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Dr. Stephen Kornfeld, an American oncologist who initially tested weakly positive for hantavirus, has been cleared to leave quarantine after confirmatory tests came back negative. Sixteen other American passengers from the cruise ship remain under medical observation for the standard 42-day monitoring period.
Dr. Stephen Kornfeld, a passenger on the cruise ship MV Hondius, who previously had a “weakly positive” test for hantavirus, now tested negative and has been moved from the University of Nebraska Medical Center’s biocontainment unit.
Kornfeld, 69, an oncologist from Oregon, helped care for ill passengers aboard the ship and himself fell ill with a “flu-like” illness, as he told CNN’s Erin Burnett OutFront on Tuesday.
“At the time, it seemed like this was just some virus,” he said. “And now, looking back, the question arises: could this have been hantavirus? But that’s only speculation. There’s no way to truly know.”
– Dr. Stephen Kornfeld
Status Update and Test Results
The initial hantavirus test results taken before returning to the United States were delivered to the University of Nebraska Medical Center’s biocontainment unit. On Wednesday, Kornfeld told Burnett that the confirmatory PCR test was negative.
Also, his hantavirus antibody tests were negative, he said on Thursday.
Further Actions and Quarantine
Kornfeld is currently in a quarantine unit along with 15 other American passengers from the ship. None of the 16 currently show symptoms of the illness. Kornfeld noted that they all seem to plan to remain in quarantine for the full recommended period – 42 days, although some may spend part of the time at home.
Two more passengers are under observation at Emory University in Atlanta.
The World Health Organization said on Monday that the current number of hantavirus cases linked to Hondius stands at 11, but Kornfeld’s initial positive test was among that figure.
The U.S. Centers for Disease Control and Prevention said on Thursday that there are currently no cases in the United States.
Officials noted that Hondius passengers may return home to complete the weeks of Andes hantavirus health monitoring. However, American passengers in quarantine in Nebraska are advised to stay on site at the facility for monitoring, CDC officials said on Wednesday. Federal officials are working with medical staff to “ensure that they have appropriate placement,” they said in the agency’s first briefing since the hantavirus outbreak began.
“Our goal is to continue working with them toward the best possible placement,” said Dr. David Fitter, head of the hantavirus response at the CDC.
Hantavirus has a long incubation period, and people at high risk of exposure – including cruise ship passengers and people who were on international flights with an infected passenger – should be monitored for 42 days, health officials say.
Some countries are testing all passengers who were exposed to hantavirus. But for now, the CDC recommends testing only people with symptoms, said Fitter.
The risk to the general public remains low, WHO and CDC say. Overall, 41 people across the United States, including 18 in Nebraska and Atlanta, are under monitoring because they were passengers on the ship or flew with someone who was infected. People under monitoring are advised to isolate at home, as the CDC works with states and local partners to monitor them. But there are currently no federal or state quarantine orders in place, Fitter added.
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