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
United Kingdom aid efforts for the 2014 Ebola epidemic in West Africa isolator equipment. More than 160 National Health Service (NHS) staff volunteered to travel to west Africa and help those affected by Ebola. On 22 November over 30 NHS volunteers flew over to Freetown, Sierra Leone to assist with the Ebola epidemic. The Kerry Town (Sierra Leone) treatment centre was the first of six Ebola treatment centres funded by the Department for International Development. The centre is run by Save the Children, and opened on 5 November 2014. The centre provides treatment beds for 80 general patients, and 12 health care workers, with plans for an additional 8 health care beds.