Twenty-three Britons are trapped aboard a cruise ship with a suspected hantavirus outbreak where three people have died.
A Dutch couple and a German national have all died, the shipowner confirmed, and a British passenger, 69, is fighting for his life in intensive care in Johannesburg.
There are currently 19 British passengers and four British crew members on the ship, according to Oceanwide Expeditions travelling from Argentina to Cape Verde.
The Dutch man who died was 70 and suddenly developed fever, headache, abdominal pain and diarrhoea. He died on arrival at the island of St Helena, a British territory in the South Atlantic. His wife, 69, was evacuated to South Africa, where she died in a Johannesburg hospital.
The outbreak was reported aboard the MV Hondius which departed Ushuaia in southern Argentina on 20 March and was due to arrive in Cape Verde on 4 May.
A British man, 69, who became ill on the ship was taken to a private health facility in Johannesburg, according to the South African health ministry, which said he tested positive for hantavirus.
The South African health ministry said the man fell ill onboard the ship and died on the island of Saint Helena, while his wife died at a hospital in Kempton Park, a city in South Africa.
Hantavirus is usually caught through contact with urine or faeces from infected rodents.
Hantaviruses cause two serious syndromes, according to the US Centres for Disease Control and Prevention: hantavirus pulmonary syndrome, a severe disease that effects the lungs, and hemorrhagic fever with renal syndrome, a severe disease that affects the kidneys.
While rare, hantavirus infections could be spread between people, the WHO said. There was no specific treatment or cure, but early medical attention could increase the chance of survival.
“WHO is aware of and supporting a public health event involving a cruise vessel sailing in the Atlantic Ocean,” the organisation said. “Detailed investigations are ongoing, including further laboratory testing, and epidemiological investigations. Medical care and support are being provided to passengers and crew. Sequencing of the virus is also ongoing.”
The ship is operated by the Dutch tour company Oceanwide Expeditions, which said on Sunday evening that two crew members onboard require urgent medical care and the third fatality was still onboard the ship.
The company said local health authorities had assessed the two symptomatic individuals, but the ship did not have authorisation from Cape Verdean authorities to disembark people requiring medical care.
“The priority of Oceanwide Expeditions is to ensure that the two symptomatic individuals onboard receive adequate and expedited medical care,” a spokesperson said.
“We are in close contact with those directly affected and their families and are providing support where possible.
“Disembarkation and medical screening of all guests require coordination with local health authorities, and we are in close consultation with them.”
Dutch authorities have agreed to lead a joint effort in organising the repatriation of the two symptomatic individuals to the Netherlands, the cruise operator said, along with the body of the deceased individual.
The WHO said it was “facilitating coordination” between national authorities and the ship’s operators to organise the medical evacuation of two passengers with symptoms.
The MV Hondius, which can accommodate about 170 passengers and has 70 crew members, is listed as a polar cruise ship on the websites of several travel agencies.
One of the cruises offers an itinerary departing from Ushuaia in Argentina and sailing to Cape Verde, with stops in the islands of South Georgia and Saint Helena.
The UK’s foreign office said: “We are closely monitoring reports of a potential hantavirus outbreak on the cruise ship Hondius and stand ready to support British nationals if needed. We are in touch with the cruise company and local authorities.”