{
  "abstract": "As at 9 July 2026 †† , 13 cases (12 confirmed and one probable) of Andes orthohantavirus have been reported (case fatality: 23%), linked to the Dutch-flagged expedition cruise ship m/v Hondius . The event involved individuals from 23 nationalities and required medical evacuation, repatriation, coordinated international contact tracing, isolation, quarantine and clinical and laboratory testing follow-up. To date, all cases have been passengers (10/121; 8%) or crew members (3/61; 5%). Ongoing monitoring and investigations aim to clarify the source of the outbreak, identify risk factors and prevent further spread.",
  "abstract_shown": true,
  "affiliations": [
    "Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands",
    "European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden",
    "The members of the UKHSA ANDV Team are listed under Collaborators",
    "European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden",
    "World Health Organization Regional Office for Africa (WHO AFRO), Emergency Preparedness and Response, Emergency Response, Brazzaville, Congo",
    "Amsterdam University Medical Centers, Amsterdam, The Netherlands",
    "Department of Internal Medicine, Central Military Hospital, Utrecht, The Netherlands",
    "Coordinating Centre for Health Alerts and Emergencies (CCAES), Ministry of Health, Madrid, Spain",
    "Infectious and Tropical Diseases Department and French National Mission for Epidemic and Biological Risk Coordination, Assistance Publique - Hôpitaux de Paris (APHP), Bichat Hospital and Université Paris Cité, French National Institute of Health and Medical Research (INSERM), Infection, Antimicrobials, Modelling, Evolution (IAME), Paris, France",
    "Population & Public Health, Island Health, Victoria, British Columbia, Canada",
    "British Columbia Centre for Disease Control, Vancouver, British Columbia, Canada",
    "Robert Koch Institute (RKI), Berlin, Germany",
    "Department of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich and University of Zurich, Zurich, Switzerland",
    "The National Institute for Communicable Diseases (NICD), Johannesburg, South Africa",
    "The members of the International ANDV team are listed under Collaborators"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 20,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Oda E. van den Berg",
      "orcid": "0000-0002-6142-8145"
    },
    {
      "affs": [
        2
      ],
      "name": "UKHSA ANDV Team"
    },
    {
      "affs": [
        3
      ],
      "name": "Ettore Severi",
      "orcid": "0000-0002-1987-6059"
    },
    {
      "affs": [
        4
      ],
      "name": "Freddy Mutoka Banza",
      "orcid": "0000-0002-0739-1193"
    },
    {
      "affs": [
        5
      ],
      "name": "Michèle van Vugt",
      "orcid": "0000-0001-8365-2482"
    },
    {
      "affs": [
        6
      ],
      "name": "Esther M Schadd"
    },
    {
      "affs": [
        7
      ],
      "name": "María Cruz Calvo-Reyes",
      "orcid": "0009-0002-6004-8738"
    },
    {
      "affs": [
        7
      ],
      "name": "Laura Santos Larrégola",
      "orcid": "0009-0003-2160-6108"
    },
    {
      "affs": [
        7
      ],
      "name": "Pedro Valdivia-Prieto"
    },
    {
      "affs": [
        8
      ],
      "name": "François-Xavier Lescure",
      "orcid": "0000-0002-2828-125X"
    },
    {
      "affs": [
        9
      ],
      "name": "Mark A Cachia",
      "orcid": "0009-0005-1569-1363"
    },
    {
      "affs": [
        10
      ],
      "name": "Mayank Singal"
    },
    {
      "affs": [
        11
      ],
      "name": "Mirko Faber"
    },
    {
      "affs": [
        12
      ],
      "name": "Walter Zingg",
      "orcid": "0000-0003-3102-5158"
    },
    {
      "affs": [
        13
      ],
      "name": "Nazir Ahmed Ismail",
      "orcid": "0000-0001-7696-3776"
    },
    {
      "affs": [
        0
      ],
      "name": "Margreet J.M. te Wierik"
    },
    {
      "affs": [
        0
      ],
      "name": "Tjalling Leenstra",
      "orcid": "0000-0001-7294-2193"
    },
    {
      "affs": [
        0
      ],
      "name": "Chantal B. E. M. Reusken",
      "orcid": "0000-0003-4605-9174"
    },
    {
      "affs": [
        0
      ],
      "name": "Susan van den Hof",
      "orcid": "0000-0002-2968-9652"
    },
    {
      "affs": [
        14
      ],
      "name": "the International ANDV team"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7j7brj6phppbq.bib",
  "cited_by": 10,
  "doi": "10.2807/1560-7917.es.2026.31.24.2600477",
  "fulltext_url": null,
  "id": "7j7brj6phppbq",
  "issns": [
    "1025-496X",
    "1560-7917"
  ],
  "landing_url": "https://doi.org/10.2807/1560-7917.es.2026.31.24.2600477",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2725|Viral Infections and Vectors"
    ]
  ],
  "openalex": "W7165117924",
  "pdf_url": "https://www.eurosurveillance.org/deliver/fulltext/eurosurveillance/31/24/eurosurv-31-24-2.pdf?itemId=%2Fcontent%2F10.2807%2F1560-7917.ES.2026.31.24.2600477&mimeType=pdf&containerItemId=content/eurosurveillance",
  "pmcid": "PMC13291726",
  "pmid": "42318653",
  "published": "2026-06-18",
  "publisher": "European Centre for Disease Prevention and Control",
  "ris": "https://research.draconitic.com/paper/7j7brj6phppbq.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:26:56Z",
      "native_id": "W7165117924",
      "source": "openalex",
      "url": "https://doi.org/10.2807/1560-7917.es.2026.31.24.2600477"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2725|Viral Infections and Vectors",
      "subfield": "infectious-disease"
    }
  ],
  "title": "Andes virus outbreak linked to expedition cruise ship travel, multi-country investigation and response, April to June 2026",
  "title_text": "Andes virus outbreak linked to expedition cruise ship travel, multi-country investigation and response, April to June 2026",
  "type": "peer-reviewed",
  "updated_at": "2026-11-05T13:21:08Z",
  "url": "https://research.draconitic.com/paper/7j7brj6phppbq",
  "venue": "Eurosurveillance",
  "versions": []
}