[
  {
    "iso": "NL",
    "country": "Netherlands",
    "confirmed": "4",
    "suspected": "1",
    "deaths": "2",
    "status": "4 confirmed (RIVM/WHO): 2 evacuated survivors + 1 on-board confirmed death (2 May) + 1 Dutch crew member who tested positive on 22 May in NL quarantine (RIVM and Erasmus MC weekly testing; announced by WHO DG Tedros), hospitalised in isolation as a precaution with GGD contact tracing. 2 on-board deaths attributed to NL as flag state — 1 confirmed, 1 probable index (11 Apr). MV Hondius docked at Rotterdam 18 May for decontamination; crew in Dutch quarantine; captain Jan Dobrogowski has since left the ship symptom-free (RIVM/WHO, 22 May). GGD Rotterdam-Rijnmond declared the vessel disinfected and cleared it to return to service on 30 May; the ship resumed sailings on 13 June, its first post-outbreak voyage departing Longyearbyen, Svalbard with 137 passengers (NL Times, 12 June). On 18 June 2026 RIVM said almost all MV Hondius passengers and crew had completed their 42-day quarantine after every person re-tested negative for Andes virus, with one close contact of a hospitalised patient remaining in quarantine (RIVM, 18 June).",
    "source_url": "https://www.rivm.nl/en/hantavirus/current-information"
  },
  {
    "iso": "ZA",
    "country": "South Africa",
    "confirmed": "2",
    "suspected": "0",
    "deaths": "1",
    "status": "2 confirmed at NICD: 1 death Johannesburg (26 Apr), 1 survivor in ICU. 97 contacts traced (91 located); no local transmission (Mohale via Health-e, 12 May). Confirmed in WHO DON 604 (28 May). At the WHO's 2 July outbreak-over declaration the South African survivor remained one of two cluster cases still in hospital (WHO DON 611, 2 July).",
    "source_url": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON604"
  },
  {
    "iso": "CH",
    "country": "Switzerland",
    "confirmed": "1",
    "suspected": "0",
    "deaths": "0",
    "status": "1 confirmed post-disembarkation (ECDC, 6 May).",
    "source_url": "https://www.ecdc.europa.eu/en/publications-data/hantavirus-associated-cluster-illness-cruise-ship-ecdc-assessment-and"
  },
  {
    "iso": "FR",
    "country": "France",
    "confirmed": "1",
    "suspected": "0",
    "deaths": "0",
    "status": "1 confirmed (Health Minister Rist, 11 May): woman in 60s on ECMO at Bichat Paris — Dr. Lescure called it final-stage supportive care (AP via SCMP, 12 May). 4 other evacuees PCR-negative; 22 flight contacts in 42-day hospital isolation. At the WHO's 2 July outbreak-over declaration the French patient remained one of two cluster cases still in hospital, the other eight hospitalised cases having recovered and been discharged (WHO DON 611, 2 July).",
    "source_url": "https://www.scmp.com/news/world/europe/article/3353337/french-hantavirus-patient-critically-ill-put-artificial-lung"
  },
  {
    "iso": "SG",
    "country": "Singapore",
    "confirmed": "0",
    "suspected": "0",
    "deaths": "0",
    "status": "Both NCID-monitored residents PCR-negative (CDA, 8 May); 30-day quarantine continues.",
    "source_url": "https://www.cda.gov.sg/news-and-events/public-health-measures-activated-for-two-singapore-residents-onboard-mv-hondius/"
  },
  {
    "iso": "CA",
    "country": "Canada",
    "confirmed": "1",
    "suspected": "0",
    "deaths": "0",
    "status": "1 confirmed (PHAC/NML lab, 17 May): a Yukon resident from the 4-passenger Victoria, B.C. cohort; presumptive-positive 16 May (BC PHO Dr. Bonnie Henry), partner negative; ECDC classified confirmed (17 May). Other B.C. passengers and ON/QC flight contacts still monitored; risk low.",
    "source_url": "https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak"
  },
  {
    "iso": "GB",
    "country": "United Kingdom",
    "confirmed": "0",
    "suspected": "0",
    "deaths": "0",
    "status": "Contact monitoring. 2 British nationals with confirmed cases in ZA and NL hospitals — the British survivor previously hospitalised in the Netherlands has returned to England (UKHSA stresses this is not a new case; it was previously confirmed by WHO on 7 May). By 26 May, a further 6 evacuees had left Arrowe Park (Wirral) to complete 45-day isolation at home, taking the running total of Arrowe Park departures to 13+; Dr Meera Chand, UKHSA Deputy Director: 'the wider risk to the general public remains very low'. 1 symptomatic Ascension medic (samples negative) at Guy's and St Thomas' HCID unit (UKHSA, 26 May). On 2 June UKHSA cut the UK contact self-isolation period to 42 days (from 45) in line with WHO guidance and said UK treatment stocks had been bolstered by the antiviral favipiravir supplied by Japan (UKHSA, 2 June).",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "iso": "US",
    "country": "United States",
    "confirmed": "0",
    "suspected": "0",
    "deaths": "0",
    "status": "No cases. The previously inconclusive US case (Dr. Stephen Kornfeld, retired oncologist, Bend, Oregon) was confirmed negative; WHO removed it from the cluster count on 15 May, lowering the global total from 11 to 10 (WHO briefing, Maria Van Kerkhove, 15 May, via Al Jazeera) and the removal is now reflected in WHO DON 604 (28 May). 41 people under US monitoring (CDC briefing, 15 May): 18 cruise repatriates at Nebraska NQU (the 2 Emory Atlanta evacuees, both PCR-negative, transferred there 15 May; Emory cleared) + 7 former cruise passengers who departed before the outbreak + 16 travel-exposed (flights, including KLM Johannesburg–Amsterdam). On 19 May CDC Acting Director Dr. Jay Bhattacharya signed formal federal quarantine orders for 2 of the 18 Nebraska passengers under the Public Health Service Act, requiring them to remain at the Omaha facility through 31 May (CDC, 19 May). CDC also issued Health Alert Network advisory HAN 529 on 18 May with expanded testing guidance for clinicians. On 27 May, HHS Secretary Robert F. Kennedy Jr. signed a Public Readiness and Emergency Preparedness (PREP) Act declaration for medical countermeasures against Andes virus — narrowly scoped to favipiravir, voluntary administration, possible exposure to Andes virus, with the window ending 18 July 2026 (Federal Register doc 2026-10539, 27 May). No US positives. On 1 June, after that order period ended, the CDC let asymptomatic passengers who had not tested positive finish the 42-day quarantine (ending 22 June) at home under monitoring; 5 of the 18 left Omaha that day and 13 remained, with states posting law enforcement or public-health staff outside their homes (CDC via NBC News, 1 June). By 11 June, 10 of the 18 had left the Omaha unit to complete the 42-day monitoring (ending 22 June) at home and 8 remained, all symptom-free with no US positives (CDC situation summary / Nebraska Medicine, 11 June). Florida health officials said they would not implement the round-the-clock home surveillance the CDC requires for at-home monitoring, leaving one Florida passenger, Angela Perryman, 47, unable to leave the Omaha unit — \"I'm being held hostage in this power struggle between a state and the federal government,\" she told NBC News (NBC News, 11 June). On 16 June, HHS Secretary Robert F. Kennedy Jr. signed an order keeping Perryman in federal quarantine in Omaha, overruling CDC quarantine medical reviewer Dr. Michael Bell, whose 11 June review had recommended letting her finish the 42-day monitoring (ending 22 June) at home; she has tested negative and has no symptoms (CNN, 16 June). By 18 June, 12 of the 18 had left the Omaha unit to complete the 42-day monitoring at home and 6 remained (Perryman among them under the federal order), all symptom-free with no US positives; the CDC situation summary reaffirmed US risk as extremely low and the 42-day window ended 21 June. On 21 June all US passengers completed the monitoring period with no cases detected and the last group left the Omaha unit, including Angela Perryman after the federal order lapsed at the close of monitoring (CDC situation summary, 22 June; AP via ABC News, 22 June). On 23 June, HHS announced the successful conclusion of the federal public health response to the exposure event, the final 42-day monitoring period having ended 21 June with no US cases and no one remaining under observation (HHS via Al Jazeera, 24 June). CDC EOC Level 3 during the response; 100+ staff on the effort.",
    "source_url": "https://www.cdc.gov/hantavirus/situation-summary/index.html"
  },
  {
    "iso": "AR",
    "country": "Argentina",
    "confirmed": "0",
    "suspected": "0",
    "deaths": "0",
    "status": "Investigation of possible exposure source. On 19 May, ANLIS Malbrán scientists set 150 box traps around Ushuaia and in Tierra del Fuego National Park to test rodents for Andes virus (AP via ABC News, 19 May). On 5 June the health ministry expanded the search to a second province, sending Malbrán teams with US CDC experts to trap and test rodents in Malargüe, Mendoza from 8 to 12 June; the Dutch couple who died had travelled through the Mendoza wine region before the cruise. The more than 100 Tierra del Fuego rodents from May remain under analysis in Buenos Aires, and Tierra del Fuego has recorded no hantavirus in 30 years of mandatory reporting, per Malbrán head Claudia Perandones (AP via ABC News, 5 June).",
    "source_url": "https://abcnews.com/Health/wireStory/argentina-expands-hantavirus-probe-sending-teams-trap-test-133634821"
  },
  {
    "iso": "CL",
    "country": "Chile",
    "confirmed": "0",
    "suspected": "0",
    "deaths": "0",
    "status": "Investigation of possible exposure source (Hondius pre-boarding itinerary).",
    "source_url": "https://en.wikipedia.org/wiki/MV_Hondius_hantavirus_outbreak"
  },
  {
    "iso": "CV",
    "country": "Cabo Verde",
    "confirmed": "0",
    "suspected": "0",
    "deaths": "0",
    "status": "Ship anchored at Praia 3–6 May; no community transmission.",
    "source_url": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON599"
  },
  {
    "iso": "SH",
    "country": "Saint Helena & Tristan da Cunha",
    "confirmed": "1",
    "suspected": "0",
    "deaths": "0",
    "status": "1 confirmed: British national on Tristan da Cunha (Hondius port call 13–15 Apr), previously a WHO probable case, reclassified as laboratory-confirmed after UKHSA laboratories returned a positive hantavirus result on samples collected in May; the person is clinically well at home on Tristan da Cunha and UKHSA stresses this confirms an existing case, not a new infection (UKHSA, 10 Jun). ECDC folded the reclassification into its 11 Jun daily tally (12 confirmed, 1 probable, 13 total). UK military airdrop 10 May.",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "iso": "ES",
    "country": "Spain",
    "confirmed": "2",
    "suspected": "0",
    "deaths": "0",
    "status": "2 confirmed: the first an evacuee at Hospital Gómez Ulla, Madrid (Health Minister García, 11 May provisional → 12 May confirmed); a second Spanish national, a close contact already isolated at Gómez Ulla, tested positive on routine PCR testing, announced by Spain's Ministry of Health on 25 May (12 other Spanish evacuees remain in quarantine; authorities said it does not raise the risk to the general public). 2 earlier flight contacts (Alicante, Catalonia) PCR-negative (9 May).",
    "source_url": "https://www.euronews.com/health/2026/05/25/health-ministry-confirms-second-hantavirus-case-in-spain-2-patients-in-madrid-quarantine"
  },
  {
    "iso": "DE",
    "country": "Germany",
    "confirmed": "0",
    "suspected": "0",
    "deaths": "0",
    "status": "German national died on board 2 May (confirmed Andes per DON 600); death attributed to NL as flag state in WHO accounting (reaffirmed in DON 604, 28 May).",
    "source_url": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON604"
  },
  {
    "iso": "IT",
    "country": "Italy",
    "confirmed": "0",
    "suspected": "0",
    "deaths": "0",
    "status": "4 people under Italian Health Ministry observation all PCR-negative (Italian Health Ministry via Reuters, 13 May); 42-day tele-monitoring continues.",
    "source_url": "https://www.timeslive.co.za/news/world/2026-05-13-four-in-italy-test-negative-for-hantavirus-after-quarantine/"
  },
  {
    "iso": "AU",
    "country": "Australia",
    "confirmed": "0",
    "suspected": "0",
    "deaths": "0",
    "status": "6 MV Hondius passengers (4 Australians, 1 Briton resident in Australia, 1 New Zealander) arrive Perth 15 May for a minimum 3-week quarantine (extendable to 42 days) at the 500-bed Bullsbrook Centre for National Resilience adjacent to RAAF Base Pearce; all PCR-negative pre-flight; care overseen by NCCTRC (Darwin); Health Minister Mark Butler calls it 'one of the strongest quarantine arrangements... anywhere in the world' (AP via ABC News, 15 May).",
    "source_url": "https://abcnews.com/Health/wireStory/6-passengers-hantavirus-hit-ship-arrive-australia-3-132992246"
  }
]