The last passengers have left the hantavirus-hit cruise ship MV Hondius, which departed Tenerife for the Netherlands on Monday after its final six passengers and some crew members disembarked. The move came as health officials across several countries kept tracing new cases tied to the vessel.

Three passengers have died after travelling on the ship, including two who were confirmed to have had the virus. Seven cases linked to the MV Hondius have now been confirmed, along with two suspected cases. Spain's health ministry said one Spaniard who was quarantining in Madrid after being evacuated from the vessel had provisionally tested positive on Monday, while the US health department said a second American on Sunday's repatriation flight had shown mild symptoms.

The repatriations have spread across North America and Europe as more than 90 passengers have been brought home over the past few days. Four Canadian passengers landed in Victoria, British Columbia, on Sunday after a chartered flight from Tenerife to Quebec, and authorities said they would self-isolate and be monitored for at least three weeks. The US Department of Health and Human Services said all 17 US citizens on Sunday's flight would undergo clinical assessment at a medical facility in Nebraska, alongside a British national living in the US.

French Health Minister Stéphanie Rist said a woman was isolating in Paris and that her health was deteriorating, while French officials traced 22 contacts. Two British nationals with confirmed cases are being treated in the Netherlands and South Africa. Ukraine's foreign ministry said the Ukrainians still on board would help with the ship's transfer to the Netherlands and quarantine at a medical facility on arrival, adding that they had shown no signs of illness.

As of Monday evening, 27 people remained on board, including 25 crew members and two medical staff. That group included 17 people from the Philippines, four from the Netherlands, four from Ukraine, one from Russia and one from Poland. Hantaviruses are usually carried by rodents, but the human transmission of the Andes strain is possible, and the World Health Organization believes some passengers contracted that strain in South America. Officials say the risk of a major outbreak is very low, even as the ship's final evacuation and transfer highlight how quickly one voyage has turned into an international health response.