Marion Koopmans, Christian Brechot, Roberto Bruzzone, Moussa Moïse Diagne, Christian Drosten, Isabella Eckerle, Robert Gallo, David T.S. Hayman, Peter Horby, Peter Hotez, Menno de Jong, Florian Krammer, Jean Claude Manuguerra, Gustavo Palacios, Massimo Palmarini, Anja Schreijer, Nicole D. Tischler, Tulio de Oliveira, Bas B. Oude Munnink, Malik Peiris, Emma Thomson, Olli Vapalahti, Marietjie Venter, Jacqueline Weyer, Yazdan Yazdanpanah, Erik A. Karlsson
The outbreak of hantavirus disease caused by Andes virus aboard a cruise ship is a reminder of the challenges posed by emerging diseases in the modern era. While Andes virus-associated disease can be particularly severe, it is unlikely to spread extensively beyond the current number of cases or emerge as a large epidemic, especially if public health measures are followed. Nonetheless, the outbreak exemplifies the complexity of international outbreak response with differences in national preparedness frameworks and the rapid spread of mis-/disinformation. We discuss this outbreak in the context of global epidemic and pandemic preparedness and emphasize the importance of sustained, inclusive global collaborative One Health approaches to preparedness and response. We stress the urgent need for global coordination, discuss specific challenges, and provide recommendations for further strengthening of global preparedness.