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 epidemic in Sierra Leone youth gangs roamed the streets shouting "No more Ebola!" A local leader reported seeing two bodies with gunshot wounds in the aftermath. Police denied that anyone had been killed. Doctors reported two dead. The local district medical officer said he had been forced to abandon the local hospital because of the rioting. There are various restrictions and quarantines within Sierra Leone, and a state of emergency was declared on July 31, 2014. Countries at higher risk for Ebola in Africa include Benin, Burkina Faso, Côte d'Ivoire, Guinea-Bissau, Mali, and Senegal. The outbreak was noted for increasing hand washing stations, and