The First Case of Ebola Virus Disease Acquired outside Africa

To the Editor: The current epidemic of Ebola virus disease (EVD) remains essentially confined to West Africa.1 We present a case of transmission of the virus associated with the care of a patient who was transported from Sierra Leone to Spain on September 22, 2014. A 44-year-old female nurse assistant took care of the patient on one occasion on September 24, and after he died on September 25, she helped with burial of the body (Table 1).2,3 She had not traveled outside Spain or had any other recognizable potential exposure to the Ebola virus. On September 30, malaise and . . .