Ebola virus disease in Spain had become unwell and on 6 October tested positive for Ebola at her local hospital in Alcorcón, the Hospital Universitario Fundación Alcorcón. A second test confirmed the diagnosis, making this the first confirmed case of Ebola transmission outside Africa. Following testing, she was transferred to the Hospital Carlos III in Madrid for treatment. As of October 7, 50 contacts were being monitored, with 7 kept in isolation at the Hospital Carlos III, and an investigation was under way. On 7 October, Madrid's regional government got a court order to euthanize Romero's pet dog, Excalibur, concerned that it posed a risk
Ebola virus disease in the United Kingdom while volunteering as a nurse. The doctors treating her at London's Royal Free Hospital confirmed it is too soon to speculate if the drug helped in her recovery. On 29 December 2014, Pauline Cafferkey, a British aid worker who had just returned to Glasgow from Sierra Leone via Casablanca Airport and London Heathrow Airport, was diagnosed with Ebola virus disease at Glasgow's Gartnavel General Hospital. She had been working at an Ebola treatment centre in Kerry Town in Sierra Leone, and it is thought she contracted the virus as a result of wearing a visor instead of goggles. After initial