewart:

    - Can you confirm they're still at Emory?


    -- Dr. David Fitter: Yes. 


    -- Benjamin Haynes:

    - We have time for two more questions, please.


    -- Operator:

    - Thank you. Our next question actually, we didn't get the name, but from WSB Channel 2, you may ask your question.


    -- Courtney Francisco:

    - Can you hear me? It's Courtney Francisco. I'm hoping you can tell me -- it went out on May 2nd. I need to know how many people are being monitored.


    -- Dr. David Fitter:

    - At this time, we're not putting out exact numbers. Again, we want to ensure that we are protecting and respecting the privacy of all the individuals.


    -- Benjamin Haynes:

    - Shirley we'll take one more if they have it.


    -- Operator:

    - Certainly, one second here. And we have a question from Lila Perry with Baltimore Sun, your line is open you may ask your question.


    -- Lila Perry:

    - Hi, thanks so much for doing this. Back to the topic of passengers on planes who were inadvertently exposed to people from the cruise ship. You know, when state departments of health are saying that they're monitoring these airline passengers, what does that look like if they're exposed from a distance or for a short time? Are they being monitored in state facilities or asked to stay home and how closely are you advising state partners to be monitoring these people?


    -- Dr. David Fitter:

    - We're working very closely to ensure that our guidance is consistent across all of the contacts. And for those on the -- that were contacts on the planes, they also would fall into the appropriate category and we're working with state and locals to ensure that those monitoring recommendations are followed very closely. And we're in such close coordination with their state and local health departments, talking with the them daily thus far it is working very well with the systems that they have in place and they're developing their systems themselves to ensure that it follows the guidance that we've put out.


    -- Benjamin Haynes:

    - Thank you, Dr. Fitter and thank you, Dr. Jackson. At this time we will conclude the call and we appreciate you all joining us for this brief update. Thank you.


    -- Operator:

    - Thank you and that does conclude today's conference. Thank you for your participation. And at this time you may disconnect your lines.

Source: 


Link: https://www.cdc.gov/media/releases/2026/transcript-update-on-cdcs-hantavirus-response.html

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