Thread by @GeorgiosPappas6

Hantavirus in a cruise ship, looks like Andes virus, looks like a voyage of the damned:
1. Trip starts in Argentina, where South American Hanta, Andes virus, is endemic. Patient No 1 rapidly deteriorates, meaning that he was infected before boarding (incubation 20 days) .

2. The following cases developed symptoms about 20 days later, a period consistent with being infected from patient No1. Andes is known as the only Hanta to transmit from person to person, studies from both Argentina and Chile have shown it is plausible.
nejm.org/doi/full/10.10…

3. Symptoms, as described by WHO, included respiratory failure but also initially diarrheas, all consistent with Andes descriptions. who.int/emergencies/di…

4. We can't be sure how this will evolve aboard the ship: you need, given the protracted incubation period, 40 days from last contact with an infected, to feel safe transmission has ended. Also trace the ones that flew with the ailing patient 2

5. No treatment, no vaccine. Limited awareness. In Greece there was needless talk today, despite normally having annual cases- we had a significant outbreak in Ioannina some decades ago, and we had described isolated cases too in the following years.
sciencedirect.com/science/articl…

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