title: First secondary case of Ebola outside Africa: epidemiological characteristics and contact monitoring, Spain, September to November 2014.
abstract: On 6 October 2014, a case of Ebola virus disease (EVD) acquired outside Africa was detected in Madrid in a healthcare worker who had attended to a repatriated Spanish missionary and used proper personal protective equipment. The patient presented with fever <38.6 °C without other EVD-compatible symptoms in the days before diagnosis. No case of EVD was identified in the 232 contacts investigated. The experience has led to the modification of national protocols.
authors.affiliation: Epidemiology Area of the Autonomous Community of Madrid, General Directorate of Primary Care, Health Authority of the Autonomous Community of Madrid, Madrid, Spain.
authors.forename: M A
authors.initials: MA
authors.lastname: Lopaz
authors.forename: C
authors.initials: C
authors.lastname: Amela
authors.forename: M
authors.initials: M
authors.lastname: Ordobas
authors.forename: M F
authors.initials: MF
authors.lastname: Dominguez-Berjon
authors.forename: C
authors.initials: C
authors.lastname: Alvarez
authors.forename: M
authors.initials: M
authors.lastname: Martinez
authors.forename: M J
authors.initials: MJ
authors.lastname: Sierra
authors.forename: F
authors.initials: F
authors.lastname: Simon
authors.forename: J M
authors.initials: JM
authors.lastname: Jansa
authors.forename: D
authors.initials: D
authors.lastname: Plachouras
authors.forename: J
authors.initials: J
authors.lastname: Astray
mesh_terms: D016358:Contact Tracing; D004196:Disease Outbreaks / Q000517:prevention & control*; D005334:Fever / Q000209:etiology; D019142:Hemorrhagic Fever, Ebola / Q000175:diagnosis / Q000453:epidemiology / Q000635:transmission*; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional; D007988:Liberia; D013030:Spain