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
2018 Équateur province Ebola outbreak 1976, 1977 and 2014) occurring in former province of Équateur, of which the current Équateur province forms part. The most recent prior outbreak occurred in the northern Congo in 2017, with eight confirmed or probable cases including four deaths. The DRC regulatory authorities approved use of the experimental rVSV-ZEBOV vaccine, but logistical issues delayed implementation until the outbreak was already under control. DRC lags behind the rest of Africa in health expenditures, at Intl$ 32 per head in 2014. Shortly before the first cases of the 2018 Ebola outbreak, the country experienced a widespread cholera epidemic (June 2017 – spring