Hantavirus outbreak map
Live tracker of countries with confirmed cases, suspected cases, or contacts under monitoring.
As of 22 Jun 2026 · 22:19 UTC, confirmed cases are limited to passengers and contacts of one cruise ship. The interactive world map below shows the locations of those cases and of contacts currently under monitoring.
Outbreak totals
Confirmed cases
- South Africa — 2 lab-confirmed cases at the National Institute for Communicable Diseases; one death in a Johannesburg clinic (26 Apr) and one survivor in Johannesburg ICU. 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 spokesperson Foster Mohale (Health-e News, 12 May).
- Netherlands — 4 confirmed cases: 2 confirmed survivors medically evacuated; 1 confirmed death on board (2 May), attributed to Netherlands as ship flag state; and 1 Dutch crew member who tested positive on 22 May while in quarantine in the Netherlands (RIVM and Erasmus MC; announced by WHO), now hospitalised in isolation as a precaution. MV Hondius concluded its voyage at the port of Rotterdam on 18 May 2026 for decontamination; crew entered Dutch quarantine and captain Jan Dobrogowski has since left the ship symptom-free (RIVM/WHO, 22 May; Irish Times via AFP, 18 May). On 30 May the GGD Rotterdam-Rijnmond declared the vessel disinfected and cleared it to return to service; 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 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).
- Switzerland — 1 confirmed case after disembarkation.
- France — 1 confirmed case: French evacuee from MV Hondius tested positive for hantavirus (French Health Minister Stéphanie Rist, 11 May); patient — a woman in her 60s with asthma and comorbidities — is critically ill with life-threatening lung and heart problems and has been placed on extracorporeal membrane oxygenation (ECMO) at Bichat Hospital, Paris, in what Dr. Xavier Lescure called "the final stage of supportive care" (Associated Press via SCMP, 12 May); four other French evacuees tested negative; 22 contact cases traced on flights with hospital-based 42-day isolation.
- Spain — 2 confirmed cases: a Spanish national evacuated from MV Hondius tested positive at Hospital Central de la Defensa Gómez Ulla in Madrid and began showing compatible symptoms in the early hours of 12 May (Spain Health Minister Mónica García, 11 May provisional → 12 May confirmed via Euronews; carried into the WHO 13 May DON 601 tally of 8 lab-confirmed cases). On 25 May a second Spanish national, a close contact already isolated at Gómez Ulla, tested positive on routine PCR testing; 12 other Spanish evacuees remain in quarantine (Spain Ministry of Health via Euronews, 25 May).
- Canada — 1 confirmed case: a Yukon resident among the four MV Hondius passengers isolating in Victoria, British Columbia developed mild symptoms on 14 May, returned a presumptive-positive Andes virus result on 16 May (B.C. Provincial Health Officer Dr. Bonnie Henry), and was lab-confirmed by the Public Health Agency of Canada's National Microbiology Laboratory in Winnipeg; the patient's travelling partner tested negative. ECDC classified the case as confirmed and carried it through its 19 May daily update (RTÉ / PHAC, 17–18 May).
- Saint Helena & Tristan da Cunha — 1 confirmed case: a British national on Tristan da Cunha (exposed during the MV Hondius call at the island 13–15 April), 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 and UKHSA stresses this confirms an existing case, not a new infection (UKHSA, 10 June). The ECDC carried the reclassification into its 11 June daily tally (12 confirmed, 1 probable). UK military airdropped medical supplies and clinicians on Tristan da Cunha on 10 May.
Deaths
- On board the MV Hondius — 3 deaths during the voyage between 11 April and 2 May; 2 confirmed Andes virus deaths (including 2 May) and 1 probable (index case, 11 April, no laboratory samples obtained before death) (WHO DON 600).
- Johannesburg (one of the deaths above) — spouse of the first deceased died after disembarking in Saint Helena and being transferred to a Johannesburg hospital.
Contacts under monitoring
- Germany — 1 national died on board MV Hondius 2 May 2026; confirmed Andes virus case per WHO DON 600 (8 May 2026); death attributed to Netherlands (ship flag state) in WHO accounting.
- Singapore — 2 residents isolated at the National Centre for Infectious Diseases; both tested negative for hantavirus (CDA, 8 May); remain in 30-day quarantine per CDA protocol.
- Canada — beyond the confirmed Yukon case listed under Confirmed cases above, the other MV Hondius passengers from the Victoria, B.C. cohort remain in isolation (minimum 21 days, extendable to 42; BC PHO Dr. Bonnie Henry via CBC News, 11 May). 3 earlier Canadian flight contacts continue self-isolating in Ontario and Quebec (PHAC, 8 May). Chief Public Health Officer Dr. Joss Reimer announced 26 additional "low-risk" contacts from the St Helena–Johannesburg and Johannesburg–Amsterdam flights, not asked to self-isolate by federal officials; PHAC says the overall risk in Canada remains low (CTV News, 14 May; PHAC, 17 May).
- United Kingdom — 20 British nationals, 1 German UK resident, and 1 Japanese passenger arrived at Arrowe Park Hospital, Wirral, on 11 May for 72-hour assessment; all asymptomatic; 45-day home isolation follows (UKHSA, 11 May). 7 evacuees have since been released from Arrowe Park to home isolation; 9 asymptomatic Saint Helena and Ascension Island contacts due in the UK on Sunday 17 May for transfer to Arrowe Park; 1 symptomatic Ascension Island medic (samples negative) has safely arrived at the Guy's and St Thomas' HCID unit (UKHSA, 16 May). UKHSA confirms 2 British nationals with confirmed hantavirus (hospitalised in South Africa and Netherlands). On 2 June UKHSA reduced the UK contact self-isolation period to 42 days (from 45) in line with WHO guidance and said UK treatment stocks were bolstered by the antiviral favipiravir supplied by Japan (UKHSA, 2 June).
- United States — no cases. The previously WHO-classified inconclusive US case — Dr. Stephen Kornfeld, a 69-year-old retired oncologist from Bend, Oregon, who helped care for ill passengers on board MV Hondius — was confirmed negative; his initial overseas test was inconclusive (one negative, one positive on a nasal swab in the Netherlands, per CDC incident manager Dr. David Fitter), confirmatory PCR in Nebraska returned negative, and on 15 May WHO removed the case from the cluster count, lowering the global total from 11 to 10 (WHO via Al Jazeera, 15 May; CNN, 13–14 May). The second American evacuee at Emory University Hospital's Serious Communicable Diseases Unit in Atlanta — who had been transferred for mild symptoms — tested negative per HHS official Matthew Ferreira (HHS via ABC News, 12 May); the asymptomatic close-contact partner remains under monitoring at Emory. 41 people under US monitoring per CDC incident manager Dr. David Fitter (CDC briefing, 15 May): 18 cruise repatriates at Nebraska Medicine's National Quarantine Unit (the 2 Emory University Hospital Atlanta evacuees transferred there 15 May; Emory cleared) + 7 former MV Hondius passengers who departed before the outbreak was declared + 16 people exposed during travel (including on flights). State-level contact monitoring earlier in the week named residents in NY (3), MD (2), NJ (2), KS (3), King County WA (3), and MN (1) (state health departments, 8–12 May). 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 (42 CFR parts 70 and 71), requiring them to remain at the Omaha facility through 31 May after additional non-US passengers tested positive (CDC, 19 May); CDC also issued Health Alert Network advisory HAN 529 on 18 May with expanded clinical testing guidance (CDC HAN 529). No US positives. CDC advises those under monitoring to stay home and avoid people for 42 days. CDC EOC Level 3; more than 100 CDC staff on the response. On 1 June, the CDC let asymptomatic Nebraska passengers who had not tested positive finish the 42-day quarantine (ending 22 June) at home under law-enforcement-monitored isolation; 5 of the 18 left Omaha that day and 13 remained (CDC via NBC News, 1 June); by 11 June, 10 of the 18 had left the Omaha unit to finish the 42-day monitoring (ending 22 June) at home and 8 remained, all symptom-free with no US positives (CDC situation summary, 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, unable to leave the Omaha unit (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 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, including Perryman under the federal order, all symptom-free with no US positives. On 21 June all US passengers completed the 42-day monitoring period with no cases detected and the last group left the Omaha unit, including Angela Perryman after HHS Secretary Robert F. Kennedy Jr.'s federal order lapsed at the close of monitoring; the CDC reaffirmed US risk as extremely low (CDC situation summary, 22 June; CNN, 16 June).
- Spain — two earlier flight contacts under monitoring (Alicante, Catalonia); both tested negative by PCR for hantavirus (Spain Ministry of Health, 9 May). The separate Spanish nationals hospitalised at Gómez Ulla in Madrid are listed under Confirmed cases above.
- Italy — 4 people under Italian Health Ministry monitoring (a Calabrian man on the 25 April KLM flight with the deceased Dutch passenger, an Argentine tourist who arrived from endemic regions on 30 April, plus a British tourist in Milan and their traveling companion as precautionary cases); all four tested negative for hantavirus (Italian Health Ministry via Reuters, 13 May); 42-day tele-monitoring continues per WHO guidance.
- Australia — 6 MV Hondius passengers (4 Australians, 1 Briton resident in Australia, 1 New Zealander) arrived at RAAF Base Pearce near Perth on 15 May after a charter flight from the Netherlands; all six tested PCR-negative pre-flight and travelled in full PPE; minimum 3-week quarantine at a 500-bed facility adjacent to the base; Health Minister Mark Butler calls the arrangement "one of the strongest quarantine arrangements in response to this hantavirus outbreak you will find anywhere in the world" (AP via ABC News, 15 May).
Endemic regions (background)
The Andes virus is endemic in southern South America: Argentina, Chile, with detections in Uruguay, Paraguay, and Bolivia. Other hantavirus strains are endemic across the Americas, Europe, and Asia. The natural rodent reservoir of Andes virus is not present in Europe, North America, or Asia (ECDC, 6 May 2026).
Notes on the world map
This live hantavirus map colours countries by severity: red for confirmed cases, yellow for suspected cases, light grey for contacts under monitoring without confirmed cases. Tap or click any bubble to see the country name, case counts, and the source.
Latest news
- France 24 Quarantine over for almost all hantavirus ship passengers, crew
- CNN RFK Jr. orders passenger from hantavirus-stricken cruise to remain in quarantine in Nebraska, despite CDC recommendation
- NL Times Dutch expedition ship Hondius resumes cruises after fatal hantavirus outbreak