American Hondius Passengers to Head to Nebraska Quarantine Center
Global public-health officials race to contain the spread of hantavirus as over 100 passengers are set to return to home countries
The U.S. Centers for Disease Control and Prevention is sending staff to the Canary Islands to meet a cruise ship with a hantavirus outbreak.
The MV Hondius has a hantavirus outbreak that has killed three people and infected five others; the rare Andes variant is confirmed.
Seventeen American passengers from the ship will be quarantined at the University of Nebraska Medical Center’s National Quarantine Unit.
The U.S. Centers for Disease Control and Prevention sent staff to the Canary Islands to meet the cruise ship at the center of a hantavirus outbreak that global health authorities are racing to contain.
There, they are expected to help facilitate the next leg of the journey for 17 American passengers on board the vessel.
That destination: high-tech quarantine facilities in Omaha, Neb., that include a unit used in 2014 to monitor U.S. citizens with Ebola and again in 2020 for Americans returning from Wuhan, China, and from the Diamond Princess cruise ship stricken with Covid-19 at the start of the pandemic.
Public-health officials in states including Virginia, Texas and Georgia are now monitoring other Americans who got off the ship before authorities confirmed the outbreak. States like New Jersey are watching people who shared flights with cruise passengers who later were diagnosed with the virus.
As of Saturday, none of the passengers currently aboard the MV Hondius were showing signs of hantavirus, the rare infection carried by rodents that has so far killed three people and infected five others aboard the Hondius. But the contagion risk is still a mystery. There are confirmed cases among those who already left the boat and questions swirling over possible exposures on flights, pressuring U.S. health officials to escalate their strategy to halt its spread.
The Hondius is expected to dock early Sunday local time at Tenerife, the largest of the Canary Islands in Spain, according to the ship’s operator, Oceanwide Expeditions. The State Department is organizing a repatriation flight to bring the Americans still on board the ship back to the U.S. Another CDC team will go to a Nebraska Air Force base to meet the flight on its return.
The American cruise ship passengers will be brought to the University of Nebraska Medical Center’s National Quarantine Unit, the center said. The 20-room facility is the only quarantine facility funded by the federal government in the U.S., and its rooms are equipped with personal bathrooms, exercise equipment, Wi-Fi and special ventilation systems, according to the center. It was funded by a nearly $20 million federal grant.
The facility looks more like a hotel than a hospital. People quarantining at the center are asked not to leave their rooms and receive, essentially, room service brought to their door, said Dr. Michael Wadman, medical director of the National Quarantine Unit at University of Nebraska Medicine.
“We’re familiar with this virus,” Wadman said, contrasting it to Covid, which was a novel virus when it first emerged. “But in this situation we want to err on the side of caution.”
Nurses and physicians trained in infection control instruct those staying in the units on protocols, including how to manage their laundry, Wadman said. Nurses wearing personal protective equipment will check their symptoms daily. The quarantine unit staff also ensure people staying there can speak to friends and family and have access to counseling services if needed.
Staff undergo quarterly training that allows them to activate the quarantine unit quickly and mitigate a variety of situations, Wadman said. That could include determining what to do if someone vomits in their room or facilitating care if a healthcare provider gets sick.
“We’re really training to the range of possibilities,” Wadman said.
If any cruise ship passengers are quarantined and develop symptoms, they will be moved to the nearby Nebraska Biocontainment Unit—a facility isolated from the rest of Nebraska’s medical center, designed to treat patients infected with highly hazardous infectious diseases, according to Nebraska Medicine.
A CDC official said Saturday that ship passengers will be monitored for around six weeks, or 42 days, but not necessarily only in Nebraska. The official said authorities will coordinate with some passengers and local jurisdictions for at-home monitoring, though it wasn’t clear how many people were going home or when.
Scientists confirmed that the rare Andes variant of hantavirus is the source of the outbreak on the ship. It is the only form of the disease carried by rodents that can be transmitted between humans. Normally people can only transmit it through very close contact, like sharing food or living quarters, according to experts.
The World Health Organization said two passengers who later died from hantavirus boarded the vessel after traveling through Argentina, Chile and Uruguay on a bird-watching trip that included visits to areas where rats known to carry the Andes variant live.
Quarantines for returning travelers, depending on their level of exposure, could end up being lengthy as the incubation period for the virus is around six weeks. Argentina, which deals with this strain of hantavirus more than most countries, sets guidelines based on a person’s exposure. U.S. public health officials might take guidelines from Argentina into account when determining how to handle the ship’s passengers or any others who might have been exposed, said Dr. Gaby Frank, director for the Center for Special Pathogens at Johns Hopkins Hospital.
“The monitoring can be a little more intense or less intense,” she said. If a person was at high risk of exposure, she said, that person would likely be asked to have no contact with anyone else until the roughly six-week incubation period has passed.
That said, a person with a lower-risk exposure might only need to check in with public-health officials by phone once a day. In Texas, for example, the state’s health department said two residents who were aboard the ship are now checking their temperatures daily and agreed to contact public-health officials if they start to show any symptoms.