Spain on Saturday reported its second monkeypox-related death, bringing to three the number of fatalities linked to the current outbreak outside of Africa. This would also be the second fatality reported in Europe.

The first deaths related to the virus were reported in Spain and Brazil on Friday.

In its latest report on Saturday, the Spanish Health Ministry said 4,298 cases had been confirmed in the country. Of the 3,750 patients on which it had information, 120 or 3.2% had been hospitalized, and two had died.

According to a World Health Organization report from July 22, only five deaths were reported in the African region. Last Saturday, the WHO declared the rapidly spreading outbreak a global health emergency, its highest level of alert.