Overview

Advisory — Granadilla Port, Tenerife

MV Hondius docks at Granadilla Port ~05:30 local. 147 onboard transferred to a military hospital for individual rooms, PCR on arrival and again at day 7 before repatriation. Aggregate at docking: 8 cases (6 confirmed + 2 probable), 3 deaths; 6 EU + 4 non-EU repatriation flights scheduled.

Advisory — Tenerife (Santa Cruz)

WHO Director-General arrives Tenerife to oversee disembarkation; Spain coordinates evacuation flights with 22 countries (6 EU + 4 non-EU).

Advisory — Atlanta (CDC HAN 528)

CDC issues HAN00528 and activates a Level 3 emergency response; deploys epidemiologists to Tenerife and Offutt AFB (Omaha). Five U.S. states (GA, TX, VA, AZ, CA) monitor disembarked passengers. Risk to U.S. public assessed as extremely low.

New case — Alicante

Spanish KL592 passenger (sat two rows behind Case 2) symptomatic and hospitalized in Alicante.

New case — London (UKHSA)

Second British KL592 passenger tests positive. UKHSA confirms all 30 Saint Helena disembarks identified and contact-traced.

New case — Edinburgh of the Seven Seas

British resident hospitalized on Tristan da Cunha as suspected case after the Apr 13–15 ship visit; spouse isolating.

New case — Radboud UMC, Nijmegen

Dutch national (41, ship's doctor) reaches Radboudumc after the air ambulance diverted to Gran Canaria for life-support failure; tests positive for Andes virus.

New case — Amsterdam (GGD Kennemerland)

KLM KL592 flight attendant who escorted Case 2 hospitalized in Amsterdam on suspicion; PCR returns negative on May 8.

New case — Leiden University Medical Center

British ex-police officer (56) air-ambulanced from MV Hondius to LUMC isolation unit.

New case — Düsseldorf

65-yo German national air-ambulanced from MV Hondius to a Düsseldorf hospital.

New case — Zürich

Saint Helena disembark (adult male) hospitalized in Zürich; PCR confirms Andes virus.

Advisory — Dakar (Institut Pasteur)

Gene sequencing confirms Andes hantavirus as the outbreak strain.

Advisory — Praia (offshore)

Ship anchors off Praia. Cape Verdean authorities deploy medical supplies; specimens forwarded to Institut Pasteur de Dakar and South Africa's NICD for sequencing.

Fatal case confirmed — MV Hondius (at sea)

Case 4 (German woman) dies onboard with pneumonia. WHO formally notified of the cruise-ship cluster; body remains aboard.

New case — Georgetown

Case 3 (British male, febrile pneumonia) medically evacuated from Ascension to Johannesburg ICU; PCR-confirmed Andes virus on May 2.

Fatal case confirmed — Johannesburg (OR Tambo)

Case 2 boards KLM KL592 (Johannesburg → Amsterdam) but is removed from the aircraft before takeoff and dies at OR Tambo emergency department; PCR-confirmed Andes virus on May 4. NICD opens flight contact-tracing for KL592 and the Apr 25 Airlink flight (82 passengers + 6 crew).

New case — Jamestown

Saint Helena port call: body of Case 1 finally removed (13 days post-death); 30–40 passengers disembark across 12 countries. One adult male disembark later hospitalized in Zürich (May 5).

New case — Jamestown

Case 2 (69-yo wife of index case) disembarks Saint Helena and boards an Airlink flight to Johannesburg en route home; deteriorates during the connection.

Advisory — Edinburgh of the Seven Seas

Scheduled port call (13–15 Apr); passengers and crew interact with island residents. No outbreak identified at the time.

Fatal case confirmed — MV Hondius (at sea, Scotia Sea)

Index case (Case 1) dies onboard after febrile illness with rapid respiratory deterioration; death initially attributed to natural causes; body retained on the vessel.

New case — Ushuaia

MV Hondius (Dutch-flagged, 147 onboard from 23 countries) departs Ushuaia for an Antarctic / South Atlantic voyage. Index case (70-yo Dutch man) probably exposed during prior road trip in Argentina, Chile and Uruguay.