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
2014 Democratic Republic of the Congo Ebola virus outbreak were reported, almost all centered on the Yambuku mission hospital or having close contact with other cases. A total of 318 cases and 280 deaths (an 88% fatality rate) resulted from this outbreak, which, along with an outbreak in Sudan that had begun a few weeks previously, were the first outbreaks of Ebola ever recorded. The virus responsible for the initial outbreak, named after the nearby Ebola river, was first thought to be Marburg virus but was later identified as a new type of virus related to Marburg. A second major outbreak of Ebola occurred in Kikwit in 1995; it