Plane carrying Spanish passengers from hantavirus-stricken MV Hondius cruise ship leaves for Madrid
Spanish nationals were the first to leave the MV Hondius, which remains anchored off Tenerife, the largest island in the Spanish archipelago off West Africa's coast. The ship arrived hours earlier.
None of the more than 140 people on the Hondius has shown symptoms of the virus, Spain's health ministry, the World Health Organization and cruise company Oceanwide Expeditions said.
WHO Director-General Tedros Adhanom Ghebreyesus sought to reassure the public, repeating on Sunday that the risk for the general public from the outbreak remained low.
Even so, those disembarking and personnel working at the port of Granadilla in Tenerife wore protective gear during the evacuation process, including face masks, hazmat suits and respirators.
Spanish Health Minister Mónica García said that the operation was proceeding normally.
Passengers and some crew members from more than 20 nationalities on board will be evacuated throughout Sunday into Monday.
After reaching Madrid, those evacuated on the first plane will be under quarantine, Spanish health authorities said. Only the 14 Spanish nationals on board will quarantine in the country.
Authorities have said the passengers and crew members disembarking will be checked for symptoms, have no contact with the local population and will only be taken off the ship once evacuation flights are ready to fly them to their destinations.
Tedros and Spain's health and interior ministers are supervising the operation in Tenerife.
Pope Leo XIV on Sunday thanked the Canary Islands for allowing the arrival of the Hondius.
Hantavirus usually spreads when people inhale contaminated residue of rodent droppings and is not easily transmitted between people. But the Andes virus detected in the cruise ship outbreak may be able to spread between people in rare cases. Symptoms usually show between one and eight weeks after exposure.
Three people have died since the outbreak, and five passengers who left the ship are infected with hantavirus, which can cause life-threatening illness.
Passengers and crew members disembarking are leaving behind their luggage and are allowed to take only a small bag with essential items, a mobile phone, a charger and documentation.
Some crew, as well as the body of a passenger who died on board, will remain on the ship, which will sail on to Rotterdam, Netherlands, where it will undergo disinfection, Spanish authorities said.
The expected sailing time to Rotterdam is around five days, the cruise company said.
The US, the UK and the Netherlands will send planes to evacuate their citizens. Americans on board will be quarantined at a medical centre in Nebraska.
Twenty-nine people will be on board the Dutch charter flight, including Dutch nationals and people of other nationalities, the Dutch Foreign Ministry said.
Five French passengers will be repatriated Sunday and will be hospitalised for 72 hours for monitoring, after which they will quarantine at home for 45 days, France's Foreign Ministry said.
UK passengers and crew will be hospitalised for observation once they are flown home, British authorities said.
Australia is sending a plane, expected to arrive on Monday, to evacuate its nationals and those from nearby countries such as New Zealand, García said. Its plane will be the last to leave Tenerife, she said.
Norway has sent an ambulance plane to Tenerife with personnel trained to transport patients with high-risk infections, its Directorate for Civil Protection told public broadcaster NRK.
The ambulance plane is owned by the European Union, but operated by Norway.
British Army medics have parachuted onto the remote south Atlantic territory of Tristan da Cunha, where one of the 221 residents has a suspected case of hantavirus. The patient was a passenger on the MV Hondius and disembarked last month.
The UK defence ministry said a team of six paratroopers and two medical clinicians jumped on Saturday from a Royal Air Force transport plane, which also dropped oxygen and medical equipment.
Tristan da Cunha is Britain's most remote inhabited overseas territory, about 2,400 kilometres from the nearest inhabited island, St Helena.
The group of volcanic islands has no airstrip and is usually accessible only by boat on a six-day voyage from Cape Town, South Africa.
Meanwhile, a Spanish woman in the southeastern province of Alicante suspected of being infected tested negative for hantavirus, Spanish health authorities said on Saturday.
The woman was a passenger on the same flight as the Dutch woman who died in Johannesburg after travelling on the cruise ship.
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