HORIZON · Hantavirus Tracker

Hantavirus Prevention — Exposure Control

No licensed hantavirus vaccine is available in Europe or North America. The only authorised vaccine — South Korea's Hantavax — covers Hantaan virus. Prevention is therefore exposure control: reducing rodent populations, suppressing aerosol generation when cleaning, and using appropriate respiratory protection.

Reduce rodent presence around homes

Safe cleaning of rodent-contaminated areas

Per CDC procedures, never sweep or vacuum dry excreta — both aerosolise virus. The protocol:

  1. Ventilate the space for at least 30 minutes before entry; leave doors and windows open.
  2. Wear an N95/FFP3 respirator, rubber or latex gloves, and goggles.
  3. Saturate excreta and contaminated surfaces with 1:10 household bleach (5,000 ppm) or an EPA-registered disinfectant; allow 5 minutes' contact.
  4. Wipe up with paper towels; bag waste; double-bag and seal.
  5. Mop the floor with disinfectant; do not vacuum even after disinfection.
  6. Wash gloved hands before removing gloves; wash bare hands after; launder clothes in hot water.

Outdoor and occupational exposure

Travel precautions for endemic regions

HORIZON country pages document recent activity for travellers heading to endemic areas: Argentina, Chile, United States (Four Corners), Germany, Finland, China, South Korea. Standard advice: avoid rodent-occupied buildings, avoid disturbing rodent nests during hiking or excursions, prefer modern accommodation, and report rodent infestation to lodge staff.

Vaccine status (2026)

VaccineCoverageRegion
Hantavax (Green Cross)Hantaan virusSouth Korea — licensed
Hantavax-IIHantaan + SeoulSouth Korea — licensed
Various DNA/mRNA candidatesSNV / ANDV / multi-serotypePre-clinical and Phase I/II in US, EU, China

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Step-by-step rodent-contaminated cleanup protocol (CDC method)

If you find evidence of rodent infestation (droppings, nests, urine stains, gnaw marks, dead rodents) in a building, do NOT sweep or vacuum without preparation. The CDC's evidence-based protocol — used as the reference standard in occupational health worldwide — requires the following steps in order.

  1. Air out the space for at least 30 minutes before entry. Open all windows and doors. Leave the area while it airs.
  2. Put on PPE before re-entering: disposable gloves (nitrile or latex), an FFP3 or N95 respirator (not a surgical mask), eye protection (goggles, not glasses), and a long-sleeved cover-up that can be washed at high temperature afterwards.
  3. Spray, do not sweep. Mix a 10% bleach solution: 1 part household bleach (5-6% sodium hypochlorite) to 9 parts cold water. Spray heavily on all visible rodent droppings, urine spots, nesting material, and the immediate surrounding area. Let soak for at least 5 minutes.
  4. Wipe up with disposable paper towels. Pick up disinfected material with paper towels and place into a sealable plastic bag. Double-bag and seal.
  5. Mop or sponge the entire floor of affected rooms with bleach solution or a disinfectant cleaner.
  6. Wash bedding, clothing, and soft furnishings that may have been exposed in hot water (60°C minimum) with normal detergent. Items that cannot be washed should be sealed in bags and discarded.
  7. Disinfect hard surfaces (countertops, shelving) with a disinfectant cleaner or bleach solution. Allow to air-dry.
  8. Remove PPE last. Take off gloves last so contaminated hands never touch your face. Wash hands and forearms thoroughly with soap and warm water. Shower as soon as practical and wash the clothing worn during cleanup.
  9. Dispose of all cleanup waste in sealed bags in outdoor bins, not indoor wastebaskets.

For heavily contaminated structures (long-abandoned cabins, large infestations), engage a licensed pest-control professional. The risk of HPS from a single high-dose cleanup exposure is substantially higher than from routine maintenance.

Long-term rodent exclusion — preventing recurrence

Cleanup addresses the immediate hazard; exclusion is what stops recurrence. The CDC, the UK Health and Safety Executive, and the WHO all agree on the same principles:

Outdoor and occupational exposure prevention

Many HPS cases worldwide are not from cleanup but from occupational or recreational outdoor exposure: agricultural work, hunting, conservation, camping in cabins, opening seasonal accommodation, military deployment. Specific precautions:

Vaccine status — 2026

No hantavirus vaccine is licensed in the UK, EU, USA, Canada, Australia, or any major Western jurisdiction as of May 2026. A summary of the global state:

VaccineTypeStatusRegion
Hantavax (Korea)Inactivated whole-virus, HTNVLicensed in South Korea since 1990South Korea only; ~70% efficacy against HTNV-HFRS in field studies; no protection against HPS strains
Hantavac (China)Inactivated bivalent HTNV+SEOVLicensed in ChinaChina only; reportedly used in agricultural workers in HTNV endemic provinces
DNA vaccine candidates (US)DNA encoding GnGc glycoproteinsPhase 2 clinical trial (NIAID)Targets ANDV and SNV; results from initial trials reported good immunogenicity but no efficacy endpoint yet
mRNA candidates (post-COVID)Lipid-nanoparticle mRNAPre-clinical / Phase 1Several groups (Moderna, BioNTech, US Army WRAIR) reportedly working on ANDV mRNA constructs; no Phase 3 timeline announced
Monoclonal antibodies (passive prophylaxis)SNV- and ANDV-neutralising mAbsPhase 1Most advanced for ANDV post-exposure prophylaxis; targeting MV Hondius-style exposure scenarios

Behavioural prevention remains the foundation of hantavirus risk reduction. Vaccine policy in Europe and North America may shift if the MV Hondius 2026 cluster prompts review.

Prevention for travellers — country-specific guidance

Frequently asked questions

How do you prevent hantavirus?

Hantavirus prevention rests on three principles: (1) exclude rodents from the home by sealing entry points and removing food/water/harbourage; (2) clean rodent-contaminated areas using the CDC bleach + N95 protocol rather than sweeping or vacuuming; (3) avoid known endemic high-risk areas or use appropriate PPE when working in them. No licensed vaccine is available outside South Korea and China.

What is the CDC bleach protocol for hantavirus?

The CDC protocol is: air out the space for 30+ minutes, put on PPE (N95/FFP3, gloves, eye protection), spray a 10% household bleach solution (1 part bleach to 9 parts water) on all droppings and urine spots, let soak 5 minutes, wipe up with paper towels into sealable bags, mop floors and disinfect hard surfaces, wash exposed bedding/clothes at 60°C, remove PPE last, shower, and dispose of all waste in outdoor bins.

Is there a hantavirus vaccine?

Hantavax (Korea) and Hantavac (China) are licensed regionally but not available in the UK, EU, USA, Canada, or Australia. They target Hantaan and Seoul virus and offer no protection against HPS strains (Sin Nombre, Andes). Several DNA and mRNA candidates targeting Andes virus are in early clinical trials but no Phase 3 timeline has been announced as of May 2026.

How small a gap can a mouse fit through?

House mice can squeeze through openings as small as 6 mm (1/4 inch); young mice can fit through even smaller gaps. Rats need approximately 12 mm (1/2 inch). Effective rodent-proofing requires sealing all openings above this threshold, including utility penetrations, vent screens, door sweeps, and foundation cracks. Steel wool followed by caulk or expanding foam is the standard exclusion material.

Can you sweep up mouse droppings safely?

No. Sweeping or vacuuming (without a HEPA filter) aerosolises dried rodent excreta and is one of the highest-risk activities for hantavirus exposure. Always wet down droppings with a 10% bleach solution and allow 5 minutes contact time before wiping up with paper towels. Wear an N95/FFP3 respirator and gloves throughout.

Are mouse traps better than poison for hantavirus prevention?

Traps are preferred over poison when hantavirus risk is the primary concern. Snap traps and electronic traps allow immediate carcass disposal, preventing rodents from dying in walls and crawlspaces where decomposition draws secondary pests and prolongs contamination. Always handle carcasses with gloves and dispose in sealed bags.

Does an N95 mask prevent hantavirus?

An N95 (US) or FFP3 (EU/UK) respirator is the CDC-recommended respiratory protection for hantavirus cleanup. Properly fit-tested, it filters 95% or more of the airborne particles that carry the virus during dust disturbance. A surgical or cloth mask is NOT adequate. The respirator must form a tight seal — beards or poor fit substantially reduce protection.

How often should I check for rodent signs at home?

Inspect monthly in normal conditions, weekly during autumn (when rodents seek warm shelter), and immediately if you hear scratching in walls, find fresh droppings, smell ammonia in low-traffic areas, or notice gnaw marks on food packaging or wiring. Trail cameras or sticky monitor traps along walls give early warning of new activity.

Should I avoid Patagonia because of Andes virus?

Travel to Chilean and Argentine Patagonia is not contraindicated by Andes virus. The risk to ordinary travellers in urban centres and major tourist areas is very low. The MV Hondius 2026 cluster was associated with a specific high-exposure activity (entering a rodent-infested off-season shelter), not routine travel. Standard precautions: avoid remote cabins with rodent activity, pack basic PPE if rural overnight stays are planned.

Can I get hantavirus from camping?

Camping in tents in endemic areas is generally low-risk because tents are ventilated and rodents cannot easily access them. Sleeping in unmaintained trail shelters, cabins, or barns is higher risk. Always air the structure out for 30+ minutes before entry and inspect for rodent activity. If fresh droppings or nesting is present, do not stay or clean it using the CDC bleach protocol first.