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Peer reviewedOpen accessHantavirus infection

When rare zoonoses travel: Andes virus, hantavirus cardiopulmonary syndrome, and the preparedness gap

International Journal of Infectious Diseases·

Thirumalaisamy P. Velavan, Jonas Schmidt-Chanasit

DOI
10.1016/j.ijid.2026.108778
PMID
42107872
PMCID
OpenAlex
W7160871441
Study type
Journal article
Publisher
Elsevier BV
Article type
journal-article
Integrity
current

Why this research matters now

By addressing the intersection of expedition travel, maritime healthcare, and cross-sectoral monitoring, the work underscores strategies to contain uncommon infectious threats before they expand across borders.

01

Structured evidence summary

Research question

This commentary examines the readiness challenges associated with managing uncommon zoonotic diseases within confined, mobile environments, using a recent cruise ship cluster as a reference point.

Study design

The article is structured as a peer-reviewed commentary that synthesizes existing information rather than reporting original empirical research.

Population and setting

The discussion centers on travelers and crew aboard expedition vessels operating in remote regions, alongside general populations exposed to rodent reservoirs in specific geographic areas.

Main findings

The authors identify significant shortcomings in responding to uncommon zoonotic outbreaks within restricted travel environments, noting diagnostic hurdles, the absence of targeted antiviral treatments, and specific host genetic markers that may influence disease severity. They emphasize the necessity of combining maritime medical protocols with broader ecological monitoring to intercept emerging threats early.

Public-health relevance

By addressing the intersection of expedition travel, maritime healthcare, and cross-sectoral monitoring, the work underscores strategies to contain uncommon infectious threats before they expand across borders.

Important limitations

As a narrative commentary, the article relies on synthesized observations rather than original empirical data or controlled clinical evaluations.

GIDS interpretation

Within a global health intelligence framework, this publication provides contextual background on the operational complexities of tracking uncommon animal-borne pathogens during international transit, highlighting where current monitoring networks may require enhanced coordination.

02

Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 6 auditable classifier relationships to diseases, places, topics, and study design.

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