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.

A limited hantavirus outbreak linked to an international cruise ship has intensified scrutiny of the United States’ public health preparedness, as scientists and global health officials warn that staffing reductions, laboratory disruptions and political disputes over infectious disease research may undermine responses to future outbreaks.Health experts say the current outbreak remains controllable, with transmission still largely confined to close contacts of infected individuals.

However, the incident has exposed broader concerns about whether public health agencies retain sufficient testing capacity and operational flexibility to respond rapidly if a more dangerous pathogen emerges.According to officials at the World Health Organization, investigators are increasingly focused on evidence suggesting limited human-to-human transmission among individuals who had prolonged close contact with infected patients.

The outbreak has drawn comparisons to a similar hantavirus cluster in Argentina between late 2018 and early 2019, when 34 people tested positive and 11 died. WHO officials said current transmission patterns appear consistent with those earlier cases, including infections involving close family members and healthcare workers.

Maria Van Kerkhove said investigators believe transmission likely occurred between the first infected patients and several close contacts, including a physician who treated patients aboard the cruise ship where the outbreak was first identified.WHO infection prevention specialist Abdirahman Mahamud said aggressive contact tracing, quarantine measures and rapid isolation protocols remain central to containing the outbreak.

He said lessons learned during the Argentina outbreak demonstrated that transmission chains can be interrupted through coordinated public health action.Authorities are now attempting to track passengers from 12 countries, including the United States, who disembarked before the outbreak was identified and later returned home. Epidemiologists said tracing those individuals and anyone they may have contacted while symptomatic remains a critical component of containment efforts.

William Hanage said international coordination may prove more complicated than in previous outbreaks because the passengers dispersed across multiple jurisdictions governed by different public health authorities.Hanage said aggressive contact tracing and quarantine measures would likely be necessary to prevent wider transmission, though he noted that political resistance to such interventions following the Covid-19 pandemic could complicate implementation.

The outbreak is unfolding as US public health infrastructure faces mounting operational and political pressures. Scientists and health officials say laboratory staffing reductions and administrative pauses have already disrupted testing capacity for multiple infectious diseases.According to infectious disease specialist Rochelle Titanji, laboratories responsible for hantavirus testing have experienced staffing cuts, while some federal testing programs have been temporarily suspended.

States currently cannot send samples to the US Centers for Disease Control and Prevention for orthopoxvirus testing, including tests related to mpox, because that division has been paused temporarily, Titanji said. She also noted that federal laboratories can no longer conduct certain diagnostic testing used to determine the specific parasite responsible for leishmaniasis infections.

In April, rabies testing at the CDC was also halted temporarily, according to health officials familiar with the disruptions.At the same time, virology research in the United States has become increasingly politicised. The White House recently issued an executive order restricting certain forms of virus research, while the National Institutes of Health implemented broad funding reductions affecting related scientific work.

US lawmakers have also introduced legislation targeting what they describe as “gain of function” research, a term used in debates surrounding experiments that modify pathogens to study transmissibility or virulence.The debate has intensified amid continuing political disputes over the origins of Covid-19. Although many scientists maintain that available evidence strongly supports zoonotic spillover from animals to humans as the most likely origin of Sars-CoV-2, investigations into possible laboratory-related scenarios continue.

Researchers involved in virology and pandemic studies have increasingly faced subpoenas, investigations and public political scrutiny linked to those debates.Hanage said the current political environment risks weakening scientific preparedness for future outbreaks by discouraging research into zoonotic spillover events.“We should be investing in doing more to understand how these spillover events take place,” he said, adding that current policy trends were moving in the opposite direction.

Public health specialists also expressed concern over legal restrictions adopted in many US states following the Covid-19 pandemic. More than half of US states have enacted laws limiting the authority of public health officials to impose quarantines, recommend masks or enforce certain emergency health measures.Some states have also restricted vaccine requirements for schools and limited the authority of schools to suspend in-person operations during future outbreaks.

Titanji said the relatively limited hantavirus outbreak was already exposing potential weaknesses in outbreak coordination and public compliance. She warned that a more severe pathogen with higher transmission rates or mortality could create substantially greater risks.Despite the United States formally beginning withdrawal procedures from the WHO, the country remains connected to the International Health Regulations framework and continues receiving technical updates and outbreak information from the organisation.

Mahamud said collaboration between WHO officials and US institutions remained active and transparent during the current outbreak response.WHO director-general Tedros Adhanom Ghebreyesus said the outbreak illustrated the continuing importance of international coordination mechanisms during infectious disease emergencies.

He urged both the United States and Argentina to reconsider decisions to leave the WHO, warning that gaps in international cooperation create opportunities for viruses to spread more easily across borders.

The Lebanon Civil Defense said in a statement that one of its rescuers was killed after an Israeli strike targeted him on a road connecting two towns in southern Lebanon.The organization said the attack occurred despite a truce that remains formally in effect between Israel and the Iran-backed militant group Hezbollah.

The incident came one day after another strike killed a rescuer affiliated with the Islamic Health Committee, according to Lebanese authorities.Israel has continued carrying out strikes across parts of Lebanon following weeks of conflict that began on March 2, saying its operations target Hezbollah fighters and military infrastructure.

On May 6, Israeli forces struck Beirut’s southern suburbs for the first time in nearly a month, killing what Israel described as a senior Hezbollah commander from the group’s elite Radwan force.The continuing attacks have intensified concerns among humanitarian agencies over the safety of medical and rescue personnel operating in conflict zones.

Tedros Adhanom Ghebreyesus said earlier this week that the World Health Organization had verified 152 attacks on healthcare facilities and personnel in Lebanon since the conflict began.According to Tedros, those attacks resulted in 103 deaths and 241 injuries.International humanitarian law provides special protections for medical workers, emergency responders and healthcare infrastructure during armed conflicts.

Rights organizations have repeatedly called for investigations into attacks involving rescue and medical personnel in Lebanon and Gaza.

Australia has become the 30th country to eliminate trachoma as a public health problem, with the World Health Organization confirming that the infectious eye disease, once a major cause of preventable blindness in remote Indigenous communities, no longer poses a national public health threat.

The WHO validation marks the first time Australia has been officially recognized for eliminating a neglected tropical disease, placing it among 63 countries globally and the 16th in the Western Pacific region to have eliminated at least one such disease.

Trachoma is caused by the bacterium Chlamydia trachomatis and remains the world’s leading infectious cause of blindness. It spreads through close contact with infected individuals, contaminated surfaces, and flies carrying eye and nasal discharge. Repeated infections can scar the eyelids, causing eyelashes to turn inward and scratch the eye surface, eventually leading to irreversible blindness if left untreated.

WHO Director-General Tedros Adhanom Ghebreyesus said Australia’s achievement represented a major milestone both for Indigenous health outcomes and for global neglected tropical disease control efforts.“WHO congratulates Australia on this important achievement,” Tedros said in a WHO statement.

“This success reflects sustained commitment, strong partnerships, and a focus on reaching populations most affected by health inequities. It brings us closer to a world free from the suffering caused by trachoma.”Australia had eliminated trachoma from most of the country decades ago, but the disease persisted in remote Aboriginal and Torres Strait Islander communities, particularly in areas facing overcrowded housing, poor sanitation, and limited access to clean water and health services.

National efforts intensified in 2006 with the launch of the National Trachoma Management Programme, which adopted the WHO-recommended SAFE strategy: surgery for trichiasis, antibiotics to treat infection, promotion of facial cleanliness, and environmental improvement.

The program included regular screening of all communities classified as at risk, carried out by qualified health workers, alongside treatment and prevention campaigns delivered through cooperation between federal and state governments, Aboriginal Community Controlled Health Organisations, and local communities.

Unlike many countries where mass drug administration formed the main strategy, Australia adapted its response using targeted treatment based on community-level data and stronger integration with housing, sanitation and environmental health programs.WHO said sustained investment in screening, treatment, housing improvements, water access, sanitation and hygiene contributed to a steady decline in disease prevalence over time.

Australia’s Minister for Health and Ageing, Mark Butler, said the validation was particularly significant for communities that had carried the burden of a preventable disease for generations.“Elimination of trachoma is a win for the eye health of communities across Australia, particularly those whose lives have been impacted by a disease that is entirely preventable,” Butler said.

He said Aboriginal and Torres Strait Islander leadership had been central to the outcome, alongside long-term public investment and local health delivery.“The lessons from this work will inform how we approach other preventable health conditions in remote and regional Australia,” he said.

“Aboriginal Community Controlled Health Organisations and local health workers have been central to this success, delivering culturally safe care and community-led solutions.”

Malarndirri McCarthy, Minister for Indigenous Australians, said the recognition reflected decades of work led by First Nations health services rather than a short-term intervention.“This recognition from the World Health Organization reflects decades of work led by Aboriginal Community Controlled Health Organisations, alongside local health workers in remote First Nations communities,” McCarthy said.

“Their work has been critical to eliminating trachoma as a public health problem in Australia.”Trachoma is one of 21 diseases and disease groups classified by WHO as neglected tropical diseases, or NTDs. These diseases collectively affect more than one billion people worldwide, primarily among underserved populations with limited access to clean water, sanitation and essential health care.

WHO said Australia’s achievement demonstrated that elimination was possible even in geographically isolated and logistically difficult settings, provided political commitment and cross-sector coordination were sustained.

Saia Ma’u Piukala, WHO Regional Director for the Western Pacific, said countries across the region face similar challenges in reaching remote populations.“Tackling neglected tropical diseases in the Western Pacific Region has long been a challenge for countries across the socioeconomic spectrum,” Piukala said.

“But I also know that with strategic commitment underpinned by optimal resources and partnerships in health, success is possible.”He urged continued vigilance to ensure Australia maintains elimination status through strong surveillance and integration of monitoring systems into national healthcare structures.

WHO defines elimination of trachoma as a public health problem using three criteria: trachomatous trichiasis prevalence of less than 0.2% among adults aged 15 and above, trachomatous inflammation prevalence of less than 5% among children aged one to nine in formerly endemic districts, and a functioning system to identify and manage new trichiasis cases.

The global effort to eliminate trachoma dates back to 1996, when WHO launched the Alliance for the Global Elimination of Trachoma by 2020, known as GET2020. Although the original target year was missed, WHO’s current roadmap for neglected tropical diseases has extended the goal to 2030.

Australia now joins countries including India, China, Pakistan, Saudi Arabia, Nepal and Viet Nam among those validated by WHO for eliminating trachoma as a public health problem.Despite the success, Australia still faces several other endemic neglected tropical diseases, including Buruli ulcer, leprosy and scabies.

WHO said continued surveillance would remain essential to ensure trachoma does not re-emerge, particularly in vulnerable remote communities where access to services remains uneven.

The organization added that maintaining gains would depend on keeping surveillance systems active, integrating eye health into broader national health planning, and ensuring that improvements in housing, sanitation and healthcare access continue beyond disease elimination targets.

In its Global Hepatitis Report 2026, the United Nations health agency said hepatitis B and C, which account for 95% of hepatitis-related deaths worldwide, caused 1.34 million deaths in 2024, while more than 1.8 million new infections were recorded during the year.

WHO estimated that 287 million people were living with chronic hepatitis B or C infections in 2024, despite the availability of vaccines and highly effective treatments.“Progress is too slow and uneven,” WHO Director-General Tedros Adhanom Ghebreyesus said in a statement.“Many people remain undiagnosed and untreated due to stigma, weak health systems and inequitable access to care.

While we have the tools to eliminate hepatitis as a public health threat, urgent scale-up of prevention, diagnosis and treatment is needed,” he said.Hepatitis is an inflammation of the liver caused by infectious viruses and other agents, often leading to severe complications including liver failure, cirrhosis and cancer.

Of the five main viral strains, hepatitis B and C are the deadliest and remain among the world’s leading infectious disease killers.The WHO said fewer than 5% of the 240 million people living with chronic hepatitis B in 2024 were receiving treatment. For hepatitis C, only 20% of infected people have been treated since 2015.

In Africa, which carries the heaviest burden of hepatitis B infections, only 17% of newborns received the recommended birth-dose vaccine in 2024, raising concerns about continued mother-to-child transmission.

Six countries China, India, Indonesia, Nigeria, South Africa and Vietnam are among the top 10 globally for deaths linked to hepatitis B and C, the report said.“Every missed diagnosis and untreated infection due to chronic viral hepatitis represents a preventable death,” said Tereza Kasaeva, director of the WHO department overseeing hepatitis programs.

The agency said proven medical tools are already available. The hepatitis B vaccine protects more than 95% of recipients from both acute and chronic infection, while long-term antiviral treatment can help prevent severe liver disease in chronic cases.

For hepatitis C, short-course curative therapies lasting eight to 12 weeks can cure more than 95% of infections, WHO said.The agency pointed to United Kingdom, Egypt, Georgia and Rwanda as examples of countries demonstrating that hepatitis can be eliminated as a public health problem through sustained policy action and financing.

“Eliminating hepatitis is not a pipedream: it’s possible with sustained political commitment, backed by reliable domestic financing,” Tedros said.Since 2015, annual new hepatitis B infections have fallen by 32%, while hepatitis C-related deaths have declined by 12%, according to WHO data.