UKHSA update on the hantavirus cruise ship outbreak

Statement from the UK Health Security Agency (UKHSA), Department for Health and Social Care (DHSC), and Foreign, Commonwealth and Development Office (FCDO)

The UK government continues to work with international authorities in preparing for the arrival of British nationals to the UK from the MV Hondius cruise ship where an outbreak of Hantavirus was confirmed by the World Health Organization.

Two British nationals have confirmed hantavirus, with an additional suspected case of a British national on Tristan da Cunha. None of the British citizens onboard are currently reporting symptoms but they are being closely monitored.

The ship is expected to dock in Tenerife on Sunday, according to the latest updates from the Spanish Health Ministry. UK government staff will be on the ground ready to support the British nationals disembarking. British Passengers and ship crew not displaying any symptoms of hantavirus will be escorted by UK Government staff to an airport and given free passage back to the UK.

FCDO and UKHSA teams will be on the ground to support these arrangements, bolstered by a Rapid Deployment Team sent from the UK. The FCDO is chartering a dedicated repatriation flight for British ship passengers and crew only. This flight will be free of charge.

UKHSA is working with partners to ensure the flight operates under strict infection control measures. Public health and infectious disease specialists from UKHSA and the NHS will be on board to monitor British Nationals whilst on the flight, to ensure that preventative measures are in place and to provide any care in the unlikely event that any passengers become unwell on the flight.

All British passengers and crew on board the MV Hondius will be asked to isolate for 45 days upon returning to the UK and UKHSA will closely monitor these individuals, with testing as required.

Follow up is already underway for individuals who may have been in contact with cases and have since returned to the UK or are in in UK Overseas Territories. The UK government will ensure those self-isolating are given appropriate support.

UKHSA is aware of seven British Nationals who disembarked the ship at St Helena on 24 April.

Two of those people have returned to the UK independently and are isolating at home in the UK. Neither of these individuals is currently reporting symptoms. They are receiving advice and support from UKHSA and have been advised to self-isolate.

Four of these individuals remain in St Helena. A seventh individual has been traced outside of the UK.

The FCDO is in direct contact with the ship and British nationals on board and has stood up consular teams across multiple countries to support British nationals. UK government is working very closely with international partners in response to this incident, including the cruise ship operator and the governments of UK overseas territories which were visited by the ship. UK government teams are working at pace to get medical support to all affected Overseas Territories. The Ministry of Defence has worked with UKHSA to provide vital diagnostic supplies, including PCR tests, which were delivered to Ascension Island via a military plane on 7 May.

The risk to the general public remains very low.

Professor Robin May, Chief Scientific Officer at UKHSA, said:

This is an evolving situation, and we are working closely with partners to support British Nationals on board the MV Hondius.

The risk to the general population remains very low and the public can be reassured that established infection control measures will be put in place at every step of the journey to ensure the safe repatriation of British passengers on board.

Further information on the repatriation of British nationals will be provided in due course.

Update 06 May

The UK Health Security Agency (UKHSA) continues to work with the World Health Organization (WHO), Foreign, Commonwealth and Development Office (FCDO), the Department of Health and Social Care (DHSC),(DHSC), and other international partners to prepare for the arrival of British nationals to the UK from the MV Hondius cruise ship where an outbreak of Hantavirus was confirmed.

Three people, including one British national, with suspected hantavirus have been evacuated from the Hondius in order to receive medical care in the Netherlands in co-ordination between the Cape Verde, UK and Dutch governments. UKHSA are in close contact with medical teams providing their care.   

The remaining British nationals can now be repatriated once the ship docks at its next destination if they do not develop symptoms. None of the British citizens onboard are currently reporting symptoms but they are being closely monitored. The FCDO is making arrangements for these individuals to return to the UK, where UKHSA is working with government to support them to isolate with regular testing and contact with healthcare professionals.

UKHSA is aware of two people who have returned to the UK independently having been on board the MV Hondius. Neither of these individuals is currently reporting symptoms. They are receiving advice and support from UKHSA and have been advised to self-isolate. UKHSA are supporting a small number of individuals identified as close contacts of those on the boat. They are being offered support and are also self-isolating. None are reporting any symptoms. The risk to the general public remains very low.

Dr Meera Chand, Deputy Director for Epidemic and Emerging Infections at UKHSA said:

Our thoughts are with all those affected by the hantavirus outbreak onboard the MV Hondius.

It’s important to reassure people that the risk to the general public remains very low. We are standing up arrangements to support, isolate and monitor British nationals from the ship on their return to the UK and we are contact tracing anyone who may have been in contact with the ship or the hantavirus cases to limit the risk of onward transmission.

UKHSA will continue to work closely with government partners to offer all necessary support.

UKHSA is working closely with the FCDO, the Home Office, and Border Force to trace further individuals who may have been on the same flight as a confirmed case, in order to carry out public health risk assessments and ensure appropriate precautionary measures are in place.

Hantavirus is the name given to a group of viruses carried by rodents and transmitted by their droppings and urine. They can cause a range of diseases from mild, flu-like illness to severe respiratory illness. Infections in humans are rare and tend to occur in places where people and rodents coexist - most commonly in rural, agricultural settings, though the viruses can also sometimes be found in cleaning sheds, barns and holiday homes where rodents might have nested.

Most hantaviruses do not spread easily between humans, although person-to-person transmission has been observed in some cases involving particular strains. The World Health Organization is leading the international response to this incident and overseeing direction of the ship, including advising on how to minimise the risk of the disease spreading.

The FCDO is in direct contact with the ship and has stood up consular teams across multiple countries to support British nationals. UK government is working extremely closely with international partners in response to this incident, including the cruise ship operator and the governments of overseas territories which were visited by the ship.

Further information on Hantavirus can be found in the recent blog from UKHSA.

*[DHSC]; Department of Health and Social Care