{
  "meta": {
    "lastUpdated": "2026-05-21T12:15:55Z",
    "version": "2.0",
    "source": "manual-curation-railway-api-sync",
    "total": 46,
    "new": 3
  },
  "cases": [
    {
      "id": "PEDB43",
      "name": "Dutch Female Passenger (Index)",
      "description": "Index case. Dutch female passenger (age 69) aboard MV Hondius. Before boarding in Ushuaia on April 1, she and her husband traveled in Argentina, Chile, and Uruguay (Al Jazeera / WHO, May 7 2026). Arge...",
      "status": "deceased",
      "generation": "G0",
      "location": {
        "name": "South Africa",
        "country": "South Africa",
        "lat": -15,
        "lng": -5
      },
      "role": "passenger",
      "reportedDate": "2026-04-26",
      "sources": [
        {
          "name": "WHO / Manila Times / AFP",
          "url": "https://www.manilatimes.net/2026/05/06/world/who-tracing-over-80-people-on-flight-taken-by-hantavirus-victim/2336441"
        }
      ],
      "verification": "verified",
      "notes": "Index case. Dutch female passenger (age 69) aboard MV Hondius. Before boarding in Ushuaia on April 1, she and her husband traveled in Argentina, Chile, and Uruguay (Al Jazeera / WHO, May 7 2026). Argentine authorities' leading hypothesis (per AP, May 7 2026): couple contracted hantavirus during a bird-watching outing in Ushuaia; investigators also tracing their route through Patagonian forested hillsides. Province of Tierra del Fuego — where ship docked — had never previously recorded a hantavirus case. Disembarked at Saint Helena on April 24 with gastrointestinal symptoms. Boarded Airlink flight 4Z 301 (SHN→JNB) on April 25 — condition deteriorated in-flight. Died April 26 at Johannesburg hospital; tested positive for Andes-strain hantavirus. WHO initiated contact tracing for all 82 passengers and 6 crew on that flight. KLM confirmed she also traveled on a KLM flight from Johannesburg. Husband (P002) died on the ship April 11. [Note: P34866 in database is likely a duplicate of this case — same person described as '69-year-old woman who disembarked at St Helena and died in South Africa'.]",
      "linkedCaseIds": []
    },
    {
      "id": "P002",
      "name": "Dutch Male Passenger (Husband of Index)",
      "description": "Dutch male passenger (age 70), husband of index case PEDB43, sharing Cabin 406. Per WHO/USA Today May 7 official summary: developed fever, headache, and mild diarrhea on April 6; died aboard MV Hondiu...",
      "status": "deceased",
      "generation": "G1",
      "location": {
        "name": "International Waters",
        "country": "International Waters",
        "lat": -15,
        "lng": -5
      },
      "role": "passenger",
      "reportedDate": "2026-04-11",
      "sources": [
        {
          "name": "Manually curated"
        }
      ],
      "verification": "verified",
      "notes": "Dutch male passenger (age 70), husband of index case PEDB43, sharing Cabin 406. Per WHO/USA Today May 7 official summary: developed fever, headache, and mild diarrhea on April 6; died aboard MV Hondius on April 11 — the first death in the outbreak (5 days after symptom onset). Important: no samples were taken at time of death and hantavirus was not initially identified. Argentine authorities' leading hypothesis (AP, May 7 2026): couple contracted hantavirus during a bird-watching outing in Ushuaia before boarding on April 1. WHO confirmed couple traveled Argentina, Chile, AND Uruguay prior to boarding (Al Jazeera, May 7 2026). Investigators also tracing their route through forested hillsides of Patagonia. Tierra del Fuego province had never previously recorded a hantavirus case. Body removed to St. Helena on April 24. Early reporting erroneously described him as evacuated to Punta Arenas — corrected to 'died on the ship' per WHO/AFP/Manila Times.",
      "linkedCaseIds": [
        "PEDB43"
      ]
    },
    {
      "id": "P003",
      "name": "British Guest — Symptomatic Evacuee (April 27)",
      "description": "British male GUEST (not crew — corrected per Oceanwide Expeditions official timeline, USA Today May 8 2026). Reported fever, shortness of breath, and signs of pneumonia to the ship's doctor on April 2...",
      "status": "confirmed",
      "generation": "G1",
      "location": {
        "name": "International Waters",
        "country": "International Waters",
        "lat": -15,
        "lng": -5
      },
      "role": "passenger",
      "reportedDate": "2026-04-24",
      "sources": [
        {
          "name": "Manually curated"
        }
      ],
      "verification": "verified",
      "notes": "British male GUEST (not crew — corrected per Oceanwide Expeditions official timeline, USA Today May 8 2026). Reported fever, shortness of breath, and signs of pneumonia to the ship's doctor on April 24. Condition worsened; medically evacuated April 27 via Ascension Island alongside his American partner (see PUSPAR01) — both removed from the ship together as the total was reduced from 149 to 147. Tested positive for hantavirus on May 2 in South Africa — making him the FIRST laboratory-confirmed case in the outbreak (AP, May 7 2026). Currently hospitalized in intensive care in South Africa. WHO update (May 8 via Dr. Maria Van Kerkhove briefing): patient was reported as 'doing better.'",
      "linkedCaseIds": [
        "PEDB43"
      ]
    },
    {
      "id": "P004",
      "name": "Dutch Crew Member",
      "description": "Crew member sharing workspace and common ventilation zones with P003 during P003's prodromal phase. Fever, myalgia, early respiratory symptoms. Serology pending. Vessel stranded near Cape Verde — unde...",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "International Waters",
        "country": "International Waters",
        "lat": -15,
        "lng": -5
      },
      "role": "passenger",
      "reportedDate": "2026-04-18",
      "sources": [
        {
          "name": "MV Hondius Ship Physician",
          "url": "https://nypost.com/2026/05/06/world-news/23-hantavirus-cruise-passengers-already-returned-home-including-to-the-us/"
        }
      ],
      "verification": "verified",
      "notes": "Crew member sharing workspace and common ventilation zones with P003 during P003's prodromal phase. Fever, myalgia, early respiratory symptoms. Serology pending. Vessel stranded near Cape Verde — under shipboard medical monitoring awaiting evacuation. [Note: PDB8D5 is also Dutch age 41 — possible same person; retain both pending confirmation.]",
      "linkedCaseIds": [
        "PEDB43"
      ]
    },
    {
      "id": "P90118",
      "name": "Cape Verde Evacuee — Mild Symptoms (possible duplicate)",
      "description": "⚠️ POSSIBLE DUPLICATE — May be same person as PA1B22, P872E8, or PDB8D5 (the three officially listed May 6 evacuees to the Netherlands per WHO/Oceanwide). Auto-scraped entry for ill crew member with m...",
      "status": "confirmed",
      "generation": "G1",
      "location": {
        "name": "Cape Verde",
        "country": "Cape Verde",
        "lat": 14.933,
        "lng": -23.513
      },
      "role": "passenger",
      "reportedDate": "2026-05-05",
      "sources": [
        {
          "name": "Auto-scraped — verify before publishing",
          "url": "https://www.nbcnews.com/health/health-news/hantavirus-cruise-ship-stranded-crew-evacuation-human-transmission-rcna343606"
        }
      ],
      "verification": "verified",
      "notes": "⚠️ POSSIBLE DUPLICATE — May be same person as PA1B22, P872E8, or PDB8D5 (the three officially listed May 6 evacuees to the Netherlands per WHO/Oceanwide). Auto-scraped entry for ill crew member with mild symptoms requiring urgent medical evacuation from the stranded cruise ship near Cape Verde. Retain pending confirmation of distinct identity.",
      "linkedCaseIds": []
    },
    {
      "id": "P087BA",
      "name": "Cape Verde Evacuee — Severe Symptoms (possible duplicate)",
      "description": "⚠️ POSSIBLE DUPLICATE — May be same person as PA1B22, P872E8, or PDB8D5 (the three officially listed May 6 evacuees to the Netherlands per WHO/Oceanwide). Auto-scraped entry for ill crew member with s...",
      "status": "confirmed",
      "generation": "G1",
      "location": {
        "name": "Cape Verde",
        "country": "Cape Verde",
        "lat": 14.933,
        "lng": -23.513
      },
      "role": "passenger",
      "reportedDate": "2026-05-05",
      "sources": [
        {
          "name": "Auto-scraped — verify before publishing",
          "url": "https://www.nbcnews.com/health/health-news/hantavirus-cruise-ship-stranded-crew-evacuation-human-transmission-rcna343606"
        }
      ],
      "verification": "verified",
      "notes": "⚠️ POSSIBLE DUPLICATE — May be same person as PA1B22, P872E8, or PDB8D5 (the three officially listed May 6 evacuees to the Netherlands per WHO/Oceanwide). Auto-scraped entry for ill crew member with severe symptoms requiring urgent medical evacuation from the stranded cruise ship near Cape Verde. Retain pending confirmation of distinct identity.",
      "linkedCaseIds": []
    },
    {
      "id": "PA1B22",
      "name": "MV Hondius Ship's Doctor (Evacuated, Serious)",
      "description": "Ship's doctor aboard MV Hondius. Identity and role confirmed by Oceanwide Expeditions (ship operator) via NBC News (May 8 2026). Evacuated May 6 from ship near Cape Verde — one of three people evacuat...",
      "status": "symptomatic",
      "generation": "G1",
      "location": {
        "name": "Netherlands",
        "country": "Netherlands",
        "lat": 52.3676,
        "lng": 4.9041
      },
      "role": "passenger",
      "reportedDate": "2026-05-05",
      "sources": [
        {
          "name": "Oceanwide Expeditions / NBC News",
          "url": "https://www.nbcnews.com/health/health-news/hantavirus-cruise-ship-stranded-crew-evacuation-human-transmission-rcna343606"
        }
      ],
      "verification": "verified",
      "notes": "Ship's doctor aboard MV Hondius. Identity and role confirmed by Oceanwide Expeditions (ship operator) via NBC News (May 8 2026). Evacuated May 6 from ship near Cape Verde — one of three people evacuated that day — taken to specialized hospital in Europe for treatment. Was in serious condition at time of evacuation. Oceanwide Expeditions confirmed the ship's doctor is among those being treated.",
      "linkedCaseIds": []
    },
    {
      "id": "P3BE87",
      "name": "Swiss MV Hondius Passenger",
      "description": "Swiss man aboard MV Hondius, disembarked April 24-25 and took the April 25 Airlink flight from St Helena to Johannesburg (~80 passengers). Returned from South Africa with his wife in late April. Now c...",
      "status": "confirmed",
      "generation": "G1",
      "location": {
        "name": "Switzerland",
        "country": "Switzerland",
        "lat": 47.3769,
        "lng": 8.5417
      },
      "role": "passenger",
      "reportedDate": "2026-05-06",
      "sources": [
        {
          "name": "AA.com.tr / El País",
          "url": "https://m.aa.com.tr/en/europe/switzerland-confirms-hantavirus-case-in-former-atlantic-cruise-passenger/3928814"
        }
      ],
      "verification": "verified",
      "notes": "Swiss man aboard MV Hondius, disembarked April 24-25 and took the April 25 Airlink flight from St Helena to Johannesburg (~80 passengers). Returned from South Africa with his wife in late April. Now confirmed positive and receiving treatment at hospital in Zurich. Per El País, he is the confirmed positive case on the South Africa flight that prompted France to trace 8 French citizens also aboard.",
      "linkedCaseIds": []
    },
    {
      "id": "P649AB",
      "name": "Suspected Case — Fever Resolved",
      "description": "Passenger aboard MV Hondius who developed fever (key hantavirus symptom) which subsequently resolved; retained as suspected case pending PCR confirmation.",
      "status": "symptomatic",
      "generation": "G1",
      "location": {
        "name": "Cape Verde",
        "country": "Cape Verde",
        "lat": 14.933,
        "lng": -23.513
      },
      "role": "passenger",
      "reportedDate": "2026-05-05",
      "sources": [
        {
          "name": "Auto-scraped — verify before publishing",
          "url": "https://www.npr.org/2026/05/05/g-s1-120234/cruise-ship-hantavirus"
        }
      ],
      "verification": "verified",
      "notes": "Passenger aboard MV Hondius who developed fever (key hantavirus symptom) which subsequently resolved; retained as suspected case pending PCR confirmation.",
      "linkedCaseIds": []
    },
    {
      "id": "PDB8D5",
      "name": "Dutch Passenger, 41, Hondius",
      "description": "41-year-old Dutch national evacuated from MV Hondius and flown to Amsterdam for specialized hospital treatment. [Note: P004 is also Dutch age 41, labeled crew with Apr 18 onset — possible same person;...",
      "status": "confirmed",
      "generation": "G1",
      "location": {
        "name": "Cape Verde",
        "country": "Cape Verde",
        "lat": 14.933,
        "lng": -23.513
      },
      "role": "passenger",
      "reportedDate": "2026-05-06",
      "sources": [
        {
          "name": "Auto-scraped — verify before publishing",
          "url": "https://www.cbc.ca/news/health/hondius-ship-hantavirus-andes-strain-9.7189281"
        }
      ],
      "verification": "verified",
      "notes": "41-year-old Dutch national evacuated from MV Hondius and flown to Amsterdam for specialized hospital treatment. [Note: P004 is also Dutch age 41, labeled crew with Apr 18 onset — possible same person; retain both pending confirmation.]",
      "linkedCaseIds": []
    },
    {
      "id": "PD2B7C",
      "name": "German Passenger (Deceased, May 2)",
      "description": "Third death in the MV Hondius outbreak. Official WHO/Oceanwide listing (USA Today, May 8 2026) confirms symptom onset April 28 — fever and signs of pneumonia. Died May 2, 2026 — 4 days after symptom o...",
      "status": "deceased",
      "generation": "G1",
      "location": {
        "name": "Cape Verde",
        "country": "Cape Verde",
        "lat": 14.933,
        "lng": -23.513
      },
      "role": "passenger",
      "reportedDate": "2026-05-02",
      "sources": [
        {
          "name": "Manually entered — CBC/public reporting",
          "url": "https://www.kcra.com/article/hantavirus-cruise-ship-california/71244285"
        }
      ],
      "verification": "verified",
      "notes": "Third death in the MV Hondius outbreak. Official WHO/Oceanwide listing (USA Today, May 8 2026) confirms symptom onset April 28 — fever and signs of pneumonia. Died May 2, 2026 — 4 days after symptom onset. Earlier Al Jazeera/WHO May 7 report of April 25 onset appears to have been a reporting error; official source is April 28. Nationality reported as German. Confirmed by WHO as third fatality.",
      "linkedCaseIds": []
    },
    {
      "id": "P2B82F",
      "name": "German Passenger, 65, Hondius (suspected)",
      "description": "65-year-old German evacuated as suspected case; asymptomatic but closely associated with a German passenger who died on May 2.",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "Cape Verde",
        "country": "Cape Verde",
        "lat": 14.933,
        "lng": -23.513
      },
      "role": "passenger",
      "reportedDate": "2026-05-06",
      "sources": [
        {
          "name": "Auto-scraped — verify before publishing",
          "url": "https://www.cbc.ca/news/health/hondius-ship-hantavirus-andes-strain-9.7189281"
        }
      ],
      "verification": "verified",
      "notes": "65-year-old German evacuated as suspected case; asymptomatic but closely associated with a German passenger who died on May 2.",
      "linkedCaseIds": []
    },
    {
      "id": "P872E8",
      "name": "British Man Evacuee, MV Hondius",
      "description": "British man evacuated from MV Hondius cruise ship to the Netherlands after displaying hantavirus symptoms.",
      "status": "confirmed",
      "generation": "G1",
      "location": {
        "name": "Netherlands",
        "country": "Netherlands",
        "lat": 52.3676,
        "lng": 4.9041
      },
      "role": "passenger",
      "reportedDate": "2026-05-06",
      "sources": [
        {
          "name": "Auto-scraped — verify before publishing",
          "url": "https://www.bbc.com/news/articles/c5y093d5n9ko"
        }
      ],
      "verification": "verified",
      "notes": "British man evacuated from MV Hondius cruise ship to the Netherlands after displaying hantavirus symptoms.",
      "linkedCaseIds": []
    },
    {
      "id": "PF6529",
      "name": "May 6 Evacuee — Possible Duplicate",
      "description": "⚠️ POSSIBLE DUPLICATE — Auto-scraped. WHO/Oceanwide official listing accounts for exactly 3 May 6 evacuees to the Netherlands, already tracked as PA1B22 (ship's doctor), P872E8 (British man), and PDB8...",
      "status": "suspected",
      "generation": "G1",
      "location": {
        "name": "Cape Verde",
        "country": "Cape Verde",
        "lat": 14.933,
        "lng": -23.513
      },
      "role": "passenger",
      "reportedDate": "2026-05-06",
      "sources": [
        {
          "name": "Auto-scraped — verify before publishing",
          "url": "https://www.bbc.com/news/articles/c5y093d5n9ko"
        }
      ],
      "verification": "verified",
      "notes": "⚠️ POSSIBLE DUPLICATE — Auto-scraped. WHO/Oceanwide official listing accounts for exactly 3 May 6 evacuees to the Netherlands, already tracked as PA1B22 (ship's doctor), P872E8 (British man), and PDB8D5 (Dutch 41yo). This entry may be redundant. Retain pending confirmation.",
      "linkedCaseIds": []
    },
    {
      "id": "PD2A72",
      "name": "Cruise Ship Passenger Case 1",
      "description": "Confirmed case of Andes strain hantavirus linked to cruise ship outbreak.",
      "status": "confirmed",
      "generation": "G1",
      "location": {
        "name": "South Africa",
        "country": "South Africa",
        "lat": -15,
        "lng": -5
      },
      "role": "passenger",
      "reportedDate": "2026-05-06",
      "sources": [
        {
          "name": "Auto-scraped — verify before publishing",
          "url": "https://www.bbc.com/news/articles/ce8pypvjx1ko"
        }
      ],
      "verification": "verified",
      "notes": "Confirmed case of Andes strain hantavirus linked to cruise ship outbreak.",
      "linkedCaseIds": []
    },
    {
      "id": "PC87A6",
      "name": "May 7 British Evacuee — Possible Duplicate",
      "description": "⚠️ POSSIBLE DUPLICATE — Auto-scraped. Not included in official WHO/Oceanwide listing of 8 cases. May overlap with one of the 3 confirmed May 6 Netherlands evacuees. Retain pending confirmation of dist...",
      "status": "suspected",
      "generation": "G1",
      "location": {
        "name": "Cape Verde",
        "country": "Cape Verde",
        "lat": 14.933,
        "lng": -23.513
      },
      "role": "passenger",
      "reportedDate": "2026-05-07",
      "sources": [
        {
          "name": "Auto-scraped — verify before publishing",
          "url": "https://www.bbc.com/news/articles/c5y093d5n9ko"
        }
      ],
      "verification": "verified",
      "notes": "⚠️ POSSIBLE DUPLICATE — Auto-scraped. Not included in official WHO/Oceanwide listing of 8 cases. May overlap with one of the 3 confirmed May 6 Netherlands evacuees. Retain pending confirmation of distinct identity.",
      "linkedCaseIds": []
    },
    {
      "id": "PKLM01",
      "name": "Airlink Flight Attendant (Suspected)",
      "description": "Dutch flight attendant on Airlink flight 4Z 301 (SHN→JNB, April 25). Index case PEDB43 was on this flight but was too ill to take her onward international flight to Europe and was taken off the plane ...",
      "status": "asymptomatic",
      "generation": "G2",
      "location": {
        "name": "Netherlands",
        "country": "Netherlands",
        "lat": 52.3676,
        "lng": 4.9041
      },
      "role": "passenger",
      "reportedDate": "2026-05-07",
      "sources": [
        {
          "name": "Dutch Health Ministry / USA Today / dutchnews.nl / NBC News",
          "url": "https://www.kcra.com/article/hantavirus-cruise-ship-california/71244285"
        }
      ],
      "verification": "verified",
      "notes": "Dutch flight attendant on Airlink flight 4Z 301 (SHN→JNB, April 25). Index case PEDB43 was on this flight but was too ill to take her onward international flight to Europe and was taken off the plane in Johannesburg, where she died. The Airlink attendant is now showing hantavirus symptoms and being tested in an isolation ward at Amsterdam hospital (Dutch Health Ministry via AP, May 7 2026). If confirmed positive, would be the FIRST known person not aboard MV Hondius to be infected — representing Gen 2 transmission (ship passenger → airline crew). 88 people total were on the April 25 SHN→JNB flight. IMPORTANT DISTINCTION (NBC News, May 8 2026): A separate KLM flight attendant who was NOT on flight 4Z 301 tested NEGATIVE for hantavirus — this does NOT apply to PKLM01 (the Airlink attendant). The KLM negative result is a different person on a different flight.",
      "linkedCaseIds": [
        "PEDB43"
      ]
    },
    {
      "id": "PIL001",
      "name": "Israeli Patient (European Strain)",
      "description": "Israeli patient confirmed with European strain hantavirus (separate from MV Hondius Andes strain). Infected in Eastern Europe several months before diagnosis in May 2026. Confirmed by antibody and PCR...",
      "status": "confirmed",
      "generation": "G0",
      "location": {
        "name": "Israel",
        "country": "Israel",
        "lat": 31.7683,
        "lng": 35.2137
      },
      "role": "passenger",
      "reportedDate": "2026-05-07",
      "sources": [
        {
          "name": "Israeli Ministry of Health / Jerusalem Post",
          "url": "https://www.jpost.com/israel-news/article-895478"
        }
      ],
      "verification": "verified",
      "notes": "Israeli patient confirmed with European strain hantavirus (separate from MV Hondius Andes strain). Infected in Eastern Europe several months before diagnosis in May 2026. Confirmed by antibody and PCR tests. Stable — not requiring ICU or strict isolation, under medical observation. Identity withheld by Health Ministry. Unrelated to MV Hondius cruise ship cluster.",
      "linkedCaseIds": []
    },
    {
      "id": "PUSSG01",
      "name": "Singapore Men — Isolated & Tested (2)",
      "description": "Two Singaporean men who disembarked MV Hondius at Saint Helena on April 24, flew to South Africa, then returned home to Singapore at different times. Singapore health authorities confirmed both are be...",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "Singapore",
        "country": "Singapore",
        "lat": 1.3521,
        "lng": 103.8198
      },
      "role": "passenger",
      "reportedDate": "2026-05-07",
      "sources": [
        {
          "name": "Singapore Ministry of Health / AP",
          "url": "https://apnews.com/article/hantavirus-cruise-ship-st-helena-9c70878b2ff59d187f1e34c12627cea7"
        }
      ],
      "verification": "verified",
      "notes": "Two Singaporean men who disembarked MV Hondius at Saint Helena on April 24, flew to South Africa, then returned home to Singapore at different times. Singapore health authorities confirmed both are being isolated and tested as of May 7. Part of the 30–40 untraced St Helena departures (PGRP01).",
      "linkedCaseIds": []
    },
    {
      "id": "PFRCE01",
      "name": "French Citizen — Contact Case, Benign Symptoms",
      "description": "One of 8 French citizens identified by French authorities as having been on the April 25 Airlink flight (St Helena → Johannesburg, ~80 passengers) with confirmed Swiss case P3BE87. This individual has...",
      "status": "symptomatic",
      "generation": "G2",
      "location": {
        "name": "France",
        "country": "France",
        "lat": 46.2276,
        "lng": 2.2137
      },
      "role": "passenger",
      "reportedDate": "2026-05-07",
      "sources": [
        {
          "name": "French Ministry of Health / AP",
          "url": "https://apnews.com/article/hantavirus-cruise-ship-st-helena-9c70878b2ff59d187f1e34c12627cea7"
        }
      ],
      "verification": "verified",
      "notes": "One of 8 French citizens identified by French authorities as having been on the April 25 Airlink flight (St Helena → Johannesburg, ~80 passengers) with confirmed Swiss case P3BE87. This individual has benign symptoms and is in isolation undergoing medical tests. The other 7 French citizens are being monitored as asymptomatic contacts.",
      "linkedCaseIds": [
        "PEDB43"
      ]
    },
    {
      "id": "PUSVA01",
      "name": "Virginia Resident — Under Monitoring",
      "description": "One Virginia resident returned from MV Hondius, in good health, under public health monitoring as of May 7. Virginia Dept of Health says 'less than five exposed Virginians' may be identified in coming...",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "USA",
        "country": "USA",
        "lat": 37.0902,
        "lng": -95.7129
      },
      "role": "passenger",
      "reportedDate": "2026-05-07",
      "sources": [
        {
          "name": "Virginia Department of Health / USA Today",
          "url": "https://www.usatoday.com/story/news/health/2026/05/07/hantavirus-updates-us-cases-deaths-outbreak--live/89975553007/"
        }
      ],
      "verification": "verified",
      "notes": "One Virginia resident returned from MV Hondius, in good health, under public health monitoring as of May 7. Virginia Dept of Health says 'less than five exposed Virginians' may be identified in coming days. Virginia is the 5th US state to report returned passengers alongside California, Arizona, Texas, and Georgia. Risk to general public considered low.",
      "linkedCaseIds": []
    },
    {
      "id": "PUSTX01",
      "name": "Texas Residents — Self-Monitoring (2)",
      "description": "Two Texas residents who were MV Hondius passengers returned to the state before the outbreak was identified. No symptoms reported. Left ship before contact tracing began; believed not to have had dire...",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "USA",
        "country": "USA",
        "lat": 37.0902,
        "lng": -95.7129
      },
      "role": "passenger",
      "reportedDate": "2026-05-07",
      "sources": [
        {
          "name": "Texas Department of Health / USA Today",
          "url": "https://www.usatoday.com/story/news/health/2026/05/07/hantavirus-updates-us-cases-deaths-outbreak--live/89975553007/"
        }
      ],
      "verification": "verified",
      "notes": "Two Texas residents who were MV Hondius passengers returned to the state before the outbreak was identified. No symptoms reported. Left ship before contact tracing began; believed not to have had direct contact with an infected person. Agreed to self-monitor in coming days. Texas is among 5 US states (CA, AZ, TX, GA, VA) monitoring returned ship passengers.",
      "linkedCaseIds": []
    },
    {
      "id": "PUSGA01",
      "name": "Coastal Georgia Woman — MV Hondius Passenger",
      "description": "Woman from coastal Georgia who was a passenger aboard MV Hondius. Returned home and is among residents being monitored by Georgia health authorities. Georgia is one of 5 US states (CA, AZ, TX, GA, VA)...",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "USA",
        "country": "USA",
        "lat": 37.0902,
        "lng": -95.7129
      },
      "role": "passenger",
      "reportedDate": "2026-05-08",
      "sources": [
        {
          "name": "WTOC / Georgia Dept of Public Health",
          "url": "https://www.wtoc.com/video/2026/05/08/coastal-georgia-woman-was-cruise-ship-hit-by-hantavirus/"
        }
      ],
      "verification": "verified",
      "notes": "Woman from coastal Georgia who was a passenger aboard MV Hondius. Returned home and is among residents being monitored by Georgia health authorities. Georgia is one of 5 US states (CA, AZ, TX, GA, VA) tracking returned ship passengers. No confirmed illness reported.",
      "linkedCaseIds": []
    },
    {
      "id": "PAR002",
      "name": "Bariloche Male Patient (Argentina Domestic, 2026)",
      "description": "Male patient. First hantavirus case of 2026 recorded in Bariloche, Patagonia's most popular mountain resort town and northern entry point. Río Negro Province government announced the case on Tuesday M...",
      "status": "confirmed",
      "generation": "G0",
      "location": {
        "name": "Argentina",
        "country": "Argentina",
        "lat": -38.4161,
        "lng": -63.6167
      },
      "role": "passenger",
      "reportedDate": "2026-05-06",
      "sources": [
        {
          "name": "Río Negro Province Government / AP",
          "url": "https://apnews.com/article/hantavirus-argentina-cruise-ship-climate-change"
        }
      ],
      "verification": "verified",
      "notes": "Male patient. First hantavirus case of 2026 recorded in Bariloche, Patagonia's most popular mountain resort town and northern entry point. Río Negro Province government announced the case on Tuesday May 6; patient was hospitalised on Wednesday May 6. Andes virus (rodent-borne). Part of Argentina's elevated 2025–26 season — 101 hantavirus infections nationally since June 2025, roughly double the prior-year caseload. UNRELATED to MV Hondius cruise ship cluster.",
      "linkedCaseIds": []
    },
    {
      "id": "PGRP01",
      "name": "Saint Helena Departures — Untraced (30–40 passengers)",
      "description": "VOYAGE TIMELINE (Oceanwide Expeditions official, via USA Today May 8 2026):\nApr 1: Departed Ushuaia — 175 aboard (114 guests, 61 crew).\nApr 4-7: Stop at South Georgia Island.\nApr 13-16: Stop at Trista...",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "Saint Helena",
        "country": "Saint Helena",
        "lat": -15.965,
        "lng": -5.712
      },
      "role": "passenger",
      "reportedDate": "2026-04-24",
      "sources": [
        {
          "name": "AP / KCRA / CDPH / CNN / WHO / NBC News / Calgary CityNews",
          "url": "https://www.kcra.com/article/hantavirus-cruise-ship-california/71244285"
        }
      ],
      "verification": "verified",
      "notes": "VOYAGE TIMELINE (Oceanwide Expeditions official, via USA Today May 8 2026):\nApr 1: Departed Ushuaia — 175 aboard (114 guests, 61 crew).\nApr 4-7: Stop at South Georgia Island.\nApr 13-16: Stop at Tristan da Cunha/Inaccessible/Nightingale Islands — 6 guests embark (islanders), 1 crew disembarks → 180 total (120 guests, 60 crew).\nApr 17: Stop at Gough Island.\nApr 21-24: Stop at St. Helena — 1 crew embarks, 32 guests disembark (including Dutch couple P002/PEDB43) → 149 total (88 guests, 61 crew).\nApr 27: 2 guests medevaced via Ascension Island — British national P003 (symptomatic) and American partner PUSPAR01 (precautionary) → 147 total (86 guests, 61 crew).\n\nCURRENT SHIP MANIFEST (Oceanwide, USA Today May 8) by nationality: Argentina 1g, Australia 4g, Belgium 2g, Canada 4g, France 5g, Germany 5g+1c, Greece 1g, Guatemala 1c, India 2c, Ireland 2g, Italy 1g, Japan 1g, Montenegro 1c, Netherlands 8g+5c, New Zealand 1g, Philippines 38c, Poland 1c, Portugal 1c, Russia 1c, Spain 13g+1c, Turkey 3g, UK 19g+3c, Ukraine 5c, USA 17g. (g=guest, c=crew)\n\nCountries notified by WHO (May 7): Canada, Denmark, Germany, Netherlands, New Zealand, Saint Kitts and Nevis, Singapore, Sweden, Switzerland, Turkey, UK, USA. Also South Africa and Spain.\n\nSt. Helena authorities monitoring a 'small number' of higher-risk contacts ordered to isolate 45 days. Singapore monitoring 2 men (PUSSG01). 7 Americans across 6 US states (AZ, CA, GA, NJ, TX, VA) monitored — none symptomatic. New Jersey monitoring 2 (PUSNJ01). US biocontainment charter to Nebraska planned for 17 Americans. Ship docking Granadilla port, Tenerife, Sunday May 10.",
      "linkedCaseIds": []
    },
    {
      "id": "PESP02",
      "name": "Alicante Woman — Flight Contact (Gen 2)",
      "description": "32-year-old Spanish woman hospitalised in Alicante (NOT home-isolating) after travelling on a flight 'close to' the Dutch woman (PEDB43) who died of hantavirus. Seated two rows behind PEDB43 on the fl...",
      "status": "symptomatic",
      "generation": "G2",
      "location": {
        "name": "Spain",
        "country": "Spain",
        "lat": 40.4637,
        "lng": -3.7492
      },
      "role": "passenger",
      "reportedDate": "2026-05-08",
      "sources": [
        {
          "name": "Spain Health Minister Mónica García / LiveScience / NBC News",
          "url": "https://www.livescience.com/health/live/hantivirus-cruise-friday-may-8"
        }
      ],
      "verification": "verified",
      "notes": "32-year-old Spanish woman hospitalised in Alicante (NOT home-isolating) after travelling on a flight 'close to' the Dutch woman (PEDB43) who died of hantavirus. Seated two rows behind PEDB43 on the flight. Reporting mild symptoms compatible with hantavirus. Admitted to hospital; National Microbiology Center test results expected within 24–48 hours. Status remains SUSPECTED — NOT confirmed (ABC reporting of 'tested positive' is incorrect per NBC, May 8 2026). Gen 2 case — flight contact with index case, not aboard MV Hondius. Same transmission pathway as PFRCE01 (French citizen) and PKLM01 (Airlink flight attendant). Spain health minister: 'risk for the general population remains very low.'",
      "linkedCaseIds": [
        "PEDB43"
      ]
    },
    {
      "id": "PTRISTAN01",
      "name": "British Male — Tristan da Cunha Disembarkation",
      "description": "British male passenger — Tristan da Cunha islander/resident. The ship stopped at Tristan da Cunha (including Inaccessible Island and Nightingale Island) April 13-16. Per Oceanwide official timeline: 6...",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "Saint Helena, Ascension and Tristan da Cunha",
        "country": "Saint Helena, Ascension and Tristan da Cunha",
        "lat": -15,
        "lng": -5
      },
      "role": "passenger",
      "reportedDate": "2026-05-08",
      "sources": [
        {
          "name": "UK Health Security Agency / LiveScience / NBC News",
          "url": "https://www.livescience.com/health/live/hantivirus-cruise-friday-may-8"
        }
      ],
      "verification": "verified",
      "notes": "British male passenger — Tristan da Cunha islander/resident. The ship stopped at Tristan da Cunha (including Inaccessible Island and Nightingale Island) April 13-16. Per Oceanwide official timeline: 6 guests embarked at Tristan da Cunha (islanders hitching a ride), and 1 crew member disembarked. PTRISTAN01 is one of those 6 who boarded at Tristan. He is currently hospitalised on the island after developing symptoms. Spouse is isolating as a precaution. Tristan da Cunha has a population of just over 200 people and is one of the most remote permanently inhabited islands on Earth. Identified as a new suspected case by UK Health Security Agency on May 8, 2026. Additionally, 4 other Tristan islanders who had been off-island hitched a ride back home on MV Hondius to St Helena, then onward — their status is being monitored.",
      "linkedCaseIds": []
    },
    {
      "id": "PUSAZ01",
      "name": "Arizona Resident — MV Hondius Passenger",
      "description": "Arizona resident who was a passenger on MV Hondius. Has not had symptoms and is being monitored by Arizona Department of Health public health workers. Arizona is among the 5 US states (CA, AZ, TX, GA,...",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "USA",
        "country": "USA",
        "lat": 37.0902,
        "lng": -95.7129
      },
      "role": "passenger",
      "reportedDate": "2026-05-08",
      "sources": [
        {
          "name": "CNN / Arizona Department of Health",
          "url": "https://www.cnn.com/2026/05/08/health/hantavirus-by-the-numbers"
        }
      ],
      "verification": "verified",
      "notes": "Arizona resident who was a passenger on MV Hondius. Has not had symptoms and is being monitored by Arizona Department of Health public health workers. Arizona is among the 5 US states (CA, AZ, TX, GA, VA) monitoring returned ship passengers. US sending plane to Canary Islands to repatriate 17 Americans from the ship.",
      "linkedCaseIds": []
    },
    {
      "id": "PESP14",
      "name": "Spanish Passengers Group (14) — Military Hospital",
      "description": "14 Spanish passengers aboard MV Hondius to be transported to Gómez Ulla Military Hospital in Madrid (NOT Tenerife) after disembarkation at Tenerife (expected Sunday May 10). Full protocol per Spain he...",
      "status": "symptomatic",
      "generation": "G1",
      "location": {
        "name": "Spain",
        "country": "Spain",
        "lat": 40.4637,
        "lng": -3.7492
      },
      "role": "passenger",
      "reportedDate": "2026-05-10",
      "sources": [
        {
          "name": "CNN / Spain Health Ministry",
          "url": "https://www.cnn.com/2026/05/08/health/hantavirus-by-the-numbers"
        }
      ],
      "verification": "verified",
      "notes": "14 Spanish passengers aboard MV Hondius to be transported to Gómez Ulla Military Hospital in Madrid (NOT Tenerife) after disembarkation at Tenerife (expected Sunday May 10). Full protocol per Spain head of emergency services Virginia Barcones: PCR test on arrival + repeat PCR on day 7; if positive → UATAN unit; single rooms, no visitor contact. All other remaining passengers to be repatriated per Spain health minister Mónica García. Arrival under strict protocol: completely isolated cordoned-off area, guarded vehicles, sealed airport section with no contact with local residents. 17 US citizens to be repatriated by US government plane (NBC News / CNN, May 8 2026).",
      "linkedCaseIds": []
    },
    {
      "id": "PUSNJ01",
      "name": "New Jersey Residents — Post-Disembarkation Exposure (2)",
      "description": "Two New Jersey residents potentially exposed to a person infected with hantavirus after that person departed MV Hondius. NOT aboard the ship — represents post-disembarkation contact exposure. Not expe...",
      "status": "asymptomatic",
      "generation": "G2",
      "location": {
        "name": "USA",
        "country": "USA",
        "lat": 37.0902,
        "lng": -95.7129
      },
      "role": "passenger",
      "reportedDate": "2026-05-08",
      "sources": [
        {
          "name": "CNN / New Jersey Department of Health",
          "url": "https://www.cnn.com/2026/05/08/health/cdc-hantavirus-nebraska-quarantine"
        }
      ],
      "verification": "verified",
      "notes": "Two New Jersey residents potentially exposed to a person infected with hantavirus after that person departed MV Hondius. NOT aboard the ship — represents post-disembarkation contact exposure. Not experiencing hantavirus symptoms as of May 8. New Jersey is the 6th US state (alongside AZ, CA, GA, TX, VA) to report cases under monitoring. Generation listed as 2 (contact with a ship passenger, not the ship itself).",
      "linkedCaseIds": [
        "PEDB43"
      ]
    },
    {
      "id": "PCAN01",
      "name": "Alberta Residents — Flight Contacts (2)",
      "description": "Two Alberta residents who had brief contact with an infected MV Hondius passenger on separate flights — NOT aboard the ship themselves. Contacted and at home monitoring for symptoms. Health zone not d...",
      "status": "asymptomatic",
      "generation": "G2",
      "location": {
        "name": "Canada",
        "country": "Canada",
        "lat": 56.1304,
        "lng": -106.3468
      },
      "role": "passenger",
      "reportedDate": "2026-05-08",
      "sources": [
        {
          "name": "Calgary CityNews / Alberta Ministry of Health / Dr. Joss Reimer",
          "url": "https://calgary.citynews.ca/2026/05/08/alberta-hantavirus-monitoring"
        }
      ],
      "verification": "verified",
      "notes": "Two Alberta residents who had brief contact with an infected MV Hondius passenger on separate flights — NOT aboard the ship themselves. Contacted and at home monitoring for symptoms. Health zone not disclosed per patient confidentiality. Assessed as part of Canada Chief Medical Officer Dr. Joss Reimer's review of 3 total flight contacts (2 Alberta + 1 Ontario). No symptoms as of May 8. Gen 2 case — post-disembarkation flight contact. Alberta Ministry confirmed: \"both people have been contacted and are at home monitoring for symptoms.\" Hantavirus incubation 1–6 weeks per Reimer, occasionally longer.",
      "linkedCaseIds": [
        "PEDB43"
      ]
    },
    {
      "id": "PCAN02",
      "name": "Ontario Resident — Flight Contact",
      "description": "One Ontario resident who had brief contact with an infected MV Hondius passenger on a separate flight — NOT aboard the ship. Part of 3 total flight contacts identified by Canada Chief Medical Officer ...",
      "status": "asymptomatic",
      "generation": "G2",
      "location": {
        "name": "Canada",
        "country": "Canada",
        "lat": 56.1304,
        "lng": -106.3468
      },
      "role": "passenger",
      "reportedDate": "2026-05-08",
      "sources": [
        {
          "name": "Calgary CityNews / Canada Chief Medical Officer Dr. Joss Reimer",
          "url": "https://calgary.citynews.ca/2026/05/08/alberta-hantavirus-monitoring"
        }
      ],
      "verification": "verified",
      "notes": "One Ontario resident who had brief contact with an infected MV Hondius passenger on a separate flight — NOT aboard the ship. Part of 3 total flight contacts identified by Canada Chief Medical Officer Dr. Joss Reimer (2 Alberta + 1 Ontario). No symptoms as of May 8. Gen 2 — post-disembarkation flight contact, same pathway as PFRCE01 (France), PESP02 (Spain), PKLM01 (Airlink attendant). Incubation 1–6 weeks per Reimer.",
      "linkedCaseIds": [
        "PEDB43"
      ]
    },
    {
      "id": "PCAN03",
      "name": "Canadian Early Returnees — Isolating (3)",
      "description": "Three people who disembarked MV Hondius early and returned to Canada on April 26-27 — before the hantavirus outbreak was identified. Two are Canadian nationals; a third person (nationality unconfirmed...",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "Canada",
        "country": "Canada",
        "lat": 56.1304,
        "lng": -106.3468
      },
      "role": "passenger",
      "reportedDate": "2026-04-27",
      "sources": [
        {
          "name": "Calgary CityNews / Canada Chief Medical Officer Dr. Joss Reimer",
          "url": "https://calgary.citynews.ca/2026/05/08/alberta-hantavirus-monitoring"
        }
      ],
      "verification": "verified",
      "notes": "Three people who disembarked MV Hondius early and returned to Canada on April 26-27 — before the hantavirus outbreak was identified. Two are Canadian nationals; a third person (nationality unconfirmed) returned with them. Two are isolating in Ontario, one in Quebec. No symptoms reported as of May 8. 4 additional Canadians remain aboard the ship, all symptom-free. Canadian consular officials coordinating support. Each province has identified a specific hospital capable of managing complex viruses. Incubation period 1–6 weeks per Canada Chief Medical Officer Dr. Joss Reimer.",
      "linkedCaseIds": []
    },
    {
      "id": "PUSPAR01",
      "name": "American Passenger — Partner of British Evacuee (P003)",
      "description": "American passenger aboard MV Hondius — partner of British national P003. Per Oceanwide Expeditions official timeline: on April 27 \"two guests are medevaced via Ascension Island: a symptomatic British ...",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "Unknown",
        "country": "Unknown",
        "lat": -15,
        "lng": -5
      },
      "role": "passenger",
      "reportedDate": "2026-04-27",
      "sources": [
        {
          "name": "Oceanwide Expeditions / USA Today",
          "url": "https://www.usatoday.com/story/news/health/2026/05/07/hantavirus-updates-us-cases-deaths-outbreak--live/89975553007/"
        }
      ],
      "verification": "verified",
      "notes": "American passenger aboard MV Hondius — partner of British national P003. Per Oceanwide Expeditions official timeline: on April 27 \"two guests are medevaced via Ascension Island: a symptomatic British national [P003] and the patient's American partner.\" This reduces ship total from 149 to 147. Evacuation appears precautionary for the American partner (P003 described as the symptomatic one). Current location and health status unknown — may be in South Africa with P003, or may have returned to the US (possibly one of the 7 Americans under state monitoring). NEW CASE — not previously in database. Not to be confused with the 17 Americans still aboard the ship.",
      "linkedCaseIds": []
    },
    {
      "id": "PUSCA01",
      "name": "California Resident — Returned MV Hondius Passenger",
      "description": "One California resident returned from MV Hondius, under monitoring by local health officials. Protocol: daily temperature checks, assessment for hantavirus-consistent symptoms, and direction to modify...",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "USA",
        "country": "USA",
        "lat": 37.0902,
        "lng": -95.7129
      },
      "role": "passenger",
      "reportedDate": "2026-05-08",
      "sources": [
        {
          "name": "Manually curated"
        }
      ],
      "verification": "verified",
      "notes": "One California resident returned from MV Hondius, under monitoring by local health officials. Protocol: daily temperature checks, assessment for hantavirus-consistent symptoms, and direction to modify activities. No symptoms reported as of May 8. A second California resident remains aboard the ship (not yet disembarked). California is one of 6 US states (AZ, CA, GA, NJ, TX, VA) monitoring returned passengers — 9 US residents total across all states, none ill.",
      "linkedCaseIds": []
    },
    {
      "id": "PFRCE02",
      "name": "French Contacts — South Africa Flight (7)",
      "description": "Seven additional French citizens (beyond symptomatic PFRCE01) identified by French health authorities as having been on the April 25 Airlink flight from St Helena to Johannesburg alongside confirmed S...",
      "status": "asymptomatic",
      "generation": "G2",
      "location": {
        "name": "France",
        "country": "France",
        "lat": 46.2276,
        "lng": 2.2137
      },
      "role": "passenger",
      "reportedDate": "2026-05-09",
      "sources": [
        {
          "name": "El País / French Health Ministry",
          "url": "https://elpais.com/ciencia/2026-05-09/como-se-cerca-el-brote-de-hantavirus-una-carrera-internacional-para-encontrar-contactos.html"
        }
      ],
      "verification": "verified",
      "notes": "Seven additional French citizens (beyond symptomatic PFRCE01) identified by French health authorities as having been on the April 25 Airlink flight from St Helena to Johannesburg alongside confirmed Swiss case P3BE87. Being traced and monitored as asymptomatic contacts. No symptoms reported.",
      "linkedCaseIds": []
    },
    {
      "id": "PNLKLM01",
      "name": "KLM Flight Attendant — Amsterdam UMC (NEGATIVE — Ruled Out)",
      "description": "⚠️ RULED OUT — TESTED NEGATIVE. KLM Royal Dutch Airlines flight attendant admitted to Amsterdam UMC on May 8 with suspected hantavirus after brief cabin contact with a passenger at Johannesburg O.R. T...",
      "status": "recovered",
      "generation": "G2",
      "location": {
        "name": "Netherlands",
        "country": "Netherlands",
        "lat": 52.3676,
        "lng": 4.9041
      },
      "role": "passenger",
      "reportedDate": "2026-05-08",
      "sources": [
        {
          "name": "Reuters / WHO",
          "url": "https://www.reuters.com"
        }
      ],
      "verification": "verified",
      "notes": "⚠️ RULED OUT — TESTED NEGATIVE. KLM Royal Dutch Airlines flight attendant admitted to Amsterdam UMC on May 8 with suspected hantavirus after brief cabin contact with a passenger at Johannesburg O.R. Tambo Airport. WHO confirmed negative test result on May 8 (Reuters). Was NOT aboard MV Hondius. Contact lasted 'a matter of minutes' per KLM. Kept in database as an epidemiologically significant ruled-out case: demonstrates brief aircraft cabin contact did NOT result in transmission in this instance. Provides reassurance on transmission risk from incidental passenger contact.",
      "linkedCaseIds": []
    },
    {
      "id": "PESB01",
      "name": "Barcelona Passenger — Hospital Clínic (Asymptomatic)",
      "description": "MV Hondius passenger admitted to Hospital Clínic de Barcelona, asymptomatic. Traveling to Barcelona after disembarkation. Identified via El País contact tracing graphic. No symptoms reported.",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "Spain",
        "country": "Spain",
        "lat": 40.4637,
        "lng": -3.7492
      },
      "role": "passenger",
      "reportedDate": "2026-05-09",
      "sources": [
        {
          "name": "El País",
          "url": "https://elpais.com/ciencia/2026-05-09/como-se-cerca-el-brote-de-hantavirus-una-carrera-internacional-para-encontrar-contactos.html"
        }
      ],
      "verification": "verified",
      "notes": "MV Hondius passenger admitted to Hospital Clínic de Barcelona, asymptomatic. Traveling to Barcelona after disembarkation. Identified via El País contact tracing graphic. No symptoms reported.",
      "linkedCaseIds": []
    },
    {
      "id": "PTRDC01",
      "name": "Tristan da Cunha Resident — Suspected Hantavirus (Stable)",
      "description": "British man — MV Hondius passenger. Ship docked at Tristan da Cunha April 13–15; patient is one of 6 islanders who boarded. Reported symptoms April 28 per WHO. Stable and in isolation. Oxygen supplies...",
      "status": "symptomatic",
      "generation": "G1",
      "location": {
        "name": "Tristan da Cunha (UK Overseas Territory)",
        "country": "Tristan da Cunha (UK Overseas Territory)",
        "lat": -15,
        "lng": -5
      },
      "role": "passenger",
      "reportedDate": "2026-05-10",
      "sources": [
        {
          "name": "Reuters / UK MoD",
          "url": "https://www.reuters.com/business/healthcare-pharmaceuticals/british-paratroopers-lead-airdrop-onto-tristan-da-cunha-suspected-hantavirus-2026-05-10/"
        }
      ],
      "verification": "verified",
      "notes": "British man — MV Hondius passenger. Ship docked at Tristan da Cunha April 13–15; patient is one of 6 islanders who boarded. Reported symptoms April 28 per WHO. Stable and in isolation. Oxygen supplies on island at critical level. UK response May 10: 6 paratroopers + 2 military clinicians from 16 Air Assault Brigade parachuted from RAF A400M — flew 6,788 km RAF Brize Norton (Oxfordshire) → Ascension Island, then 3,000 km south to Tristan da Cunha; mid-air refuelled by RAF Voyager tanker. Oxygen + medical equipment airdropped. UK MoD: first time British military has deployed medical personnel via parachute for humanitarian support. Tristan da Cunha pop. ~200 — world's most remote inhabited island; normally 6-day boat from St Helena, nearest inhabited neighbour. Usual medical provision: 2-person team. Separate note: PCR tests delivered to Ascension Island by military plane May 7 for another British man (P003) who disembarked there and was medevaced to South Africa.",
      "linkedCaseIds": []
    },
    {
      "id": "PFRCE03",
      "name": "French Repatriated Passenger — PCR Confirmed (Paris)",
      "description": "French MV Hondius passenger — first French national to PCR-confirm positive for hantavirus. Confirmed by French Health Minister Stéphanie Rist on French public radio, May 11 2026. ...",
      "status": "confirmed",
      "generation": "G1",
      "location": {
        "name": "France",
        "country": "France",
        "lat": 48.97,
        "lng": 2.44
      },
      "role": "passenger",
      "reportedDate": "2026-05-11",
      "sources": [
        {
          "name": "French Health Ministry / ABC News",
          "url": "https://abcnews.go.com/Health/live-updates/hantavirus-outbreak-cruise-ship/?id=121234567"
        }
      ],
      "verification": "verified",
      "notes": "French MV Hondius passenger — first French national to PCR-confirm positive for hantavirus. Confirmed by French Health Minister Stéphanie Rist on French public radio, May 11 2026. Was symptomatic during repatriation aboard the French government Falcon 900EX (F-HREG, call sign ARL120E) from TFS to Paris Le Bourget on May 10. Now in isolation at Le Bourget facility. Third French case overall (after symptomatic PFRCE01 and the 7 asymptomatic flight contacts PFRCE02). This is the first PCR-confirmed French case.",
      "linkedCaseIds": []
    },
    {
      "id": "PUSNEB01",
      "name": "American Passenger — PCR Confirmed, UNMC Biocontainment (Omaha)",
      "description": "American MV Hondius passenger — PCR confirmed positive for hantavirus, May 11 2026. Housed in the Nebraska Biocontainment Unit (NBU) at UNMC, Omaha — 1 of 16 Americans at UNMC (15 ...",
      "status": "confirmed",
      "generation": "G1",
      "location": {
        "name": "USA",
        "country": "USA",
        "lat": 41.26,
        "lng": -95.94
      },
      "role": "passenger",
      "reportedDate": "2026-05-11",
      "sources": [
        {
          "name": "HHS / Nebraska Medicine / ABC News",
          "url": "https://abcnews.go.com/Health/live-updates/hantavirus-outbreak-cruise-ship/?id=121234567"
        }
      ],
      "verification": "verified",
      "notes": "American MV Hondius passenger — PCR confirmed positive for hantavirus, May 11 2026. Housed in the Nebraska Biocontainment Unit (NBU) at UNMC, Omaha — 1 of 16 Americans at UNMC (15 in quarantine unit, 1 in biocontainment). HHS confirmed positive result. This is the first American PCR-confirmed case of hantavirus linked to the MV Hondius outbreak. Note: Fox5 Atlanta initially suggested PCR-positive patient was transferred to Emory; ABC News/UNMC clarified the positive patient remains at UNMC biocontainment, while the 2 patients transferred to Emory are a symptomatic (PUSRESPTC01) and asymptomatic (PUSEMORY01) couple.",
      "linkedCaseIds": []
    },
    {
      "id": "PUSRESPTC01",
      "name": "American Passenger — Symptomatic, PCR Negative, Emory SCDU (Atlanta)",
      "description": "American MV Hondius passenger — symptomatic, in Emory University Hospital SCDU biocontainment unit as of May 11 2026. Transferred via special flight from Omaha to Hartsfield-Jackso...",
      "status": "symptomatic",
      "generation": "G1",
      "location": {
        "name": "USA",
        "country": "USA",
        "lat": 33.79,
        "lng": -84.32
      },
      "role": "passenger",
      "reportedDate": "2026-05-11",
      "sources": [
        {
          "name": "HHS / ABC News",
          "url": "https://abcnews.go.com/Health/live-updates/hantavirus-outbreak-cruise-ship/?id=121234567"
        }
      ],
      "verification": "verified",
      "notes": "American MV Hondius passenger — symptomatic, in Emory University Hospital SCDU biocontainment unit as of May 11 2026. Transferred via special flight from Omaha to Hartsfield-Jackson Atlanta (~9am May 11), transported by Grady ambulance to Emory. Emory confirmed: 'one is symptomatic and receiving care in Emory's biocontainment unit' (ABC News). This passenger and PUSEMORY01 are a couple. PCR result unclear from sources — Fox5 reported positive, CBS/UNMC reported negative; treating as symptomatic pending clarification.",
      "linkedCaseIds": []
    },
    {
      "id": "PUSEMORY01",
      "name": "American Passenger — Asymptomatic, Emory SCDU Monitoring (Atlanta)",
      "description": "American MV Hondius passenger — asymptomatic, transferred from Omaha to Emory University Hospital SCDU, Atlanta on May 11 2026. Emory confirmed: 'undergoing evaluation and monitori...",
      "status": "asymptomatic",
      "generation": "G1",
      "location": {
        "name": "USA",
        "country": "USA",
        "lat": 33.8,
        "lng": -84.33
      },
      "role": "passenger",
      "reportedDate": "2026-05-11",
      "sources": [
        {
          "name": "ABC News / Emory University Hospital",
          "url": "https://abcnews.com/International/live-updates/hantavirus-live-updates-mv-hondius-canary-islands/?id=132746955"
        }
      ],
      "verification": "verified",
      "notes": "American MV Hondius passenger — asymptomatic, transferred from Omaha to Emory University Hospital SCDU, Atlanta on May 11 2026. Emory confirmed: 'undergoing evaluation and monitoring.' This passenger and PUSRESPTC01 are a couple — both transferred together from UNMC Omaha to Emory via special flight to Hartsfield-Jackson (~9am May 11), transported by Grady ambulance. No symptoms reported as of May 11. Under observation due to close-contact exposure and precautionary monitoring.",
      "linkedCaseIds": []
    },
    {
      "id": "PESP_GU01",
      "name": "Spanish Passenger — Gomez Ulla Confirmed Positive",
      "description": "Spanish MV Hondius passenger evacuated to Gomez Ulla Military Hospital in Madrid and confirmed positive for hantavirus on May 12 2026 after initially provisionally testing positive.",
      "status": "confirmed",
      "generation": "G1",
      "location": {
        "name": "Madrid",
        "country": "Spain",
        "lat": 40.4168,
        "lng": -3.7038
      },
      "role": "passenger",
      "reportedDate": "2026-05-12",
      "sources": [
        {
          "name": "Al Jazeera / Spain Health Ministry",
          "url": "https://www.aljazeera.com/news/2026/5/12/spain-reports-new-hantavirus-case-in-passenger-evacuated-from-cruise-ship"
        }
      ],
      "verification": "verified",
      "notes": "Spanish MV Hondius passenger evacuated from Tenerife under Spain's sealed military-hospital protocol. Spain's Health Ministry said the passenger who provisionally tested positive on May 11 was confirmed positive on May 12. The patient had slight fever and minor respiratory symptoms but remained clinically stable. This case appears to be the first lab-confirmed Spanish passenger in the outbreak and is separate from the broader PESP14 monitoring group sent to Gomez Ulla.",
      "linkedCaseIds": []
    },
    {
      "id": "PITA01",
      "name": "Italian Flight Contact — Symptomatic Under Analysis (Rome)",
      "description": "Italian young man under monitoring after contact with an infected Dutch MV Hondius passenger on a KLM flight. Developed symptoms and was sent for biological sample analysis at Rome's Lazzaro Spallanzani Institute.",
      "status": "symptomatic",
      "generation": "G2",
      "location": {
        "name": "Rome",
        "country": "Italy",
        "lat": 41.9028,
        "lng": 12.4964
      },
      "role": "contact",
      "reportedDate": "2026-05-13",
      "sources": [
        {
          "name": "teleSUR / WHO / EFE",
          "url": "https://www.telesurenglish.net/who-confirms-10-hantavirus-cases-linked-to-mv-hondius-cruise/"
        }
      ],
      "verification": "verified",
      "notes": "Italian young man from Calabria under quarantine after brief contact on a KLM flight with a Dutch woman infected during the MV Hondius outbreak. WHO-linked reporting on May 12 said he was one of four Italians under monitoring and had developed symptoms serious enough to require biological samples to be analyzed at Rome's Lazzaro Spallanzani National Institute for Infectious Diseases. This is a symptomatic secondary-contact investigation, not a cruise passenger case.",
      "linkedCaseIds": [
        "PEDB43"
      ]
    },
    {
      "id": "PCAN04",
      "name": "Canadian Passenger — Confirmed Positive After Repatriation",
      "description": "Canadian MV Hondius passenger reported confirmed positive for hantavirus on May 16 2026 after returning to Canada. Described as the 10th confirmed case linked to the ship.",
      "status": "confirmed",
      "generation": "G1",
      "location": {
        "name": "Canada",
        "country": "Canada",
        "lat": 56.1304,
        "lng": -106.3468
      },
      "role": "passenger",
      "reportedDate": "2026-05-16",
      "sources": [
        {
          "name": "NBC News",
          "url": "https://www.nbcnews.com/health/health-news/canadian-hondius-cruise-passenger-positive-hantavirus-rcna345478"
        }
      ],
      "verification": "verified",
      "notes": "Canadian MV Hondius passenger reported confirmed positive after repatriation to Canada, described in coverage as the 10th confirmed case linked to the outbreak aboard the Dutch-flagged ship. This is distinct from the earlier Canadian monitoring entries PCAN01-PCAN03, which covered flight contacts and asymptomatic early returnees rather than a newly confirmed outbreak case.",
      "linkedCaseIds": []
    }
  ]
}