Gh_ID,Pathogen_name,Case_status,WHO_case number,Location_Admin 0,Location_Admin 1,Location_Admin 2,Location_Admin 3,Age,Gender,Nationality,Occupation,Cruise_crew,Cruise_passenger guest,Symptoms,Date_onset,Date_confirmation,Hospitalised,Date_hospitalisation,Intensive_care,Date_intensive care,Isolated,Date_isolation,Outcome,Date_death,Death_cause,Contact_with_case,Contact_GhID,Contact_setting,Contact_comment,Ship_board date,Ship_disembark location,Ship_disembark date,Travel_history,Travel_from,Travel_to,Travel_flight,Travel_comment,Confirmation_method,Confirmation_comment,accession_id,Source_I,Source_II,Source_III,Source_IV
1,Hantavirus,probable,Case 1,Other*,,,,70-74,male,Dutch,ornithologist,N,Y,"fever, headache, mild diarrhea, later dizziness, tachycardia, tachypnoea, clinical deterioration",4/3/2026,NA,N,,,,,,death,4/11/2026,respiratory distress,Y,2,,"Husband (ID1), Wife (ID2)",4/1/2026,Saint Helena,4/24/2026,N,NA,NA,NA,"Epidemiological investigations traced the travel history of the first two cases, a couple who had spent approximately five months birdwatching across South America. They also visited a municipal landfill located approximately four miles outside Ushuaia known for birdwatching.",,,,https://www.theguardian.com/world/2026/may/07/global-race-under-way-to-trace-passengers-who-left-hantavirus-ship-before-outbreak-confirmed,https://www.who.int/publications/m/item/who-rapid-risk-assessment---hantavirus-outbreak-caused-by-andes-virus--global-v.2,,
2,Hantavirus,confirmed,Case 2,South Africa,Gauteng,Johannesburg,,65-69,female,Dutch,,N,Y,"gastrointesinal symptoms, diarrhea",4/22/2026,5/4/2026,Y,,,,,,death,4/26/2026,pneumonia and Acute Respiratory Distress Syndrome (ARDS),Y,1,,"Husband (ID1), Wife (ID2)",4/1/2026,Saint Helena,4/24/2026,Y,Saint Helena,"Johannesburg, South Africa",Airlink ,"Epidemiological investigations traced the travel history of the first two cases, a couple who had spent approximately five months birdwatching across South America. They also visited a municipal landfill located approximately four miles outside Ushuaia known for birdwatching.

 On 25 April, she intended to travel by air to the Netherlands via Johannesburg, South Africa, on a flight [KLM592] carrying 82 passengers and six crew members but she was deemed too ill and was offloaded before takeoff. ",,Laboratory testing performed at the National Institute for Communicable Diseases in South Africa (NICD) confirmed Hantavirus infection on 4 May.,PP_006WDKH.1,https://www.theguardian.com/world/2026/may/07/global-race-under-way-to-trace-passengers-who-left-hantavirus-ship-before-outbreak-confirmed,https://www.who.int/publications/m/item/who-rapid-risk-assessment---hantavirus-outbreak-caused-by-andes-virus--global-v.2,,
3,Hantavirus,confirmed,Case 3,South Africa,Gauteng,Johannesburg,,60-64,male,British,,N,Y,"fever, shortness of breath, signs of pneumonia, condition worsened, presented in shock and with Acute Respiratory Distress Syndrome (ARDS)",4/21/2026,5/2/2026,Y,4/26/2026,Y,Y,,,,,,Y,"1,2",,"The case had accommodation located two cabins away from Cases 1 and 2; therefore, onboard exposure is likely. Epidemiological investigation further revealed that Case 3 had also been in Argentina from 18 March 2026 and had participated in remote birdwatching activities prior to boarding the vessel on 1 April",4/1/2026,Ascension,4/27/2026,Y,Ascension,"Johannesburg, South Africa",Medical evacuation,The case was medically evacuated to South Africa on 2026-04-27,,Viral genetic sequencing results are nearly identical to those of Case 2.,PP_00WANE.2,https://www.science.org/content/article/cruise-ship-s-hantavirus-outbreak-puts-researchers-uncharted-territory,https://www.who.int/publications/m/item/who-rapid-risk-assessment---hantavirus-outbreak-caused-by-andes-virus--global-v.2,,
4,Hantavirus,confirmed,Case 4,Other**,,,,80-84,female,German,,N,Y,"fever, malaise, respiratory symptoms",4/23/2026,5/8/2026,,,,,,,death,5/2/2026,,,,,,4/1/2026,NA,NA,N,NA,NA,NA,,,"Antemortem samples were sent from Cabo Verde for testing at the Institut Pasteur de Dakar, where hantavirus infection was confirmed on 8 May 2026.",,https://www.bbc.com/news/articles/c5y093d5n9ko,,,
5,Hantavirus,confirmed,Case 7,Switzerland,Zurich,,,60-64,male,Swiss,,N,Y,"fever, headache, fatigue, nausea",5/1/2026,5/6/2026,Y,5/2/2026,,,,,,,,,,,,4/1/2026,Saint Helena,4/24/2026,Y,Saint Helena,"Zurich, Switzerland",commercial flight,"He had arrived in Argentina one week prior to embarking on the cruise vessel. After disembarkation in Saint Helena on 24 April, he subsequently travelled with his wife on a commercial flight back to Switzerland on 27 and 28 April.",PCR,Laboratory testing confirmed PCR positivity for Andes virus on 5 May 2026.,PP_006WBLH.1,https://www.swissinfo.ch/eng/various/man-with-hantavirus-is-being-treated-at-zurich-university-hospital-switzerland/91371503; https://today.rtl.lu/news/luxembourg/luxembourg-air-rescue-reports-confusing-situation-in-cruise-ship-evacuation-346545019,https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON600,https://www.who.int/publications/m/item/who-rapid-risk-assessment---hantavirus-outbreak-caused-by-andes-virus--global-v.2,
6,Hantavirus,non-case,,Netherlands,,,,,female,,stewardess,N,N,mild symptoms,,,Y,5/7/2026,,,Y,,,,,,2,,"Flight attendant. Contact with ID2 on KLM flight to Schipol, the Netherlands",NA,NA,NA,,,"Amsterdam, Netherlands",,,,,,https://www.rtl.nl/nieuws/binnenland/artikel/5599168/klm-stewardess-hantavirus-johannesburg,,,
7,Hantavirus,confirmed,Case 6,Netherlands,,,,55-59,male,British,expedition guide,Y,N,"high fever, fatigue, diarrhea",5/1/2026,5/7/2026,Y,5/6/2026,,,,,,,,,,,The case had possible onboard exposure through close occupational contact with other confirmed cases in his role as an expedition guide.,4/1/2026,Cape Verde,5/6/2026,,Cape Verde,Netherlands,Medicalized aircraft 1,,,,PP_006W3U9.1 ,https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON600,https://www.bbc.com/news/live/cy592qeq071t,https://www.who.int/publications/m/item/who-rapid-risk-assessment---hantavirus-outbreak-caused-by-andes-virus--global-v.2,
8,Hantavirus,confirmed,Case 5,Netherlands,,,,40-44,male,Dutch,ship doctor,Y,N,"fever, fatigue, myalgia",4/30/2026,5/7/2026,Y,5/7/2026,,,,,,,,,,,,4/1/2026,Cape Verde,5/6/2026,,Cape Verde,Netherlands (arrived 2026-05-07),Medicalized aircraft 2,,,Laboratory testing confirmed hantavirus infection on 7 May 2026.,PP_006W6RC.2,https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON600,https://www.bbc.com/news/live/cy592qeq071t,https://www.who.int/publications/m/item/who-rapid-risk-assessment---hantavirus-outbreak-caused-by-andes-virus--global-v.2,
9,Hantavirus,non-case,,Germany,,,,65-69,female,German,,N,Y,no symptoms,,,Y,5/6/2026,,,,,,,,,4,,linked to person who died 2026-05-02 (ID4),4/1/2026,Cape Verde,5/6/2026,Y,Cape Verde,"Netherlands, then Dusseldorf, Germany",Medicalized aircraft 1,,,,,https://www.bbc.com/news/live/cy592qeq071t,https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON600,,
10,Hantavirus,non-case,,Singapore,,,,65-69,male,Singaporean  ,,N,Y,runny nose,,,Y,NA,,,,,,,,,2,,on flight to Johannesburg South Africa with ID2,4/1/2026,Saint Helena,4/24/2026,,,Singapore,NA,"arrived in Singapore May 2, 2026",,,,https://www.straitstimes.com/singapore/2-singapore-residents-on-hantavirus-hit-cruise-ship-isolated-at-ncid-and-undergoing-tests,https://www.channelnewsasia.com/singapore/hantavirus-cruise-ship-mv-hondius-test-negative-quarantine-6109571,,
11,Hantavirus,non-case,,Singapore,,,,65-69,male,Singaporean permanent resident,,N,Y,no symptoms,,,Y,NA,,,,,,,,,2,,on flight to Johannesburg South Africa with ID2,4/1/2026,Saint Helena,4/24/2026,,,Singapore,NA,"arrived in Singapore May 6, 2026",,,,https://www.straitstimes.com/singapore/2-singapore-residents-on-hantavirus-hit-cruise-ship-isolated-at-ncid-and-undergoing-tests,https://www.channelnewsasia.com/singapore/hantavirus-cruise-ship-mv-hondius-test-negative-quarantine-6109571,,
12,Hantavirus,probable,Case 8,Tristan da Cunha,,,,65-69,male,British,,N,Y,"diarrhea, later fever",4/28/2026,,Y,5/2/2026,,,Y,4/30/2026,,,,,,,"On 15 April 2026, he disembarked at Tristan da Cunha, where he is a local resident. He first developed diarrhoea on 28 April 2026, followed by fever on 30 April 2026, after which he isolated at home with his wife. However, he was admitted to hospital on 2 May 2026 for safer isolation and clinical monitoring; he currently remains hospitalised.",3/31/2026,Tristan da Cunha,4/15/2026,Y,,,,"On 15 April 2026, he disembarked at Tristan da Cunha, where he is a local resident. He first developed diarrhoea on 28 April 2026, followed by fever on 30 April 2026, after which he isolated at home with his wife. However, he was admitted to hospital on 2 May 2026 ",,,,https://ukhsa-newsroom.prgloo.com/news/uk-government-statement-from-the-uk-health-security-agency-ukhsa-department-for-health-and-social-care-dhsc-and-foreign-commonwealth-and-development-office-fcdo-8th-may-2026,https://www.who.int/publications/m/item/who-rapid-risk-assessment---hantavirus-outbreak-caused-by-andes-virus--global-v.2,,
13,Hantavirus,non-case,,France,,,,,male,French,,N,N,mild symptoms,,,,,,,,,,,,,2,,on flight to Johannesburg South Africa with ID2,NA,NA,NA,Y,Saint Helena,"Johannesburg, South Africa",,,,,,https://www.france24.com/en/health/20260506-live-hantavirus-infected-patient-hospitalised-zurich-three-more-evacuated-from-cruise-ship,https://www.france24.com/en/hantavirus-close-contacts-in-france-have-so-far-tested-negative,,
14,Hantavirus,non-case,,Spain,,,,,female,Spanish,,N,N,symptoms consistent with a hantavirus infection,,,,,,,,,,,,,2,,sitting on a plane two rows behind Gh_ID2,NA,NA,NA,Y,Saint Helena,"Johannesburg, South Africa",,,,,,https://www.reuters.com/business/healthcare-pharmaceuticals/new-hantavirus-case-suspected-remote-island-contact-tracing-continues-2026-05-08/,,,
15,Hantavirus,confirmed,Case 9,France,Ile-de-France,Paris,,70-74,female,French,,N,Y,flu like symptoms,5/10/2026,5/11/2026,Y,5/11/2026,Y,5/11/2026,,,,,,,,,,4/1/2026,"Tenerife, Canary Islands, Spain",5/10/2026,,"Tenerife, Canary Islands, Spain","Paris, France",evacuation flight,"Evacuated on 2026-05-10. reported to be asymptomatic at the time of disembarkation from the vessel in Tenerife on 10 May 2026. However, during the same-day repatriation flight, she developed symptoms.",,,,https://www.ft.com/content/6793c1a0-9b84-43ba-a639-1e4706900d8a?syn-25a6b1a6=1,https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON601,https://www.theguardian.com/world/2026/may/11/french-womandoctors-hantavirus-symptoms-hv-hondius ,https://www.who.int/publications/m/item/who-rapid-risk-assessment---hantavirus-outbreak-caused-by-andes-virus--global-v.2
16,Hantavirus,non-case,,United States,Nebraska,Omaha,,,male,American,oncologist,N,Y,flu like illness,,5/10/2026,Y,5/10/2026,,,Y,,,,,,,,"Reportedly, he is a physician and helped care for sick passengers on the ship, before he developed a ""flu-like illness."" ",4/1/2026,"Tenerife, Canary Islands, Spain",5/10/2026,Y,"Tenerife, Canary Islands, Spain","Nebraska, United States",evacuation flight,"evacuated from Tenerife to the United States, Nebraska, on May 10 and placed in the biocontainment unit at the University of Nebraska medical Center in Omaha after testing provisionally positive. The case later tested negative and the patient was moved to quarantine",PCR,"Theinitial positive test (described as ""mildly or faintly"" positive) result came after an official from the ECDC boarded the ship to evaluate passengers. US authorities chose to treat the case as positive out of caution. The case later tested negative. ",,https://x.com/HHSGov/status/2053656580118216985,https://apnews.com/article/hantavirus-outbreak-hondius-cruise-ship-df0e7e1fb9c7fd3e4092be06e684f644,,
17,Hantavirus,non-case,,United States,Georgia,Atlanta,,,,American,,N,Y,mild symptoms,5/10/2026,,,5/10/2026,,,Y,,,,,,,,,4/1/2026,"Tenerife, Canary Islands, Spain",5/10/2026,Y,"Tenerife, Canary Islands, Spain","Nebraska, United States",evacuation flight,"evacuated from Tenerife to Nebraska, United States, then transferred to Emory University in Atlanta, and then back to Nebraska after testing negative. ",,,,https://apnews.com/article/hantavirus-outbreak-hondius-cruise-ship-df0e7e1fb9c7fd3e4092be06e684f644,,,
18,Hantavirus,confirmed,Case 10,Spain,Comunidad de Madrid,Madrid,,70-74,female,Spanish,,N,Y,"fever, respiratory symptoms",5/10/2026,5/12/2026,Y,5/10/2026,,,,,,,,,,,,4/1/2026,"Tenerife, Canary Islands, Spain",5/10/2026,Y,"Tenerife, Canary Islands, Spain","Madrid, Spain",evacuation flight,"One of the fourteen Spanish citizens who disembarked on Sunday May 10, and was evacuated to Spain. They tested positive on a second PCR test and are isolated at the G mez Ulla Hospital, Madrid, Spain.",,,,https://www.consalud.es/politica/ministerio-sanidad/el-espanol-aislado-en-el-gomez-ulla-presenta-febricula-y-sintomas-respiratorios-tras-su-positivo-en-hantavirus.html,https://www.who.int/publications/m/item/who-rapid-risk-assessment---hantavirus-outbreak-caused-by-andes-virus--global-v.2,https://elpais.com/sociedad/2026-05-12/ultima-hora-del-brote-de-hantavirus-en-directo.html,
19,Hantavirus,non-case,,Italy,,,,,,Argentinian,,N,N,pneumonia,,,Y,5/12/2026,,,,,,,,,,,,NA,NA,NA,Y,"Buenos Aires, Argentina","Rome, Italy",commercial flight,"flew from Argentina to Rome. travelled from Argentina on April 30, 2026",,,,https://www.ansa.it/sito/notizie/mondo/2026/05/12/il-ministero-effettuato-il-test-hantavirus-su-una-turista-ricoverata-a-messina_8fb7c143-0f00-4339-a53d-82a9971d394a.html,,,
20,Hantavirus,confirmed,Case 11,Canada,British Columbia,,,70-79,,Canadian,,N,Y,mild symptoms,5/14/2026,5/16/2026,Y,5/14/2026,,,,,,,,Y,21,,"one of the four high risk individuals (Gh_ID20) who was self-isolating on Vancouver Island and being monitored has tested presumptive positive for Andes hantavirus. On May 14, the individual, and their spouse, who also had mild symptoms, were transported to hospital for care. Both were passengers on the MV Hondius. ",4/1/2026,"Tenerife, Canary Islands, Spain",5/10/2026,Y,"Tenerife, Canary Islands, Spain","Vancouver, British Columbia, Canada",evacuation flight,The couple is from Yukon Terriroty. Isolating on Vancouver Island,,,,https://www.canada.ca/en/public-health/news/2026/05/media-update-on-andes-hantavirus-situation0.html,https://www.canada.ca/en/public-health/news/2026/05/media-update-on-andes-hantavirus-situation1.html,https://www.bbc.com/news/articles/c2k2p057ezno ,https://nltimes.nl/2026/05/17/canadian-hondius-passenger-hospitalized-home-suspected-hantavirus
21,Hantavirus,non-case,,Canada,British Columbia,,,,,Canadian,,N,Y,mild symptoms,5/14/2026,,Y,5/14/2026,,,,,,,,Y,20,,"one of the four high risk individuals (Gh_ID20) who was self-isolating on Vancouver Island and being monitored has tested presumptive positive for Andes hantavirus. On May 14, the individual, and their spouse, who also had mild symptoms, were transported to hospital for care. Both were passengers on the MV Hondius. ",4/1/2026,"Tenerife, Canary Islands, Spain",5/10/2026,Y,"Tenerife, Canary Islands, Spain","Vancouver, British Columbia, Canada",evacuation flight,The couple is from Yukon Terriroty. Isolating on Vancouver Island,,,,https://www.canada.ca/en/public-health/news/2026/05/media-update-on-andes-hantavirus-situation0.html,https://www.canada.ca/en/public-health/news/2026/05/media-update-on-andes-hantavirus-situation1.html,https://www.bbc.com/news/articles/c2k2p057ezno ,https://nltimes.nl/2026/05/17/canadian-hondius-passenger-hospitalized-home-suspected-hantavirus