to get that first person this this this

education and training at this facility. the care for ebola, but it's hard to do it safely. it requires meticulous attention to infection control. and then, it can result in contamination. the facility that the number of workers where anyone infected with ebola can be at a minimum. third, we ran so it will be essential procedures. fourth, looking at personnel equipment. the balance & the personal protective equipment. and 5th, we are recommending

that there be a full-time responsible for the oversight, supervision of the infected while any cases confirmed and cared for. cdc has additional staff to assist with this response. we will work with them the investigation, itself, what happens, where someone goes in where ebola is being cared for. when they leave. the two areas where we will particularly focus is the performance of respiratory intubation.

both of those concern contaminated materials and are considered high risk well desperately try to save his life. we are doing this as a major area where you have gone in to. it is a risk of any contaminated material, watching you and being your clothed and leading to an infection, critically important we don't know what it will find during the coming weeks. before i turn is it over to dr.

lakey in cases, this is because the healthcare workers who cared for this individual have had a breach of the same -- may have had a breach of the same nature of the individual. >> risk is for people who are being monitored, all of whom have been and none so far have developed symptoms or fever and in those who may have been exposed for the patient while he was being cared for to determine how much healthcare workers that will be. >> that's an intensive investigation with hours of missing steps. we will cast a net there. it is for people outside of that

to who cared for the individual patient. and have had who we have already identified. the second point i want to make is that ebola is to break the means of transmission and we do, making sure that every person with what they are isolated, and that we act ofly are contact everyone for 21 days and if they develop symptoms t the same process again. >> would stop in history except the one in west africa that we stopped it in lagos, nigeria. >> that's how we did in dallas.

so breaking the chain of transmission, preventing further spread. all right, now, i would like to turn it over to dr. laky. . >> thank you, dr. frieden. the first, the support from the cdc, not only overnight but over the last several weeks, we have been working throughout the night trying to gather more information as we get more information that is appropriate, we will provide information. but as dr. frieden noted, we have one healthcare worker. the healthcare worker that had extensive contact did do what was appropriate with early symptoms and to be checked. we did the ebola test. >> cam back. as dr. frieden noted.

it was positive. it was appropriate, the amount of virus in her blood it came back. it is a positive. it's our responsibility to get with this individual and the family. healthcare worker who is willing to compassionately care for mr. duncan and was involved with him. we are working to prevent this. we are refining it now. as dr. frieden noted, the 48 original continued to be monitored and doing well. we have this one healthcare worker now, these am, as dr. frieden noted, we are going to have to continue to monitor healthcare workers, stepping that up to make sure that that

healthcare worker that has any fever or any other symptoms will be identified as was this individual and, we will make sure the infection control practices are performed at the hospital and at the highest standards and figure out exactly what happened and how this individual was infected. we have brought in more public health officials, staff, epidemiologist did to make sure that we have things we need to e evaluate the situation. and, again, cdc and their support, we work through this. thank you. we will now turn our attention to go to wsbtv.

>> this health worker had multiple contacts with the original patient. in your interview with her to isolate the chance it may have occurred, would you say n those interactions with her, while you are specificing investigating focusing on that part in your investigation? >> the specific bereavement the investigation. we look at a single interaction. what was the nature of that interaction? the information we can gather. i was not mentioning the procedures related to the investigation but as a general rule. these are the two areas where we see the greatest risk. >> is this going to change the way healthcare anywhere whether it's at lanta or dallas interact

with these potential patients? ? >> i think it is certainly very important to tell united states to enhance the training and protocols. we have decades of caring for patients with ebola. but without with a single lapse, inadvertent, thinking of all of the things that we can do rising the healthcare working interactions monitor. these are all things we are looking at closely. we will go to the phone for questions. >> if you would like to ask a question, please press "*", "1." this question from dr. richard guthrie, abc news.

>> hi. dr. frieden, you were saying how difficult it is to implement proper procedures. is there any consideration of a system where they actually are trained so they don't have the training? >> we are going to look at all opportunities to improve who is at risk. but we can't let down the patient, an american returning or somebody else. having awareness of that exposure. to have the ability to consider, isolate and diagnose should be

ice lated. to distinguish the diagnosis thinking about what's the safest way to provide that care. >> that's something we will absolutely be looking at. >> okay. . >> the director of the cdc, dr. thomas frieden giving updates on the second case of ebola in the u.s. it involves a healthcare worker at presbyterian hospital where thomas duncan was treated.

done by the cdc to find out how the virus from mr. duncan to this healthcare worker under isolation. there is one other person monitored as well. for more on the situation, heidi castro from dallas we are wondering from texas health officials there. heidi more has more information. the nurse -- pardon me, the healthcare worker controlled it.

>> the hospital laid out a timeline. she may have ebola. she was self monitoring, as directed by the hospital there was a plan in place for scenario. this worker called into the hospital, informed them she were on her way and that she apparently came to this hospital in her own personal vehicle. and within 90 minutes of discovering her fever, she was already in isolation. now, of course, you heard from the cdc's director that this must have resulted from a breach of protocol but no one has the answer yet. >> that's of the greatest concern here because until they know what this worker, how she may have possibly contacted the virus, there is no telling how many other workers cared for thomas duncan may have

inadvertently performed that same procedure. the cdc says that they have interviewed this worker. they say that her viral level at this point, when the results came in last night were very low. she is in a stable condition at this moment. she was able to speak with investigators and she doesn't know what she may have done to breach the protocol and, in fact, this morning, when we heard from the doctors from the hospital, they were adamant that no protocols had been breached. at this point, we are hearing two conflicting explanations. obviously, something happened. something in the system gave. and they are working adamantly to discover what that is, michael. >> hides e, let me go to robert ray real quickly on another issue relative to this potential breach in protocol. robert ray joins us now on the phone from atlanta. robert, you just went through the cdc's training regimen which relates to healthcare workers who could deal with patients suffer from ebola.

can you give us an idea of the training these people go through and how extensive it is? >> good morning, michael. indeed, you know, it was interesting listening to dr. frieden just talk about how, you know, they are likely going to enhance the training or healthcare workers -- for healthcare workers. this week, our team based out of atlanta went to alabama to the department of homeland security training ground where the cdc had roughly 30 to 40 healthcare workers that are on their way over to west africa and what we witnessed there was a very meticulous, tedious process, that the healthcare workers went through. dozens and dozens of steps, literally, they take to make sure that they do not get infected with the ebola infection. i can give you one example. one of the nurses there, i introduced myself. i put out my hand to shake her hand. >> she said, no. i'm sorry. i cannot shake your hand at this point. she was in such an intention roll playing that she didn't

even want to break that kind of protocol. but literally, from start to end, it is amazing to watch as the amount of different things that they have to go through, to put these suits on, to take them off, to even get the mask and the head dress off after they treat a patient takes -- could take up to 10 minutes. so, you know, clearly, the situation, the breach, so to speak, in dallas, you can see where it could happen very easily and a healthcare worker could at some point not even realize that it's happening. so, i think that this week when swerp in alabama, they said that there is a possibility that they are going to increase that training and i think we are at that position right now, michael. >> robert ray joining us on the phone from atlanta giving us the specifics on some of the training regimens that healthcare workers have to go through before they start to treaty bowl a patients. this was a healthcare worker at texas health presbyterian hospital in dallas where thomas

eric duncan received treatment for ebola. he died from ebola. other health officials in the u.s. are trying to reinforce the idea that the public shouldn't be alarmed by word of a second ebola case in dallas. here is what dr. anthony fall key from the national institute of health said earlier today? >> as tragic as it is, if someone gets infected, she was on voluntary self monitoring. she found she got infected and she immediately did what she was supposed to have done, was to be reporting it. so, even in this troublesome situation, the system is working. >> meanwhile, there are pleas for more aid to help west africa as the death toll from the ebola outbreak continues to climb. the vitters has now killed 4,000 and 33 people. in sierra leone, a cargo plane arrived as part of a $1 million it donation. but aid agencies in west africa say much more money and supplies are still needed. some endorsed by world financial

leaders meeting saturday in washington. >> $130 million that were made available very quickly so that they could have the benefit of budgetary support in order to face the var, very difficult situation that the three countries are facing. >> and here in new york, screenings are underway at jfk international airport as travelers arriving from west africa. four other airports in the u.s. will implement the same protocols this week. more from jkk. >> reporter: the number of passengers likely to be screened is probably a dozen a day it in an airport that saw more than 50 last year. john f. kennedy sees more people from the three most affected countries than any other airport. >> a top official with the center for disease control and protection warned screenings are just one part of a multi-layered approach. >> pointing out that no matter how many of these procedures are put in to place, we can't get

the risk to zero. >> will not be the case. the century screening procedure for example would not necessarily have cost the patient in dallas -- caught the patient in dallas as indicated. >> reporter: the first sign is a temperature at or above 101 degrees farenheit for comparable symptoms in someone who has been in an ebola affected area within the last 21 days. this cdc is reminding 5,000 hospitals here in the u.s. to immediately isolate the patient, make sure staff is wearing protective gear including gowns, face mask and gloves and notify the cdc. if a u.s. citizen refuses to undergo screening at any of these five airports, they could be held in quarantine for up to three weeks or not allowed into the country by u.s. customs and border control. >> all five airports will have special quarantine areas but officials would not say if that's where u.s. citizens could be held if they refuse screening. >> there is cautious optimism in spain where the nurse infected

with ebola appears to be improving. on saturday, she was conscious and able to talk and sit without help. paul brennan has more from madr madrid. >> reporter: from outside, they call it the third hospital, there have been brief glimpses of the ongoing effort to save teresa romaro in isolation on the 6th floor of the building. her life continues to hang in the balance. nearly week since the axillary nurse was first confirmed with the ebola virus, she remains the only positive case of the disease here so far. >> responsibility for tackling the ebola alert has been taken away from the spanish health ministered and handed to the deputy prime minister. a special ebola commission will now meet daily. at airports in the united states and britain, tighter monitoring has been introduced targeting travelers arriving from the ebola affected countries. experts say simply asking passengers whether they feel unwell will be of limited effectiveness.

>> if you bought your ticket and you say, yes,iver a fever, and you know they won't let you on the plane, are you really going to say that you have ebola? >> the u.n. is urging against outright travel bans. >> rebate cases of the virus outside the region have shown that this is a global crisis. but the answer is not to close borders or impose travel bans. such measures will isolate the affected countries, not the disease. they will prevent urgent aid from reaching those in need. we need international solidarity in the face of an international threat. >> spain, little is known about the dangers from ebola that it seems only good fortune to have prevented the disease from spreading to axillary nurse teresa rommero but others know luck alone will not be sufficient protection. paul brennan, madrid. >> thank you for watching the live news event. we will have more coming up at

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