A first group of passengers, all Spanish nationals and none displaying symptoms of infection, disembarked from the ship into small boats as the vessel approached the Port of Granadilla in Tenerife, Spain’s health ministry said.

Spanish officials said the passengers would be transported in sealed military buses directly to Tenerife’s airport before being flown aboard a government aircraft to Madrid for hospital evaluation and quarantine measures.

Authorities said all passengers would undergo testing by Spanish health officials before onward transport. Foreign nationals are expected to be repatriated in stages using specially arranged flights coordinated by their respective governments rather than commercial air services.

The European Centre for Disease Prevention and Control, or ECDC, classified all passengers and crew as high-risk contacts as a precautionary measure in rapid scientific guidance issued late Saturday. The agency said symptomatic passengers should receive priority medical evaluation and testing upon arrival and may either remain isolated in Tenerife or be medically evacuated home depending on their condition.

Thirty crew members are expected to remain aboard the vessel, which will later sail to the Netherlands for disinfection operations, according to Spanish authorities.The ship departed waters off Cape Verde earlier this week after the World Health Organization and the European Union requested Spain coordinate the evacuation effort following confirmation of the outbreak.

WHO Director-General Tedros Adhanom Ghebreyesus arrived in Tenerife on Saturday alongside senior Spanish ministers to oversee preparations for the ship’s arrival and passenger transfer operations.The WHO said eight people aboard the vessel had fallen ill, including three fatalities involving a Dutch couple and a German national.

Six infections have been laboratory confirmed, while two additional cases remain under investigation.Hantavirus is primarily transmitted through exposure to infected rodents, though health officials say limited person-to-person transmission can occur in rare circumstances.

The WHO has assessed the risk to the wider global population as low while describing the threat to passengers and crew aboard the vessel as moderate.Spanish authorities said evacuation operations were expected to continue throughout the day under strict biosecurity protocols at Tenerife’s Port of Granadilla.

Tedros said he would travel to Tenerife in Spain’s Canary Islands to oversee the disembarkation of passengers, crew members and medical personnel from the Dutch-flagged cruise vessel MV Hondius, which is carrying around 150 people.“I arrived in Spain, where I will join senior government officials in a mission to Tenerife to oversee safe disembarkation,” Tedros said in a post on X.

Three passengers a Dutch couple and a German woman have died after contracting hantavirus during the voyage, while several others have fallen ill, according to health officials.The outbreak has drawn heightened international attention after authorities confirmed infections linked to the Andes virus strain, the only known hantavirus variant capable of transmitting between humans.

Most hantavirus infections are typically spread through contact with infected rodents or their droppings.Tedros said he had remained in direct contact with the ship’s captain, Jan Dobrogowski, and WHO physician Freddy Banza-Mutoka, who is on board the vessel.

“At this stage, there are no additional people on board showing symptoms of hantavirus,” Tedros said, adding that the World Health Organization continued to monitor the situation closely.

He also said the health risk to residents of the Canary Islands and the broader international public remained low.The MV Hondius is expected to dock in Tenerife on Sunday, where Spanish authorities have prepared surveillance and containment measures before arranging special flights to return passengers to their home countries.

Spain’s government said Tedros would meet Prime Minister Pedro Sanchez in Madrid before traveling to the Canary Islands alongside Spain’s health and interior ministers.Spanish ministry officials said the WHO chief would join a command center in Tenerife responsible for coordinating health controls, interagency cooperation and emergency response protocols linked to the ship’s arrival.

The incident has intensified scrutiny over infectious disease preparedness aboard international cruise vessels, particularly involving pathogens with rare but potentially serious transmission characteristics.

Spain’s health ministry said a decision on the most appropriate port would be taken only after reviewing the data, adding that the matter had been communicated to the World Health Organization. The vessel, carrying 149 passengers and crew of 23 nationalities, has been held offshore after Cape Verde denied it permission to dock.

Passengers and crew have been placed under strict isolation measures, including confinement to cabins, hygiene protocols and ongoing medical monitoring, according to the ship’s operator, Oceanwide Expeditions. The company confirmed three deaths during the journey, though it said the role of hantavirus in those fatalities has not been established.
Cape Verde authorities blocked the ship from docking at the port of Praia, citing the need to protect public health.

Officials said there would be no direct contact between those on board and the local population.
The cruise, which departed from Ushuaia in Argentina, reported that one passenger confirmed with hantavirus is currently in intensive care in Johannesburg. Two crew members, one British and one Dutch, also required urgent medical attention, though hantavirus infection in those cases has not been confirmed.

The World Health Organization said the overall risk to the wider public remains low, despite confirming at least one case and identifying several suspected infections. WHO officials said passengers were being advised to remain in isolation while disinfection and containment measures continue onboard.

Spain’s Canary Islands are being considered as a potential disembarkation point where further medical screening could take place, though no formal decision has been announced.

Health authorities in Cape Verde said they were awaiting authorization from the Netherlands and Britain for an air ambulance to evacuate some individuals from the vessel. Medical teams have assessed patients onboard but have not been permitted to transfer them ashore.

The first fatalities linked to the voyage included a Dutch passenger who died onboard on April 11 and his wife, who died on April 27 after disembarking in St. Helena. A German passenger died on Saturday, according to the ship operator.

WHO officials said investigations are ongoing to determine the exact cause of the deaths and whether they are linked to hantavirus. The agency added that while infections are rare and typically associated with rodent exposure, cases can lead to severe respiratory illness and require close monitoring.

The WHO said at least one case of the rare viral infection had been confirmed, with one patient in intensive care in South Africa and two others awaiting possible medical evacuation from the vessel, which is currently stationed off Cape Verde.South Africa’s Department of Health said the first victim, a 70-year-old man, died onboard before his body was removed at Saint Helena.

His wife later collapsed at an airport in South Africa and died in hospital. A third victim remains onboard the ship.The cruise operator, Oceanwide Expeditions, said local authorities in Cape Verde had inspected the vessel but had not authorized disembarkation. Two crew members with symptoms requiring urgent care remain onboard pending further decisions by health officials.

The ship departed Argentina around three weeks ago on a voyage that included stops in Antarctica and the Falkland Islands and was scheduled to end in Spain’s Canary Islands. South African officials said approximately 150 passengers were onboard, along with about 70 crew members.

Hantaviruses are primarily transmitted through contact with infected rodents and can cause serious illnesses, including hantavirus pulmonary syndrome, a severe respiratory condition. While infections are rare, the WHO said limited human-to-human transmission is possible and investigations, including laboratory testing and epidemiological tracing, are ongoing.

A British national who fell ill after the ship left Ascension Island is currently being treated in Johannesburg. South Africa’s National Institute for Communicable Diseases has initiated contact tracing to assess potential exposure among individuals who may have come into contact with infected passengers.

The WHO said it is conducting a full public health risk assessment in coordination with national authorities and the ship’s operator, while medical care continues for those affected onboard.