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Andes virus

The only hantavirus with confirmed person-to-person transmission; confirmed in a Swiss MV Hondius passenger, May 2026.

Last refreshed: 7 May 2026 · Appears in 1 active topic

Key Question

Has the MV Hondius produced the first documented cruise-ship person-to-person Andes virus transmission?

Timeline for Andes virus

#17 May

Confirmed in Swiss patient, establishing person-to-person transmission capability in the cluster

Pandemics and Biosecurity: Andes hantavirus confirmed in Swiss returnee
#119 Dec

Circulated at elevated levels in Southern Cone countries through 2025, per PAHO data

Pandemics and Biosecurity: PAHO flagged Southern Cone hantavirus in December
View full timeline →
Common Questions
Can Andes virus spread from person to person?
Yes. Andes virus is the only hantavirus with documented person-to-person transmission, first established in the 1996 El Bolsón cluster in Patagonia where medical staff treating patients became infected.
What is Andes virus and where does it come from?
Andes virus is a hantavirus endemic to Patagonia and the Andean region of Argentina and Chile. Its reservoir is the long-tailed pygmy rice rat, and it causes HCPS with a case-fatality rate of roughly 30-40%.
How did Andes virus get onto the MV Hondius cruise ship?
The most likely exposure was pre-boarding in Ushuaia, the ship's departure port in Argentine Tierra del Fuego, where the virus circulates in the local rodent population. The HCPS incubation timeline supports pre-boarding exposure rather than at-sea transmission.Source: CIDRAP
How deadly is Andes virus compared to other hantaviruses?
Andes virus has a case-fatality rate of roughly 30-40% in confirmed cases, similar to Sin Nombre virus. What distinguishes it is person-to-person transmission capability, not higher fatality.

Background

Andes virus (ANDV) is a New World hantavirus and the only hantavirus with documented person-to-person transmission. It is endemic to the Andean and Patagonian regions of Argentina and Chile, where its reservoir is the long-tailed pygmy rice rat (Oligoryzomys longicaudatus). Andes virus causes HCPS (hantavirus cardiopulmonary syndrome) with a case-fatality rate of approximately 30-40% in laboratory-confirmed cases. Person-to-person transmission was first documented in the 1996 El Bolsón cluster in Patagonia, where secondary cases included medical staff treating index patients without full protective equipment. All other hantaviruses, including Sin Nombre (the primary US agent), are believed to spread only from rodents to humans. Andes virus belongs to the genus Orthohantavirus.

Andes virus was confirmed in a Swiss passenger who disembarked the MV Hondius following an Antarctic expedition departing from Ushuaia, in Argentine Tierra del Fuego. The confirmation was reported by CIDRAP on 7 May 2026, raising the cluster to 8 cases, 3 deaths, with 1 critically ill passenger evacuated to South Africa. The strain identification rendered WHO Disease Outbreak News 599 (published 2 May with a rodent-only risk framing) outdated within five days. Contact tracing must now extend to close contacts of the Swiss patient rather than being limited to rodent-exposure follow-up. PAHO had flagged elevated Southern Cone hantavirus caseload in December 2025, five months before the MV Hondius sailed.

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