The Andes hantavirus cluster aboard the cruise ship MV Hondius reached its 12th case, with three deaths, as of 24 May, according to the European Centre for Disease Prevention and Control (ECDC) 1. The ship docked at Rotterdam on 18 May, and passengers have now been traced across 12 countries; ECDC's surveillance update confirmed one new case since 12 May, when the count stood at 11 across six countries .
Andes virus is the only hantavirus known to pass between people, which is why a single voyage becomes an international tracing exercise rather than a contained shipboard event. The slowing pace, one new case in twelve days against the earlier risk upgrade from low to moderate , suggests the cluster is being tracked rather than running ahead of the response. The open question is the dispersed cohort: a dozen national health systems now each hold a fragment of one passenger manifest.
