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 cases in the United States as part of a Harvard program requires approval from the provost. On October 25, CDC allowed state and local officials to set tighter control policies and Barbara Reynolds, a CDC spokeswoman released a statement saying "we will consider any measures that we believe have the potential to make the American people safer". On November 1, Ohio tightened restrictions on people travelling to Western African countries impacted by Ebola."Time" magazine's 2014 Person of the Year issue honored health professionals dedicated to fighting Ebola, including Kent Brantly. Ebola virus cases in the United States In December 2014, Ebola virus cases in the