The State Department spent three-quarters of a million dollars to sail an American citizen who was exposed to hantavirus off a remote British island in the South Pacific.

The woman was exposed to hantavirus in April while aboard the Dutch cruise ship MV Hondius, according to two government officials and a government document obtained by the Associated Press. The hefty expenditure on her evacuation further strains the State Department’s emergency budget, which has already been taxed by the war with Iran and the recent Ebola outbreak.