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A hantavirus outbreak aboard the Dutch expedition vessel MV Hondius has killed three passengers and infected at least eight, prompting medical evacuations to European hospitals and an international dispute over where the ship can dock. The confirmed Andes strain — the only hantavirus capable of human-to-human transmission — has triggered quarantine protocols for roughly 150 passengers and crew from 23 countries, while the WHO coordinates a multi-nation response complicated by the United States' absence from the organization.