Understanding the risk
Hantavirus Pulmonary Syndrome is a severe respiratory illness caused by the Sin Nombre hantavirus carried by deer mice (Peromyscus maniculatus) across North America. BC's deer mouse population harbours this virus at varying prevalence rates across the province — higher in rural agricultural areas, lower in dense urban core. The mechanism of infection is inhalation: when dried droppings, nesting material, or urine are disturbed without proper precautions, they release aerosolized particles containing viable virus. Inhaled particles infect the lungs and trigger a distinctive progression: 1-3 weeks incubation, then 3-5 days of flu-like prodrome, followed by rapid respiratory failure.
The case fatality rate in North America is approximately 36-40% across documented cases. There is no antidote and no vaccine. Treatment is entirely supportive — ventilator support, fluid management — and even with intensive care, a significant proportion of cases are fatal. This is why the BCCDC is explicit about the cleanup protocol and why the protocol is not optional for anyone cleaning a suspected deer-mouse-contaminated space in BC.
Which properties in Metro Vancouver are at risk
Urban core properties (densely settled Vancouver, Burnaby, Richmond) have very low deer mouse density — house mice dominate those areas. The risk zones in Metro Van: North Shore (North Van, West Van), Maple Ridge, Pitt Meadows, Surrey ALR fringe, Langley rural, and any property adjacent to greenspace, parks, ravines, or forested lots. Outbuildings (sheds, garages, crawlspaces) are the highest-risk spaces because they're rarely disturbed and deer mice nest in them without human contact. BC cabins, vacation properties, and seasonal homes that have been closed for months are a consistently high-risk category.
How to identify deer mouse evidence
Deer mouse droppings are 5-7 mm, granular, pointed at both ends — slightly larger than house mouse droppings and with bipointing rather than single-pointed ends. Deer mouse nesting material is often plant-based (leaves, grass, plant fluff) combined with soft insulation fibres. The key visual that separates deer mice from house mice is body colour — brown-russet back with white belly and white feet. If you find droppings in a rural-adjacent space and you're not certain of the species, treat it as deer mouse until confirmed otherwise. The cost of unnecessary precautions is trivial; the cost of insufficient precautions could be fatal.
The full BCCDC cleanup protocol
BCCDC-aligned deer mouse / hantavirus cleanup protocol
The complete cleanup sequence for suspected deer-mouse-contaminated spaces in BC. Do not shortcut any step — the protocol is designed around virus deactivation, not just cosmetic cleaning.
- 1Ventilate the space for at least 30 minutesOpen all windows, doors, and vents before entering. Cross-ventilate if possible. If the space has no natural ventilation (enclosed crawlspace, basement storage room), use a fan to push air out through a window or door for 30 minutes before anyone enters. Do not use a recirculating HVAC system.
- 2Assemble PPE before enteringN95 respirator minimum (3M 8210 or equivalent). P100 half-face respirator for heavily contaminated spaces. Disposable nitrile gloves. Disposable coveralls or clothes designated for disposal. Safety glasses for overhead spaces. All of this is available at Canadian Tire, Home Depot, or Rona for under $40 total.
- 3Prepare the bleach solutionMix 1 part household bleach with 10 parts water in a clean spray bottle. Do this fresh — bleach solution degrades within hours. Label the bottle.
- 4Wet every dropping and every piece of nesting materialSpray every dropping, every piece of nesting material, and every contaminated surface you can see with the bleach solution. Do not spray once and move on — saturate thoroughly. Let sit for a minimum of 5 minutes. The virus must be chemically deactivated before you disturb anything.
- 5Remove using paper towels, not a broom or vacuumPick up all wetted droppings and nesting material using paper towels. Double-layer if the material is wet and heavy. Bag directly into a heavy-duty garbage bag. Do not sweep (aerosolizes), do not use a vacuum (also aerosolizes), do not use cloth rags (become contaminated and require separate disposal).
- 6Spray and wipe all contaminated surfacesAfter removing visible material, spray all contaminated surfaces (floor, shelves, any surface with droppings) with the bleach solution. Wipe with paper towels. Bag the paper towels immediately.
- 7Dispose and decontaminateDouble-bag all waste (paper towels, gloves, coveralls) in heavy-duty garbage bags. Seal and place in outdoor trash. Wash hands with soap and water for 20 seconds after removing gloves. If your clothes are contaminated, bag them and wash separately in hot water.
Attic and crawlspace contamination: when replacement is required
Blown-in insulation (cellulose, mineral wool, fibreglass) that is visibly contaminated with deer mouse droppings and nesting material cannot be effectively decontaminated in place. The fibre matrix traps contaminated material too deeply for surface bleach treatment to reach. The remediation sequence: eliminate the active population first (exclusion + trapping + 6-week monitoring to confirmed zero activity), then remove and bag the insulation using full BCCDC protocol PPE, treat the structural surface with bleach solution, install new insulation. Attempting to clean in place or installing new insulation over contaminated old insulation are both inadequate responses.
