The ship was held off the coast of Cabo Verde while an international evacuation operation was organised . By mid-May, passengers had disembarked in Tenerife and were repatriated to their home countries
. The last new case was reported on 25 May 2026; no further cases emerged after this date
.
On 22 June 2026, WHO issued an updated rapid risk assessment concluding that the outbreak was contained . On 2 July 2026, WHO Director-General Tedros Adhanom Ghebreyesus formally declared the outbreak over after the final close contact was released from quarantine
.
The outbreak resulted in 13 total cases — 12 laboratory-confirmed for Andes virus infection and 1 probable case — and 3 deaths, all among individuals who had travelled on the MV Hondius . The case fatality ratio was 23%
.
The pathogen was Andes hantavirus (ANDV), a species of orthohantavirus native to South America . Andes virus is the only hantavirus known to be capable of sustained human-to-human transmission, occurring via respiratory droplets and prolonged close contact with symptomatic patients
. Most other hantaviruses are transmitted only from rodents to humans.
WHO's working hypothesis, supported by genomic analysis, is that the first two cases likely acquired the infection prior to boarding — those individuals had travelled extensively in Argentina, Chile, and Uruguay, where Andes virus is endemic, before joining the cruise . The virus then spread among passengers and crew on the ship through human-to-human transmission, likely facilitated by the confined ship environment
. Importantly, all confirmed cases were among individuals who travelled on the MV Hondius; there was no documented onward community spread
.
The ship carried passengers and crew from 23 countries (including 9 EU/EEA countries), but the response ultimately spanned 33 countries and territories worldwide . Health authorities identified and monitored more than 650 contacts across these jurisdictions
. At the peak, 161 contacts were under active follow-up; by late June, 54 contacts remained in quarantine, all of whom were released by 2 July after testing negative
. The coordinated effort involved repatriation flights, quarantine facilities, diagnostic testing, and contact tracing led by national public health agencies with WHO coordination
.
Key caveat: The figure of 33 countries refers to jurisdictions involved in the contact tracing and public health response — i.e., countries where contacts were identified and monitored — not necessarily countries with confirmed cases . The ship itself had passengers from 23 countries.
Andes virus causes hantavirus pulmonary syndrome (HPS), which has a high case-fatality rate and currently has no licensed vaccine or specific antiviral therapy . A PubMed review published on 31 May 2026 notes that ANDV is the only hantavirus capable of sustained human-to-human transmission, highlighting the need for continued research into transmission dynamics and countermeasures
. The ANRS (French research agency) launched a dedicated "Hantavirus Outbreak Response Unit" to coordinate research on the MV Hondius strain, including molecular epidemiology and clinical data collection
. No specific information on the status of vaccine candidates, therapeutic trials, or diagnostic advances was captured in the outbreak-focused sources searched. This remains an area where the evidence is insufficient to provide a current update.