of nigerian physicians in ppe procedures in late september ivory coast on september 1 the ivory coast loosens its ban on travel into liberia by opening several humanitarian corridors between the two countries. médecins sans frontières on september 2 doctors without borders president joanne liu warns the u.n. that the world is losing the battle against evd, and harshly criticizes a "coalition of inaction." infectious bodies are rotting in the streets in sierra leone, and crematoria rather than new ebola treatment centers are being built in liberia. un also on september 2, the food and agriculture organization (fao) warns that the epidemic has endangered harvests and sent food prices soaring in west africa, a problem it expects to intensify in the coming months. un on september 3 the director-general of who, margaret chan, remarks at a washington, d.c. press conference that the evd epidemic was "the largest, most complex and most severe we've ever seen," and that it was racing ahead of control efforts. united kingdom on september 3, the patient previously being isolated at the royal free hospital was released. the patient (who was identified as the british nurse william pooley) allowed blood to be drawn to treat future patients -the fourth medically evacuated patient in the united states later received his transfusion and successfully recovered. (the transfusion may have contributed). united states on september 4, the united states received its third medically evacuated case -a massachusetts physician, rick sacra, had been working in liberia for serving in mission and had performed cesarean sections on ebola patients before revealing symptoms. he was treated at the nebraska medical center in omaha, where he was given a blood transfusion from the first successfully recovered american patient kent brantly. liberia on september 8, the who reported that evd was present in fourteen out of liberia's fifteen counties. the remaining county without confirmed cases is grand gedeh county. the only county free of ebola as of october 10 was grand gedeh county. united states on september 9, a fourth patient was removed from west africa and placed into the united states. the doctor (whose identity has not been released) was working in sierra leone for the who and had begun treatment at emory university hospital. in order to recover from the virus, the patient was scheduled to receive serum from the british medically evacuated case william pooley. australia on september 17, australia donated 7 million australian dollars to the british government, the who, and msf for the purpose of aiding the countries affected by the evd outbreak. msf declined the offer, stating that military and medical help were more crucial to their effort than financial support. un on 18 september the un general assembly and the security council approve resolutions creating the united nations mission for ebola emergency response (unmeer), the first time in history the un has created a mission for a health emergency. guinea also on september 18 it is reported that eight health workers and journalists were killed by villagers in womey, nzérékoré prefecture; their bodies were dumped in a septic tank. they disappeared after a riot opposed to their presence broke out—strong animosity had been directed towards health teams advising villagers about evd previously. france on september 19 the first french national to be infected with evd, a volunteer nurse for doctors without borders, is medically evacuated from liberia to the bégin military hospital on the outskirts of paris. she later recovered and was released october 4. the death toll in west africa is nearly 2,400. spain on september 21, the second medically evacuated case in spain arrived at madrid's hospital carlos iii. brother manuel garcía viejo, another spanish citizen who was medical director at the st john of god hospital sierra leone in lunsar, had been transported to spain from sierra leone after being infected with the virus. switzerland on september 22 a swiss health worker was flown out from sierra leone to the university hospital of geneva after being bitten by an ebola-infected child. nigeria on september 22, the who reported an overall total of 20 cases and 8 deaths in nigeria. there have been no new cases since the announcement thus far, and so evd appears to be contained there. liberia on september 22, a new 150-bed treatment center was opened in monrovia, with patients arriving the day of its establishment. united states on september 24, the first evd case in the united states (thomas eric duncan) visits the emergency room of the presbyterian hospital of dallas, where he is diagnosed with a 'low-grade, common viral disease' and sent home with antibiotics. spain on 25 september it was announced that brother manuel garcía viejo, the second spanish citizen infected with the virus, had died at madrid's hospital carlos iii. united states on september 25, the third medically evacuated case in the us was released from the nebraska medical center after three weeks of isolation. the patient, rick sacra, successfully convalesced with a blood transfusion from another american case. united nations on september 26, the who announces that "the ebola epidemic ravaging parts of west africa is the most severe acute public health emergency seen in modern times. never before in recorded history has a biosafety level four pathogen infected so many people so quickly, over such a broad geographical area, for so long." united states on september 28, thomas eric duncan is isolated at the presbyterian hospital of dallas, where nurses nina pham and amber vinson are exposed to duncan's vomit and bodily fluids. both later become the second and third cases of evd within the united states. ivory coast on september 29, the ivory coast concluded its ban on flights from liberia citing 'west african solidarity.' united states on september 30 the cdc announces the first case of evd in the americas, in dallas, texas. the anonymous patient (later confirmed as thomas eric duncan) is "kept in strict isolation" at texas health presbyterian hospital dallas. united nations by the end of september, who statistics showed 7,492 cases and 3,439 deaths overall. october 2014 guinea on october 2, the governor of conakry, soriba sorel camara, decreed that all public festivities for the religious holiday of tabaski were to be henceforth forbidden after doctors without borders noted a rapid spike of admitted patients in the city. united states on october 2, cdc hosted a twitter chat to inform the public about ebola. france on october 3, health minister marisol touraine announces that the nurse evacuated from liberia had been cured and had left hospital. she had been treated with avigan, which had been approved by japan in march. the death toll in west africa is more than 3,400. germany on october 3, a second patient was admitted to an isolation ward in germany. the patient is a ugandan doctor who was working in sierra leone for an italian ngo, and is currently being treated in frankfurt's university hospital. on the same date, germany both opened a 48-bed isolation center in kenema and sent medical supplies to liberia. united states on october 3, a fourth case was medically evacuated to the united states; the colleagues of the patient were voluntarily isolated upon return from liberia. the patient, ashoka mukpo, was a reporter for an american news network. germany on october 4, the senegalese epidemiologist that was the first patient flown to and treated in germany was released from the university medical center hamburg-eppendorf after forty days of isolation. norway on october 6, msf announced that one of their workers, a norwegian national, had become infected in sierra leone and was to be transported to norway for treatment as soon as possible. spain on 6 october maría teresa romero ramos, an auxiliary nurse who had cared for manuel garcía viejo at the hospital carlos iii, tested positive for ebola at the hospital universitario fundación alcorcón, marking the first transmission of evd outside of west africa. liberia on october 7, liberian ambassador to the united states jeremiah sulunteh claimed liberia may be "close to collapse" in a television interview. united states on october 8 thomas eric duncan, the first case of evd in the u.s., dies. liberia on october 8, the who announced that evd was present in fourteen of liberia's fifteen counties. france on october 9, the international charter on space and major disasters was activated by the usgs to monitor the outbreak in sierra leone, the first time its assorted space assets have been used in an epidemiological role. spain on october 10 maría teresa romero ramos's mixed breed dog, excalibur, is euthanized by regional court order despite public protests due to concerns that it may have been an animal reservoir of the ebola virus. on twitter, the hashtag #salvemosaexcalibur (we'll save excalibur) was briefly the second-most popular hashtag worldwide. ivory coast on october 10, the ivory coast banned the sale of bush meat as part of a series of limitations designed to prevent evd from spreading to the country. bush meat has been generally accepted as one of the reservoirs of the virus and has been restricted temporarily in nigeria as well. united states on october 12, the cdc announces that a caregiver for thomas eric duncan had tested positive for evd. she is identified two days later as 29-year-old vietnamese-american nurse nina pham. pham was later moved to the national institutes of health in bethesda, maryland. france on october 13, france pledges to build several treatment centers in guinea while also announcing that flights from affected countries may be barred from arrival in france in the near future. sierra leone on 14 october, 800 sierra leone peacekeepers due to relieve a contingent deployed in somalia were placed under quarantine when one of the soldiers tested positive for ebola. germany on october 14, the first patient in germany dies from evd, a 56-year-old sudanese un employee who had been the third medical evacuee to germany, at st georg hospital in leipzig. united states on october 14 anonymous nurses allege that there were no protocols in the treatment of thomas eric duncan at texas health presbyterian hospital dallas, that their protective gear was insufficient, and that hazardous waste was allowed to pile up. also on october 14, dallas mayor mike rawlings announced that nina pham's one-year-old cavalier king charles spaniel bentley would be kept in isolation and monitored at hensley field. also on october 14, 100 members of the american military are sent to liberia to aid efforts there -the total number of american troops in west africa stands at 565. emory university hospital united states on october 15 a second caregiver for thomas eric duncan tests positive for evd, 29-year-old nurse amber vinson. the cdc seeks to track fellow airline passengers on a flight she took from cleveland a day before being diagnosed (her trip was itself cleared by cdc personnel). the u.s. department of health and human services announced vinson will be transferred to emory university hospital in atlanta, georgia. also on october 15, concerns over amber vinson's presence on frontier airlines flights 1142 and 1143 prompts school closures (two in solon, ohio and three in belton, texas). furthermore, two pilots and four air stewardesses are put on paid leave "out of an abundance of caution." un on october 15 the who announces that the death toll for evd is 4,477, mostly in west africa, and warns that the infection rate there could reach 5,000 to 10,000 new cases a week in two months if efforts are not stepped up. sierra leone on october 16, the emergency operations center announced two ebola cases in the koinadugu district in the far north. this marks the arrival of cases in every district in the country. united states on october 16, the fourth medically evacuated case in the us was discharged from emory university hospital after being administered serum from a british patient that had successfully completed treatment at a hospital in london. also on october 16, a maine elementary school teacher who had attended a conference in dallas is put on 21-day paid leave "out of an abundance of caution." some 135 people are being monitored in dallas to some degree. spain also on october 16, air france flight 1300 was isolated at barajas international airport in madrid after a nigerian passenger fell ill. senegal on