随着全球卫生当局努力控制这种可能致命的疾病，一艘游轮上的疑似汉坦病毒病例总数已升至5例。
100多名乘客仍留在MV Hondius号船上，世界卫生组织(世卫组织)正在监测他们的健康状况。官员们表示，“总体公共卫生风险仍然较低”，但可能会有一些人际传播。
美国疾病控制和预防中心(u . s . Centers for Disease Control and Prevention)在周三晚上发布的首次公开声明中表示，“美国公众面临的风险极低”，并敦促船上的美国人听从卫生官员的指导。
“我们的首要任务仍然是所有美国乘客的健康和安全，”CDC声明说。“国务院正在领导一个协调的整个政府的反应，包括与乘客的直接接触，外交协调，以及与国内和国际卫生当局的接触。”
这艘船在佛得角的非洲海岸，现在正在前往加那利群岛的途中，此前官员对三人进行了医疗疏散，其中两人情况“严重”
这艘船的运营商泛海探险公司周三表示，这次航行预计需要三到四天。
一些乘客在知道该集群之前就下船了，并回到了自己的国家。在某些情况下，当局建议这些乘客自我隔离。
泛海探险队周三表示，被疏散的两名患者已在荷兰着陆，“已被专业医疗和筛查团队接收”。
佛得角的世卫组织官员告诉ABC新闻，除了这两人之外，第三个人也从船上被移除，他没有症状，但与5月2日死亡的一名德国国民有密切接触。泛海探险队周三表示，运送该名患者的医疗飞机正遭遇延误。
“世卫组织继续与船舶运营商合作，密切监测乘客和船员的健康，并与各国合作，支持适当的医疗后续行动和必要时的疏散，”世卫组织总干事特德罗斯·阿达诺姆·盖布雷耶苏斯博士说。说周三，他在X上的一篇帖子中证实了疏散。
“对船上乘客和已经下船的乘客的监测和后续行动已经与船舶运营商和国家卫生当局合作启动，”他继续说。
谭德塞补充说，“总体公共健康风险仍然很低。”
帮助疏散这三人的世卫组织医生弗雷迪·班扎周三告诉记者，目前船上没有出现症状的乘客。他说，现在被认为风险最高的人是机组人员和医务人员，他们花了最多的时间照顾生病的乘客。
卫生官员确认船员中又有两例汉坦病毒病例，使确诊病例总数达到五例。
“瑞士当局已确认一例汉坦病毒，在来自‘世卫组织’号邮轮的一名乘客身上发现说在星期三的X日。“他回复了船上运营商通知乘客健康事件的电子邮件，并在瑞士苏黎世的一家医院接受了治疗。”
根据泛海探险队的说法，此前确认的三例汉坦病毒病例包括一名从荷兰下船回家的女性，一名在约翰内斯堡一家医院接受治疗的英国公民，病情危急但稳定，以及一名在航程的第一站旅行的乘客，目前正在苏黎世大学医院接受治疗。
迄今为止，已有三人死亡。
荷兰航空公司KLM在一份声明中表示，已从荷兰卫生部门获悉，其中一名死于汉坦病毒的人曾于4月25日在南非约翰内斯堡的一架KLM飞机上短暂停留。
航空公司在声明中说:“由于乘客当时的健康状况，机组人员决定不允许乘客乘坐该航班。”"这位乘客后来不幸在约翰内斯堡去世了。"
航空公司表示，已经通知了该航班上的所有乘客。
此次爆发的病毒类型已被确认为安第斯山脉世卫组织周三表示，南非国家传染病研究所和瑞士日内瓦大学医院发现了汉坦病毒。安第斯山汉坦病毒在历史上被证明有可能在人与人之间传播，据世卫组织报道.
泛海探险队表示，从船上撤离的三名乘客中，两人有症状，情况严重，第三人无症状，但与5月2日死亡的一名德国国民有密切接触。
“泛海探险队与RIVM(荷兰公共卫生和环境研究所)合作，正在扩大船上的医疗服务，两名传染病医生今天从荷兰乘飞机抵达。该公司在一份声明中说:“这确保了在这一不断发展的形势的下一阶段，如果有必要，可以提供最佳的医疗护理。”。
佛得角官员周二表示，这艘游轮预计将驶往西班牙的特内里费岛，但非洲西北海岸的西班牙群岛加那利群岛的总统周三表示，当地政府反对这艘豪华游轮停靠在特内里费岛。
据路透社(Reuters)报道，克拉维霍总统对COPE电台表示:“这一决定不是基于任何技术标准，也没有足够的信息让公众放心或保证他们的安全。”。
克拉维霍说他在社交媒体上表示，他已经要求与西班牙首相会面，讨论这艘船。他补充说，加那利群岛“总是负责任地行动，但它不能接受在加那利群岛机构背后做出的决定，并且没有向人民提供足够的信息。”
西班牙卫生部长莫妮卡·加西亚(Mónica García)表示，一旦船只抵达加那利群岛的格拉纳迪拉德阿博纳港，将启动“联合筛查和疏散机制，遣返所有乘客”RTVE，西班牙国家公共广播公司。
加西亚用西班牙语说:“除非他们的健康状况不允许，否则所有外国乘客都将通过欧洲民事保护机制被遣返，内政部长稍后将提供进一步的细节。”
世卫组织官员周三早些时候表示，三名被疏散的人将被转移到飞往荷兰和特内里费的飞机上，但后来更新了计划，以便所有人都被送往荷兰，官员告诉美国广播公司新闻。
Confirmed hantavirus cases linked to suspected cluster aboard cruise ship rise to 5: WHO
The total number of suspected hantavirus cases aboard a cruise ship has risen to five as global health authorities work to contain a potentially deadly cluster of the disease.
More than 100 passengers remain on the ship, MV Hondius, and the World Health Organization (WHO) is monitoring their health. Officials said that the "overall public health risk remains low" but that there may be some person-to-person spread.
In its first public statement on the outbreak on Wednesday evening, the U.S. Centers for Disease Control and Prevention said, "the risk to the American public is extremely low" and urged Americans aboard the ship to follow the guidance of health officials.
"Our top priority remains the health and safety of all U.S. passengers," the CDC statement said. "The Department of State is leading a coordinated, whole-of-government response including direct contact with passengers, diplomatic coordination, and engagement with domestic and international health authorities."
The ship, which was off the coast of Africa in Cape Verde, is now en route to the Canary Islands after officials medically evacuated three people, including two in "serious condition."
The trip is expected to take three to four days, the ship's operator, Oceanwide Expeditions, said Wednesday.
Some passengers disembarked the ship before knowledge of the cluster and are back in their home countries. In some cases, authorities are advising those passengers to self-isolate.
The two patients who were evacuated have landed in the Netherlands and "have been received by specialist medical and screening teams," Oceanwide Expeditions said Wednesday.
In addition to those two, a third person, who is asymptomatic but a close contact of a German national who died on May 2, was also removed from the ship, WHO officials in Cape Verde told ABC News. The medical aircraft transporting the individual is experiencing a delay, Oceanwide Expeditions said Wednesday.
"WHO continues to work with the ship’s operators to closely monitor the health of passengers and crew, working with countries to support appropriate medical follow-up and evacuation where needed," Dr. Tedros Adhanom Ghebreyesus, the director-general of the WHO,saidin a post on X on Wednesday, in which he confirmed the evacuations.
"Monitoring and follow-up for passengers on board and for those who have already disembarked has been initiated in collaboration with the ship's operators and national health authorities," he continued.
Tedros added that "the overall public health risk remains low."
For now, there are no symptomatic passengers who remain on board the ship, Dr. Freddy Banza, a WHO doctor who helped evacuate the three people, told reporters Wednesday. The people now considered at highest risk are the crew members and medical staff who spent the most time caring for sick passengers, he said.
Health officials confirmed two additional cases of hantavirus among crewmembers, bringing the total confirmed cases to five.
"Swiss authorities have confirmed a case of hantavirus identified in a passenger from the MV Hondius cruise ship," the WHOsaidon X on Wednesday. "He had responded to an email from the ship’s operator informing the passengers of the health event, and presented himself to a hospital in Zurich, Switzerland, and is receiving care."
The three previously confirmed hantavirus cases include a woman who disembarked and was on her way home from the Netherlands, a British national who is in critical but stable condition in a hospital in Johannesburg, and a passenger who traveled on the first leg of the voyage and is currently being treated at the University Hospital Zurich, according to Oceanwide Expeditions.
So far, three deaths have been recorded.
In a statement, the Dutch airline KLM said it had been informed by Dutch health authorities that one of the people who died from the hantavirus was briefly aboard a KLM aircraft in Johannesburg, South Africa, on April 25.
"Due to the passenger’s medical condition at the time, the crew decided not to allow the passenger to travel on the flight," the airline said in the statement. "The passenger sadly later passed away in Johannesburg."
The airline said all passengers who were on board the flight were being notified.
The type of virus in this outbreak has been confirmed asAndeshantavirus by the National Institute for Communicable Diseases in South Africa and Geneva University Hospitals in Switzerland, the WHO said Wednesday. The Andes hantavirus historically has been shown to potentially transmit between people,according to the WHO.
Oceanwide Expeditions said of the three passengers who were evacuated from the ship, two are symptomatic and in serious condition and the third is asymptomatic but a close contact of a German national who died on May 2.
"In partnership with the RIVM (Dutch Institute for Public Health and Environment), Oceanwide Expeditions is expanding medical care on board with two infectious disease physicians, arriving today by plane from the Netherlands. This ensures that optimal medical care can be provided if necessary, during the next stage of this evolving situation," the company said in a statement.
Cape Verde officials said on Tuesday that the vessel was expected to sail to the Spanish island of Tenerife, but the president of the Canary Islands, a Spanish archipelago off the northwestern coast of Africa, said on Wednesday that the regional government was opposed to allowing the luxury cruise ship to dock in Tenerife.
"This decision is not based on any technical criteria, nor is there sufficient information to reassure the public or guarantee their safety," President Fernando Clavijo told radio station COPE, according to Reuters.
Clavijosaidon social media that he had requested a meeting with the Spanish prime minister to discuss the ship. He added that the Canary Islands "always acts with responsibility, but it cannot accept decisions taken behind the backs of the Canary Islands institutions and without sufficient information to the population."
Mónica García, Spain's minister of health, said once the ship arrives at the port of Granadilla de Abona in the Canary Islands, there will be a "joint screening and evacuation mechanism will be launched to repatriate all passengers," according toRTVE, a Spanish national public broadcaster.
“Unless their medical condition prevents it, all foreign passengers will be repatriated through the European civil protection mechanism, about which the Interior Minister will provide further details later," Garcia said in Spanish.
WHO officials earlier on Wednesday said the three evacuated people were to be transferred to planes bound for both the Netherlands and Tenerife, but later updated the plan so that all would be sent to the Netherlands, officials told ABC News.
