Monitoring run log

May 23, 2026 · 10:55 UTC

NEW CONFIRMED CASE in Netherlands (Tier 1, RIVM + WHO DG, 22 May 2026 14:45 UTC — published 1h 38min after RUN-027): A Dutch crew member of MV Hondius who disembarked in Tenerife and was repatriated to the Netherlands tested positive for Andes virus via weekly quarantine PCR protocol (RIVM + Erasmus MC dual confirmation). Patient admitted to hospital as precaution, in isolation. GGD identifying quarantine-period contacts. RIVM silence signal triggered as expected (20 May statement said updates only on positive results). WHO DG Tedros publicly confirmed same day. Global confirmed total: 9→10. Total cases: 11→12 (10 confirmed + 2 probable). HV-003 updated (confirmedCases 0→1 — applied per spec Option A in line with HV-013 BC precedent; contactsMonitored 65→64 — confirmed case exits monitoring pool; notes + lastVerified bumped to 22 May 14:45 UTC). Deaths unchanged: 3 total (2 confirmed + 1 probable under investigation). HV-022 Tristan da Cunha PCR: still no published result — watch continues. HV-011 France ECMO: no clinical update found post-mid-May; still critically ill per last reliable status. WHO: no new DON since DON601 (13 May). ECDC: last update 21 May (9 confirmed + 2 probable = 11) — expected to catch up to 10+2=12 next cycle. Nebraska NQU US passengers: quarantine continues through 31 May. RIVM silence signal now RESET — next update if new positive OR end of quarantine period.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 22, 2026 · 13:07 UTC

MV Hondius Rotterdam crew PCR results confirmed ALL NEGATIVE (RIVM Tier 1, 20 May 2026 16:50 CEST = 14:50 UTC; first reported Tier 2 by GGD Rotterdam-Rijnmond ~19 May): All 27 persons who disembarked at Rotterdam Europoort on 18 May (25 crew + 2 RIVM medics) tested negative for Andes virus on arrival; onboard pre-arrival tests also negative. Closes primary pending watch item from RUN-026. RIVM silence signal: no further test-result updates will be issued unless a positive result occurs. Dutch Minister of Health letter to parliament (21 May, via TASS / Pravda Netherlands, Tier 2) independently corroborates and confirms 11 total cases. HV-003 notes + unknowns + lastVerified updated; HV-020 notes + lastVerified updated. CDC HAN00529 (Tier 1, 18 May 2026 20:32 UTC — published 37 minutes after RUN-026): Health Update for clinicians on Andes virus testing; confirms 0 US cases as of 18 May; added to HV-034 sourceNames/sourceUrls. CDC transcript 5/19/2026 (Tier 1, Dr. David Fitter): (a) Nebraska NQU passengers will remain in quarantine until MAY 31 2026 (21st day of monitoring period) per US government leadership decision — HV-007 notes updated; (b) aggregate US high-risk contacts count has DECREASED below 41 following reclassification (specific new number NOT stated) — HV-034 notes updated, contactsMonitored HELD at 15 pending Tier 1 specific count. ECDC 21 May 2026 (Tier 1) now shows 9 confirmed + 2 probable = 11 total — the '1 inconclusive' present in ECDC's 17 May data has been dropped, closing the unresolved inconclusive-case flag from RUN-025/RUN-026; no new record required. NEJM correspondence NEJMc2606496 (Tier 2): 10 cases (11th reclassified not a case = HV-007 already resolved), 3 deaths, 2 still hospitalized. WHO: no new DON since DON601 (13 May); 'Hantavirus in Focus I' 20 May is an educational webinar, not a DON. Tristan da Cunha HV-022 PCR: still no published result — watch continues. France HV-011 ECMO: no clinical change. Turkey HV-038: Turkish Health Ministry — no cases detected; no Tier 1 contactsMonitored count. GLOBAL KPI TOTALS UNCHANGED: 9 confirmed, 2 probable, 3 deaths. ECDC inconclusive count now 0.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 18, 2026 · 19:55 UTC

MV Hondius CONFIRMED DOCKED at Rotterdam Europoort (Calandsteiger 7) morning 18 May 2026 — resolves primary watch item from RUN-025. 25 crew + 2 RIVM aboard, all asymptomatic on arrival per Oceanwide Expeditions and Port of Rotterdam statement (Tier 2). Crew composition: 17 Filipino, 4 Ukrainian, 1 Russian, 1 Polish + remaining. GGD Rotterdam-Rijnmond administered PCR tests to all 27 on arrival; results PENDING as of 19:55 UTC. 23 dockside quarantine containers in operation; 17 Filipino crew will serve remainder of 6-week NL quarantine; disinfection by EWS Group (~3 days) to begin post-disembarkation. HV-003 notes + lastVerified updated (granular docking detail added 19:55 supplement); HV-020 Rotterdam arrival date resolved (18 May confirmed); HV-011 updated with Pasteur Institute Andes virus full sequence result (Tier 2, 17 May): matches known South American strains, no new dangerous characteristics — closes virological uncertainty watch. ECDC Tier 1 corroboration: ECDC surveillance page now dated '17 May 2026' confirms 9 confirmed / 2 probable / 1 inconclusive = 12 total — first Tier 1 catch-up with Canada NML confirmation. GLOBAL KPI TOTALS UNCHANGED: 9 confirmed, 2 probable, 1 inconclusive, 3 deaths. France ECMO patient (HV-011): still critically ill, no clinical change. RIVM page: no new update since 15 May 10:45 CEST. WHO: no new hantavirus DON since DON601 (13 May); WHO press statement (17 May eve) reiterates low-risk; 440 contacts / ≥30 countries figure cited (press conference only — not in formal DON, KPIs held). CDC: last updated 8 May, no US cases, unchanged. RKI / Swiss FOPH: no new updates. Tristan da Cunha (HV-022) PCR: still no published result — watch item continues. Turkey HV-038 candidate flagged in WHO DON601 + ECDC 17 May as monitoring country — analyst review still required (contactsMonitored count unknown). IBTimes UK Tier 3 'two Canadians tested positive' claim NOT corroborated by PHAC Tier 1; do not add second Canadian case.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 17, 2026 · 18:40 UTC

Additive to RUN-024 (Canada NML confirmation already applied in commit be0e2cf — global confirmed 8→9 already live). Only new content this cycle: MV Hondius Rotterdam arrival timing REVISED to Monday morning 18 May 2026 (was evening 17 May); 23 Rotterdam-Rijnmond GGD quarantine cabins assembled dockside; 17 Filipino crew expected to remain in NL for full 6-wk quarantine. HV-003 notes-only update + lastVerified bump. ECDC page title now reads '17 May 2026' in Google search results — likely reflects 9 confirmed (Canada catch-up) but the JS-rendered widget not fetchable; analyst to verify next cycle. WHO DON602 confirmed as Ebola DRC/Uganda (closes DON602 hantavirus watch). RIVM: no new update since 15 May 10:45 CEST. CDC: 0 US cases, 41 contacts, unchanged. France HV-011 ECMO patient: still critically ill, no change. Tristan da Cunha HV-022 PCR: still pending. RKI/Swiss FOPH: no new updates. 'ECDC 1 inconclusive' identity flagged for next cycle — US HV-007 was cleared negative per RUN-021 so the inconclusive count of 1 in ECDC framing is unclear (may be a new unrecorded country); do not add records without Tier 1 corroboration. AI-summary inconsistencies claiming '12 cases' = 9 confirmed + 2 probable + 1 inconclusive flagged (current verified is 9+2=11 per Tier 1).

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 17, 2026 · 16:27 UTC

PHAC NML confirms first Canadian case (Tier 1, May 17 2026): PHAC National Microbiology Laboratory (Winnipeg) issued a Sunday news release confirming the Yukon resident isolating in Victoria, BC is CONFIRMED POSITIVE for Andes hantavirus. Resolves RUN-023 probable flag. Partner tested NEGATIVE. HV-013: probableCases 1→0, confirmedCases 0→1, classification PROBABLE_CASE→CONFIRMED_CASE, contactsMonitored 4→3, displayColor amber→red. Global confirmed total: 8→9. ECDC (May 16, Tier 1) still shows 8 confirmed / 2 probable / 1 inconclusive / 3 deaths — Canada case postdates their last update; ECDC count will update in next ECDC cycle. WHO: no new hantavirus DON since DON601 (13 May); DON602 is Ebola (DRC/Uganda), unrelated. RIVM: no update since 15 May 10:45 CEST. CDC (May 15 Tier 1): 0 US cases, 41 contacts. France ECMO patient (HV-011): no change — still critically ill. MV Hondius: ETA Rotterdam evening May 17 or May 18 morning — arrival not yet officially confirmed. Tristan da Cunha PCR (HV-022): still pending. Switzerland/Germany/RKI/FOPH: no new updates. No new cases in any other country.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 17, 2026 · 12:49 UTC

BC presumptive positive REFINED (HV-013): BC PHO Dr. Bonnie Henry (Tier 1, 16 May 2026) confirmed one of four Canadians isolating in BC — a Yukon resident hospitalized in Victoria with mild fever/headache — tested positive for Andes hantavirus per BC CDC public health lab (result received late evening 15 May). Partner NEGATIVE. NML Winnipeg confirmatory PCR pending (~18 May). RECLASSIFIED as PROBABLE_CASE (not SUSPECTED — provincial lab positive pending NML = textbook probable, matching Saint Helena HV-006 and Tristan da Cunha HV-022). probableCases HV-013: 0→1; classification PROBABLE_CASE; suspectedCases reset to 0. Global confirmed total holds at 8; global probable 2→3. Notes-only updates to HV-007 (Nebraska/UNMC), HV-033 (Emory Atlanta), HV-034 (state monitoring) per CDC 15 May briefing transcript (Tier 1): 16 at UNMC, 2 at Emory, 41 total US contacts across 16 states, 0 US cases. HV-032 Ontario analyst-flagged: Ontario MoH (Tier 3, CP24 15 May) reports 10 total contacts (3 high-risk + 7 low-risk); contactsMonitored held at 3 (high-risk per methodology) pending PHAC Tier 1 transcript. HV-021 UK notes updated (Public Health Scotland Tier 1 advisory: 20 Glasgow samples, no Scotland cases). HV-003 NL notes updated (MV Hondius ETA Rotterdam 17 May eve; Rotterdam-Rijnmond GGD 23 quarantine cabins). ECDC (16 May): 8+2+1=11, 3 deaths — unchanged. WHO DON602 still not published. France HV-011 ECMO patient critically ill, no change. Tristan da Cunha HV-022 PCR still pending. New York Geneva High School hantavirus EXPLICITLY non-Andes / non-Hondius (Sin Nombre, rodent-acquired) — no record action.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 15, 2026 · 13:05 UTC

Canada contacts updated (notes-only — KPIs held pending PHAC transcript): PHAC CPHO Dr. Joss Reimer (Tier 1, May 14 2026 media briefing) confirmed 9 Canadians self-isolating as high-risk contacts across BC, Alberta, and Ontario (vs. 4+3=7 currently in database), and announced 26 additional low-risk air passengers being contacted nationally. PHAC did NOT publish a per-province breakdown of the 9 high-risk. HV-013 (BC) and HV-032 (Ontario/Quebec) notes appended + lastVerified bumped; contactsMonitored held at 4 and 3 respectively pending analyst review of the full PHAC briefing transcript. No HV-037 Alberta record created this cycle — Alberta count not specified by PHAC. Netherlands HV-003: Radboudumc (Tier 2) and NL Times report 12 HCW blood tests show 'not contagious to others' — contagion-risk watch from RUN-016 through RUN-021 closed; 6-week precautionary quarantine continues; contactsMonitored holds at 65. ECDC (Tier 1, 14 May): 8 confirmed, 2 probable, 1 inconclusive, 3 deaths — no change from RUN-021. WHO DON602 not yet published. France ECMO patient (HV-011) still critically ill, no change. Tristan da Cunha PCR (HV-022) still pending. MV Hondius en route Rotterdam, ETA evening May 17. CDC (Tier 1, May 14): no US cases, 41 contacts monitored across US. Yahoo News UK 'Scotland small number linked' is Tier 3 only — no UKHSA advisory, no record action.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 14, 2026 · 14:54 UTC

US case (HV-007) confirmed negative and reclassified: Dr. Stephen Kornfeld cleared from Nebraska Biocontainment Unit 14 May after final PCR retest negative (Euronews, ABC News, May 14). ECDC (Tier 1, 14 May update) and CDC (Tier 1) both corroborate: US case was 'inconclusive' now resolved negative. WHO DON601 (published 13 May, Tier 1 — missed in RUN-019) also showed US as '1 inconclusive.' confirmedCases HV-007: 1→0 (already applied in RUN-020 commit 7b6742a; this run adds ECDC corroboration + Kornfeld name). Global confirmed total stays at 8. France contacts (HV-011) updated: French Health Minister Rist (Tier 1, May 14 via France 24) confirmed 26 people in hospital isolation — 22 prior flight contacts + 4 French ship passengers added to formal monitoring; all 26 tested negative 14 May; testing 3× per week continues. contactsMonitored HV-011: 22→26. ECDC now shows 14 May data (8+2+1=11); no new confirmed cases or deaths. On watch: Tristan da Cunha PCR (HV-022) still pending; France ECMO patient (HV-011) critically ill, no change; 12 Radboudumc HCW PCR results pending; WHO DON602 expected; MV Hondius Rotterdam arrival evening May 17 (per DON601) or May 18 (per Oceanwide).

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 14, 2026 · 07:14 UTC

US case (HV-007) reclassified: CDC (Tier 1, 13 May) downgraded the American in Nebraska's National Biocontainment Unit from confirmed to 'inconclusive.' Initial test was 'mildly PCR positive'; CDC retested; patient cleared to NQU. FMT (14 May) citing officials: retest negative. confirmedCases for HV-007: 1→0. Global confirmed total: 9→8. WHO DON601 published (Tier 1, ~13 May 2026): 8 confirmed + 1 inconclusive + 2 probable = 11 total; 3 deaths (2 confirmed + 1 probable) — now consistent with our data after HV-007 downgrade. DON601 also confirms France and Spain cases (already in our data). Oceanwide Expeditions told AP: clarity on cruise resumption by end of week; next scheduled sailing 29 May from Keflavik (notes update to HV-020 only, no KPI change). MV Hondius Rotterdam ETA: WHO DON601 says 17 May evening; Oceanwide May 13 update said 18 May — discrepancy noted; retaining 18 May pending confirmation. ECDC still showing May 7 data (no update). On watch: Tristan da Cunha PCR (HV-022) still pending; France ECMO patient (HV-011) critically ill; 12 Radboudumc HCW PCR results pending; Illinois IDPH investigating separate non-Andes case (Winnebago County, not MV Hondius).

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 13, 2026 · 19:05 UTC

Italy added as new monitoring country (HV-036, Tier 1, Italian Ministry of Health): 4 Italian citizens quarantined across 4 regions (Calabria, Campania, Tuscany, Veneto) + 1 British tourist quarantined at Sacco Hospital, Milan — all 5 tested NEGATIVE as of 13 May 2026. Italian MoH: no positive cases in Italy. US monitoring footprint expanded: 3 new states confirmed — Kansas (3 persons, high-risk exposure), Maryland (2 persons, flight contact), Washington (2 persons, seated near positive passenger). HV-034 city field and contactsMonitored updated accordingly. MV Hondius Rotterdam ETA revised to Monday 18 May per Oceanwide Expeditions press update 13 May 18:15 CET (Tier 2); 27 aboard (25 crew + 2 RIVM), all asymptomatic. HV-020 notes updated. Filipino crew: 38 Filipinos in 42-day NL quarantine; 24 flew to Eindhoven 12 May, all negative; HV-003 notes updated. Global KPI totals UNCHANGED: 9 confirmed + 2 probable = 11 total; 3 deaths. France ECMO patient (HV-011) remains critically ill — no change. WHO DON601 still not published. Tristan da Cunha PCR (HV-022) still pending.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 13, 2026 · 13:09 UTC

France HV-011 clinical deterioration: French confirmed patient at Bichat-Claude-Bernard Hospital placed on ECMO per Dr. Xavier Lescure (Tier 2, Bichat, NPR 13 May 2026). Condition is 'critically ill' — supersedes RUN-017 'stable' assessment. Health Minister Rist (Tier 1, 12 May press conference): 'severe condition'; no circulation on French territory; all 22 contacts directly linked to cruise ship; 8 SHN–JNB flight contacts all tested negative. Netherlands HV-003 correction: RIVM (Tier 1) published the third Netherlands PCR result as NEGATIVE on 08-05-2026 — this was missed in prior runs; closes 'pending PCR' watch item; no new NL case. RIVM arrival screening: first repatriation flight cohort (10 May) all tested negative. Spain HV-015 resolved: second confirmatory PCR at Gómez Ulla POSITIVE (Tier 1, Spain MOH) — case definitively confirmed, no longer preliminary. Global confirmed total unchanged: 9 confirmed + 2 probable = 11. No new deaths. WHO DON601 still not published. Tristan da Cunha PCR (HV-022) still pending — no Tier 1–2 result found this run. MV Hondius en route Rotterdam (ETA 16–17 May). On watch: France ECMO patient trajectory, JNB–AMS flight contacts (14 not confirmed negative), HV-022 Tristan da Cunha PCR, WHO DON601, MV Hondius Rotterdam arrival.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 12, 2026 · 13:09 UTC

Spain new confirmed case: Spain Health Minister Mónica García (Tier 1, X, May 12 2026) confirmed one of 14 Spanish MV Hondius ship passengers at Gómez Ulla Hospital, Madrid, tested preliminary PCR positive for hantavirus. Patient was asymptomatic on arrival; developed symptoms by early Tuesday 12 May. Other 13 Spanish passengers tested provisionally negative. HV-015 (Spain mainland): classification TRAVEL_LINKED_LOCATION→CONFIRMED_CASE, confirmedCases 0→1, displayColor #6b7280→#dc2626. Global confirmed total rises from 8 to 9. WHO updated count to 9 confirmed + 2 probable = 11 total. DON601 not yet published. Tristan da Cunha PCR (HV-022) still pending. France HV-011 ICU patient confirmed stable (resolves prior contradiction). Brazil Minas Gerais hantavirus death (CGTN, 12 May) explicitly unrelated to MV Hondius cluster — not added. On watch: HV-015 second confirmatory PCR, HV-022 Tristan da Cunha PCR, WHO DON601, MV Hondius Rotterdam arrival (weekend 16–17 May).

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 12, 2026 · 05:28 UTC

Manual monitoring run. Six records updated. (1) HV-011 France: contactsMonitored 8→22, French Ministry of Health Tier 1 — 22 contacts identified; French PM decree published 11 May mandating 42-day hospital quarantine; 8 flight contacts moved to hospital isolation; confirmed case in ICU Bichat. (2) HV-020 Spain: notes updated — MV Hondius departed Tenerife 11 May (Spain Health Minister Garcia Tier 1), en route Rotterdam, ~32 crew aboard with RIVM medical monitoring. (3) HV-031 Belgium: contactsMonitored 2→6, sourceTier 3→1 — Belgium FPS Public Health confirmed 4 additional contacts cleared; total 6 Belgian contacts. (4) HV-029 Australia: notes corrected — quarantine at Bullsbrook Centre (21-day initial period), NOT 45-day self-monitoring; 6 passengers arrived RAAF Pearce ~12 May, all asymptomatic. (5) HV-003 Netherlands: contactsMonitored 53→65 — RIVM confirmed 12 HCW in preventative quarantine at Dutch hospital after procedural errors; all 3 NL symptomatic-flight-contact PCRs confirmed negative. (6) HV-033 US: suspectedCases 1→0 — HHS official Ferreira confirmed Emory symptomatic patient PCR negative (debunked suspected case). Global totals unchanged: 8 confirmed, 2 probable, 3 deaths (2 confirmed, 1 probable under investigation). WHO DON601 still not published. Tristan da Cunha PCR (HV-022) still pending. On watch: France HV-011 ICU clinical trajectory, WHO DON601, HV-022 Tristan da Cunha PCR, MV Hondius crew Rotterdam crossing.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 11, 2026 · 13:06 UTC

France first confirmed case: French Health Minister Rist (Tier 1) confirmed one of five MV Hondius ship passengers evacuated to Bichat-Claude-Bernard hospital tested PCR positive — the woman who developed in-flight symptoms on May 10. HV-011 (France): classification CONTACT_MONITORING_ONLY → CONFIRMED_CASE, confirmedCases 0→1, suspectedCases 1→0. Global confirmed total rises from 7 to 8 (assuming 07:07 run changes applied: US 6→7, now France 7→8). RKI Germany formal outbreak page published (Tier 1): HV-009 sourceTier 3→1. Australia HV-029 updated: total repatriation group is 4 citizens + 1 permanent resident (5 Australian-monitored) + 1 New Zealander on same flight; Bullsbrook WA quarantine confirmed; flight arrives Perth ~May 12. Belgium new record (HV-031, Tier 3 only): 2 nationals at UZ Antwerp, asymptomatic. New Zealand new record (HV-030, Tier 3, flagged in prior run): 2 Kiwis in monitoring system. On watch: second American symptomatic (PCR pending, HV-007 suspectedCases: 1), Tristan da Cunha PCR (HV-022), WHO DON601 not yet published.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 11, 2026 · 07:07 UTC

US confirmed case: HHS confirmed one of 17 American repatriation flight passengers tested mildly PCR positive for Andes hantavirus (asymptomatic, in biocontainment on aircraft, to Nebraska Biocontainment Unit). A second American is symptomatic (separate biocontainment unit, PCR pending). Global confirmed total rises from 6 to 7. HV-007 (US) reclassified: CONTACT_MONITORING_ONLY → CONFIRMED_CASE; confirmedCases 0→1, suspectedCases 0→1. Spain Alicante case fully resolved: second PCR negative per Spain MOH — HV-015 suspectedCases 1→0. New jurisdiction flagged: New Zealand (1 national aboard, repatriation flight May 11, WHO coordinating) — no cases.json record yet, HV-030 creation recommended. France Bichat PCR (ship passenger suspect) still pending. Tristan da Cunha PCR still pending. RKI Germany formal statement still not published. Australia/NZ final flight in progress.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 11, 2026 · 01:08 UTC

French ship passenger suspected case: one of five French MV Hondius passengers evacuated to France developed fever and respiratory distress in-flight; French PM Lecornu (Tier 1) reclassified as suspect case; all 5 transferred to Bichat-Claude-Bernard hospital, Paris; strict isolation; PM decree pending. HV-011 France: suspectedCases 0→1 (ship passenger, distinct from 8 April 25 flight contacts). Australia added as new monitoring country (HV-029): 4 nationals aboard, DFAT advisory issued, 45-day self-monitoring under Biosecurity Act, repatriation flight May 11 — Tier 1 sources. Disembarkation complete: 94 people of 19 nationalities evacuated May 10; HV-020 Granadilla notes updated; MV Hondius proceeding to Rotterdam. Tristan da Cunha: British paratroopers airdropped May 10 — HV-022 notes updated, PCR still pending. No new confirmed cases or deaths. Global totals unchanged: 6 confirmed, 2 probable, 3 deaths (2 confirmed, 1 probable). On watch: Spain Alicante second PCR result, RKI Germany formal statement, France ship passenger PCR result from Bichat, Belgium MOH advisory.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 10, 2026 · 01:10 UTC

MV Hondius docking confirmed at Granadilla, Tenerife (May 10). Disembarkation underway in nationality groups; all passengers asymptomatic. Ireland added as new monitoring country (HV-028): HSE National Incident Management Team activated, 2 Irish nationals, repatriation plane dispatched — Tier 1-3 sources. Netherlands government issued formal 6-week home quarantine order for all Dutch MV Hondius nationals (Health Minister Hermans, Tweede Kamer letter). Spain Alicante suspected case: first PCR NEGATIVE per Spain Ministry of Health (Tier 1); second PCR pending per protocol — suspectedCases remains 1. US update: 17 Americans confirmed still aboard; CDC escorting to Nebraska Medicine NQU at Offutt AFB. No new confirmed cases or deaths in this cycle. Global totals unchanged: 6 confirmed, 2 probable, 3 deaths (2 confirmed). Belgium watch-listed: Spain confirmed repatriation flight but no independent Belgian MOH advisory found.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 9, 2026 · 13:10 UTC

WHO DON600 (8 May 2026) fully processed. Total cases now 8 (6 confirmed, 2 probable). Case 1 and Case 8 reclassified from suspected to probable per WHO official terminology. One previously suspected case formally reclassified non-case (negative PCR + serology). New confirmed cases: ship's doctor (Case 5, evacuated Netherlands May 6) and ship's guide (Case 6, evacuated Netherlands May 7) — both added as new records. Deaths: 3 total (2 confirmed, 1 probable). WHO upgrades onboard risk to MODERATE; global risk remains LOW. H2H language strengthened — WHO states evidence points to onboard human-to-human transmission. MV Hondius confirmed offshore Canary Islands per AIS as of 13:10 UTC — anchoring expected, no docking or disembarkation confirmed yet. DON600 corrigendum issued May 9.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 9, 2026 · 13:10 UTC

Spain mainland (HV-015) updated: 1 suspected case added (32-year-old Alicante woman, symptomatic, in negative pressure isolation at San Juan Hospital, PCR pending — formally classified by Spain Secretary of State Javier Padilla). Two additional asymptomatic flight contacts added (Catalonia 45yo — missed due to seat change; South African woman in Barcelona — tracked by Catalan health authorities). contactsMonitored: 8 → 10, suspectedCases: 0 → 1. All three are April 25 SHN–JNB flight contacts. MV Hondius en route, expected to anchor offshore Granadilla early May 10. WHO DG Tedros traveling to Tenerife to coordinate evacuation. WHO DON600 now live (6 confirmed, 2 deaths confirmed, h2h evidence language strengthened). Global confirmed case count unchanged at 6.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 8, 2026 · 23:00 UTC

German death now PCR-confirmed. CNN reported May 8 that postmortem testing in the Netherlands confirmed the Andes strain of hantavirus as cause of death for the German woman who died May 2 onboard MV Hondius. Confirmed death count rises from 1 to 2. Deaths under investigation drops from 2 to 1 (Dutch man, April 11, RIVM result still pending). Awaiting formal RKI statement for Tier 1 confirmation.

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 8, 2026 · 20:20 UTC

US monitoring expanded: 6 states now formally documented by Tier 1 state DOH sources (AZ, CA, GA, TX, VA for ship travelers; NJ for flight contacts). NJ DOH confirmed 2 NJ residents under monitoring on May 8. CDC classified outbreak as Level 3 Emergency Response and will deploy personnel to Tenerife to escort US nationals to the CDC National Quarantine Unit in Nebraska. WHO officer confirmed all remaining ship passengers are currently asymptomatic. MV Hondius docking at Granadilla still pending (expected May 9–10). No change to confirmed case count (6), death count (1 confirmed, 2 under investigation), or suspected case count (2).

Operational note:

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 8, 2026 · 20:00 UTC

Timeline rebuilt: all 15 events are now source-verified against Tier 1-2 sources with confidence scores. Claims Under Review section and HV-014 (Israel, unverified) removed from all public-facing surfaces and data files. UKHSA confirms 1 UK case — total confirmed rises to 6. KLM flight attendant confirmed negative by WHO.

Operational note: May 8 20:00 UTC — Timeline rebuilt: all 15 events now source-verified against Tier 1–2 sources with confidence scores. Claims Under Review section and HV-014 (Israel, unverified) removed from all public-facing surfaces and data files. UKHSA confirms 1 UK case — total confirmed rises to 6. KLM flight attendant confirmed negative by WHO.

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 8, 2026 · 18:00 UTC

UK emergency update: British health authorities confirmed 2 UK nationals with Andes hantavirus on May 8, 2026 (CNN/UKHSA). A suspected case in a British national on Tristan da Cunha is under investigation. Confirmed case count rises from 5 to 7. KLM flight attendant confirmed negative. Contact estimate updated to 200+. HV-021 (UK confirmed) and HV-022 (Tristan da Cunha suspected) added to map.

Operational note: May 8 18:00 UTC — UK emergency update. British health authorities confirmed 2 UK nationals with PCR-confirmed Andes hantavirus (HV-021), raising the global confirmed total from 5 to 7. A suspected case in a British national who disembarked at Tristan da Cunha (HV-022) is under investigation. KLM flight attendant confirmed negative — case resolved. Confirmed cases now span 4 countries: Netherlands, South Africa, Switzerland, United Kingdom. Contact estimate updated to 200+.

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 8, 2026 · 17:00 UTC

May 8 update: WHO DG formally briefed on the cluster, confirming 5 PCR-confirmed cases and 2 deaths under investigation. MV Hondius departed Cape Verde on May 6 and is expected to dock at Granadilla, Tenerife on May 9–10, where 13 Spanish nationals will transfer to Madrid quarantine. Spain destination marker added to map (HV-020). Timeline updated with WHO briefing and ship departure events. No change to confirmed case count or confirmed death count. Germany PCR result still pending.

Operational note: May 8 17:00 UTC — Spain destination marker added (HV-020 Tenerife/Granadilla). Timeline updated with Cape Verde departure event (TL-016). New /hantavirus-confirmed-cases and /data static pages published. OG image converted to PNG. Confirmed case and death counts unchanged.

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 8, 2026 · 05:00 UTC

Data verification cycle against WHO, CNN, CBS News, Time, UKHSA, and Oceanwide Expeditions sources. Key updates: Three evacuees (German, Dutch, British) now confirmed in Netherlands medical care. UK monitoring count increased — UKHSA confirmed 2 additional returnees self-isolating. South Africa contacts updated to 60+ from April 25 flight tracing. Ship confirmed heading to Granadilla port Tenerife, expected arrival May 9–10. Argentina index case route confirmed by Argentine health ministry. Confirmed case count remains 5. Deaths remain 3 (1 PCR-confirmed). Public risk remains low per WHO.

Operational note: Verification cycle May 8 05:00 UTC. 5 records updated against WHO, CNN, CBS News, Time, UKHSA, and Oceanwide Expeditions sources. Three evacuees confirmed in Netherlands medical care; UK monitoring +2 self-isolating returnees per UKHSA; South Africa April 25 flight contact tracing now at 60+ per Time/Health Department; ship en route Granadilla port, Tenerife with May 9–10 ETA per CBS News; Argentina index-case route confirmed by Argentine Ministry of Health. Confirmed case count remains 5. Deaths remain 3 (1 PCR-confirmed). Public risk remains low per WHO.

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 8, 2026 · 04:11 UTC

Major update based on WHO DG briefing May 7 and Tier 1 national health agency reports. Total cases now 8 — 5 lab-confirmed, 3 suspected per WHO. Three new monitoring jurisdictions added: Singapore (2 contacts, Singapore CDA), Canada (3 contacts across Ontario and Quebec, Government of Canada), and France (8 flight contacts, French Health Ministry). Ship MV Hondius departed Cape Verde May 6, en route Tenerife with arrival approximately May 10. Tenerife president has disputed docking but Spain's national health minister confirmed ship will proceed. KLM flight attendant hospital admission confirmed by Dutch Health Ministry — test results pending. British patient condition improving. Risk to general public remains low per WHO.

Operational note: Major update from WHO DG briefing May 7 and Tier 1 national health agency reports. WHO total now 8 cases (5 confirmed + 3 suspected). Singapore (Singapore CDA), Canada (Government of Canada), and France (French Ministry of Health) monitoring records upgraded to Tier 1. Ship en route Tenerife with arrival approximately May 10. KLM flight attendant hospital admission confirmed by Dutch Health Ministry — test results pending. British patient condition improving. Risk to general public remains low per WHO.

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 7, 2026 · 12:00 UTC

WHO Director-General confirmed 5 lab-confirmed Andes hantavirus infections and 3 deaths linked to the MV Hondius cluster. Only one death — a Dutch woman who died in Johannesburg — has been PCR-confirmed as caused by hantavirus; the other two deaths remain under investigation. Switzerland has been upgraded to a confirmed case after the Swiss government confirmed a male passenger is being treated in Zurich. Germany has been reclassified from probable case to death under investigation — the deceased was a woman, contradicting initial social media reports. Sources: WHO DG Briefing May 7, CNN, Al Jazeera, Wikipedia.

Operational note: Major correction: WHO DG briefing May 7 confirms 5 confirmed cases and 3 deaths (only 1 PCR-confirmed hantavirus death). Confirmed case count revised from 2 to 5. Switzerland upgraded to CONFIRMED_CASE. Germany corrected to DEATH_UNDER_INVESTIGATION (cause not confirmed, deceased was a woman not man). Ascension Island added as HV-016. Two new timeline events added. Israel claim remains unverified — no change.

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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May 7, 2026 · 00:00 UTC

Initial dataset load. 15 locations ingested from MV Hondius cluster analysis. HV-014 (Israel) flagged as analystOnly pending verification. 5 social claims analyzed and classified.

Sources: WHO DG Briefing · WHO DON599 · CNN · Al Jazeera · Reuters

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