Hundreds of passengers who tested negative for the new coronavirus have begun leaving a quarantined cruise ship in Japan amid heavy criticism over the country's handling of the outbreak.

One Japanese health expert who visited the Diamond Princess at the port in Yokohama said the situation on board was "completely chaotic".

US officials said moves to contain the virus "may not have been sufficient".

Passengers have described the difficult quarantine situation on the vessel.

At least 621 passengers and crew on the Diamond Princess have so far been infected by the Covid-19 virus – the biggest cluster outside mainland China.

The ship was carrying 3,700 people in total.

Several nations are evacuating their citizens from the ship as the number of confirmed cases continues to rise.

A bus believed to be carrying passengers from the cruise ship Diamond Princess, leaves Daikoku Pier Cruise Terminal in Yokohama

– Some of those who disembarked on Wednesday were collected by coach

Hundreds of American passengers were removed and placed in quarantine on Sunday. Britons on the vessel have been told by the UK Foreign Office to stay onboard but register for an evacuation flight expected later this week.

A British couple on the ship – who had been giving regular updates to journalists via social media – confirmed on Wednesday they had tested positive for the virus.

– UK coronavirus cruise couple: "I just want someone to take care of them"

What are the fears over the passengers?

Several experts have questioned the effectiveness of the quarantine measures on the Diamond Princess.

Kentaro Iwata, professor at the infectious diseases division of Japan's Kobe University, described the situation on board as "completely inadequate in terms of infection control".

After visiting the ship, Prof Iwata posted a video to YouTube stating that the quarantine measures he witnessed failed to separate the infected from the healthy.

He reported:

  • Passengers and crew members moving freely between the green zone, which is supposedly infection-free, and the virus-hit red zone
  • People eating together and sharing living quarters
  • A failure to wear protective clothing, including among medical staff
  • No professional infection control specialist on board