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The Andes strain of the virus has been confirmed in some passengers, which can rarely be passed from person to person.

While passengers onboard the MV Hondius say the situation is calm, they face days at sea as officials warn the disease may have spread.

South Africa's health ministry said the Andes strain of the virus was found in two confirmed cases linked to the outbreak.

Two cases of the virus, which rarely spreads between humans, have been confirmed on the ship, and three people have died.