[
  {
    "date": "2026-04-01",
    "date_display": "1 Apr 2026",
    "event": "MV Hondius departs Ushuaia (Argentina) with 147 people on board (88 passengers and 59 crew from 23 nationalities).",
    "source_label": "WHO DON 599",
    "source_url": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON599"
  },
  {
    "date": "2026-04-06",
    "date_display": "6 Apr 2026",
    "event": "First passenger develops symptoms.",
    "source_label": "WHO DON 599",
    "source_url": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON599"
  },
  {
    "date": "2026-04-13",
    "date_display": "13–15 Apr 2026",
    "event": "MV Hondius calls at Tristan da Cunha (13–15 April); a British national on the island later develops suspected hantavirus.",
    "source_label": "SCMP",
    "source_url": "https://www.scmp.com/news/world/europe/article/3352958/new-suspected-hantavirus-cases-found-spain-and-remote-tristan-da-cunha"
  },
  {
    "date": "2026-04-11",
    "date_display": "11 Apr 2026",
    "event": "First death on board. Initially attributed to natural causes.",
    "source_label": "Wikipedia: MV Hondius",
    "source_url": "https://en.wikipedia.org/wiki/MV_Hondius_hantavirus_outbreak"
  },
  {
    "date": "2026-04-24",
    "date_display": "24 Apr 2026",
    "event": "Approximately 30 passengers disembark in Saint Helena. Body of first deceased airlifted; spouse leaves the ship.",
    "source_label": "Wikipedia: MV Hondius",
    "source_url": "https://en.wikipedia.org/wiki/MV_Hondius_hantavirus_outbreak"
  },
  {
    "date": "2026-04-26",
    "date_display": "26 Apr 2026",
    "event": "Spouse of first deceased dies in a Johannesburg hospital.",
    "source_label": "Wikipedia: MV Hondius",
    "source_url": "https://en.wikipedia.org/wiki/MV_Hondius_hantavirus_outbreak"
  },
  {
    "date": "2026-04-28",
    "date_display": "28 Apr 2026",
    "event": "Final symptom-onset date in the cluster (illness onsets span 6-28 April).",
    "source_label": "WHO DON 599",
    "source_url": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON599"
  },
  {
    "date": "2026-05-02",
    "date_display": "2 May 2026",
    "event": "Third death on board. WHO receives the official report; ICAO and partner agencies notified.\",WHO DON 599",
    "source_label": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON599",
    "source_url": ""
  },
  {
    "date": "2026-05-03",
    "date_display": "3 May 2026",
    "event": "Ship arrives at Praia (Cabo Verde). Passengers cannot disembark.",
    "source_label": "WHO DON 599",
    "source_url": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON599"
  },
  {
    "date": "2026-05-04",
    "date_display": "4 May 2026",
    "event": "WHO publishes Disease Outbreak News 2026-DON599: 7 cases (2 lab-confirmed and 5 suspected) and 3 deaths. Global risk assessment: low.",
    "source_label": "WHO DON 599",
    "source_url": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON599"
  },
  {
    "date": "2026-05-06",
    "date_display": "6 May 2026",
    "event": "ECDC publishes threat assessment for the EU/EEA. Risk: very low. Three patients evacuated to the Netherlands.",
    "source_label": "ECDC",
    "source_url": "https://www.ecdc.europa.eu/en/publications-data/hantavirus-associated-cluster-illness-cruise-ship-ecdc-assessment-and"
  },
  {
    "date": "2026-05-07",
    "date_display": "7 May 2026",
    "event": "Ship leaves Cabo Verde for the Canary Islands. Contact tracing active in eight countries. WHO advises against travel restrictions.",
    "source_label": "UN News",
    "source_url": "https://news.un.org/en/story/2026/05/1167458"
  },
  {
    "date": "2026-05-07",
    "date_display": "7 May 2026",
    "event": "US CDC activates its Emergency Operations Center and classifies the response as Level 3 (the lowest level of emergency activation); situation actively monitored.",
    "source_label": "CDC EOC",
    "source_url": "https://abcnews.com/International/live-updates/hantavirus-live-updates-mv-hondius-canary-islands/?id=132746955"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "UKHSA reports a third suspected case in a British national on Tristan da Cunha and stands up isolation arrangements for British nationals returning from the ship.",
    "source_label": "UKHSA",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "date": "2026-05-06",
    "date_display": "6 May 2026",
    "event": "UK Foreign Secretary issues statement on the hantavirus outbreak coordinating with WHO FCDO and Dutch authorities for the safe repatriation of British nationals.",
    "source_label": "FCDO",
    "source_url": "https://www.gov.uk/government/news/foreign-secretarys-statement-hantavirus-outbreak-6-may-2026"
  },
  {
    "date": "2026-05-07",
    "date_display": "7 May 2026",
    "event": "WHO deploys an expert aboard MV Hondius and arranges shipment of 2500 diagnostic kits from Argentina to laboratories in five countries to strengthen testing capacity.",
    "source_label": "WHO",
    "source_url": "https://www.who.int/news/item/07-05-2026-who-s-response-to-hantavirus-cases-linked-to-a-cruise-ship"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "Spain's interior ministry confirms evacuation plan: MV Hondius expected offshore Tenerife on 10 May; tender-boat evacuations begin 11 May with the ship remaining anchored offshore.",
    "source_label": "Spain MoI via Reuters",
    "source_url": "https://www.washingtonpost.com/world/2026/05/08/hantavirus-cruise-ship/89db51c8-4ab1-11f1-a119-857cd2bf4fd4_story.html"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "CBS News reports five US states (including Georgia Arizona and California) are monitoring residents who were on the MV Hondius.",
    "source_label": "CBS News",
    "source_url": "https://www.cbsnews.com/news/hantavirus-cruise-ship-mv-hondius-passengers-monitored-us-worldwide/"
  },
  {
    "date": "2026-05-07",
    "date_display": "7 May 2026",
    "event": "BBC News reports a University of Bath team (Prof. Asel Sartbaeva and the Ensilitech spinout) developing an mRNA hantavirus vaccine using ensilication; pre-clinical stage with Phase 1 trials targeted next.",
    "source_label": "BBC News",
    "source_url": "https://www.bbc.co.uk/news/articles/cy52ng5wkdyo"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "Spain reports its first suspected hantavirus case: a woman hospitalised in isolation in Alicante after sharing a flight with a Hondius passenger who later died in Johannesburg; samples sent to the National Microbiology Centre.",
    "source_label": "Spain Ministry of Health via RTÉ",
    "source_url": "https://www.rte.ie/news/2026/0508/1572287-hantavirus-cruise-ship/"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "UKHSA confirms a 45-day post-arrival self-isolation period for all British passengers and crew of the MV Hondius; the FCDO charters a dedicated repatriation flight from Tenerife.",
    "source_label": "UKHSA",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "RIVM reports that the three airplane-contact tests in the Netherlands have all returned negative for Andes virus.",
    "source_label": "RIVM",
    "source_url": "https://www.rivm.nl/en/news/update-hantavirus"
  },
  {
    "date": "2026-05-07",
    "date_display": "7 May 2026",
    "event": "PAHO publishes a statement supporting international coordination on the MV Hondius cluster and announces a regional preparedness training workshop for June 2026 in Panama.",
    "source_label": "PAHO",
    "source_url": "https://www.paho.org/en/news/7-5-2026-paho-supports-international-response-hantavirus-pulmonary-syndrome-cases-linked"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "Spain confirms 14 Spanish nationals from MV Hondius will undergo up to 45 days of quarantine at Madrid's Hospital Central de la Defensa Gómez Ulla per Secretary of State for Health Javier Padilla.",
    "source_label": "Padilla via Euronews",
    "source_url": "https://www.euronews.com/health/2026/05/07/40-passengers-left-hantavirus-hit-cruise-ship"
  },
  {
    "date": "2026-05-06",
    "date_display": "6 May 2026",
    "event": "Argentine health ministry publishes a report detailing the index case's four-month travel itinerary across Chile Uruguay and Argentina from 27 November 2025 to 1 April 2026 and dispatches Malbrán Institute teams to Ushuaia for rodent sampling.",
    "source_label": "Argentine Ministry of Health",
    "source_url": "https://www.argentina.gob.ar/noticias/salud-monitorea-junto-organismos-internacionales-los-casos-de-hantavirus-reportados-en-el"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "US CDC dispatches teams to meet American passengers from MV Hondius in the Canary Islands and at Nebraska's National Quarantine Unit; about 17 Americans are on board per Oceanwide Expeditions.",
    "source_label": "CDC via CNN",
    "source_url": "https://www.cnn.com/2026/05/08/health/cruise-ship-hantavirus-passengers"
  },
  {
    "date": "2026-05-07",
    "date_display": "7 May 2026",
    "event": "Singapore CDA activates public health measures for two Singapore residents (67 and 65 years old) who shared a 25 April flight from St Helena to Johannesburg with a confirmed case; both isolated at the National Centre for Infectious Diseases pending PCR results.",
    "source_label": "Singapore CDA",
    "source_url": "https://www.cda.gov.sg/news-and-events/public-health-measures-activated-for-two-singapore-residents-onboard-mv-hondius/"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "Public Health Agency of Canada confirms three Canadians (two in Ontario and one in Quebec) are self-isolating at home with no symptoms; four Canadians remain on board MV Hondius and consular officials are heading to the Canary Islands.",
    "source_label": "PHAC via CBC News",
    "source_url": "https://www.cbc.ca/news/canada/toronto/hantavirus-cruise-ontario-passengers-isolating-9.7191211"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "WHO reaffirms the wider hantavirus outbreak risk is 'absolutely low' as the global tally reaches 8 cases (5 laboratory-confirmed and 3 suspected) and 3 deaths; a KLM flight attendant in close contact with the index case tests negative.",
    "source_label": "UN News",
    "source_url": "https://news.un.org/en/story/2026/05/1167465"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "New Jersey Department of Health confirms two NJ residents under monitoring after sharing a flight abroad with a confirmed MV Hondius case; neither is symptomatic and no hantavirus cases have been identified in New Jersey.",
    "source_label": "NJDOH",
    "source_url": "https://www.nj.gov/health/news/2026/approved/20260508a.shtml"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "Singapore CDA confirms both residents under monitoring at the National Centre for Infectious Diseases tested PCR-negative for hantavirus; they remain in 30-day quarantine per protocol.",
    "source_label": "Singapore CDA",
    "source_url": "https://www.cda.gov.sg/news-and-events/public-health-measures-activated-for-two-singapore-residents-onboard-mv-hondius/"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "RIVM confirms all three aircraft contacts of the Dutch confirmed case tested negative for Andes virus; the KLM flight attendant who assisted the Dutch case also tests negative.",
    "source_label": "RIVM",
    "source_url": "https://www.rivm.nl/en/news/update-hantavirus"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "UK government charters a repatriation flight for 22 British nationals from Tenerife on 10 May; UKHSA and FCDO officials will meet the ship on arrival to carry out health assessments.",
    "source_label": "UKHSA",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "date": "2026-05-09",
    "date_display": "9 May 2026",
    "event": "WHO Director-General Tedros Adhanom Ghebreyesus publishes a direct message to the people of Tenerife confirming the risk to residents is low, no symptomatic passengers remain on board, and evacuation will proceed at the industrial port of Granadilla de Abona via sealed vehicles.",
    "source_label": "WHO",
    "source_url": "https://www.who.int/news/item/09-05-2026-message-by-the-who-director-general-to-the-people-of-tenerife-regarding-the-hantavirus-response"
  },
  {
    "date": "2026-05-09",
    "date_display": "9 May 2026",
    "event": "UKHSA confirms British nationals from MV Hondius will be repatriated via FCDO charter flight to Arrowe Park Hospital on the Wirral for health assessments on 10 May; those testing negative and asymptomatic may then isolate at home for 45 days.",
    "source_label": "UKHSA",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "date": "2026-05-09",
    "date_display": "9 May 2026",
    "event": "Spain deploys Civil Guard at Granadilla de Abona port (Tenerife); MV Hondius expected to arrive in early hours of 10 May; repatriation flights arranged for passengers of 7 nationalities (US, UK, France, Germany, Belgium, Ireland, Netherlands).",
    "source_label": "Spain Interior Ministry via ABC News",
    "source_url": "https://abcnews.com/International/live-updates/hantavirus-live-updates-mv-hondius-canary-islands/?id=132746955"
  },
  {
    "date": "2026-05-09",
    "date_display": "9 May 2026",
    "event": "CDC clarifies no mandatory quarantine for 17 US passengers from MV Hondius: individuals will be evaluated on arrival and may choose 42-day home monitoring with their state or local health department; none of the 17 Americans has tested positive.",
    "source_label": "CDC via ABC News",
    "source_url": "https://abcnews.com/International/live-updates/hantavirus-live-updates-mv-hondius-canary-islands/?id=132746955"
  },
  {
    "date": "2026-05-10",
    "date_display": "10 May 2026",
    "event": "By midday, 46 passengers from Spain, France, Canada and the Netherlands have disembarked MV Hondius at Granadilla de Abona; Spain's Minister of Health Monica Garcia confirms all remaining passengers on board are asymptomatic.",
    "source_label": "Spain MoH / ABC News live blog",
    "source_url": "https://abcnews.com/International/live-updates/hantavirus-live-updates-mv-hondius-canary-islands/?id=132746955"
  },
  {
    "date": "2026-05-10",
    "date_display": "10 May 2026",
    "event": "MV Hondius arrives at Granadilla de Abona port, Tenerife in the early hours; evacuation begins with passengers disembarking in groups via launch boats (Spanish nationals first); approximately 30 crew remain to sail the vessel to the Netherlands for decontamination; repatriation flights arranged for 22 nationalities.",
    "source_label": "Spain Interior Ministry via CBS News",
    "source_url": "https://www.cbsnews.com/news/cruise-ship-stricken-by-hantavirus-reaches-canary-islands/"
  },
  {
    "date": "2026-05-10",
    "date_display": "10 May 2026",
    "event": "UK military conducts emergency airdrop on Tristan da Cunha: RAF A400M aircraft drops 6 paratroopers and 2 military clinicians (16 Air Assault Brigade) plus 3.3 tonnes of medical supplies including oxygen equipment; oxygen supplies on the island were at critical levels; first British military humanitarian parachute deployment.",
    "source_label": "Gov.uk",
    "source_url": "https://www.gov.uk/government/news/military-conducts-daring-parachute-drop-to-deliver-critical-medical-support-to-tristan-da-cunha"
  },
  {
    "date": "2026-05-09",
    "date_display": "9 May 2026",
    "event": "Spain identifies a second suspected hantavirus case: a woman from Catalonia on the same KLM Johannesburg–Amsterdam flight (25 April) as the infected Dutch passenger, initially missed during contact tracing after switching seats; admitted to hospital in Catalonia as a precaution; Spain now has two suspected cases.",
    "source_label": "Spain Ministry of Health via Euronews",
    "source_url": "https://www.euronews.com/health/2026/05/07/40-passengers-left-hantavirus-hit-cruise-ship"
  },
  {
    "date": "2026-05-09",
    "date_display": "9 May 2026",
    "event": "WHO Director-General Tedros Adhanom Ghebreyesus arrives in Tenerife to personally oversee the evacuation of MV Hondius; states the disease 'is not COVID'; approximately 10 repatriation flights planned (6 EU, 4 non-EU).",
    "source_label": "CBS News",
    "source_url": "https://www.cbsnews.com/news/hantavirus-cruise-evacuation-world-health-organization-hondius-canary-islands/"
  },
  {
    "date": "2026-05-09",
    "date_display": "9 May 2026",
    "event": "WHO Director-General Tedros Adhanom Ghebreyesus announces he will travel to Tenerife to oversee the arrival of MV Hondius and coordinate the evacuation alongside Spain's health and interior ministers.",
    "source_label": "RTÉ",
    "source_url": "https://www.rte.ie/news/world/2026/0509/1572469-hantavirus-cruise-ship/"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "US CDC issues Health Alert Network advisory (HAN 528) to clinicians and health departments advising awareness of potential imported Andes virus cases; recommends airborne infection isolation precautions for suspected cases.",
    "source_label": "CDC HAN 528",
    "source_url": "https://www.cdc.gov/han/php/notices/han00528.html"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "WHO publishes Disease Outbreak News 2026-DON600: 8 cases total (6 laboratory-confirmed Andes virus and 2 probable) and 3 deaths; the 2 probable cases are the index case (died on board 11 April, no laboratory samples obtained before death) and the Tristan da Cunha contact; global risk remains low.",
    "source_label": "WHO DON 600",
    "source_url": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON600"
  },
  {
    "date": "2026-05-10",
    "date_display": "10 May 2026",
    "event": "First repatriation flight departs Tenerife for Madrid: Spanish nationals from MV Hondius (13 passengers, 1 crew member) are the first group to fly home and will undergo quarantine at Hospital Central de la Defensa Gomez Ulla; more nationality-specific flights follow throughout the day.",
    "source_label": "Al Jazeera",
    "source_url": "https://www.aljazeera.com/news/2026/5/10/cruise-ship-hit-by-hantavirus-outbreak-arrives-in-tenerife"
  },
  {
    "date": "2026-05-08",
    "date_display": "8 May 2026",
    "event": "CDC confirms 17 American passengers from MV Hondius will quarantine at Nebraska Medicine's National Quarantine Unit; six US states now monitor nine residents in total, none symptomatic.",
    "source_label": "CDC via NBC News",
    "source_url": "https://www.nbcnews.com/health/health-news/flight-attendant-tests-negative-hantavirus-new-case-suspected-remote-i-rcna344191"
  },
  {
    "date": "2026-05-10",
    "date_display": "10 May 2026",
    "event": "Day 1 evacuations from Granadilla de Abona conclude: 94 people of 19 nationalities have disembarked MV Hondius; 18 evacuees (17 US nationals and 1 British US resident) depart Tenerife on a CDC/HHS charter to the National Quarantine Unit at University of Nebraska Medical Center, Omaha.",
    "source_label": "CBS News / ABC News",
    "source_url": "https://abcnews.com/International/live-updates/hantavirus-live-updates-mv-hondius-canary-islands/?id=132746955"
  },
  {
    "date": "2026-05-10",
    "date_display": "10 May 2026",
    "event": "One French national begins showing symptoms during repatriation flight from Tenerife; French PM Lecornu announces all five returning French passengers placed in strict isolation; all five transferred by ambulance to Bichat Hospital, Paris, for 72-hour hospitalisation then 45-day home quarantine.",
    "source_label": "French PM Lecornu via CBS News",
    "source_url": "https://www.cbsnews.com/news/cruise-ship-stricken-by-hantavirus-reaches-canary-islands/"
  },
  {
    "date": "2026-05-11",
    "date_display": "11 May 2026",
    "event": "MV Hondius departs Granadilla de Abona for Rotterdam with a 25-strong skeleton crew (17 Filipino, 4 Dutch incl. 2 medical staff, 4 Ukrainian, 1 Russian, 1 Polish); expected to arrive in Rotterdam on the evening of 17 May for full disinfection per Oceanwide Expeditions; the vessel carries the body of a passenger who died on board.",
    "source_label": "RTÉ",
    "source_url": "https://www.rte.ie/news/health/2026/0511/1572699-hantavirus-world/"
  },
  {
    "date": "2026-05-11",
    "date_display": "11 May 2026",
    "event": "One of 17 American evacuees transported from Tenerife to Nebraska Medicine's National Quarantine Unit tests mildly positive for Andes virus; a second evacuee shows mild symptoms; both transported in aircraft biocontainment units (HHS/CDC, 11 May).",
    "source_label": "HHS/CDC via ABC News",
    "source_url": "https://abcnews.com/International/live-updates/hantavirus-live-updates-mv-hondius-canary-islands/?id=132746955"
  },
  {
    "date": "2026-05-11",
    "date_display": "11 May 2026",
    "event": "French Health Minister Stéphanie Rist confirms one French evacuee from MV Hondius tested positive for hantavirus; the patient felt unwell overnight; four others tested negative; France traces 22 contact cases on flights.",
    "source_label": "French Health Minister via France 24",
    "source_url": "https://www.france24.com/en/health/20260511-french-evacuee-from-hantavirus-hit-ship-tests-positive-health-minister-says"
  },
  {
    "date": "2026-05-11",
    "date_display": "11 May 2026",
    "event": "20 British nationals from MV Hondius, along with 1 German UK resident and 1 Japanese passenger, arrive at Arrowe Park Hospital, Wirral, for 72-hour clinical assessment; all asymptomatic on arrival; 45-day isolation follows (UKHSA, 11 May).",
    "source_label": "UKHSA",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "date": "2026-05-10",
    "date_display": "10 May 2026",
    "event": "Dutch government-chartered flight carrying 26 MV Hondius passengers lands at Eindhoven Airport (20:35 local time); Dutch nationals travel home under professional transport for 6-week home quarantine; non-Dutch passengers are directed to a GGD-arranged quarantine location.",
    "source_label": "Netherlands Government",
    "source_url": "https://www.government.nl/latest/weblogs/the-work-of-the-ministry-of-foreign-affairs/2026/medical-evacuation-from-cruise-ship-m-v-hondius"
  },
  {
    "date": "2026-05-10",
    "date_display": "10 May 2026",
    "event": "Four Canadian passengers from MV Hondius (a Vancouver Island resident in their 70s, a BC resident in their 50s living abroad, and a Yukon couple in their 70s) arrive in Victoria, BC, from Saguenay-Bagotville Airport on Sunday evening for a minimum 21-day isolation (extendable to 42 days); BC Provincial Health Officer Dr. Bonnie Henry confirms in a press briefing on 11 May that all four are asymptomatic with no known direct contact with infected cases on board.",
    "source_label": "CBC News",
    "source_url": "https://www.cbc.ca/news/canada/british-columbia/bc-update-hantavirus-isolation-period-9.7195300"
  },
  {
    "date": "2026-05-11",
    "date_display": "11 May 2026",
    "event": "Maryland Department of Health announces it is monitoring two Maryland residents who briefly shared a flight with an infected MV Hondius passenger; the residents were not on the cruise ship and exposure occurred during international air travel; monitoring is being conducted out of an abundance of caution and the risk to the public in Maryland remains very low (no hantavirus cases identified in Maryland since 2019).",
    "source_label": "Maryland Department of Health",
    "source_url": "https://health.maryland.gov/newsroom/Pages/Maryland-Department-of-Health-Monitoring-2-MD-Residents-Following-Potential-Hantavirus-Exposure-Linked-to-Hondius-Passenger.aspx"
  },
  {
    "date": "2026-05-11",
    "date_display": "11 May 2026",
    "event": "WHO epidemiologist Olivier le Polain warns that further hantavirus cases are likely among MV Hondius evacuees over the coming days or weeks, citing the up to eight-week incubation period of the Andes virus; France and Spain have imposed mandatory hospital quarantines as more passengers test positive (Irish Times, 11 May).",
    "source_label": "WHO via Irish Times",
    "source_url": "https://www.irishtimes.com/world/europe/2026/05/11/risk-of-further-hantavirus-cases-among-cruise-ship-evacuees-who-warns/"
  },
  {
    "date": "2026-05-11",
    "date_display": "11 May 2026",
    "event": "Two American evacuees are transferred from Nebraska Medicine's National Quarantine Unit to Emory University Hospital's Serious Communicable Diseases Unit in Atlanta; one symptomatic individual is treated in the biocontainment unit while one asymptomatic close contact undergoes evaluation (CBS News, 11 May); 16 evacuees remain at the UNMC NQU in Omaha.",
    "source_label": "CBS News Atlanta",
    "source_url": "https://www.cbsnews.com/atlanta/news/hantavirus-outbreak-2-georgia-residents-exposed-arrive-at-emory-university-hospital-for-evaluation/"
  },
  {
    "date": "2026-05-11",
    "date_display": "11 May 2026",
    "event": "WHO updates the global tally to 9 cases linked to MV Hondius — 7 laboratory-confirmed and 2 suspected — with 3 deaths, per Olivier le Polain (WHO epidemiology and analytics for response unit head); the seventh confirmed case is the French evacuee who tested positive after the 10 May repatriation flight (Al Jazeera, 11 May).",
    "source_label": "WHO via Al Jazeera",
    "source_url": "https://www.aljazeera.com/news/2026/5/11/two-more-cruise-ship-passengers-test-positive-for-hantavirus"
  },
  {
    "date": "2026-05-11",
    "date_display": "11 May 2026",
    "event": "New York Governor Kathy Hochul and State Health Commissioner Dr. James McDonald confirm three New York residents (one from New York City, one from Orange County, one from Westchester) are among the 17 Americans under 42-day monitoring at the University of Nebraska Medical Center; Dr. McDonald: 'there is no immediate risk to the public' (NBC New York, 11 May).",
    "source_label": "NY Governor Hochul / NY State DOH via NBC New York",
    "source_url": "https://www.nbcnewyork.com/news/local/hantavirus-cruise-ship-new-york-residents/6500565/"
  },
  {
    "date": "2026-05-12",
    "date_display": "12 May 2026",
    "event": "WHO Director-General Tedros Adhanom Ghebreyesus and Spain's Prime Minister Pedro Sánchez hold a joint press conference in Madrid declaring the MV Hondius evacuation 'a success'; WHO updates the global tally to 11 cases (9 laboratory-confirmed and 2 suspected) and 3 deaths; Tedros warns more cases may arise during the up to six-week incubation window and adds 'there is nothing that indicates that there will be a major outbreak'.",
    "source_label": "WHO via RTÉ",
    "source_url": "https://www.rte.ie/news/world/2026/0512/1572886-hantavirus-ship/"
  },
  {
    "date": "2026-05-12",
    "date_display": "12 May 2026",
    "event": "Spain confirms its first hantavirus case: a Spanish national quarantined at Hospital Central de la Defensa Gómez Ulla in Madrid — provisionally positive on 11 May per Spain Health Minister Mónica García — began showing symptoms compatible with hantavirus in the early hours of Tuesday and remains isolated and stable; included in the WHO 12 May tally of 9 laboratory-confirmed cases.",
    "source_label": "Spain Ministry of Health via Euronews",
    "source_url": "https://www.euronews.com/health/2026/05/12/spain-and-who-declare-hantavirus-cruise-evacuation-a-success"
  },
  {
    "date": "2026-05-12",
    "date_display": "12 May 2026",
    "event": "Radboudumc university medical centre in Nijmegen places 12 hospital staff in six-week precautionary quarantine after they handled blood and urine samples from an MV Hondius hantavirus patient (admitted 7 May) using standard procedures rather than the stricter infection-control protocol required for hantavirus; the urine-disposal breach was identified on 9 May; hospital board chair Bertine Lahuis says Radboudumc 'will carefully investigate the course of events' and stresses the infection risk to staff remained very low and patient care continued uninterrupted; Dutch Health Minister Sophie Hermans confirmed the breach publicly later the same day, noting the procedures had not met the 'very strictest' standards for the virus.",
    "source_label": "Radboudumc / Dutch Health Minister Hermans via Irish Times (Reuters)",
    "source_url": "https://www.irishtimes.com/world/europe/2026/05/12/dutch-hospital-quarantines-12-over-breach-of-hantavirus-protocol/"
  },
  {
    "date": "2026-05-12",
    "date_display": "12 May 2026",
    "event": "The second American evacuee from MV Hondius — who had been transferred to Emory University Hospital's Serious Communicable Diseases Unit in Atlanta after showing mild symptoms — tested negative for hantavirus per HHS official Matthew Ferreira; the asymptomatic close-contact partner remains under monitoring at Emory; the result reduces the active US count to 1 confirmed case (Nebraska) and brings the cluster's suspected total to 1 (the British suspected case on Tristan da Cunha).",
    "source_label": "HHS via ABC News",
    "source_url": "https://abcnews.com/International/live-updates/hantavirus-live-updates-mv-hondius-canary-islands/?id=132746955"
  },
  {
    "date": "2026-05-12",
    "date_display": "12 May 2026",
    "event": "The confirmed French patient at Bichat Hospital, Paris — a woman in her 60s with asthma and other comorbidities, who developed first symptoms on the return flight from the Canary Islands — is critically ill with life-threatening lung and heart problems and has been placed on extracorporeal membrane oxygenation (ECMO), per Dr. Xavier Lescure, infectious disease specialist at Bichat, who described the treatment as 'the final stage of supportive care' (Associated Press via South China Morning Post, 12 May); the French Interior Ministry requires all 22 traced close contacts to undergo 42-day hospital-based isolation (Euronews FR, 12 May).",
    "source_label": "Dr. Xavier Lescure (Bichat) via AP / SCMP",
    "source_url": "https://www.scmp.com/news/world/europe/article/3353337/french-hantavirus-patient-critically-ill-put-artificial-lung"
  },
  {
    "date": "2026-05-12",
    "date_display": "12 May 2026",
    "event": "Kansas Department of Health and Environment (KDHE) announces three Kansas residents are under monitoring by KDHE, CDC, and a local health department after high-risk close contact with a confirmed Andes hantavirus case linked to MV Hondius; none of the three were on the cruise ship and all are asymptomatic. Kansas has no suspected or confirmed cases and KDHE assesses overall public risk as 'extremely low'.",
    "source_label": "KDHE via KCTV5",
    "source_url": "https://www.kctv5.com/2026/05/12/kansas-health-officials-monitor-three-people-exposed-cruise-ship-passenger-infected-with-hantavirus/"
  },
  {
    "date": "2026-05-12",
    "date_display": "12 May 2026",
    "event": "Public Health – Seattle & King County announces three King County, Washington residents are under monitoring: two were on a 25 April KLM Johannesburg–Amsterdam flight within two seats of an ill cruise passenger who later tested positive (now home in King County, isolation through 6 June with limited movement and masks); a third was an MV Hondius passenger and is at the University of Nebraska Medical Center National Quarantine Unit. All three are asymptomatic; Acting Health Officer Dr. Sandra J. Valenciano states the risk to King County residents is low.",
    "source_label": "Public Health – Seattle & King County",
    "source_url": "https://kingcounty.gov/en/dept/dph/about-king-county/about-public-health/news/news-archive-2026/05-12-hantavirus"
  },
  {
    "date": "2026-05-13",
    "date_display": "13 May 2026",
    "event": "Italian Health Ministry confirms all four people in Italy under hantavirus observation have tested negative: a Calabrian man on the 25 April KLM flight with the deceased Dutch passenger; an Argentine tourist with pneumonia who arrived from endemic regions on 30 April; a British tourist in Milan and their traveling companion as precautionary cases. The ministry states 'the risk connected with the virus remains very low in Europe and therefore also in Italy'; regional health units continue 42-day tele-monitoring per WHO guidance.",
    "source_label": "Italian Health Ministry via Reuters / TimesLive",
    "source_url": "https://www.timeslive.co.za/news/world/2026-05-13-four-in-italy-test-negative-for-hantavirus-after-quarantine/"
  },
  {
    "date": "2026-05-12",
    "date_display": "12 May 2026",
    "event": "Minnesota Department of Health announces it is monitoring one Minnesota resident who may have briefly been exposed overseas to someone who was on board the MV Hondius and tested positive for hantavirus; the person is asymptomatic and under daily symptom checks in coordination with local public health, CDC, and healthcare; MDH emphasises 'the risk to the public remains very low'.",
    "source_label": "Minnesota Department of Health",
    "source_url": "https://www.health.state.mn.us/news/pressrel/2026/statement051226.html"
  },
  {
    "date": "2026-05-13",
    "date_display": "13 May 2026",
    "event": "French President Emmanuel Macron, speaking at a press conference in Nairobi during the Africa Forward summit, says the hantavirus situation in France is 'under control': 'The government has made the right decisions. The situation is under control under its authority, thanks to our healthcare workers.' Macron calls for European coordination and stresses that France, Madrid, and other countries have implemented 'one of the most stringent protocols'; Health Minister Stéphanie Rist separately confirms 'no evidence' of widespread hantavirus circulation in France and that all 22 identified contact cases have been hospitalised or are undergoing hospitalisation (Euronews, 13 May).",
    "source_label": "Macron via Euronews",
    "source_url": "https://www.euronews.com/health/2026/05/13/hantavirus-macron-says-situation-is-under-control-in-france-and-calls-for-european-coordin"
  },
  {
    "date": "2026-05-12",
    "date_display": "12 May 2026",
    "event": "South Africa's national health department has traced 97 hantavirus contacts (91 located), including cruise ship and flight passengers, ambulance personnel, flight crew, medical crew, airport and port health officials, healthcare workers, and facility security and cleaning staff; no local transmission identified, per national health department spokesperson Foster Mohale (Health-e News, 12 May).",
    "source_label": "Health-e News",
    "source_url": "https://health-e.org.za/2026/05/12/no-local-transmission-of-hantavirus-in-south-africa/"
  },
  {
    "date": "2026-05-13",
    "date_display": "13 May 2026",
    "event": "WHO publishes Disease Outbreak News 2026-DON601: 11 cases linked to MV Hondius (8 laboratory-confirmed Andes virus, 2 probable and 1 inconclusive) and 3 deaths (2 confirmed and 1 probable); the inconclusive case is a US passenger whose initial overseas nasal-swab test was uncertain; WHO assesses the public health risk for those who were onboard the cruise ship as moderate and at the global level as low, and advises against any travel or trade restrictions beyond the movement restriction of identified high-risk contacts.",
    "source_label": "WHO DON 601",
    "source_url": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON601"
  },
  {
    "date": "2026-05-13",
    "date_display": "13 May 2026",
    "event": "CDC convenes a press briefing on the US hantavirus response: incident manager Dr. David Fitter says 'the risk to the general public is low' and frames the outbreak as 'a known virus and we've seen this in the United States before'; Dr. Brendan Jackson, CDC team lead in Nebraska, confirms a 42-day monitoring period that began with the ship's departure on 11 May; more than 100 CDC staff are on the response (CDC briefing via STAT News, 13 May).",
    "source_label": "CDC via STAT News",
    "source_url": "https://www.statnews.com/2026/05/13/hantavirus-outbreak-cdc-briefing-cruise-ship-outbreak-response/"
  },
  {
    "date": "2026-05-13",
    "date_display": "13 May 2026",
    "event": "Dr. Stephen Kornfeld, a 69-year-old retired oncologist from Bend, Oregon, who helped care for ill passengers on board MV Hondius, is identified as the American patient at Nebraska Medicine's National Quarantine Unit; his initial overseas test was inconclusive (one negative, one positive on a nasal swab in the Netherlands, per CDC's Dr. David Fitter); confirmatory PCR taken on arrival in Nebraska returned negative and he has been moved out of the biocontainment unit (CNN, 13 May); blood test results pending; WHO classifies the case as inconclusive in Disease Outbreak News 2026-DON601.",
    "source_label": "CNN",
    "source_url": "https://www.cnn.com/2026/05/13/health/hantavirus-doctor-biocontainment-nebraska"
  },
  {
    "date": "2026-05-13",
    "date_display": "13 May 2026",
    "event": "UKHSA confirms six MV Hondius evacuees have left Arrowe Park Hospital on the Wirral to complete their 45-day isolation at home with tailored support packages following negative PCR results; one medic on Ascension Island developed symptoms but tested negative for hantavirus, with further testing underway; UKHSA Chief Scientific Officer Professor Robin May announces plans to repatriate 10 contacts from Saint Helena and Ascension Island to the UK to complete self-isolation as a precautionary measure (UKHSA, 13 May).",
    "source_label": "UKHSA",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "date": "2026-05-14",
    "date_display": "14 May 2026",
    "event": "ECDC daily update (14 May): no new cases or deaths reported in the past 24 hours; totals remain at 8 confirmed, 2 probable, 1 inconclusive and 3 deaths. ECDC publishes 'Advice on laboratory testing of Andes virus (ANDV) for high-risk contacts under the MV Hondius outbreak'. At a Wednesday press conference, ECDC's Gianfranco Spiteri confirms that 5 KLM flight contacts who helped the Dutch patient disembark when her condition deteriorated are in quarantine — including a flight attendant briefly admitted at Amsterdam UMC with mild symptoms who tested negative; ECDC recommends quarantine for passengers seated in the same row plus two rows in front of and behind a probable or confirmed case, with symptom monitoring sufficient for other passengers (Spiteri via NL Times, 14 May).",
    "source_label": "ECDC + Spiteri via NL Times",
    "source_url": "https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak"
  },
  {
    "date": "2026-05-14",
    "date_display": "14 May 2026",
    "event": "Dr. Stephen Kornfeld — the previously inconclusive American at Nebraska Medicine — is medically cleared and moved from the biocontainment unit to the general 16-passenger quarantine unit at the University of Nebraska Medical Center; none of the 16 passengers at the facility is reporting symptoms. Kornfeld tells CNN 'I feel great. I feel wonderful, 100%' and adds: 'It's a little weird being in here by myself, but the nurses come in, the doctors come in. I'm on WhatsApp all the time.' (CNN, 14 May).",
    "source_label": "CNN",
    "source_url": "https://www.cnn.com/2026/05/13/health/hantavirus-doctor-biocontainment-nebraska"
  },
  {
    "date": "2026-05-14",
    "date_display": "14 May 2026",
    "event": "Dutch healthcare unions react to the Radboudumc protocol breach: trade union NU'91 says about half of the 12 quarantined staff are nurses with the rest in laboratory roles; CNV board member Schnoor expects affected staff to be compensated for the 'significant inconvenience' of a six-week quarantine. Radboudumc characterises the breach as 'an unfortunate chain of events linked to human error' and acknowledges 'the most up-to-date international guideline regarding hantavirus was not yet available to our staff'; 8 of the 12 employees are in home quarantine and 4 at another location, per the hospital (NL Times, 14 May).",
    "source_label": "NU'91 / CNV / Radboudumc via NL Times",
    "source_url": "https://nltimes.nl/2026/05/14/healthcare-unions-shocked-radboud-hospital-staffers-face-hantavirus-quarantine"
  },
  {
    "date": "2026-05-14",
    "date_display": "14 May 2026",
    "event": "At a CDC press briefing, incident manager Dr. David Fitter reports 41 people under US monitoring for hantavirus, with no positive cases: 16 cruise-ship repatriates at Nebraska Medicine's National Quarantine Unit + 2 at Emory University Hospital Atlanta + 7 former MV Hondius passengers who departed the ship before the outbreak was declared + 16 people exposed during travel (including on flights). CDC advises those under monitoring to stay home and avoid people for 42 days; risk to the general public remains low (CDC transcript, 14 May).",
    "source_label": "CDC",
    "source_url": "https://www.cdc.gov/media/releases/2026/transcript-update0514-on-cdcs-hantavirus-response.html"
  },
  {
    "date": "2026-05-14",
    "date_display": "14 May 2026",
    "event": "Radboudumc announces that follow-up blood tests on the 12 quarantined staff exposed to a hantavirus patient indicate they are 'not contagious to others'; the staff continue their six-week precautionary quarantine but the hospital reiterates that the infection risk to staff was low throughout (Radboudumc via ABC News live blog, 14 May).",
    "source_label": "Radboudumc",
    "source_url": "https://www.radboudumc.nl/en/news-items/2026/radboudumc-admits-patient-with-a-suspected-hantavirus-infection"
  },
  {
    "date": "2026-05-13",
    "date_display": "13 May 2026",
    "event": "Oceanwide Expeditions tells the Associated Press it expects to know by the end of the week whether MV Hondius will keep to its scheduled Arctic season — the next sailing was due to depart Keflavik, Iceland on 29 May; the vessel is expected to arrive in Rotterdam on 17 or 18 May for a thorough cleaning and disinfection process, with protocols 'currently being finalized' with health authorities (Oceanwide Expeditions via AP / PBS NewsHour, 13 May).",
    "source_label": "Oceanwide Expeditions via AP / PBS NewsHour",
    "source_url": "https://www.pbs.org/newshour/health/operator-of-hantavirus-hit-ship-will-say-by-weeks-end-when-the-vessel-will-resume-cruises"
  },
  {
    "date": "2026-05-14",
    "date_display": "14 May 2026",
    "event": "Public Health Scotland says it is working with UKHSA and NHS boards in Scotland to monitor 'a small number of individuals who had potential contact with cases' for up to 45 days from last potential exposure; no hantavirus cases confirmed in Scotland; risk to the general population remains very low; precautionary testing and ongoing care continue (PHS, 14 May).",
    "source_label": "Public Health Scotland",
    "source_url": "https://publichealthscotland.scot/news/2026/may/hantavirus-cruise-ship-outbreak/"
  },
  {
    "date": "2026-05-15",
    "date_display": "15 May 2026",
    "event": "Six MV Hondius passengers (four Australians, one Briton resident in Australia, and one New Zealander) arrive at RAAF Base Pearce near Perth, Western Australia after a charter flight from the Netherlands; all six tested PCR-negative pre-flight, travelled in full PPE, and will undergo at least a three-week quarantine at a 500-bed facility adjacent to the base; Australia's Health Minister Mark Butler calls it 'one of the strongest quarantine arrangements in response to this hantavirus outbreak you will find anywhere in the world' (Australian Department of Health / Butler via AP on ABC News, 15 May).",
    "source_label": "Health Minister Butler via AP / ABC News",
    "source_url": "https://abcnews.com/Health/wireStory/6-passengers-hantavirus-hit-ship-arrive-australia-3-132992246"
  },
  {
    "date": "2026-05-14",
    "date_display": "14 May 2026",
    "event": "WHO Director-General Tedros Adhanom Ghebreyesus publishes a follow-up message to the people of Tenerife confirming that the MV Hondius evacuation operation has officially ended; over 120 passengers from 23 countries have safely disembarked and are now cared for and monitored by public health professionals in transit or in their home countries; the 26-member skeleton crew remains aboard, sailing to the Netherlands; monitoring continues 'until every passenger and crew is out of quarantine'; Tedros: 'The risk assessment held. The protocols worked. The corridor held.' (WHO, 14 May).",
    "source_label": "WHO",
    "source_url": "https://www.who.int/news/item/14-05-2026-follow-up-message-by-the-who-director-general-to-the-people-of-tenerife-regarding-the-hantavirus-response"
  },
  {
    "date": "2026-05-14",
    "date_display": "14 May 2026",
    "event": "UKHSA reports 7 evacuees (6 from earlier batch plus 1 same-day) have left Arrowe Park Hospital on the Wirral to complete their 45-day isolation at home following clinical and public health assessments; 9 asymptomatic Saint Helena and Ascension Island contacts are being relocated to the UK on Sunday 17 May for transfer to Arrowe Park as a precautionary measure; a separate symptomatic medic on Ascension Island whose samples tested negative is being medically evacuated to a High Consequence Infectious Disease Unit in southern England for specialist assessment; UKHSA Director of Health Protection in Regions Dr William Welfare: 'The risk to the general public remains very low' (UKHSA, 14 May).",
    "source_label": "UKHSA",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "date": "2026-05-15",
    "date_display": "15 May 2026",
    "event": "ECDC daily update (15 May) reports no new cases or deaths reported in the past 24 hours; cluster totals remain at 8 confirmed, 2 probable, 1 inconclusive and 3 deaths; EU/EEA risk remains very low (ECDC, 15 May).",
    "source_label": "ECDC",
    "source_url": "https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak"
  },
  {
    "date": "2026-05-15",
    "date_display": "15 May 2026",
    "event": "WHO Regional Office for Europe publishes a reflective piece on the cluster framing the response as a test of the International Health Regulations (IHR) framework; quotes Demi Reurings (Netherlands IHR Focal Point), WHO epidemiologist Boris Pavlin, WHO/Europe laboratory specialist Karen Nahapetyan; WHO Director-General Tedros Adhanom Ghebreyesus: 'Solidarity is our best immunity'; WHO Regional Director for Europe Dr Hans Henri P. Kluge: 'Health security is built before a crisis, not during one. The IHR gave us the framework. Collective action gave us the response.' (WHO Europe, 15 May).",
    "source_label": "WHO Europe",
    "source_url": "https://www.who.int/europe/news/item/15-05-2026-how-a-little-known-virus-on-a-cruise-ship-put-the-world-s-health-security-framework-to-the-test"
  },
  {
    "date": "2026-05-14",
    "date_display": "14 May 2026",
    "event": "Canada's Chief Public Health Officer Dr. Joss Reimer announces the country has been informed of 26 additional 'low-risk' hantavirus contacts — travellers who shared the St Helena–Johannesburg and Johannesburg–Amsterdam flights with a case but with no evidence of close or prolonged contact; federal officials are not asking them to self-isolate (local public health units retain discretion); no one in Canada has shown symptoms and the overall population risk remains low (Dr. Joss Reimer via CTV News, 14 May).",
    "source_label": "Dr. Joss Reimer via CTV News",
    "source_url": "https://www.ctvnews.ca/health/article/canada-informed-of-26-low-risk-hantavirus-contacts-says-top-doctor/"
  },
  {
    "date": "2026-05-15",
    "date_display": "15 May 2026",
    "event": "WHO lowers the MV Hondius cluster total to 10 cases (8 laboratory-confirmed Andes virus and 2 probable) and 3 deaths (2 confirmed, 1 probable), down from the 11 reported in Disease Outbreak News 2026-DON601, after the United States confirmed the previously inconclusive US case (Dr. Stephen Kornfeld) negative; WHO epidemic and pandemic preparedness director Maria Van Kerkhove: \"We've had further confirmation from the United States that person was negative\"; the 26-member skeleton crew aboard MV Hondius en route to the Netherlands remains symptom-free (WHO via Al Jazeera, 15 May).",
    "source_label": "WHO via Al Jazeera",
    "source_url": "https://www.aljazeera.com/news/2026/5/15/who-confirms-10-global-hantavirus-cases-hondius-crew-remain-symptom-free"
  },
  {
    "date": "2026-05-16",
    "date_display": "16 May 2026",
    "event": "ECDC daily update (16 May) reports no new cases or deaths since the previous update; the ECDC daily count still tabulates 8 confirmed, 2 probable and 1 inconclusive case with 3 deaths as of 14:00 — it had not yet folded in WHO's 15 May reclassification of the previously inconclusive US case as negative (which lowered WHO's cluster total to 10); EU/EEA risk remains very low (ECDC, 16 May).",
    "source_label": "ECDC",
    "source_url": "https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak"
  },
  {
    "date": "2026-05-15",
    "date_display": "15 May 2026",
    "event": "CDC reports the two American evacuees previously monitored at Emory University Hospital in Atlanta have been transferred to Nebraska Medicine's National Quarantine Unit, consolidating all 18 American MV Hondius passengers under monitoring at the Omaha facility with Emory's Serious Communicable Diseases Unit now cleared; CDC incident manager Dr. David Fitter reiterated there are no hantavirus cases in the United States and an HHS official said the public health risk remains extremely low (CDC briefing, 15 May).",
    "source_label": "CDC",
    "source_url": "https://www.cdc.gov/media/releases/2026/transcript-update0515-on-cdcs-hantavirus-response.html"
  },
  {
    "date": "2026-05-16",
    "date_display": "16 May 2026",
    "event": "UKHSA confirms the symptomatic Ascension Island medic, whose hantavirus samples tested negative, has safely arrived at the High Consequence Infectious Disease unit at Guy's and St Thomas' NHS Foundation Trust for specialist assessment; nine asymptomatic Saint Helena and Ascension Island contacts remain due to arrive in the UK on Sunday 17 May for transfer to Arrowe Park; UKHSA says the risk to the general public remains very low (UKHSA, 16 May).",
    "source_label": "UKHSA",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "date": "2026-05-17",
    "date_display": "17 May 2026",
    "event": "Canada confirms its first hantavirus case in the MV Hondius cluster: a Yukon resident, one of four Canadian passengers isolating in Victoria, British Columbia, developed mild symptoms (fever, headache) on 14 May, returned a presumptive-positive Andes virus result on 16 May per B.C. Provincial Health Officer Dr. Bonnie Henry, and was lab-confirmed on 17 May by the Public Health Agency of Canada's National Microbiology Laboratory in Winnipeg; the patient's travelling partner tested negative. The ECDC classified the case as confirmed in its 17 May daily update, raising the cluster to 9 laboratory-confirmed cases (ECDC tabulates 12 including 2 probable and 1 inconclusive); PHAC says the overall risk to people in Canada remains low.",
    "source_label": "RTÉ",
    "source_url": "https://www.rte.ie/news/world/2026/0517/1573746-hantavirus-canada/"
  },
  {
    "date": "2026-05-17",
    "date_display": "17 May 2026",
    "event": "WHO reassessed the public health risk with the most current information and kept the global risk low, saying further cases may still occur among passengers and crew exposed before containment measures while the risk of onward transmission is reduced following disembarkation and the implementation of control measures (WHO via RTÉ/AFP, 17 May).",
    "source_label": "WHO via RTÉ",
    "source_url": "https://www.rte.ie/news/world/2026/0518/1573868-hantavirus-holland-world/"
  },
  {
    "date": "2026-05-18",
    "date_display": "18 May 2026",
    "event": "MV Hondius concluded its seven-week voyage and docked at the port of Rotterdam for disinfection; 25 crew and 2 medical staff remained aboard and entered Dutch quarantine while the vessel is decontaminated per Dutch public-health guidelines; Oceanwide Expeditions said the ship could resume sailings the following month subject to public-health inspection (Irish Times via AFP, 18 May).",
    "source_label": "Irish Times via AFP",
    "source_url": "https://www.irishtimes.com/world/europe/2026/05/18/hantavirus-mv-hondius-cruise-ship-rotterdam-port/"
  },
  {
    "date": "2026-05-18",
    "date_display": "18 May 2026",
    "event": "France's Institut Pasteur fully sequenced the Andes virus from the confirmed French patient and found it matches viruses already known in South America, with no new characteristics that would make it more transmissible or more dangerous (Institut Pasteur via Associated Press / PBS NewsHour, 18 May).",
    "source_label": "Institut Pasteur via AP / PBS NewsHour",
    "source_url": "https://www.pbs.org/newshour/health/hantavirus-stricken-cruise-ship-docks-in-the-netherlands-for-disinfection"
  },
  {
    "date": "2026-05-15",
    "date_display": "15 May 2026",
    "event": "WHO's R&D Blueprint team and the UKHSA-led Bunyavirus Collaborative Open Research Consortium held an emergency scientific consultation on Andes virus medical countermeasures, prioritising the vaccine and antiviral R&D pipeline in response to the outbreak (WHO R&D Blueprint, 15 May).",
    "source_label": "WHO R&D Blueprint",
    "source_url": "https://www.who.int/news-room/events/detail/2026/05/15/default-calendar/emergency-scientific-consultation-on-andes-virus-medical-countermeasures-(mcm)-r-d"
  },
  {
    "date": "2026-05-19",
    "date_display": "19 May 2026",
    "event": "ECDC's 19 May daily update dropped the previously inconclusive US case (PCR-negative, no symptoms developed) and aligned the cluster total at 11 (9 confirmed, 2 probable, 3 deaths); ECDC also issued recommendations for self-quarantine for former passengers and crew (ECDC, 19 May).",
    "source_label": "ECDC",
    "source_url": "https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak"
  },
  {
    "date": "2026-05-18",
    "date_display": "18 May 2026",
    "event": "CDC issued Health Alert Network advisory HAN 529, a Health Update expanding testing guidance for clinicians beyond HAN 528 (8 May); the advisory recommends Andes virus testing for patients who were on board MV Hondius or had contact with confirmed cases and notes no confirmed Andes virus cases linked to the outbreak have been reported in the US as of 18 May.",
    "source_label": "CDC HAN 529",
    "source_url": "https://www.cdc.gov/han/php/notices/han00529.html"
  },
  {
    "date": "2026-05-19",
    "date_display": "19 May 2026",
    "event": "CDC Acting Director Dr. Jay Bhattacharya signed formal federal quarantine orders for 2 of the 18 MV Hondius passengers at Nebraska Medicine's National Quarantine Unit, under the Public Health Service Act and 42 CFR parts 70 and 71; the shift from voluntary monitoring to legally binding quarantine came after additional non-US passengers tested positive, per CDC officials, and requires all 18 passengers to remain at the Omaha facility through 31 May (CDC newsroom, 19 May).",
    "source_label": "CDC newsroom",
    "source_url": "https://www.cdc.gov/media/releases/2026/cdc-provides-update-on-hantavirus-outbreak-linked-to-m-v-hondius-cruise-ship.html"
  },
  {
    "date": "2026-05-19",
    "date_display": "19 May 2026",
    "event": "Argentine scientists from ANLIS Malbrán set 150 box traps in the forests around Ushuaia and in Tierra del Fuego National Park to test rodents for Andes virus, opening the origin investigation phase of the MV Hondius cluster; provincial health-ministry spokesperson Martín Alfaro told the Associated Press the province had never carried out such testing before and that ruling out local transmission was important; samples will be analysed at Malbrán's Buenos Aires laboratory with results expected within about a month (AP via ABC News, 19 May).",
    "source_label": "AP via ABC News",
    "source_url": "https://abcnews.com/Health/wireStory/argentines-hunting-source-hantavirus-outbreak-trap-rats-southernmost-133127464"
  },
  {
    "date": "2026-05-20",
    "date_display": "20 May 2026",
    "event": "WHO held the first 'Hantavirus in Focus' scientific webinar (13:00–14:00 CEST) bringing together WHO experts Dr. Maria Van Kerkhove (EPM Director a.i.), Dr. Diana Rojas Alvarez (Emerging Zoonosis Head a.i.) and Dr. Boris Pavlin (Health Emergency Alert & Response Team Lead) with Spain's Secretary of State for Health Javier Padilla Bernáldez and UKHSA Deputy Director Prof. Richard Amlot for surveillance updates, country perspectives and a public Q&A on the MV Hondius cluster (WHO event listing, 20 May).",
    "source_label": "WHO event",
    "source_url": "https://www.who.int/news-room/events/detail/2026/05/20/default-calendar/hantavirus-in-focus-i-what-we-know-and-what-it-means"
  },
  {
    "date": "2026-05-21",
    "date_display": "21 May 2026",
    "event": "ECDC's 21 May daily update reported no new cases or deaths since the previous update; the MV Hondius cluster held at 9 laboratory-confirmed Andes virus cases and 2 probable with 3 deaths, and EU/EEA risk stayed very low (ECDC, 21 May).",
    "source_label": "ECDC",
    "source_url": "https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak"
  },
  {
    "date": "2026-05-21",
    "date_display": "21 May 2026",
    "event": "UK universities (Liverpool, Oxford, Edinburgh, Glasgow) and UKHSA launched a clinical study of Andes hantavirus under the ISARIC Clinical Characterisation Protocol; repatriated British MV Hondius ex-passengers consented to give blood samples and clinical data for analysis at the UKHSA Rare and Imported Pathogens Laboratory and the MRC-University of Glasgow Centre for Virus Research (University of Liverpool, 21 May).",
    "source_label": "University of Liverpool",
    "source_url": "https://news.liverpool.ac.uk/2026/05/21/uk-launches-a-study-of-andes-hantavirus-using-a-pre-approved-outbreak-protocol/"
  },
  {
    "date": "2026-05-22",
    "date_display": "22 May 2026",
    "event": "ECDC's 22 May daily update (published midday) reported no new cases or deaths since the previous update; the MV Hondius cluster stood at 9 laboratory-confirmed Andes virus cases and 2 probable with 3 deaths and EU/EEA risk very low — this count predates the Dutch crew-member case confirmed later the same day (ECDC, 22 May).",
    "source_label": "ECDC",
    "source_url": "https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak"
  },
  {
    "date": "2026-05-22",
    "date_display": "22 May 2026",
    "event": "WHO DG Tedros said the MV Hondius outbreak is stabilising with no deaths since 2 May and confirmed a 12th case — a Dutch crew member who tested positive in NL quarantine (RIVM/Erasmus MC), now hospitalised in isolation as a precaution; the ship's captain Jan Dobrogowski has left the vessel symptom-free (WHO/RIVM via Al Jazeera, 22 May).",
    "source_label": "WHO/RIVM via Al Jazeera",
    "source_url": "https://www.aljazeera.com/news/2026/5/22/who-says-12th-person-infected-with-hantavirus-detected-in-the-netherlands"
  },
  {
    "date": "2026-05-24",
    "date_display": "24 May 2026",
    "event": "By its daily update of 24 May 2026, ECDC folded in the Dutch crew-member case (confirmed 22 May), bringing its tally to 10 laboratory-confirmed Andes virus cases and 2 probable (12 total) with 3 deaths; EU/EEA risk remains very low.",
    "source_label": "ECDC",
    "source_url": "https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak"
  },
  {
    "date": "2026-05-25",
    "date_display": "25 May 2026",
    "event": "ECDC's 25 May daily update reported no new cases or deaths since the Dutch crew-member case; the MV Hondius cluster held at 10 laboratory-confirmed Andes virus cases and 2 probable (12 total) with 3 deaths, and EU/EEA risk stayed very low; this midday count predated Spain's second-case announcement later the same day (ECDC, 25 May).",
    "source_label": "ECDC",
    "source_url": "https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak"
  },
  {
    "date": "2026-05-25",
    "date_display": "25 May 2026",
    "event": "Spain's Ministry of Health confirmed a second Spanish hantavirus case linked to MV Hondius: a Spanish national in preventive quarantine at Hospital Central de la Defensa Gómez Ulla, Madrid — a close contact of the initial outbreak, already isolated under medical supervision — tested positive during routine PCR testing; 12 other Spanish evacuees remained in quarantine, and health authorities said the case does not entail an increased risk to the general population. The result takes the active cluster to 11 laboratory-confirmed Andes virus cases and 2 probable (13 total) with 3 deaths; the ECDC's 24 May daily had tabulated 12 and predated the announcement (Spain Ministry of Health via Euronews / AP, 25 May).",
    "source_label": "Spain Ministry of Health via Euronews",
    "source_url": "https://www.euronews.com/health/2026/05/25/health-ministry-confirms-second-hantavirus-case-in-spain-2-patients-in-madrid-quarantine"
  },
  {
    "date": "2026-05-26",
    "date_display": "26 May 2026",
    "event": "ECDC's 26 May daily update folded the second Spanish case into its EU/EEA-facing tally, reaching 11 laboratory-confirmed Andes virus cases and 2 probable (13 total) with 3 deaths; the WHO likewise reported 11 confirmed as of 26 May, and EU/EEA risk remained very low (ECDC, 26 May; WHO via CNN, 26 May).",
    "source_label": "ECDC",
    "source_url": "https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak"
  },
  {
    "date": "2026-05-27",
    "date_display": "27 May 2026",
    "event": "WHO Director-General Tedros Adhanom Ghebreyesus said on X the MV Hondius cluster total rose to 13 after Spain's second case; the 3 deaths are unchanged (none since 2 May) and WHO called the situation stable, with sick passengers receiving care and others in quarantine (WHO via Reuters/NBC News, 27 May).",
    "source_label": "WHO via Reuters/NBC News",
    "source_url": "https://www.nbcnews.com/news/us-news/hantavirus-cases-cruise-outbreak-rise-13-new-case-spain-says-rcna347074"
  },
  {
    "date": "2026-05-26",
    "date_display": "26 May 2026",
    "event": "Oceanwide Expeditions said in a 26 May press update (16:30 CET) that the planned departure of MV Hondius from the port of Rotterdam to Vlissingen had been delayed following advice from GGD Rotterdam for additional cleaning procedures; following completion, GGD will conduct a final inspection before the vessel can depart Rotterdam, and all voyages from 13 June onwards are expected to proceed as scheduled (Oceanwide Expeditions, 26 May).",
    "source_label": "Oceanwide Expeditions",
    "source_url": "https://oceanwide-expeditions.com/press/press-update-m-v-hondius-26-may-2026-16-00-hrs-cet"
  },
  {
    "date": "2026-05-26",
    "date_display": "26 May 2026",
    "event": "UKHSA reports a further 6 individuals have left Arrowe Park Hospital on the Wirral to complete their 45-day isolation at home or in suitable accommodation; a British national previously hospitalised in the Netherlands has returned to England and will receive support with infection prevention measures in place — UKHSA stresses this is not a new case (previously confirmed by WHO on 7 May); Dr Meera Chand, UKHSA Deputy Director: 'It's important to stress that this is an existing case and the wider risk to the general public remains very low.' (UKHSA, 26 May).",
    "source_label": "UKHSA",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "date": "2026-05-22",
    "date_display": "22 May 2026",
    "event": "Spain's Public Health Commission approved a revised hantavirus quarantine protocol that allows asymptomatic contacts with negative PCR tests to spend the final 14 days of the 42-day quarantine at home with daily public-health checks, after the first 28 days in hospital isolation; 15 identified contacts are subject to the framework, 14 evacuees remain admitted at Hospital Gómez Ulla in Madrid, and the one confirmed Spanish patient stays at the high-level isolation and treatment unit until clinical recovery (Spain Public Health Commission via Euronews, 22 May).",
    "source_label": "Spain Public Health Commission via Euronews",
    "source_url": "https://www.euronews.com/health/2026/05/22/spain-allows-hantavirus-contacts-who-test-negative-to-spend-last-14-quarantine-days-at-hom"
  },
  {
    "date": "2026-05-27",
    "date_display": "27 May 2026",
    "event": "US HHS Secretary Robert F. Kennedy Jr. signed a Public Readiness and Emergency Preparedness (PREP) Act declaration for medical countermeasures against Andes virus, published in the Federal Register on 27 May (doc 2026-10539); the declaration is narrow — favipiravir, voluntary administration, possible exposure to Andes virus, and a window ending 18 July 2026 — and grants liability protection to covered manufacturers, distributors, programme planners and qualified personnel; Kennedy: 'This action helps remove barriers to research and response efforts while we continue monitoring the recent outbreak linked to the South Atlantic cruise ship.' (HHS / Federal Register, 27 May).",
    "source_label": "HHS / Federal Register",
    "source_url": "https://www.federalregister.gov/documents/2026/05/27/2026-10539/notice-of-declaration-under-the-public-readiness-and-emergency-preparedness-act-for-medical"
  },
  {
    "date": "2026-05-28",
    "date_display": "28 May 2026",
    "event": "WHO published Disease Outbreak News 2026-DON604, the fourth update on the MV Hondius cluster: 13 cases (11 laboratory-confirmed Andes virus and 2 probable) and 3 deaths (2 confirmed and 1 probable) as of 27 May, with case fatality ratio 23%; three additional confirmed cases reported since DON 601 (Canada, the Netherlands and Spain), and the inconclusive US case (Dr. Stephen Kornfeld) removed after PCR-negative confirmation. More than 600 contacts have been identified across 32 countries, territories and areas (53% high-risk, 47% low-risk) as of 22 May, either under close monitoring or self-monitoring; high-risk contacts are quarantined and monitored by local health authorities in their respective countries or in the Netherlands. WHO estimates the effective reproduction number Rt at 0.7 as of 22 May, indicating declining transmission, and reaffirms public-health risk as moderate for those on board and low at the global level (WHO DON 604, 28 May).",
    "source_label": "WHO DON 604",
    "source_url": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON604"
  },
  {
    "date": "2026-05-30",
    "date_display": "30 May 2026",
    "event": "On 29 May the GGD Rotterdam-Rijnmond conducted its final inspection of MV Hondius and on 30 May cleared the vessel to return to service, finding it effectively cleaned and disinfected with no public-health objections; Oceanwide Expeditions said its EWS Group contractor had completed deep cleaning of all eight decks and that the ship will transit to Longyearbyen, Svalbard on 6 June ahead of its first post-outbreak voyage on 13 June (Oceanwide Expeditions, 1 June; NL Times, 31 May).",
    "source_label": "Oceanwide Expeditions",
    "source_url": "https://oceanwide-expeditions.com/press/press-update-1-june-2026-13-00-hrs-cet"
  },
  {
    "date": "2026-06-01",
    "date_display": "1 Jun 2026",
    "event": "On 1 June 2026, after the federal quarantine-order period ended, the US CDC let asymptomatic MV Hondius passengers who had not tested positive finish the 42-day quarantine (ending 22 June) at home under monitoring; 5 of the 18 left the Omaha National Quarantine Unit that day and 13 remained, with states posting law enforcement or public-health staff outside the released passengers' homes (CDC via NBC News, 1 June).",
    "source_label": "NBC News",
    "source_url": "https://www.nbcnews.com/health/health-news/hantavirus-cruise-ship-passengers-quarantine-new-york-california-cdc-rcna347843"
  },
  {
    "date": "2026-06-02",
    "date_display": "2 Jun 2026",
    "event": "UKHSA reduced the UK self-isolation period for contacts of confirmed Andes hantavirus cases from 45 to 42 days in line with WHO guidance and said UK treatment stocks had been bolstered by the antiviral favipiravir supplied by Japan (UKHSA, 2 June).",
    "source_label": "UKHSA",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "date": "2026-06-03",
    "date_display": "3 Jun 2026",
    "event": "RIVM reported that a person in Dutch home quarantine who returned a weak positive signal later tested clearly negative and remained asymptomatic; RIVM does not count the person as a patient and the Netherlands case tally is unchanged (RIVM, 3 June).",
    "source_label": "RIVM",
    "source_url": "https://www.rivm.nl/en/hantavirus/current-information"
  },
  {
    "date": "2026-06-05",
    "date_display": "5 Jun 2026",
    "event": "Argentina expanded its hantavirus origin investigation to a second province: ANLIS Malbrán scientists, joined by US CDC experts, will trap and test rodents in Malargüe, Mendoza from 8 to 12 June, a region selected on ecological and eco-epidemiological criteria and through which the Dutch couple who died had travelled before boarding MV Hondius. The more than 100 rodents trapped around Ushuaia and in Tierra del Fuego in May remain under analysis at Malbrán's Buenos Aires laboratory, with results possibly a month away; Malbrán head Claudia Perandones noted Tierra del Fuego has recorded no hantavirus in 30 years of mandatory reporting (AP via ABC News, 5 June).",
    "source_label": "AP via ABC News",
    "source_url": "https://abcnews.com/Health/wireStory/argentina-expands-hantavirus-probe-sending-teams-trap-test-133634821"
  },
  {
    "date": "2026-06-09",
    "date_display": "9 Jun 2026",
    "event": "Three more US MV Hondius passengers left Nebraska Medicine's National Quarantine Unit on 9 June to finish the 42-day monitoring at home; 10 remain at the Omaha unit and 8 are now home, all symptom-free with no US positives (Nebraska Medicine and CDC via WOWT, 9 June).",
    "source_label": "Nebraska Medicine / CDC via WOWT",
    "source_url": "https://www.wowt.com/2026/06/09/hantavirus-update-three-more-cruise-passengers-leave-omaha-quarantine-unit/"
  },
  {
    "date": "2026-06-11",
    "date_display": "11 Jun 2026",
    "event": "UKHSA laboratories confirmed a positive hantavirus result for the British national on Tristan da Cunha — previously a WHO probable case linked to MV Hondius — reclassifying the case as laboratory-confirmed; the person is clinically well at home and UKHSA stressed this confirms an existing case, not a new infection. The ECDC's 11 June daily update folded the reclassification into its EU/EEA-facing tally, reaching 12 laboratory-confirmed Andes virus cases and 1 probable (13 total) with 3 deaths; EU/EEA risk remained very low (UKHSA, 10 Jun; ECDC, 11 Jun).",
    "source_label": "UKHSA / ECDC",
    "source_url": "https://www.gov.uk/government/news/ukhsa-update-on-the-hantavirus-cruise-ship-outbreak"
  },
  {
    "date": "2026-06-11",
    "date_display": "11 Jun 2026",
    "event": "By 11 June, 10 of the 18 US MV Hondius passengers had left Nebraska Medicine's National Quarantine Unit to finish the 42-day monitoring (ending 22 June) at home and 8 remained in Omaha, all symptom-free with no US positives. Florida health officials said they would not impose the round-the-clock home surveillance the CDC requires, leaving 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 (CDC situation summary, 11 Jun; NBC News, 11 Jun).",
    "source_label": "NBC News / CDC",
    "source_url": "https://www.nbcnews.com/health/health-news/hantavirus-cruise-passenger-quarantine-cdc-florida-health-officials-rcna349594"
  },
  {
    "date": "2026-06-12",
    "date_display": "12 Jun 2026",
    "event": "The WHO announced that 21 countries launched NAVIS, a coordinated Andes virus natural-history study prompted by the MV Hondius outbreak; using harmonised protocols across participating countries, it studies ANDV transmission dynamics, incubation period, immune response, viral kinetics and determinants of severe disease, and is coordinated by ANRS Emerging Infectious Diseases (ANRS-MIE) under the EU-funded BE READY initiative. WHO Chief Scientist Sylvie Briand: \"Scientific evidence generation during outbreaks must become operational, coordinated, and immediately deployable\" (WHO, 12 Jun).",
    "source_label": "WHO",
    "source_url": "https://www.who.int/news/item/12-06-2026-twenty-one-countries-launch-coordinated-andes-virus-research-initiative-following-hantavirus-outbreak"
  },
  {
    "date": "2026-06-13",
    "date_display": "13 Jun 2026",
    "event": "MV Hondius returned to passenger service after the outbreak: its first post-outbreak voyage departed Longyearbyen, Svalbard on 13 June with 137 passengers on a seven-day Arctic expedition, a doctor aboard as an added precaution following the ship's Rotterdam disinfection (NL Times, 12 June).",
    "source_label": "NL Times",
    "source_url": "https://nltimes.nl/2026/06/12/dutch-expedition-ship-hondius-resumes-cruises-fatal-hantavirus-outbreak"
  },
  {
    "date": "2026-06-16",
    "date_display": "16 Jun 2026",
    "event": "US HHS Secretary Robert F. Kennedy Jr. signed an order keeping Florida MV Hondius passenger Angela Perryman, 47, in federal quarantine at Nebraska Medicine's National Quarantine Unit in Omaha, overruling CDC quarantine medical reviewer Dr. Michael Bell, whose 11 June review had recommended rescinding the order to let her finish the 42-day monitoring (ending 22 June) at home; the dispute turns on whether Florida's once-daily telehealth monitoring meets CDC standards, and Perryman has tested negative with no symptoms (CNN, 16 June).",
    "source_label": "CNN",
    "source_url": "https://www.cnn.com/2026/06/16/health/hantavirus-quarantine-rfk-angela-perryman"
  },
  {
    "date": "2026-06-17",
    "date_display": "17 Jun 2026",
    "event": "The ECDC refreshed its Andes hantavirus outbreak page on 17 June, restating 12 laboratory-confirmed Andes virus cases and 1 probable (13 total) with 3 deaths, noting that some identified contacts had completed quarantine and others were expected to in the following days, and reaffirming the likelihood of additional related cases and the EU/EEA risk to the general population as very low (ECDC, 17 June).",
    "source_label": "ECDC",
    "source_url": "https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak"
  },
  {
    "date": "2026-06-18",
    "date_display": "18 Jun 2026",
    "event": "The WHO said almost all MV Hondius passengers and crew had completed their 42-day quarantine, which had begun on 6 May; the Netherlands' RIVM said every person was re-tested for Andes virus before release and all results were negative, with one close contact of a hospitalised patient remaining in quarantine. WHO Director-General Tedros Adhanom Ghebreyesus announced the clearance, and AFP reported the situation remains stable with no new cases or deaths since 2 May (RIVM and WHO via AFP / France 24, 18 June).",
    "source_label": "RIVM and WHO via AFP / France 24",
    "source_url": "https://www.france24.com/en/live-news/20260618-quarantine-over-for-almost-all-hantavirus-ship-passengers-crew"
  },
  {
    "date": "2026-06-18",
    "date_display": "18 Jun 2026",
    "event": "The US CDC situation summary, updated 18 June, reported that 6 of the 18 MV Hondius passengers repatriated to Nebraska Medicine's National Quarantine Unit in Omaha remained at the facility and 12 had returned home to complete monitoring, all symptom-free; a separate group of earlier-disembarked travellers had finished a 42-day monitoring period on 6 June with no cases. The CDC reaffirmed that no Andes virus cases have been confirmed in the United States from the outbreak and that the overall US risk remains extremely low; the 42-day window for the Nebraska group ends 21 June (CDC, 18 June).",
    "source_label": "CDC situation summary",
    "source_url": "https://www.cdc.gov/hantavirus/situation-summary/index.html"
  },
  {
    "date": "2026-06-21",
    "date_display": "21 Jun 2026",
    "event": "On 21 June 2026 all US passengers potentially exposed aboard MV Hondius completed their 42-day monitoring period with no cases detected, ending the US arm of the outbreak response; the last group left Nebraska Medicine's National Quarantine Unit in Omaha, among them Florida passenger Angela Perryman, who had been held under HHS Secretary Robert F. Kennedy Jr.'s federal quarantine order until it lapsed at the close of monitoring. The CDC reported no Andes virus cases in the United States and reaffirmed US risk as extremely low (CDC situation summary, 22 June; AP via ABC News, 22 June).",
    "source_label": "CDC situation summary / AP via ABC News",
    "source_url": "https://abcnews.com/US/wireStory/quarantine-end-hantavirus-ship-passengers-nebraska-134107278"
  },
  {
    "date": "2026-06-23",
    "date_display": "23 Jun 2026",
    "event": "The US Department of Health and Human Services announced the successful conclusion of the federal public health response to the MV Hondius hantavirus exposure event; the final 42-day monitoring period had ended on 21 June at 2 p.m. EDT with no individuals remaining under observation and no US cases. HHS Secretary Robert F. Kennedy Jr. said no sustained transmission of Andes virus occurred in the United States and that all monitoring activities related to the event had been completed (HHS via Al Jazeera, 24 June).",
    "source_label": "HHS via Al Jazeera",
    "source_url": "https://www.aljazeera.com/news/2026/6/24/us-public-health-agency-concludes-hantavirus-response-as-outbreak-eases"
  },
  {
    "date": "2026-06-24",
    "date_display": "24 Jun 2026",
    "event": "WHO Director-General Tedros Adhanom Ghebreyesus said the MV Hondius hantavirus outbreak should be formally declared over on 2 July: the cluster remains at 13 cases with 3 deaths, more than 650 contacts have been identified across 33 countries and territories since the outbreak was reported on 2 May, and all but 54 contacts have completed their quarantine, with the remainder scheduled to finish by 2 July; if no further cases are reported by that date, the WHO will consider the outbreak to have ended (WHO via Euronews, 24 June).",
    "source_label": "WHO via Euronews",
    "source_url": "https://www.euronews.com/health/2026/06/24/deadly-hantavirus-outbreak-should-end-on-2-july-who-says"
  },
  {
    "date": "2026-07-02",
    "date_display": "2 Jul 2026",
    "event": "The WHO declared the MV Hondius hantavirus outbreak over in Disease Outbreak News 2026-DON611: with no further cases reported since 25 May, the ANDV cluster closed at 13 cases (12 laboratory-confirmed and 1 probable) and 3 deaths (case fatality ratio 23%), and the WHO said the outbreak 'no longer poses a public health risk and no further related transmission is expected'. Of the cluster's hospitalised cases, eight had recovered and been discharged while two, one in South Africa and one in France, remained in hospital; 317 high-risk and 336 low-risk contacts across 33 countries and territories had completed monitoring and quarantine (WHO DON 611, 2 July).",
    "source_label": "WHO DON 611",
    "source_url": "https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON611"
  }
]