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
Cultural effects of the Ebola crisis to Western medicine is considered to be a significant barrier to battling the Ebola virus. The Wesley Medical Center claims that the interference with African burial rituals caused by Western medical practices has prohibited them from properly honoring their loved ones. They believe that this may have been a reason for heightened distrust in medical professionals, and that the mistrust enhances each time family members of infected persons are prohibited from participating in the funeral or seeing the dead body in person. Due to the mistrust Ebola-stricken communities in Liberia reportedly hid family members with Ebola from health care providers