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Hantavirus Infection

Current ​Andes Hantavirus Situation

  • CDPH is in close contact with CDC and the WHO, following notification that California residents were aboard the MV Hondius, a cruise ship that experienced an outbreak of Andes hantavirus. ​

  • ​The current risk to the general public for Andes hantavirus remains extremely low

    • ​Andes hantavirus is not naturally found in California. 

    • Andes hantavirus ​is not known to spread easily from person to person. Research shows that Andes hantavirus only spreads from close, prolonged contact with a person who is actively sick. ​

  • More information about the Andes hantavirus situation:

  • This is an evolving situation and information is current as of May 15. New or changing information will be updated as it becomes available.

Table of California Possible Exposures 

​Exposure Location​

​Current Location

​Current Status

​Number of California Residents 

Onboard MV Hondius  

​Santa Clara County  

​Undergoing monitoring; asymptomatic  ​

1

​Onboard MV Hondius  ​

​Nebraska  

​Undergoing monitoring; asymptomatic  ​

​2

​On Flight with Known non-CA Case  

​Sacramento County  

​Undergoing monitoring; asymptomatic  

​1

​Onboard MV Hondius  ​

​Pitcairn Islands  

​Undergoing monitoring; asymptomatic  

​1

​​ ​Total:

​5​


Deer mouse (Photo by Christian Irian, CDPH)What is hantavirus?

Hantavirus is the name of a group of viruses that spread through the urine, droppings (poop), and saliva of wild rodents. There are many different kinds of hantaviruses. In the western U.S. and California, the hantavirus that can make people sick is called Sin Nombre virus. Sin Nombre virus is spread by deer mice, which are found throughout California. ​

Andes virus is another kind of hantavirus that can make people sick. But Andes virus is not found in California. Deer mice in California do not spread Andes virus, and the rodents that can carry it are not found in the U.S. Learn more about the difference between Sin Nombre and Andes hantaviruses:​

 ​​
Sin Nombre virus (SNV) Andes virus (ANDV)
How does the virus spread? From rodent to personFrom rodent to person and person to person
Which rodent carries the virus?Deer mouse Long-tailed pygmy rat
Where is the virus found? Western North America (including California)South America (Argentina and Chilie)
What are the symptoms? Early symptoms resemble the flu and progress to difficulty breathingEarly symptoms resemble the flu and progress to difficulty breathing
What is the treatment?
No specific treatment, but early medical care can help No specific treatment, but early medical care can help


Hantavirus infection can cause serious disease in humans. In California, there are about 3 Sin Nombre hantavirus infections reported each year. Hantavirus infection can cause Hantavirus Pulmonary Syndrome (HPS), which can be deadly. Early symptoms of HPS can look like other respiratory illnesses, like COVID-19 or the flu.​

How can a person get infected with hantavirus?

People can get infected with hantavirus when they breathe in air that is contaminated with the virus. Particles containing hantavirus get into the air when dried mouse urine, saliva, or droppings are stirred up. The chances of this happening increase when opening or cleaning buildings in rural areas that have been closed for the winter where deer mice have entered, or for people working, playing, or living in closed spaces where mice are present.

​Sin Nombre virus is not known to spread from person to person. Only one type of hantavirus, Andes virus, is known to spread between people who have symptoms and are in close contact. 

Symptoms of hantavirus infection can be mild or severe, depending on whether a person's lungs become infected. There is no specific treatment for hantavirus infection, but early medical care can help if serious disease develops. 

How can I help p​revent hantavirus infection in California?

Because hantavirus infection can be serious, even deadly, it is important to know how to prevent it. The best way to prevent hantavirus infection is to keep wild rodents, especially mice, out of your home, workplace, cabin, shed, car, camper, or other closed space:

  • Seal up holes (the width of a pencil or larger) and other openings where mice can get in.

  • Place snap traps to catch any mice (do not use glue traps or live traps).

  • Store all food items in rodent-proof containers to keep mice away.

​​Learn more: ​​ How to Seal Up to Prevent Rodents

If you find sign​​s of mice o​​r other rodents, it’s important to clean up after them safely to reduce your chances of getting sick:

​​​Before you start cleaning

While cleaning

  • Wear gloves

  • Spray the contaminated area with the disinfectant or bleach solution until very wet, and let it soak for at least 5 minutes.

  • Use paper towels, a sponge, or mop to clean up the contaminated area.

Important!

If you are cleaning an area that may be contaminated with live or dead mice, mouse droppings, or mouse nests, do not sweep or vacuum the area. This can stir up droppings or other materials contaminated with hantavirus into the air.

Do not sweep or vacuum


What is Hantavirus Pulmo​nary Syn​​drome?

Hantavirus Pulmonary Syndrome (HPS) is the main disease of concern that can result from hantavirus infection. Sin Nombre virus can cause HPS. HPS can be very serious, even deadly. 

Symptoms of HPS are similar to other respiratory infections and include fever, headache, muscle aches, and difficulty breathing. Symptoms usually develop 4-42 days (1-6 weeks) after breathing in air contaminated by infected rodents. There is no specific treatment or cure for HPS and death is possible, but early medical care can increase the chances of survival.

If you have a fever, difficulty breathing, and have been exposed to rodents or rodent-contaminated materials, talk to a healthcare provider right away and tell them about your recent exposure to rodents (especially deer mice). ​

Key Messages for Reducing Hantavirus Risks

Click an image to view and download (right-click and select “Save image as”).

English: 

  • ​​​​If you need to clean out an area where rodents have made a nest, be careful not to stir up dust or droppings. Deer mice in California can be infected with hantavirus, which can spread to people through the air. Learn more: go.cdph.ca.gov/hantaviru​s

Spanish: 

  • Si tiene que limpiar una zona donde los roedores han hecho un nido, tenga cuidado de no dispersar polvo ni excrementos. Los ratones ciervo de California pueden estar infectados por el hantavirus, que puede contagiarse a las personas a través del aire. Obtenga más información: 
    https://www.cdph.ca.gov/Programs/CID/
    DCDC/Pages/Hantavirus-es.aspx​
    ​​


Protect yourself from hantavirus - clean up rodent droppings with bleach or other disinfectant. Do not sweep or vacuum.

Protéjase del hantavirus. No barra ni aspire.

Englis​​h: 

  • ​​Before cleaning an area infested by mice, air out the space for 30 minutes. Then use a mop or sponge and a freshly made 10% bleach solution to clean the area. Wear gloves while cleaning, and consider wearing a respirator (face mask) if cleaning heavily infested areas. Learn more: https://www.cdc.gov/healthy-pets/rodent-control/clean-up.html

Spanis​​h: 

  • ​​Antes de limpiar una zona infestada de ratones, ventile el espacio durante 30 minutos. A continuación, utilice un trapeador o una esponja y una solución de lejía al 10 % recién preparada para limpiar la zona. Utilice guantes mientras limpia y considere la posibilidad de usar una mascarilla (protector facial) si limpia zonas muy infestadas. Obtenga más información: 
    https://www.cdph.ca.gov/Programs/CID/
    DCDC/Pages/Hantavirus-es.aspx​

Protect yourself from hantavirus - clean up rodent droppings with bleach or other disinfectant. Do not sweep or vacuum.

Protéjase del hantavirus. No barra ni aspire.

E​​nglish: 

  • ​​Buildings and cabins that have been closed for the winter or other long periods can be home to mice and other rodents. Deer mice can be infected with hantavirus, which can be spread to people through the air in closed spaces. If you need to clean an area contaminated with mouse droppings or nests, follow these steps: https://www.cdc.gov/healthy-pets/rodent-control/clean-up.html

Spanish: 

  • En los edificios y las cabañas que han estado cerrados durante el invierno u otros períodos prolongados, puede haber ratones y otros roedores. Los ratones ciervo pueden estar infectados por el hantavirus, que puede contagiarse a las personas a través del aire en espacios cerrados. Si tiene que limpiar una zona contaminada con excrementos o nidos de ratón, siga estos pasos (en inglés)https://www.cdc.gov/healthy-pets/rodent-control/clean-up.html​ 

Protect yourself from hantavirus - before entering, air out closed spaces where mice or other rodents may have nested.

Protéjase del hantavirus. Ventile los espacios cerrados donde los ratones u otros roedores puedan haber hecho nidos.

Engli​sh: 

  • Before you open a building that’s been closed for a long time, air out the space for 30+ minutes and clean only with a wet mop or sponge. Sweeping or vacuuming stirs up mouse droppings and other rodent-contaminated materials that can spread hantavirus in the air. Learn more: ​https://bit.ly/PreventHPSAtWork

Spani​​sh:

  • ​Antes de abrir un edificio que ha estado cerrado durante mucho tiempo, ventile el espacio durante más de 30 minutos y límpielo solo con un trapeador o una esponja húmedos. Si barre o aspira, se levantan excrementos de ratón y otros materiales contaminados por roedores que pueden propagar el hantavirus en el aire. Obtenga más información: 
    https://www.cdph.ca.gov/Programs/CID/
    DCDC/Pages/Hantavirus-es.aspx​
    ​​​

Reopening for spring and summer? Protect yourself from hantavirus by carefully cleaning spaces infested by rodents.

Protéjase del hantavirus limpiando cuidadosamente los espacios infestados de roedores.



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