Hantavirus outbreak toolbox
Updated | May 2026
Welcome to the Hantavirus Outbreak toolbox
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Key reference documents
- Hantavirus Fact sheet (WHO, 2026)
- Hantavirus in the Americas: guidelines for prevention, diagnosis, treatment, and control (PAHO, 1999) (EN, ES)
- Hantavirus (United States Centers for Disease Control and Prevention, USCDC, 2024)
- Hantavirus case definition and reporting (USCDC, 2025)
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Case definitions
Suggested Hantavirus pulmonary syndrome surveillance case definition*
Suspected case
- A person who presents with a febrile illness (Fever > 38.5 °C [103 °F] oral) with an acute respiratory distress syndrome requiring supplemental oxygen AND bilateral diffuse infiltrates developed within 72 hours of hospitalization in a previously healthy person
- Unexplained illness resulting in death plus an autopsy examination demonstrating noncardiogenic pulmonary oedema without an identifiable specific cause of death
Confirmed case
A suspected case laboratory confirmed with:
- The presence of hantavirus-specific IgM antibodies or a 4-fold or greater increase in IgG antibody titres or hantavirus-specific IgG seroconversion.
- A positive reverse transcriptase-polymerase chain reaction (RT-PCR) results for hantavirus RNA.
- Positive immunohistochemical results for hantavirus antigens.
*These definitions are suggested to be used for surveillance purposes in the Americas (Hantavirus in the Americas: guidelines for prevention, diagnosis, treatment, and control (PAHO, 1999)). Different case definitions may be used during outbreaks and in different contexts.
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Data collection tools
- Formulario De Notificacion Inmediata Y Envio De Muestras Para Casos Sospechosos De Infección Por Hantavirus (Ministerio De Saude Publica, Chile, 2015).
- Andes Hantavirus - Hantavirus cluster linked to cruise ship travel (May 2026)
- Case investigation form - English WHO Hondius Event Standardized Case Investigation Form - Final v1.1
- Formulaire d'investigation des cas - Français WHO Hondius Event Standardized Case Investigation Form - Final v1.1_French
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Laboratory confirmation
- Laboratory testing of Andes virus (Orthohantavirus andesense) infection interim guidance (WHO, May 2026)
- Clinician brief: Hantavirus Pulmonary Syndrome (HPS) - Testing and diagnosis (USCDC, 2024)
- Clinician brief: Hemorrhagic Fever with Renal Syndrome - Testing and diagnosis (USCDC, 2024)
- Laboratory Management of Agents Associated with Hantavirus Pulmonary Syndrome: Interim Biosafety Guidelines (Morbidity and Mortality Weekly Report, USCDC, 2001)
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Response tools and resources
- Hemorrhagic Fever with Renal Syndrome (HFRS) (USCDC, 2017).
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Training
- Not available
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Other resources
- Epidemiological Alert Hantavirus Pulmonary Syndrome in the Americas Region (PAHO, 2025)
- WHO Technical note for the disembarkation and onward management of passengers and crew in the context of an Andes virus-associated cluster MV Hondius cruise ship (WHO, 2026)
- Management of contacts of Andes virus (ANDV) cases from the MV Hondius cruise ship: Interim guidance (WHO, 2026)
- Standard precautions for the prevention and control of infections: aide-memoire (WHO, 2022)