Illustration of hantavirus

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Hantavirus is a group of viruses that includes multiple different species, including Andes virus and Sin Nombre virus. (Envato)​

Hantaviruses have come into global focus following a recent outbreak linked to the cruise ship MV Hondius.

While the risk of a widespread outbreak is low, hantaviruses can cause severe illnesses and present serious risk to public health.

Here's what you need to know about hantavirus.​​

What is hantavirus?

Hantaviruses are carried by rodents, such as rats, mice and voles, and include several different species of virus.

They are typically spread when aerosolized rodent droppings, urine or saliva become airborne and are inhaled. Hantavirus infections may also be contracted by eating contaminated food or water, or, rarely, through rodent bites.

"When they get into humans, hantaviruses can cause serious infections," says Dr. Susy Hota, division head of infectious diseases at University Health Network.

Andes virus, the species of hantavirus linked to the outbreak on MV Hondius, and Sin Nombre virus, a species present in Canada, can cause a condition called hantavirus pulmonary syndrome (HPS), a severe illness that can be fatal.

Other hantavirus species can cause a severe condition known as hantavirus hemorrhagic fever with renal syndrome.

Should I be worried about hantavirus? Could it cause another pandemic?

Hantaviruses are different from viruses that have led to pandemics, such as COVID-19.

"Based on what we know currently, hantaviruses are unlikely to cause a pandemic," says Dr. Hota.

"Unlike COVID-19, which spread quite easily from person-to-person, the hantaviruses are not as transmissible, and they also don't tend to change very easily."

While the risk remains low, awareness and prevention are important.



WATCH: Dr. Susy Hota, division head of infectious diseases at UHN, explains what hantavirus is, how it spreads and what we know about the current risk. (UHN)

What are the symptoms of a hantavirus infection?

People infected with hantavirus may begin experiencing symptoms between one and six weeks after exposure. In most cases, symptoms appear within two to three weeks.

Symptoms can be severe and include:

  • Fever and muscle aches
  • Headache
  • Gastrointestinal (GI) symptoms
  • Cough and shortness of breath
  • Rapid progression to cardiac failure, respiratory failure, or both
  • Multi-organ failure, in severe cases

Can humans spread hantavirus?

Hantaviruses do not typically spread from person to person.

However, transmission between humans has been documented with the Andes virus in a small number of cases.

"Human-to-human transmission of hantaviruses is extremely rare, but can happen with the Andes virus, especially after prolonged, close contact," says Dr. Hota.

There are no documented cases of human-to-human transmission of Sin Nombre virus, which infrequently causes infections in western Canada.

Hantaviruses are carried by rodents, such as rats, mice and voles. (Envato)

How do people get tested for hantavirus?

Andes hantavirus infection is typically suspected based on symptoms and exposure risk.

Blood tests for polymerase chain reactions (PCR) — a rapid way of identifying if genetic material from a virus is present and to search for hantavirus antibodies — are used to confirm the diagnosis.

How is hantavirus treated?

Treatment for hantaviruses typically involves supportive care.

"Treatment includes managing the symptoms of hantavirus, supporting the patient's breathing and blood pressure as needed," says Dr. Hota.

"There are no proven medications to treat Andes hantavirus infections, but experimental medications can be used."

There is currently no cure for hantavirus or vaccine to protect against infection.

How can people protect against hantavirus infections?

People who were potentially in contact with the Andes virus related to the MV Hondius cruise outbreak should follow the direction of public health officials.

For the general public, the risk remains low.

Proper hand hygiene is key to preventing a variety of infections, including hantavirus infection. This is especially important for those who may come into contact with rodent droppings, such as while cleaning.

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