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 Liberia a previously infected person, and there is speculation that the boy may have been infected by an individual who became infectious once more due to pregnancy which may have weakened her immune system. On 18 December, the WHO indicated that it still considers Ebola in West Africa a public health emergency, though progress has been made. After having completed the 42 day time period, Liberia was declared free from the virus on 14 January 2016, effectively ending the outbreak started in neighbouring Guinea 2 years ago. Liberia will however have a 90-day period of heightened surveillance which was scheduled to