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 said she agreed to the self-quarantine despite not having any symptoms of Ebola virus. Texas health officials met the nurse after she landed at Austin–Bergstrom International Airport. Perry spoke with the nurse over the phone to thank her for working to fight Ebola. "In Texas, we have a great tradition of welcoming our heroes back home, and this heroic individual deserves our appreciation, our compassion and our utmost respect," he said in a statement. "The tremendous work that she and so many other health care workers are doing in West Africa is making life better for those in afflicted countries