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It can take as long as six weeks for symptoms to appear, which is why most countries are monitoring passengers for a minimum of 42 days counted from the day they got off the ship. The virus is typically associated with rodents, but it may have passed from human to human aboard the vessel, according to the World Health Organization. It’s rare disease that can feel like the flu, causing fatigue, fever, chills and aches. Over time, the virus can damage the heart, lungs or kidneys and patients can suffer severe shortness of breath, organ failure, and even die.