A surgeon who contracted the Ebola virus while working in Sierra Leone died Monday at a Nebraska hospital where he was transported for treatment, the facility said in a statement.

A statement released Monday by Nebraska Medical Center said Dr. Martin Salia “has passed away as a result of the advanced symptoms of the disease.” Hospital spokesman Taylor Wilson said Salia died shortly after 4 a.m. Monday.

Salia, 44, was being treated in the medical center’s biocontainment unit. He arrived Saturday by plane from West Africa, and was transported by ambulance for treatment at the hospital, where two other Ebola patients have been successfully treated. Officials said Salia might be more ill than the first Ebola patients treated successfully in the United States. On Sunday officials had described his condition as “an hour-by-hour situation.”

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