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31 minutes past the hour right now. so good to have you with us. >> we're following the breaking news this morning. texas health officials have now confirmed a second case of ebola here in america. if confirmed by the cdc, this will be the ffrt time the deadly virus has been trans mitted inside the united states. >> and here's what we know. just to get you updated here. the infected patient is a health care worker in dallas who did treat thomas eric duncan. duncan died wednesday after contracting the virus in liberia. >> according to texas health officials, the worker reported a low fever friday night and was

isolated for testing. the hospital confirmed the preliminary test results overnight and said this -- "we knew a second case could be a reality and we're preparing for the possibility and we're broadening our team and working with extreme diligence to prevent further spread." >> they're trying to identify anyone who may have been exposed at this point. >> elizabeth cohen has been in dallas covering the fight against ebola. she joins us now by phone. elizabeth, as we get to you, we just received this note that the cdc will hold a news conference today regarding the ebola case in dallas. no exact time set. but a cdc spokesperson says the presser will follow after we complete testing in our lab later today. so let's talk about the testing that we note happened in austin, this preliminary test, and the difference as it heads over to the cdc. >> you know, victor, it's really

the same test. so the state does its own test and then not necessarily the exact same test but it's just to verify that texas got it right. we have no reason to think that texas would get it wrong. when you get a positive result, you can't be absolutely sure that it's right. but i think we can be pretty confident this is right. >> okay. so one of the things we've been talking about this morning that is going to be so imperative to pinpoint is the date of contact. whether this is a person, a hospital worker who was trans transmitted with this zediseasen thomas duncan's first trip to the e.r. on the 25th of september or -- and was then sent home. or afterwards when he was brought back by ambulance own the 28th and believed at that point then to have ebola. how does that determination change the response?

>> once we know when this person had contact with duncan, then we can know -- we can start to think about what went wrong. so if this person had con tabta after the hospital knew it was ebola, that is much more concerning. because then you want to know, wait a minute, didn't they have that health care worker wear protective gear? if they did, well then with went wrong with that protective gear? why was it put on the wrong way? did they take it off the wrong way? so if it was contracted after they knew he had ebola, that is particularly concerning. >> so we know from this news release from the texas department of state health services that people who had contact with the health care worker after symptoms emerged will be monitored based on the nature of their interactions. we know initially there was the quarantine. and they're still under quarantine, those still very close to thomas eric duncan. give us an idea of the

transition now from just this monitoring to possibly more people being quarantined. how will that decision be made? >> certainly more people will be monitored. we are hoping that this list of contacts, the new case's contacts will be very short. because this health care worker was instructed for quite a while now, take your temperature. if it is elevated, isolate yourself. you're only -- you can only transmit the disease to someone once you're sick. so hopefully this health care worker realized he or she was sick and isolate ed themselves immediately which will make for a very short contact list. so that's what we're hoping. now whether or not they quarantine people in the end has much to do with how much they trust people. so, for example, duncan's family would have been quarantined and that's because they were concerned that this family wasn't trustworthy, wasn't able

to be monitored in the way that they wanted to monitor them. so a lot of this has to do with how much you trust the contacts. do you think that they are monitoring themselves and are willing to be monitored in the way they should be monitored? >> all right. cnn senior health correspondent elizabeth cohen, thank you so much. we want to bring in our panel with the second case of ebola being reported from that texas hospital. we're getting this from texas officials. we're starting to see the outbreak of the virus in the u.s. i think that is far too early to use that word. a question a lot of people are asking, how ready are u.s. hospitals to deal with this? >> let's go to dr. william schaaper in, chairman department of preventable medicine from vanderbilt and dr. david sanders from purdue university. we would like to hear from you both this morning. what is your confidence level when it comes to how prepared u.s. hospitals are to treat an ebola patient if it were to go

to them? >> actually, i'm very confident. and if anything, this event in dallas has given all hospitals once again a wakeup call and has been a lesson. hospitals are out there reviewing their infection control policies and procedures. they're training their personnel in how to use the protective gear that we would employ in the context of an ebola patient. and we're conducting drills. we at vanderbilt have had a fake ebola patient come in to our emergency room and then transferred to our intensive care unit. we all took notes during the process. you always learn something during drills. and so hospitals, even those in relatively remote areas now took a lesson from dallas and said, you know, that could happen here. so i think we're all increasingly aware and able to

manage such patients. does that mean that glitches still couldn't occur? of course they could. these patients present with nonspecific symptoms but we have to be alert and everyone who presents with a fever, ask two simple questions, it's low tech. no cost. >> dr. sanjay gupta is joining the conversation. sanjay, your reaction to this second case and it being transmitted from thomas eric duncan not to one of the four people under quarantine, but a health care worker at this hospital. >> it represents the first time, as you have been talking about, that ebola has now spread from person to person in the united

states. that's what we've been talking about in spain over the last several days. there's going to be a lot of questions and hopefully some of the questions will be answered at 8:30. but as he was saying, the question about what exactly this health care worker came in contact with mr. duncan, was this someone who came in contact with him at his first -- the first time he went to the hospital? and was turned away? was it someone that came in contact with him at the second visit when he was admitted but before hes with diagnosed with ebola? or is this a health care worker that came in contact with him after he was officially diagnosed? those are three different scenarios completely. if it was the third scenario, that i think raises more concern. that person at that point should have been using the full protective gear, all the protocols to keep this nurse safe. again that, is something that clearly we need to know. also this -- i think this is

sort of a new thing that is happening now with regard to ebola. we're going to see this more and more and likely to see more cases in the united states as well. i think it represents glitches. but it is the way that things seem to be moving with patients being able to travel around the world. if you have cases of ebola in other countries outside of west africa, these protocols in terms of anybody arriving with the fever to the emergency room, it's going to raise the level of safety and concern when these patients come in. >> sanjay, let me ask you this. we know that the two outside cases that came to us from west afri africa, they were treated at emory university hospital. do you think there is a possibility that this case could be transferred and taken care of at emory? at the end of the day, emory is the hospital in the u.s., the only one that had a success rate

with treating ebola at this point. >> it's a fair question. everything that we know about ebola and obviously we're learning more and more is that you shouldn't need a hospital like an emory or like a nebraska to do this. it's for the most part managing someone's fluids. they tend to lose a lot of fluids. they become very dehydrated. you have to give the fluids and make sure that the electrolights in the body are staying within their normal range as well. those are very basic techniques. obviously, you look at just what happened and you say dr. brantley survived. mr. duncan did not. should we read into that further and assume that other hospitals around the country besides an emory or a nebraska cannot take care of these patients? i don't think so. keep in mind that this is still a very deadly disease.

in west africa, the mortality rates are 60%. i think it is better in the united states. they're not going to be zero. i think no matter where somebody is. >> david sanders, associate professor of biological sciences at purdue university, considering some of the missteps that happened at texas presbyterian, also that this is a health care worker who contracted this virus this disease at the hospital working with this patient, is it more or less likely or is it a factor at all in deciding if he or she will be treated at this hospital or another? >> i want to -- two things, the treatment that this patient could receive in dallas or in emory is probably equivalent. the question is about containment. this is something that i think is very important to think about. the training required to acquire

the adequate carefulness, cautio caution to make sure that containment is occurring, that training has to be very rigorous. and i do not actually think that all of the hospitals in the united states are ready to train their workers in that fashion. i think that it really should be more focused effort that there are particular places where that training can take place and they really should be the centers for treatment because of the containment issue, not necessarily because of the treatment issue. >> okay. thank you so much to dr. sanjay gup gupta, dr. william schaaper in and elizabeth cohen. we appreciate you taking time for us this morning. we're back in just a moment. whenwork with equity experts

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and it can only enter the body through direct contact with cuts or abrasions on the skin or through the eyes, nose, mouth, throat, or reproductive organs. people can also get infected when eating meat from or coming in contact with contaminated animals. the virus can survive several hours in a dried state on door knobs or counter tops. if the fluid remains wet and at room temperature, it can survive for days outside the body. most people get it through contact with bodily fluids of

patients or the deceased. but when is someone with ebola actually contagious? the short answer, when they start to show symptoms. the symptoms can take two to 21 days to kick in. in other words, a person can kra travel and inact with people for days or weeks without passing on the virus. the average incubation period for the vie us have eight to ten days. early symptoms, fever, weakness, muscle pain, headache and soar throughout are mistaken from the flu, malaria or typhoid fever but then there is vomited, bloody diarrhea, skin rashes and purple spots on the skin. once the symptoms set in, the person can contagious and has six to 16 days to either beat the virus or die. the death rate is high, 50% to 90% chance of death depending on

the strain and access to medical care. if an infected patient with a strong immune system gets proper care the chance of surviving goes up. but if they survive the virus could remain in the semen for up to three months. if you survive, you have immunity for ten years but what is still unknown if you're immune from other strains of ebola. answers and questions for a frightening >> thank you so much. obviously we are keeping a very close eye on this new confirmed case of ebola in dallas this morning. >> we've learned this morning that a health care worker who treated thomas eric duncan has now contracted the virus. we know you have a lot of questions, so don't forget to use the #ebolaq & a. we're getting answers to your questions now that the second case has been diagnosed, the first transmitted inside the u.s.

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to your mobile with no interruptions. i've never felt so alive. get the future of phone and the phones are free. comcast business. built for business. we're staying on top of the breaking news about ebola this morning, but the situation with isis is demanding our attention as well because in spite of the defense secretary's confidence that baghdad is secure, isis is slowly developing this stranglehold almost on anbar province that would almost put the terrorists on the capital's doorstep here. cnn military analyst lieutenant colonel rick francona says at some point additional ground forces will be needed and he

cannot rule out american troops. kimberly dozier is joining us now from washington. kimberly, thanks for sticking around with us. the administration insists it's not putting u.s. troops back in iraq. do you think that events in iraq could force the hand? >> reporter: well, you know, it could force the iraqi government to ask for more assistance. at this point while they have asked for more technical help, they haven't said yes, we want combat troops on the ground. and one of the problems with sending in more u.s. troops is there are only so many of these iraqi units that they trust. so for every group of advisers that you might consider putting forward with an iraqi unit in the field, you also have to think about how are you going to protect those advisers from possible insider attacks. we know that many of the iraqi units, according to the pentagon analysis, are infiltrated by both sunni loyalists who might have al qaeda or isis sympathies

and also with shiite militia loyalists. so it makes it that much harder to help the iraqis drive these forces back. >> right, i know, because there's so much mistrust. but let's talk about one piece of land that is very close to baghdad and that is the baghdad airport. we know that u.s. apache helicopters operate from that airport, so as we hear that isis is moving toward that area, would that be -- would that change the equation if isis were to get their hands on the airport itself? >> it would. it would make it very difficult to resupply baghdad. it would also mean that those apache helicopters might have to be moved to another location that's more secure, like the northern air base of belad which would limit their ability to help protect the city. but i do want to inject a little skepticism into this in that isis is a force estimated in

total at 20,000 to 30,000 strong. baghdad is a city of roughly 6 million people. it's densely packed, so while, yes, there are cells inside the city that have been carrying out some deadly, horrific car bombings, it's much harder to picture the entire city falling to such a small force. i would think you might see neighborhood by neighborhood fighting at one point, but then you've got to ask what is the iraqi government going to do in return. at that point they will probably ask for a lot more assistance. >> isn't that the big question, because i think everybody would look at this situation and think that we've already underestimated this group, and i guess it's just going to take some time to figure out exactly how much we have done so or that the u.s. and the world globally has done so. kimberly dozier, we appreciate it. thank you so much. >> we're going to get to the top of the hour pretty soon here and we are following breaking news this morning.

a new confirmed case of ebola in dallas. the first case transmitted here inside the u.s. we'll have more on this coming up.

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so glad to have you with us this morning, i'm christi paul. >> i'm victor blackwell. 8:00 here on the east coast. you are watching "new day sunday." we would like to welcome our viewers around the world. >> texas health officials have confirmed a second case of ebola here in the u.s. >> if confirmed by the cdc, this would be the first time someone has contracted the deadly virus inside the united states. let's go now live to cnn's ed lavandera who is joining us by phone outside texas health presbyterian hospital. ed, tell us what do we know about this new ca