Hantavirus Situation Was Insane（原声文稿）

case of hantavirus that was published in literature in written and give you perspective of how we would see this case in context of the 2026 cruise ship incident.

your hands often, before and after you eat, after meeting with people, succession.

Think as if you're a surgeon and you're about to do surgery on a fever, stay at home.

And three, if you have Simple rules for life in general, I highly recommend them.

JB is a 52-year-old man presenting to the emergency room sweaty and nauseous.

tension referring to blood pressure, low blood pressure, and he had a fever.

When doctors measured his blood oxygen saturation, it was 89%.

attention because it means that the body is suffocating.

They see him sitting there confused, obtunded, and unaware of where he was.

starving of oxygen and something terrible is happening.

A chest x-ray reveals that his lungs are filled with fluid.

air into his blood, explaining why he's suffocating.

referring to oxygen and emia meaning presence in blood.

just low saturation. The oxygen actually isn't there.

But, why is that fluid in his lungs?

lungs, or his lung blood vessels have been leaking, or there's an infection in his lungs.

confirm, but doctors need to do something now.

only 21% oxygen, vastly increasing the amount some of the hypoxemia, and this buys some time, JB's oxygen saturation decreases, something very intensive care unit.

JB is sedated, a tube is placed on his throat more.

This means that blood can't get to all of his organs, his brain.

If oxygen already wasn't getting into his brain adding severe hypotension on top means that there's suffers permanent damage because oxygen makes energy mechanism no longer functions, JB's brain will cease to exist.

forced admission. JB stops making urine. His kidneys have completely shut down.

machine so that the body waste that would have been urine scan confirms JB has pulmonary edema.

This is the higher-resolution scan gives us to cover a wide variety of pathogens.

absolutely an infection, but if it is, one of these could start out why this much fluid.

I'd really appreciate it if you month since 2017.

This is my fun time hobby and I make these to teach highlights of my day.

So I'm thankful for the opportunity to make these for seven days.

These are important to know because there's only a That involves fluid in the lung.

And that means this could for respiratory bacteria and viruses, they all came out negative.

the immune system attacking the body.

Shortly after ICU admission, JB's kidneys failed. That could be the immune system attacking it.

When that happens, the immune system can also attack the lungs simultaneously.

vessels in the lung, and pulmonary referring to the lungs, capillaries where oxygen exchanges into the blood.

The bleeding would be the fluid that's flooded into his lungs.

shutting down in the intensive care unit.

But the reason why this isn't didn't say it, past medical history didn't show it.

So this was unlikely this means that his lung blood vessels were leaking.

He fell into shock when he arrived in the ICU.

Both of these together suggest viral been in Argentina before he had the fever, this suggests doctors looked at pneumonia because it doesn't cause person by flooding their lungs with fluid.

This one is unit, doctors order serologic and molecular testing in most places on this side of the earth. But it came out positive.

Hantan virus from the Hantan River in Korea.

This exact location tells us how this was rediscovered in modern English.

At the time, they didn't know what it was that caused it, and they didn't know how it was happening.

to identify what caused that hemorrhagic fever.

hosted in infected rodents before it being passed on to humans. He named this the Hantan virus.

inflammatory fever diseases that ended in kidney and lung disease.

For sure, this appears to have been a known entity to locals, or a Scandinavia.

geographic locations were genetically similar to Hantan virus.

different, and this is where the Hantan virus family comes from.

caused by each virus can be a little bit different.

or they cause cardiopulmonary failure, just like in JB's case.

Wang Lee, it was found that most all of the viruses through airborne particles of infected small animal feces. You inhale them, and then it gets you.

that linked the Americas with these Eurasian hantavirus species can't breathe.

within minutes of arriving to the hospital, he's not alive anymore.

and healthy shouldn't pass away like this.

New Mexico contacted and the investigator at the time was totally shocked nearby had also passed away in the same manner she was she had trouble breathing collapsed and then it was over.

just suddenly filled with fluid and then their lives were over.

Something man's fiancé, he was going to her funeral.

Why did she she was only 21. She had passed away only a few days earlier.

present, he immediately remembered a recent consultation that he was appeared that there was an occult illness happening illness that all presented the same way in previously healthy patients had been asked for help.

They tested autopsy samples for gene samples of various pathogens and it was here where they saw something that had never been seen before. Public health officials went to homes of the deceased. They found rodents in and nearby the buildings.

patients did at autopsy, meaning that something was passed on.

discovered a virus that was previously an undescribed species of hantavirus.

infections was formally described in the western hemisphere.

hantavirus known at the time and massive quantities of small animals enough to mutate an entirely new species of hantavirus can easily get from Asia to in 1993 not too far from the four corners there were persistent in 1993 they've come from and what What does that have to do with hantavirus?

On July 16, 1990, there was a magnitude 7.8 earthquake in the Philippines.

reported steam was coming from a nearby volcano.

earthquakes were felt until April 2, 1991, when that volcano Mount Pinatubo erupted.

the atmosphere and triggered a volcanic winter.

The global temperature dropped half a degree Celsius for two years into 1993.

excessive precipitation in North America, causing a river flood.

massively increased rains, and this is where it connects to Hantavirus.

biologists came into the four corners region to study.

Public health officials at first didn't realize this, but once with more rodents, it means that there was more chance for for an infected rodent associated disease to be transmitted already existed in North America.

It's just that we case of of Sin Nombre hantavirus was reported. That's the one from the 1993 outbreak.

point where he didn't realize what was happening.

couldn't breathe and it was found to be hantavirus.

It is endemic in this region of the country.

direct observation of hantavirus in this region.

But in 1993, this region still wasn't quite aware of it.

And why? Well, this is not a densely populated part of the country.

identify without multiple cases showing a pattern.

the 1993 outbreak was unfolding at first from the 19 year old man.

It would have looked like people suddenly collapsing for no reason.

attention and allow investigators to connect ideas.

American species different than the hantavirus is found in Asia?

animal species, and this virus is transmitted through infected animals, is it possible that South America has different hantviruses too? And the answer to both was yes.

area in the south suddenly stopped breathing.

genetic material in the lungs and the liver.

hantviruses, it was distinct, and they named this one the Andes virus.

American ones, and while they didn't know which rodent time, it wasn't very long until they found out that to human in a small cluster of infections in the same town earlier.

This brings us to 2026, a group of people boarded Andes virus is known to be.

Five days later, one of the more days later, he wasn't alive anymore. No one knew what happened.

13 days later, on April 24, his body was examined at the hospital. His wife, who accompanied his body, wasn't feeling well.

Helena Island to Johannesburg, South Africa.

When she lands, she collapses at the airport, and then passes away.

these deaths were related to a medical situation on board that boat.

away, another passenger on the boat becomes ill.

He's evacuated to South Africa and admitted into the intensive care unit.

passenger aboard the ship has difficulty breathing before suddenly passing away.

Africa, doctors are able to confirm that he has Hantavirus.

including the deceased as of early May 2026.

And it was here where the WHO was able to confirm this was Andy's virus.

mounting before it was confirmed that this was the causative agent.

disembark the ship to get medical treatment.

Andy's virus is a different hantavirus species than what JB likely suffered.

because Argentina has multiple hantoviruses unique to different regions.

Andes virus comes predominantly from the south, JB got sick in the north.

that follows a period of time where the patient will feel sick.

alarm bells for hantovirus have been raised in your local area.

hantavirus cardiopulmonary syndrome as of the time that I'm publishing this.

JB's throat for the machine to breathe for him.

oxygenates it for him and pumps it back into his body.

allowing the person to be able to breathe once again, normally.

sought and received the correct care in time. So there's a few things here to know.

the boat after the announcement that someone had died on board.

the ship for my vacation for two weeks before anyone does anything about it. Where are they keeping the body? Is it in the room next to mine?

from human to human, and that virus was circulating that they could be spreading it out to everyone around them in their hometown?

That's a question everywhere in the news right now.

experience that's known about this comes from southern Argentina in the 1996 case cluster, and a second one that happened in 2018. One person had gotten infected. They were ill while at a birthday party.

close to this person subsequently got sick 17 to 24 days afterwards.

social life and went on to infect six more people before he was symptomatic.

In 16 days after symptom onset, this person stopped breathing and it was over. His wife had a fever while attending his wake.

with her during the wake became ill 14 to 40 days people getting infected and 11 deaths from this 2018 outbreak.

Something important to note from this, no healthcare worker who treated the And medical teams are exposed to every single body wasn't uniform across all the different hospitals.

comes from saliva droplets and other bodily fluids.

patients in this paper is a little ambiguous.

For example, this patient is reported as his daughter. This method of transmission is a valid topic to bring up.

reported incorrectly and also simply saying hi.

sneezes, but we just don't know enough right now.

between this and 2020 is that back in 2020, we had never seen that before.

It was kind of similar to something that we saw in 2002, but also not really.

And the unknown part in the very early months of that year was the scary part.

But this Andes virus has been known for 30 years.

the virus had no mutations in that time period.

And it looks like in the 2026 situation, it hasn't changed much again.

forward, but we can only act on the information that we have now. If it changes, then adjust accordingly.

The point of this is that we know what to do in the cases of hantavirus.

the medical team will know what to look for.

something else, like a pulmonary embolism, atypical pneumonia, showed the differential diagnosis in JB's case.

2020, where that pathogen really was something new.

This isn't new. We've known about it for decades in America, millennia in Asia.

hands are clean by washing after you come home.

Wash your hands before you eat, if you feel sick and have a fever, stay at home. And if you really don't feel well, go to the hospital.

actions for you to take because now the whole world knows about hantavirus.

likely to get the right care that they need than compared to the time before hantavirus cruise ship story came out.

that's my humble recommendation to you as well.

gradually improved. His kidneys were able to completely recover.

After physical therapy and rehabilitation, JB was able to make a full recovery.

All hantviruses that cause this renal hemorrhage version that's typically found in Asia cruise ship one is this cardiopulmonary one.

When one gets a full recovery and good thing we're able to raise the alarm bells now so that should any patient present to any given hospital with similar confusion, shortness of breath with low oxygen saturation have had prior contact with someone who had case, and they'll be able to get everything in the right time I'm publishing this, I'm not overly panicked about this.

precautions and continue on. Take care of yourself and be well.