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Fears of more virus cases after 3 die, Brit critical on cruise ship

Passengers on a cruise ship are trapped at sea after three people died and a British man was left fighting for his life following the outbreak of a rat-borne virus.

The World Health Organisation (WHO) confirmed six suspected cases of a hantavirus infection on the MV Hondius, travelling from Ushuaia in Argentina to Cape Verde in Africa.

A 70-year-old passenger was the first to die followed by his 69-year-old wife. They are both Dutch nationals.

A 69-year-old British man was taken to Johannesburg, South Africa, where he is being treated in intensive care.

The body of the third person to die was last night said to be still on board the ship.  

The WHO said last night that it was ‘aware of the cases of severe acute respiratory illness on a cruise ship sailing in the Atlantic’.

It confirmed three passengers had died onboard – with the British man confirmed as the victim of a hantavirus infection – and said it was investigating six suspected cases in total.

Passengers have now told of their hell trapped on the ship – after being ordered to stay on board while ‘awaiting approval’ to disembark.

A letter distributed to customers from cruise company Oceanwide Expeditions yesterday, seen by the Daily Mail, informed them it was ‘awaiting approval’ for passengers to leave the ship.

A British man was taken to intensive care after the virus spread on board the MV Hondius, travelling from Ushuaia in Argentina to Cape Verde in Africa

A British man was taken to intensive care after the virus spread on board the MV Hondius, travelling from Ushuaia in Argentina to Cape Verde in Africa

A letter distributed to customers from cruise company Oceanwide Expeditions, seen by the Daily Mail, informed them it was 'awaiting approval' for passengers to leave the ship

A letter distributed to customers from cruise company Oceanwide Expeditions, seen by the Daily Mail, informed them it was ‘awaiting approval’ for passengers to leave the ship

The letter said: ‘As you are aware, we are responding to several cases of an unidentified virus.

‘We regret to share that, overnight, a guest presenting severe symptoms has passed away.

‘We are currently anchored offshore of Cape Verde and awaiting approval from the Cape Verde authorities to disembark, with priority given to those who require immediate medical care.

‘At this stage, we do not have authorisation from the Cape Verde authorities to disembark.’

The letter went on to advise that all those onboard continue to ‘follow best practices, wear face masks, maintain distancing, and, where possible, minimise contact with fellow guests’.

It added: ‘Please remain assured that we are applying pressure through all available channels, including at the diplomatic level, to provide urgent care to individuals presenting severe symptoms and to ensure all guests aboard can be properly supported within an adequate health screening process.’

One passenger, who wished to remain anonymous, told the Daily Mail: ‘We have not heard from Oceanwide at all. We still have friends on the ship.’

Last year, prices for a full trip on the vessel were between €12,500 for a bed in a shared cabin with other passengers and €40,000 (£35,000, $48,000) for the most luxurious private cabin.

Speaking on social media, a Turkish passenger on the ship said his 'Irish friend' was receiving treatment in South Africa - but that fortunately, his condition was 'improving'

Speaking on social media, a Turkish passenger on the ship said his ‘Irish friend’ was receiving treatment in South Africa – but that fortunately, his condition was ‘improving’

The ship has 80 cabins on board, which can carry up to 170 passengers and 57 crew members

The ship has 80 cabins on board, which can carry up to 170 passengers and 57 crew members

A seating area pictured on board the MV Hondius ship, where passengers remain docked off the coast of Cape Verde

A seating area pictured on board the MV Hondius ship, where passengers remain docked off the coast of Cape Verde

Passengers have been ordered to stay on board while 'awaiting approval' to disembark

Passengers have been ordered to stay on board while ‘awaiting approval’ to disembark

What are hantaviruses?

Hantaviruses are typically spread by rodents (file image)

Hantaviruses are typically spread by rodents (file image)

Hantaviruses are a family of viruses which can cause serious illnesses and death.

They are typically spread by rodents and are not normally spread person-to-person.

The viruses can cause two syndromes – hantavirus pulmonary syndrome (HPS) and haemorrhagic fever with renal syndrome (HFRS).

Early symptoms of HPS include fatigue, fever and muscle aches.

Intensive headaches, back pain, nausea and blurred vision are symptoms of HFRS.

Minimising contact with rodents at home, in the workplace, or in a campsite can help reduce the risk of exposure to hantaviruses.

A map shows the ship’s route starting at Ushuaia and passing by South Georgia and St Helena before reaching its final destination at Cape Verde. 

Hantaviruses – a family of viruses – are spread by rodents, in particular through contact with their urine, droppings and saliva.

They are not usually spread person-to-person and are typically only transferred via bodily fluids and close contact.

As of last night, the WHO had confirmed one case of hantavirus infection and was investigating five additional suspected cases.

A spokesman said: ‘Of the six affected individuals, three have died and one is currently in intensive care in South Africa.

‘Investigations and a coordinated international public health response is underway. We will share more information as it becomes available.’

Laboratory testing and epidemiological investigations are now taking place – with medical care and support provided to passengers and crew.

The WHO confirmed ‘sequencing of the virus’ – to understand transmission and mutations – is also ongoing.

A source close to the case said the provisional toll was three dead, including a Dutch couple.

Speaking anonymously yesterday, they added discussions were taking place to decide whether two sick passengers should be placed in isolation in hospital in Cape Verde.

They said the ship would then continue to the Canary Islands. The vessel is currently 1,000 miles away from the Spanish archipelago. 

South Africa’s department of health confirmed a British tourist is being treated in a private health facility in Sandton, Johannesburg – adding that his laboratory test results had come back positive for a hantavirus infection.

Speaking on social media, a Turkish passenger on the ship said his ‘Irish friend’ was receiving treatment in South Africa – but that, fortunately, his condition was ‘improving’.

He wrote: ‘Normally, human-to-human transmission is not common. However, we are in a very complicated situation. Please keep us in your thoughts.

‘We will complete this ocean crossing. Since we are not allowed to go ashore in Cape Verde, most likely we will head to the Canary Islands. We hope to be in good condition there.’ 

The South African Department of Health said the Dutch male passenger suffered fever, headache, abdominal pain and diarrhoea, and died in St Helena while his wife was taken to hospital in Kempton Park, near Johannesburg, after collapsing at an airport.

According to several online ship-tracking sites, the MV Hondius was yesterday just off the port of Praia, the capital of Cape Verde.

The vessel can accommodate around 170 passengers and has some 70 crew members.

The Foreign Office told the Daily Mail: ‘We are closely monitoring reports of a potential hantavirus outbreak on the cruise ship Hondius and stand ready to support British nationals if needed.

‘We are in touch with the cruise company and local authorities.’

Hantaviruses are known to cause a range of diseases in humans ranging from mild, flu-like illness to severe respiratory illness or haemorrhagic disease.

Early symptoms can include fatigue, fever, muscle aches and intensive headaches.

The risk of contracting the illness can be reduced through minimising contact with rodents.

Oceanwide Expeditions has been contacted for comment. 

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