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The Guardian

Rory McIlroy surges into six-shot Masters lead with stunning second-round flourish ‘That’ll be the end’: actor Sam Neill joins fight to stop controversial goldmine near his New Zealand vineyard Roberto De Zerbi targets ‘Ange-ball’ revival to save Spurs from relegation Bath hit back to reach semi-final after stunning Northampton in 11-try epic Secret Garden to Outcome: the week in rave reviews Zebras, wealth and power: Hungary’s election tests Orbán’s grip on power ‘TikTok effect’ brings sellout crowds and younger fans to Grand National meeting The war over Omagh’s gold: the £21bn mine plan tearing a community apart Britain’s shadow workforce is paid as little as 65p an hour. Who cares for the carers? From You, Me & Tuscany to Euphoria: your complete entertainment guide to the week ahead Six great reads: the man who let snakes bite him, masked heavy metal and the brutal reality for foreign students in the UK American Classic review – I defy you not to fall in love with Kevin Kline and Laura Linney’s tender comedy Cuba’s doctors were a lifeline for the world. Now the Caribbean is shamefully complicit in the US drive to expel them An environmental disaster in Moldova has Russia’s fingerprints all over it RMIT drops misconduct case against student who accused university of being ‘complicit in Gaza genocide’ Ichiro Suzuki statue unveiling goes awry as bronze bat snaps during ceremony Survivors of Epstein’s abuse accuse Melania Trump of ‘shifting burden’ on to victims European football: Real Madrid held at home by Girona to extend winless run Arne Slot insists he is ‘aligned’ with Liverpool board and fans as squad is rebuilt Kamala Harris ‘thinking about’ running for president again in 2028 JD Vance warns Iran against trying to ‘play’ the US in peace talks West Ham double up twice to thrash Wolves and put Spurs in relegation zone Trump administration releases new renderings of so-called ‘Arc de Trump’ Crispin Odey drops £79m libel claim against FT over sexual misconduct allegations Bafta apologises for events surrounding John Davidson’s Tourette’s outburst Cocktail of the week: Bar Shrimp’s la rosita – recipe New drug may extend survival in aggressive ovarian cancer, trial shows One dead and 27 injured after bus with British passengers crashes in Canary Islands Pope adds to Smith’s mass of Surrey runs with England woes a world away OpenAI CEO Sam Altman’s home targeted with molotov cocktail Reform UK local election candidate was twice disciplined by Tories over ‘racist comments’ Remaining in Nato is in best interests of US, says Keir Starmer Prince Harry sued for defamation by charity he co-founded Anthropic’s new AI tool has implications for us all – whether we can use it or not Concerns raised about motorbike tourist trail after death of British teenager in Vietnam The Guardian view on Trump’s civilisational threats: the words that fuel war must be condemned The Guardian view on dystopias for our times: the American nightmare Doctors’ leader claims new reduced pay offer killed chances of ending strikes in England Netanyahu-ism has achieved nothing for Israelis – and come at a monstrously high price Deborah Levy: ‘CS Lewis’s White Witch terrified me – but I wanted to meet her’ How I Shop with Michelle Ogundehin: ‘We grownups have enough stuff already’ Trump’s war and Melania’s Epstein statement, with US editor Betsy Reed – The Latest We have to stop killer motorists on Britain’s roads UK starts crackdown on EU citizens’ post-Brexit rights Londoners aren’t unfriendly – but don’t compare us to New Yorkers The religious right and the perversion of faith Artemis II images reignite moon mission memories Orbán and Magyar trade accusations in last days of Hungary election campaign Reckonwrong: How Long Has It Been? review | Safi Bugel's experimental album of the month Martin Rowson on Middle East peace talks – cartoon Masters magic, the Grand National and Premier League drama – follow with us Fears of UK and EU flight cancellations as airports warn of jet fuel shortages Reform’s petulance over slavery reparations shows it just doesn’t grasp Britain’s place in the modern world Peers vote to ban pornography depicting sex acts between stepfamily members Starbucks’s retail arm gets £13.7m tax credit even as sales increase Flyby review – interstellar musical is a voyage of epic strangeness Grand National preview: Jagwar can deny Irish cohort in Aintree classic Week in wildlife: an ostrich on the lam, a tortoise crossing a road and surfing seals Anger as swifts’ nesting holes in Derbyshire rail viaduct ‘blocked up’ Peter Mandelson faces fixed-penalty notice for urinating in public ‘There’s no shortage of terrifying technology’: how AI became TV drama’s new go-to villain ‘Fresher than anything in a shop’: the best recipe boxes and meal kits for time-poor foodies, tested Who was Hilma? 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The hantavirus outbreak has been well-handled – but there are still dangerous days ahead
Devi Sridhar · 2026-05-12 · via The Guardian

Hantavirus: the disease you wish you’d never heard of, as visions of the Covid pandemic flash through your head. I’ve seen lots of breathless coverage and some bizarre takes on social media, so I imagine many people are confused as to what’s going on.

Let me start by saying that this isn’t the Covid pandemic – only Covid was Covid. Previous hantavirus outbreaks have been contained (although none were on a cruise ship). So, for now, the risk to the general public is low – colleagues and I are still carrying on as normal and watching to see whether new infections arise outside the original cruise ship group. Those new infections would be the key step-change determining whether we see further spread and higher-risk public health alerts – or whether we’re at the end of this outbreak.

The first thing to know is that Hantavirus outbreaks happen all the time across the world. You just don’t hear about them. In fact, you probably didn’t hear about the Andes strain hantavirus outbreak in 2018 in Argentina, with 34 confirmed cases and 11 deaths.

Part of what makes the current outbreak unique – and newsworthy – is it being on a cruise ship with about 150 people of 23 nationalities. Cruise ships are notorious for making outbreak control difficult, given the close living conditions, the frequent stops in various ports, the globetrotting nature of passengers and the difficulty in managing a public health response on the ship once a virus is detected.

Do you keep everyone on the ship, with the risk that further people become infected and unwell? Or do you take people off the ship and risk spread in each of their home nations? In this instance, quite a few passengers disembarked before the outbreak was detected and took commercial flights back home, meaning there is already wider potential exposure to the virus. We’ll only know for sure in the weeks to come.

When hantavirus was first mentioned, public health experts were hoping it was any strain beside the Andes strain, which can transmit from human to human and has previously caused super-spreading events. Add to that the fact that it has an incubation period of one to eight weeks, which means that just because someone tests negative today, it doesn’t mean they’re not infected. They could still become symptomatic and infectious later.

We also don’t have an approved vaccine, specific therapeutic or rapid diagnostic test that could be deployed against this strain. This means having to rely on traditional public health measures of isolation and quarantine, N95 masks and stopping chains of infection.

We will know how many others were infected on the cruise ship in a matter of days, so expect more positive cases. We will also know within a few weeks if secondary contacts on flights and elsewhere were infected from passengers who disembarked before the outbreak was identified. None have been identified so far, which is good news. But it’s also early days.

And it’s imperative that those returning to their home countries are supported logistically, medically and emotionally to quarantine for the full WHO-recommended 42 days and do not infect their close contacts, such as family and friends that they might want to see. With the long incubation period, this could mean cases emerging one to two months in the future and more chains of infection to shut down. We’re also in a unique situation of relying on 23 different governments to successfully manage their nationals returning home.

Finally, this has all been made more difficult by the fact that the US has traditionally been the leader in outbreak investigation and response through the Centers for Disease Control and Prevention (CDC). But it recently quit the World Health Organization (WHO) and fired all of the CDC’s cruise inspectors. To its credit, the WHO has taken the lead on the response, working with the staff on the ship and multiple governments to coordinate a coherent and integrated response. All of these different countries are welcoming their nationals back and should all be following a similar containment protocol.

Here, the UK Health Security Agency (headed by Prof Susan Hopkins) has been leading on this – and to its credit has taken a sensible, scientific and proactive response to managing the outbreak. For instance, using self-contained flats at Arrowe Park hospital in Wirral, Merseyside to house all those coming off the ship and ensuring they have a supported isolation arrangement with regular testing and medical assessments. They managed the Kent meningitis outbreak well, too.

Even if more cases arise, scientists are already looking for solutions: vaccine studies are being expedited, existing drugs that might work against hantavirus are being studied and diagnostics are being tested. Knowing some of the brightest minds in the world are looking for solutions will hopefully help you sleep better at night, too.

  • Prof Devi Sridhar is chair of global public health at the University of Edinburgh, and the author of How Not to Die (Too Soon)