Government planes carrying Spanish and French citizens landed in Madrid and Paris on Sunday afternoon, where the passengers were transported to hospital, according to the two countries' governments.
One of the five French passengers showed symptoms during the repatriation flight, French Prime Minister Sebastien Lecornu said on X.
Planes to Canada, the Netherlands, Turkey, the United Kingdom, Ireland and the United States were due to depart on Sunday evening, with the final two flights - Australian and New Zealand planes - departing on Monday afternoon.
One flight from Australia will carry six passengers and another from New Zealand will take 18 passengers, with both flights also taking passengers from other countries which did not send their own repatriation flights, officials said.
The passengers will be tested upon arrival and then either taken to local hospitals or quarantine facilities or transported home for isolation.
The World Health Organisation has recommended a 42-day quarantine for all passengers from the MV Hondius from Sunday, its director of epidemic and pandemic management Maria Van Kerkhove said in a briefing.
The Spanish passengers will be kept in hospital for the full 42 days while French passengers will be hospitalised for 72 hours then allowed home to self-isolate for a further 45 days, according to the respective governments.
"Our recommendation is daily health checks, at home or in a specialised facility. It's up to countries to develop their policies but our recommendations are very clear," Van Kerkhove said, highlighting that the incubation period for the virus was up to six weeks.
The virus, usually spread by rodents but also transmittable person-to-person in rare cases of close contact, was first detected by health officials in Johannesburg on May 2 treating a British man who fell ill and was taken into intensive care, 21 days after another passenger had died.
The man's health has since improved, a WHO official said on Sunday.
The WHO said the first passenger who died on the ship may have been infected before boarding, possibly during travel in Argentina and Chile.
Eight people no longer on the ship have fallen ill, according to a WHO tally from Friday, of which six are confirmed to have contracted the virus.
Three have died - a Dutch couple and a German citizen.
Four remain hospitalised in South Africa, the Netherlands and Switzerland.
On the remote island of Tristan da Cunha, a UK overseas territory, a suspected case is being treated by a team of medical specialists parachuted in by the military.
Still, health officials urged calm, reminding a public scarred from the experience of the COVID-19 pandemic that this virus was far less contagious and posed little risk to the general population.
A woman in Spain who was tested for the virus after sharing a flight with one of the victims tested negative.
"This is not COVID and we don't want to treat it like COVID," acting US CDC director Jay Bhattacharya said in an interview with CNN on Sunday, adding the 17 US passengers from the ship would be given the choice of isolating at home or at a facility in Nebraska.
Spain's health ministry also downplayed the risk to the broader population.
It added that rodents had not been detected aboard the ship.
Thirty crew members will remain on board the cruise ship and sail to the Netherlands on Monday evening where the ship will be disinfected.
"Thank God we are all fine ... I hope we'll get through the quarantine process smoothly and be able to see family and friends again," Turkish birdwatcher Emin Yogurtcuoglu, a passenger on the ship, wrote in a post on Instagram.
with AP
