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A British man is among three evacuees sent to the Netherlands after displaying symptoms while aboard the MV Hondius.
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A third passenger in a stable condition was on board an evacuation flight that has been delayed, the operator added.
The MV Hondius is now sailing towards Spain's Canary Islands after being anchored for three days near Cape Verde, an archipelago nation off the West African coast.
The three evacuees were British, Dutch and German. Oceanwide Expeditions said the 65-year-old German evacuee was "closely associated" with a German woman who died on board the ship on 2 May.
The British evacuee has been identified by several media outlets as 56-year-old ex-police officer Martin Anstee, who is understood to be in a "stable condition" in the Netherlands.
A 41-year-old Dutch crew member is also among those who have been evacuated.
Three people who were aboard the ship have died since it set sail from Argentina a month ago.
Meanwhile, two US states have confirmed to the BBC that they are monitoring three passengers who had returned to the US after disembarking earlier. All are currently not displaying symptoms.
Georgia's public health department said two residents were being monitored and were in good health, showing no signs of infection.
Arizona's health department said one resident was being monitored, but was not symptomatic.
The World Health Organization (WHO) has also confirmed a man who had travelled back to Switzerland after disembarking the ship tested positive for hantavirus and is receiving care at a hospital in Zurich.
"The patient had responded to an email from the ship's operator informing the passengers of the health event," World Health Organization chief Tedros Adhanom Ghebreyesus said in a statement.
A total of 146 people from 23 different countries remain aboard the MV Hondius under "strict precautionary measures", Oceanwide Expeditions said.
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