A voyage that began at the edge of Antarctica has turned into a public health puzzle in the middle of the Atlantic. The Dutch-flagged expedition cruise ship MV Hondius, carrying around 150 passengers and crew from over 20 countries, is now at the centre of a rare hantavirus outbreak that has left three people dead and several others ill. As the vessel waits off the coast of Cape Verde, global health authorities are racing to understand how a virus typically linked to rodents may have moved through a tightly knit shipboard environment.

