An American passenger aboard a cruise ship quarantined off the coast of West Africa has spoken publicly about conditions on board, expressing fear and uncertainty as health officials work to contain an outbreak of hantavirus that has killed three people and infected at least seven others.

The World Health Organization confirmed that the vessel will be permitted to continue its journey to Spain's Canary Islands after two passengers infected with the virus were medically evacuated, according to CBS News reporting. The decision to allow the ship to proceed came amid heightened concern among those still on board.

The American passenger, whose name was not provided in the CBS News report, described the atmosphere on the ship as anxious, stating that those aboard were seeking basic reassurance about their well-being. "All we want is to feel safe," the passenger was quoted as saying.

What is hantavirus?

Hantavirus is a rare but potentially deadly disease typically transmitted to humans through contact with infected rodents or their droppings, urine, or saliva. It is not commonly associated with person-to-person transmission, which distinguishes it from many other infectious diseases that have triggered maritime quarantine events in recent years.

CBS News medical correspondent Dr. Celine Gounder spoke to the network about the virus, offering context on its spread and severity. Hantavirus can cause hantavirus pulmonary syndrome, a serious respiratory illness with a significant mortality rate, though specific details of the cases aboard the ship had not been publicly confirmed at the time of the report.

Outbreak timeline and response

Health authorities placed the ship under quarantine off the West African coast after the cluster of cases was identified. Seven passengers are believed to have contracted the virus, and three have died, according to CBS News. The circumstances under which passengers may have been exposed to the virus remain under investigation.

The WHO's decision to allow the cruise ship to sail on to the Canary Islands suggests health officials are confident that medical evacuations of the most serious cases, combined with onboard precautions, reduce the immediate risk of further spread.

Spanish authorities in the Canary Islands are expected to receive the vessel upon arrival, though details on planned screening or quarantine measures at port had not been fully outlined in the CBS News report.

The incident has drawn attention to biosecurity protocols aboard cruise ships and the challenges of managing rare infectious disease outbreaks in maritime environments far from major medical facilities.