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OMAHA, Nebraska -- Passengers from a cruise ship hit by a deadly hantavirus outbreak were being flown home Monday to more than 20 countries and quarantined, including a French woman and an American who tested positive.

Passengers from the ship began flying home aboard military and government planes Sunday after the MV Hondius anchored in the Canary Islands. Personnel in full-body protective gear and breathing masks escorted the travellers from ship to shore in Tenerife, an effort that continued Monday.

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Three cruise ship passengers have died, and six people with confirmed or suspected cases of hantavirus are being quarantined, according to the World Health Organization. The lab results of the American who tested positive were inconclusive, WHO spokesperson Sarah Tyler said Monday.

Health authorities say the risk to the broader public is low from the first-ever hantavirus outbreak on a cruise ship. While there is no cure or vaccine for hantavirus, the WHO says early detection and treatment improves survival rates.

The ship’s captain, Jan Dobrogowski, issued a video message Monday praising passengers and crew for their courage and perseverance, and he called for respect for their privacy.

“I could not imagine sailing through these circumstances with a better group of people, guests and crew alike,” he said.

New cases in France, United States

The French woman who tested positive for the hantavirus is in intensive care in stable condition at a Paris hospital, French Prime Minister Sebastien Lecornu said Monday. He said four French passengers who returned Sunday have tested negative but remain in isolation at the same hospital.

One of 18 evacuated passengers flown to the U.S. also tested positive for the hantavirus but is not showing symptoms, while another had mild symptoms, U.S. health officials said.

After landing early Monday, 16 American passengers -- one of them a British-U.S. dual citizen -- were taken to the University of Nebraska Medical Center, which has a federally funded quarantine facility and a biocontainment unit for treating people with highly infectious diseases. They were being assessed to determine if they had close contact with any symptomatic people and their risk levels for spreading the virus.

An American who tested positive for hantavirus on the cruise chip was taken to the Omaha campus’ biocontainment unit and will be tested again. The passenger “is doing well and not having symptoms at this time,” said Dr. Angela Hewlett, the unit’s medical director.

The others taken to Nebraska will be monitored in quarantine for several days. They arrived “in good shape, good spirits,” said Dr. Michael Wadman, the quarantine unit’s medical director.

Two additional American passengers, a couple, arrived Monday at a medical facility at Emory University in Atlanta. One of them has mild symptoms and will be tested for hantavirus.

“It doesn’t necessarily mean, just because someone has symptoms, that they’re going to end up having this illness,” said Dr. Brendan Jackson of the U.S. Centers of Disease Control and Prevention.

Some public health experts have accused the U.S. government of being slow to respond to the hantavirus outbreak. Health Secretary Robert F. Kennedy Jr. rejected the notion that cuts at his agency had left the U.S. less prepared.

“We have this under control,” Kennedy said Monday, “and we’re not worried about it.”

WHO recommends close monitoring of former passengers

The evacuation of passengers from Tenerife was due to wrap up on Monday, with 22 of the 54 passengers and crew remaining on the ship set to disembark. The remaining 32 will remain on the ship as it returns to the Netherlands.

South African health authorities said on Monday that the condition of a British man admitted to a hospital in Johannesburg and being treated for hantavirus was gradually improving. He was evacuated from the ship on April 27 after becoming ill.

The Hondius left the southern Argentine port of Ushuaia on April 1 and a Dutch passenger died on board April 11. It wasn’t until early May that the WHO said it was reacting to a suspected hantavirus outbreak on the ship, which by that time was off the West African island nation of Cape Verde.

The Dutch couple who presented the first two cases had travelled through Argentina, Chile and Uruguay before boarding the ship, the WHO said. They visited sites where the species of rat known to carry Andes virus was present.

Health officials say risk to public is low

Hantavirus usually spreads from rodent droppings and is not easily transmitted between people. But the Andes virus detected in the cruise ship outbreak may be able to spread between people in rare cases. Symptoms -- which can include fever, chills and muscle aches -- usually show between one and eight weeks after exposure.

WHO Director-General Tedros Adhanom Ghebreyesus said Sunday that the general public should not be worried about the outbreak. “This is not another COVID. And the risk to the public is low. So they shouldn’t be scared, and they shouldn’t panic.”

WHO is recommending that passengers’ home countries “have active monitoring and follow-up, which means daily health checks, either at home or in a specialized facility,” said Maria Van Kerkhove, the WHO’s director of epidemic and pandemic preparedness.

Numerous countries have said their people will be quarantined or hospitalized for observation.

The ship’s captain, Dobrogowski, said his thoughts “are with the ones that are no longer with us, and whatever I say will not ease this loss, but I’d like you to know that they are with us every day in our hearts and our thoughts.”

By Josh Funk and Mike Corder, The Associated Press

Corder reported from the Hague, Netherlands. AP journalists Jamey Keaten in Geneva; Scott Bauer in Madison, Wisconsin; Mike Stobbe in New York and Russ Bynum in Savannah, Georgia, contributed reporting.