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⚠️Hantavirus update. So now there is an 8th case in Switzerland (ship passenger that disembarked early, not particularly unwell). The French ‘case’ isn’t a real case, he is simply a contact for now who was on the flight to Johannesburg with the sick Dutch case (we will need to wait 8 weeks to see if he becomes symptomatic and tests positive). Further cases are not unexpected though. Current cases remains early generation H2H spread on ship. We can expect a few second or third generation cases from flights or healthcare facilities where these patients are treated. My previously reviewed article from @NEJM documents the person-to-person transmission dynamics in the Argentina outbreak: 34 cases, 11 deaths, four generations of human-to-human transmission. This virus has very low pandemic risk, it’s too deadly and it’s R0 with isolation is far too low.

The Dutch woman, whose husband died on the ship, disembarked in Saint Helena with “GI symptoms” on April 24. Her condition “deteriorated during a flight to Johannesburg” on April 25. She died on April 26. Travel via Africa’s busiest airport means *MANY* were potentially exposed.