dr. sanjay gupta. also joining us, senior medical correspondent elizabeth cohen. i think we should begin with the second health care worker for folks just waking up to learn this news about the second nurse testing positive for ebola among the people that cared for thomas eric duncan. how did this all happen? what was the chain of events they found out she was sick? did she present and say "okay, guys, things are serious now"? >> they haven't explained to us whether she took her own temperature and saw it was elevate word will it was during one of these visits that she and her colleagues have been getting from health officials that they took the temperature and figured it out. the bottom line is they caught it very early on and that's really crucial so there was very little time for her to get -- for her to infect someone else. >> sanjay, i think a lot of people are looking at this with alarm right now because when thomas eric duncan was finally diagnosed with ebola after being sent home, we should say,

dr. sanjay gupta, many thanks to you. we really appreciate your answering all of these questions. n send more questions to dr. sanjay gupta throughout the day. tweet them to us at cnn using the hashtag "ebolaqanda" and sanjay will get to as many questions as possible. i'll be right back. looks like we're about to board. mm-hmm. i'm just comparing car insurance rates at progressive.com. is that where they show the other guys' rates, too? mm-hmm. cool. yeah. hi. final boarding call for flight 294. [ bells ring on sign ] [ vehicle beeping ] who's ready for the garlic festival? this guy! bringing our competitors' rates to you -- now, that's progressive. ♪ want to change the world? create things that help people. design safer cars. faster computers. smarter grids and smarter phones. think up new ways to produce energy. ♪ be an engineer. solve problems the world needs solved. what are you waiting for? changing the world is part of the job description. [ male announcer ] join the scientists and engineers of exxonmobil in inspiring america's future engineers. energy lives here. >>> tracy m

dr. sanjay gupta, and dr. seema yasmin. you. >>> all right, just imagine this, what the people are facing and where the river of lava is tonight and how fast it is moving. >>> more breaking news, the pictures are unbelievable, you're looking at what happened to a nasa rocket. we just got late details coming up. ♪ [ female announcer ] we love our smartphones. and now telcos using hp big data solutions are feeling the love, too. by offering things like on-the-spot data upgrades -- an idea that reduced overcharge complaints by 98%. no matter how fast your business needs to adapt, if hp big data solutions can keep wireless customers smiling, imagine what they can do for yours. make it matter. right here. with a control pad that can read your handwriting, a wide-screen multimedia center, and a head-up display for enhanced driver focus. all inside a newly redesigned cabin of unrivaled style and comfort. ♪ the all-new c-class. at the very touch point of performance and innovation. ♪ at the very touch point of performance and innov

dr. sanjay gupta.the first question here. is it possible that ebola can live on seats, interior door handles, compactionities? can ebola be on stuff that comes in contact with people who have it? >> reporter: this seems like one of the most common questions. i think the best way to sort of answer this is it can live outside the body, first of all, and it can live on surfaces, talking about the ebola virus. i've heard even up to a few days. sun lied, obviously cleaning the surface, that will help devakt vaet the virus. i think people are trying figure out can i subsequently get it, if i go touch that same surface, can i get it? the answer is theoretically yes. we've talked to several experts in this area, scientists who study this virus and they say the virus does change it a little bit being out of the body, on a surface, so it's less likely to infect. theoretically you could get an infection that way, but very, very low likelihood. the way it most typically is transmitted is direct bodily fluid contac

dr. sanjay gupta.ll, i spoke to a number of nurses and instead of the regular cdc precautions, they went up and above. they said, we want the suits. we want the suits. what do you think in terms of the nurses? are they in a position to be ready to properly handle ebola if it should come to their hospital? >> well, nurses are on the front lines 24/7 and we are sounding the alarm because the majority of nurses are reporting to us that they have not seen hospital emission policies. that they have not been able -- they've received no education and/or training in terms of active training and education on how to deal with the patients from triage throughout their hospital stay. we're sounding the alarm. we know that we can do better in the u.s. hospitals but unfortunately it's a fragmented disparate response. >> the nurse apparently knew that the patient was from liberia, and then the system crashed. don't they have to ask questions repetitively? it's not good enough to say, i asked the question. why didn't

dr. sanjay gupta. dr. gupta, if i could start with you, we talked a little bit about this notion, there's a question from a viewer, what if an ebola patient sneezes on you. it's not always that simple. say if you're sitting on a bus and someone sneezes beside you, should we be concerned because we've heard it's not airborne? >> right. it's not airborne. and what we're talking about is this idea that did bodily fluids from this person who is sick with ebola -- i only bring that up because people sick with ebola may be unlikely to take a bus ride. they're usually in home in bed or in the hospital. but say someone was sick with ebola and on a bus and they sneezed on the bus but did not get bodily fluids onto the passenger next to them, unlikely that person could potentially become infected. it doesn't linger in the air so someone else in the bus could potentially become infected. that's typically what people mean by airborne, that it's hanging out there and can get more and more people infected. it's unlikely

dr. sanjay gupta, and dr. seema yasmin. thank you.ust ahead on this hour, imagine seeing this oozing towards your house? the people in a hawaiian village, that's exactly what they're facing right now. where the river of lava is, how fast it's moving and what's in his path. >>> more breaking news. pictures unbelievable. a rocket that exploded from nasa. late details coming up. no. in the basement. why can't we just get in the running car? are you crazy? let's hide behind the chainsaws. smart. yeah. ok. if you're in a horror movie, you make poor decisions. it's what you do. this was a good idea. shhhh. be quiet. i'm being quiet. you're breathing on me! if you want to save fifteen percent or more on car insurance, you switch to geico. it's what you do. head for the cemetery! i have a cold. i took nyquil but i'm still stuffed up. nyquil cold and flu liquid gels don't unstuff your nose. really? alka-seltzer plus night rushes relief to eight symptoms of a full blown cold including your stuffy nose. (breath of relief) oh, what a relief it is

dr. sanjay gupta joins us right now from outside the centers for disease control and prevent in atlanta. at can you tell us about this first cases diagnosed in the united states. we're told we expected, expected it at some point, someone would get on a plane and come here. now that's happened. >> yeah, absolutely, christine, we've been talking about this for a few months now. it's historic, what we're talking about this morning has never happened in the united states. frankly, it's never happened outside of africa before. it's obviously concerning, but also not that unexpected. we're talking about the first patient who was diagnosed with ebola in the united states. a lot of people remember there have been patients with ebola in the united states, but they have been diagnosed elsewhere and then were brought here for treatment. so this is different. and, again, that unexpected, given the fact that people are getting on planes from west africa, and traveling really anywhere around the world. they maybe be carrying the virus in their bodies without knowing it at the time. it's called the incu

dr. sanjay gupta, thanks for answering those. >> you got it. patient thomas eric duncan was placed in a texas isolation unit, he was a guest in a home in dallas and now that family, a mother, son and two other relatives are shut away quarantined while they watch and wait for any symptoms. cnn has an exclusive interview with the father and you won't want to miss it. >>> and we go live to hong kong where police went head to head with protesters. that's next. narrator: these are the skater kid: whoa narrator: that got torture tested by teenagers and cried out for help. from the surprised designers. who came to the rescue with a brilliant fix male designer: i love it narrator: which created thousands of new customers for the tennis shoes that got torture tested by teenagers. the internet of everything is changing manufacturing. is your network ready? that's a good thing, but it doesn't cover everything. only about 80% of your part b medical expenses. the rest is up to you. so consider an aarp medicare supplement insurance plan, insured by unitedhea

dr. sanjay gupta, thank you very much. as sanjay said we are also learning this morning that doctors may not have screened this patient properly from the start. elizabeth cohen live in dallas with that side of the story. good morning. >> we're learning something that's disturbing here this morning, so my friend sanjay just explained this patient showed up here at the hospital that i'm in front of on the 26th with symptoms of ebola, and was sent home, and then came back in an ambulance on the 28th. that is not supposed to happen, and i was speaking with an official who is familiar with this situation and this official told me, look, this patient did not say that we been travel in liberia, and even more importantly, the hospital did not ask about his travel history. this official said hey, this is a big problem, the cdc has been telling hospitals for a long time now you've got to ask for travel histories when people show up with these symptoms, and the fact that a hospital as large as this according to this official didn't a

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dr. sanjay gupta joins me now. as you just demonstrated t seems like the biggest risk certainly is taking off that protective clothing. you tried to follow the protocols and still found yourself contaminated so do you think the cdc needs to change its guidelines perhaps? >> you know, perhaps ana. one thing about ebola it's not forgiving. we know even a small amount can cause abinfection, just keep that in the back of your mind as you're think being protocols. when i was in west africa, in ebola camps and mind you, these are tents that are literally put up in the middle of fields, they had much different and much more stringent protocols and the doctors without borders, they've been doing this for decades and only this year had the first time a patient transmitted the virus to a health care worker and in the united states the first patient transmitted the virus to a health care worker. you look at that garb and it covers every part of your skin. that's sort of the key thing, any bodily fluid that's infected that get

dr. sanjay gupta. here's the thing. listen, i realize this is news. i realize the whereabouts of kaci hickox is news. i realize there's law what the governor is saying. i go back to what we touched on yesterday. the optics a woman who so bravely went to africa to help the people who are truly in need. stuck in her home based on through. yet you have the president of the united states flanked by doctors including yourself at the white house yesterday, some of whom are within that 21 day quarantine. can you please make sense of that for me? >> i wish i could. if you were a martian from outer space looking at this right now you would see two almost completely opposite ways of handling the same situation. i think your instincts and perception is exactly right. look, we're not doing the public any favors here because i think it's confusing them even more because this is what they are seeing. what kaci hickox is talking about and no questions she's being provocative. no question people are getting nervous. don't dismiss those people. they are nervous becaus

dr. sanjay gupta. i have a lot of questions. sanjay, we know that this 29-year-old nurse she treated thomas eric duncan who died of ebola last wednesday morning. she then gets on this commercial airline, flies to cleveland and this, according to dr. frieden absolutely violated cdc protocol. would she have known that? >> well she should have known that but i'm giving her the benefit of the doubt my guess is she was not told that. two points. first the cdc is not an authority that can mandate things like this. they provide guidance and recommendations. dr. frieden talked about this idea of controlled movement. they recommend people who have been in contact with somebody who has had ebola have controlled movement. they don't get on commercial airlines. they take a chartered plane, they can get in cars but need to be monitoring their temperature every day. so this shouldn't have happened. whether she was told this and knew this or most i give her the benefit of the doubt and say she didn't and maybe she was being diligent and still r

dr. sanjay gupta, thank you i appreciate it. next hour dr. gupta will answer your questions about ebola. tweet them using #ebola qanda. send them to us @cnn. hiwe just love scouring flea markets for special treasures. but with my type 2 diabetes, we now spend all our time at the pharmacy. with med-care, i don't have to! they deliver everything i need right to my door! with free shipping! plus, med-care takes private policies, medicaid, even my medicare! sleep apnea machines, nebulizers, med-care has all the finest medical supplies. the best part...med-care saves us money! med-care allows us the time to do the things we love. med-care. we deliver a better life. for medicare. the annual enrollment period is now open. now is the time to find the coverage that's right for you ...at the right price. the way to do that is to explore your options. you can spend hours doing that yourself ... or you can call healthmarkets ... and let us do the legwork for you - with no cost or obligation. we'll search a variety of plans from nationally recognized comp

dr. sanjay gupta, also with me dr.eline gounder, a public health specialist as well as psychologist dr. jeff guard gardere. talk about how she's been transferred to this special hospital. she had five days of treatment in dallas. what would her care be like here compared to the care that she received in dallas because of this special expertise they have here? >> well, there are many things that would be similar. so managing her fluid status, in other words making sure she doesn't get dehydrated from nausea or vomiting. making sure her electrolights are not too low, potassium is a big issue. then monitoring her for infections. one of the reasons ebola is so deadly is that it attacks the immune system so you're at risk for other infections. >> sanjay, when we heard we don't know how long she'll be leer, what is it about ebola that makes it unpredictable in terms of the duration? we don't really know what the recovery process might look like. >> right. we have a pretty good idea of what this incubation period is like. gen

dr. sanjay gupta joins me now. america has the biggest health care system in the world. 16% of the american economy is spent on health care. why does it feel like they were caught flat fooded bia disease that could come here? >> two answers to this. one is a money questions. when you think what we spent on health care, how much is being spent on things that prevent problems down the road. we are not good at that part. the centers for disease control and prevention, $600 million shorter over the last four years in the time period prior to that. that is discretionary spending. it's about a billion dollars less as compared to a decade ago. they will spend about a billion dollars on this ebola outbreak in west africa and here in the united states. we are down about a million dollars. that is part of the problem. if you look at the issue this is past week and the not disclosing, for example, the travel history for this patient and as a result he was out and about two days still sick. things like not cleaning up this wom

dr. sanjay gupta helping us on the hours of cnn. at emory hospital. where amber vinson is being treated. a health care worker from dallas. transported from dallas to atlanta last evening. now we are witnessing another health care worker from dallas transported from dallas to maryland and is on her way by ambulance. very shortly. just got in. national institutes of health. and held in isolation there. also, brian todd is in bethesda, maryland, nina pham's plane has landed. and she is on the way to an isolation unit at the national institutes of health as we reported. that's where brian todd is. so, dr. gupta, we are getting wa too much experience. we kind of know the process here. i imagine she gets into the ambulance. and do some checking. they speak to her. what is possibly going on in the ambulance? >> she looks so stable, don, obviously walking off of the plane and on to the ambulance. my guess is, that, it is, just a few minutes maybe of making sure she is, secure, everyone is secure. the ambulance on their way. this is a relatively short ride if

dr. sanjay gupta is standing by with answers to those questions. sanjay, let me begin. got news that this patient, thomas duncan, when he was still living in liberia, he was in contact with ebola patients during that stay there including one individual who had ebola who he was helping take care of yet still he was able to get on a flight and come to the u.s. your reaction? >> well, you know, there's some details that need to be filled in there obviously. i heard some of those same reports as well. i guess one of the big questions is did he know that the patient that he was helping had ebola? because what i can tell you if things went right at the airport, he would have been asked about that. one of the questions you get asked is your recent exposure to ebola patients. we don't know what he knew for sure. i think we need to wait more and fill in details and they may be forthcoming. what you're trying to do if you can confirm that someone had an exposure even if they don't have a fever and they look healthy, if there's been a confirmed exposure like the one that has been

dr. sanjay gupta. quite a series of developments overnight, sanjay. >> no question, the cameraman working for nbc, his name is ashoka mukpo, 33 years old, working on projects in liberia for the last three years, this past tuesday he started working for nbc. the next day he started having some, started feeling not well, some aches, he got his temperature taken and it was a little bit elevated. that prompted this whole testing, testing came back and now they're en route back to the united states. mukbo and the entire nbc team. the rest of the team appears healthy and they'll be checked out when they get here as well. as for mr. duncan, he's where he needs to be, in the hospital, still in serious but stable condition. and members of his family and friends are in quarantine, also where they need to be. but i will tell you, none of this came too easily. health officials now looking at 100 people in the dallas area who may have had contact with thomas eric duncan. >> there could be additional cases who are a

dr. sanjay gupta. both doctors are there in atlanta. dr.e we have you here, let's jump into it and talk about the patient right now. obviously we understand there's patient confidentiality. can you tell us how the patient is and if his or her prognosis is good? >> well you have to refer to the hospital for that. our understand something that he remains critically ill. but what we'll do is make sure we get him any support and treatment that might help. if he ant the family want it. and do everything possible to insure that those caring for him minimize any risk they may have of getting infected. >> to that end, obviously there's a concern about anyone that has come into contact with that patient. talk to us about that contact tracing. what is being done to make sure that nobody came in contact with him and if they did, that they are tested. how big a group are we talking about here? this is a tried and true reliable public health strategy. we go from the moment he could have been infected, which is probably around the 24th, last wednesday an

dr. sanjay gupta, thank you as well for your reporting today.ou just heard this notion of being compelled to stay under quarantine. this is a legal order. this woman has no choice. so what about those who may be next? if there are others who start showing any symptoms or they can establish they have actually come into close contact, what is the law? can you be compelled by the government to stay home when you've done nothing wrong? we'll outline all of that after the break. [ female announcer ] we lowered her fever. you raise her spirits. we tackled your shoulder pain. you make him rookie of the year. we took care of your cold symptoms. you take him on an adventure. tylenol® has been the number 1 doctor recommended brand of pain reliever for over 20 years. but for everything we do, we know you do so much more. tylenol®. but for everything we do, we know you do so much more. t-mobile's network has more data capacity than verizon or at&t. it's a network designed differently. a network designed data strong. i've got a nice long life ahead. big plan

dr. sanjay gupta here at the cdc in atlanta to just walk us through.e alarmists if we shouldn't be. a lot of people have tweeted us with questions and so we have just a couple questions i want to get to. the first question this man asks is got here on an airplane full of people. who knows -- talking about this patient -- who knows how many people may have been exposed. that's the question. >> well, a couple important points here. a couple important facts. one is that when he got on the plane, he wasn't sick. when he got off of the plane, he wasn't sick. very important because one thing that we keep hearing over and over again that's an important point is you don't spread this virus until you are sick yourself. so the fact that he is known as incubation period carrying the virus in his body but not spreading it. the people on the plane say there's no cause for concern. in fact, they haven't released any of the information about the flight. when we asked them to give us some of the information about the flight, they say there's no cause for concern. thos

dr. sanjay gupta. is that elizabeth? are you trying to chime in? dr. sanjay gupta, thank you for joining us. frontier airlines sent a memo to employees saying it's grounding two pilots and four flight attendance for 21 days after amber vinson flew on 1143. they're showing the abundance of caution now. we know she has full-blown ebola at this moment. we're told she is in worse condition than her colleague nina pham being treated in dallas. frontier airlines says it's keeping the aircraft out of service and being extensively cleaned. in fact, cleaning it four times over. professor arthur kaplan division of medical ethics at new york university and also joining us former ntsb managing director peter goelz. we'll start with you, peter and talk about the airline procedures. we hear frontier airlines saying it's going over and above cdc guidance. is this to try to rebuild confidence in the airlines? have they already taken a hit? >> i think there's no question it's designed to rebuild confidence. the airplane cleaners are really the forgotten people in the ai

dr. sanjay gup gupta, dr. william schaaper in and elizabeth cohen.ppreciate you taking time for us this morning. we're back in just a moment. whenwork with equity experts who work with regional experts who work with portfolio management experts that's when expertise happens. mfs. because there is no expertise without collaboration. ♪ i remember when i wouldn't give a little cut a second thought. when i didn't worry about the hepatitis c in my blood. when i didn't think twice about where i left my razor. hep c is a serious disease. take action now. go to hepc.com or call 1-844-444-hepc to find out how you and your doctor can take the next step towards a cure. because the answers you need, may be closer than they appear. ♪ once there was a girl who even in her laundry room. with downy unstopables for long-lasting scent. and infusions for softness. she created her own mix, match, magic. downy, wash in the wow. >>> 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 reprodu

dr. sanjay gupta and dr. walks and katie merman from the nurse's association.ar, the cdc has been so eager to say this isn't something to be concerned about. is this the right thing, to tell people there is no risk to avoid mass fear when facing something like ebola? >> erin, we know the right thing to tell people. we've seen infectious illness in major metropolitan areas before and i worked with the cdc several years ago to create a risk communication guideline that was disem fated to all of the -- disseminated to all of the health departments around the country. you don't rush to things and you let people know and come back to tell them when you know better. things like this evolve, things like this absolutely evolve. so the fact we didn't know everything on day one it is not unprecedented or something we should be concerned about. what we should do is make sure we rush to tell people that we know this, we'll tell you when we know more. >> and of course, there was a rush on their part to say they did know more than they knew. sanjay is reporting that when a s

dr. sanjay gupta. we have been witnessing the scenes.ou have witnessed and reported through several of them. take us through what will happen next? >> well, you have got to keep in mind there is lots of people obviously involved with the transport. so obviously on the plane. and then getting her from the plane to the ambulance. you have got, you know, for obvious reasons. people are going to be very careful. if you are within three feet of the patient. nina pham. you are kiddedconsidered a cont. in full suits. a pretty orchestrated thing, don. as you mentioned kind of remarkable, you know up until a few months ago when dr. brantly came here the we have never seen anything quite like this in the united states. now, getting quite accustomed to it. frankly. this is the first patient going to the nih. specifically in this manner for the ebola treatment. this is a well-orchestrated well planned thing. when they get to the hospital. usually, minimizing the amount of contact. she will have in the hospital. taken straight up to isolation. beginn

dr. sanjay gupta in atlanta and also joining me here in new york cnn medical analyst dr. alexander van tulleken. i know you were taking notes and writing fast and fewer yisly here. let's hit on the very basics that one thing she said is the nurses who are still treating ebola patients because we have two nurses there, still don't have the right protective equipment. >> this is what is extraordinary. nina pham has been in the hospital for a while now. you can get this equipment at home depot if you really need it, at least better than they're using it, but certainly you can fedex it overnight from places where it is available. so that's extraordinary to me and that to me is the absolutely key issue, that this isn't something we go well next time someone comes to dallas presbyterian we need to worry about this. at the moment they have two patients in the hospital and we don't know what's going on. in the press conference we did not hear details. >> is there a reason that the officials wouldn't want to give specifics? does it have to do with privacy laws? >> i think because

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dr. sanjay gupta once again and dr. van telican. e the support that these health care workers are showing this nurse nina pham. we have been told her most recent condition was described as improving, right? >> that's correct. we know that she has been ill, but she had been improving and that was obviously a good sign. in fact, because of that, we thought she might be staying there in dallas. but now obviously moving to the nih. in part, i will tell you i talked to some hospital sources down there today, wolf. the way they described it, they sort of need to hit the reset button. they said we have many patients, many workers who are being monitored unable toome to work. they have not been taking new patients into the hospital. keep in mind, up to this monday, you still have an incubation period going on in some of the original duncan contacts, as well. >> you see the ambulance, sanjay. there's going to be a police escort taking nina pham from the hospital over to the dallas love field where she will board a private small jet to take he

dr. sanjay gupta is still with us. n this to-called ebola czar do that's not already being done? >> overseeing some of these things you were just talking to jim about. beside tls medical and science mart of this, the issue of travel is obviously a big travel. the interface with the military. there could be a few thousand troops now going to west africa and the travel ban and all that could affect that, as well. the whole notion of aid getting into west africa. hospital preparedness. all of these things. there's so many different concentric circles around ebola beyond just the science of the virus and how it's transmitted and the medical treatment of it. i think having one person who can oversee all those things, i think there's some real value in it. >> jeffrey, you know ron klain. is he qualified? >> he's certainly not a scientist, but he's devoted the bulk of his career to trying to make government work. when he worked for vice president biden, something i know he spent a great deal of time on was the implementation o

dr. sanjay gupta. so dr. gupta, tell us what you learned about her temperature, her elevated temperature and who she called before the flight. >> yes, we know she flew from dallas to cleveland on the 10th and was going to fly back from cleveland to dallas on the 13th. she was self-monitoring, taking her own temperature, we know her temperature was 99.5. and it sounds like she did the right thing at that point which was to call somebody at the cdc. my understanding, we confirmed it with government officials. she made that call, told them what the temperature was, told them she was going to get on the flight and was given for guidance, that that flight was a no-no. and that is why she did get on the flight and fly back to dallas, again anderson with the temperature of 99.5. little bit of context, you and i talked about this. with an elevated temperature like that and this history of recently having taken care of a patient with ebola, had she been in west africa she would have been flagged for secondary screenin

dr. sanjay gupta. we started off talking about the importance of this tracking down of all the patient contacts. take a listen. >> we go from the moment he could have been inif he cfectio 24th last wednesday and we retrace every step, every contact where he might have had direct physical contact with somebody and for each one of those contacts we will monitor them for 21 days after exposure in conjunction with the local and state health department and the hospital to see if they develop symptoms. that's how you stop an ebola outbreak. that's what we will do in this case. there is no doubt in my mind that we can stop it in its tracks here. >> you feel confident of that? because there are a lot of people waking up to this news this morning realizing a patient has been diagnosed in the united states of america, he is on soil here in america, he is in a u.s. hospital and there's going to be concern. you can understand that? >> absolutely. but you know the plain truth is we've stopped this outbreak dozens o

dr. sanjay gupta, an excellent demonstration for us. it's important to remember even with what you just saw that only one person has caught ebola from that first patient who was diagnosed in the united states. the "associated press" has reported that thomas eric duncan possibly exposed more than 70 health care workers, at least 70 w health care workers or working on him. but 50 other people could have been exposed to him. and nobody else has caught the disease. 120 people, and we're not talking about that many people who have been infected. but in light of only one case of transmission, the cdc chief thomas frieden has announced the cdc will review its ebola control protocols. joining me to talk about the best way to contain this lethal virus is cnn medical analyst dr. alexander van tullkin. so many people came in contact with thomas eric duncan. i can't understand how a nurse like ms. pham could be infected with all of that gear and yet the family that was in the apartment with him while he was retching and ill and sweating and sick an

dr. sanjay gupta. you talk about the insider, he has a good managerial skill, can handle crisis, and we note there is no "dr." or "ph.d." behind his name. do you think there will be frustration from the medical community a doctor could have been a better choice here or is this largely being seen as a managerial role? >> i don't think there will be that much frustration from the medical community. i've gotten e-mails from leaders in the medical community wondering allowed if it should have been a doctor but i don't think that's so much frustration. i think part of it will be how much he incorporates dr. frieden, the head of the cdc, and dr. fauci, the infectious disease guy at the nih. it sounds like he probably will inkoorp rate them a lot into the plans going forward. this is obviously a medical issue at the forefront of this but there are other issues we've seen as well. commercial flights. the talk at the congressional hearings about travel bans. medicine and science drive those discussions but ther

dr. sanjay gupta, and recovered ebola patient dr. nancy writebol will join us later, as well. mr. duncan is in the hospital tonight. take us through how he ended up there, the series of events. >> all right, anderson, let's start with september 20th which is when mr. duncan arrived in the u.s. from liberia. he is a liberian national. he arrived, on september 25th, he is feeling ill at presbyterian hospital where i am and they sent him home. on september 28th, he visits again, this time in an ambulance and is isolated. on september 29th, a family friend feels things are not moving fast enough and they call the cdc. now, i'll tell you anderson, and i was talking to an official about this situation and he said look, this is clearly a screw-up, that was his term. clearly, somebody shows up with a fever and history of travel in liberia, you should immediately, do not pass go or collect $200, treat this person as an infection risk and don't let him out. and protect yourself. apparently a nurse at the facility asked if he had recent travel to liberia or any infected country and he said y

dr. sanjay gupta. he'll join us in just a moment. so dr.lexander, you brought some gloves here and you brought also a suit that's similar, right? to the ones that are being used. take us through. what do you think happened when we talk about breaches in protocol? show us. >> it's really interesting. the first thing to say is the protocols are quite ambiguous. okay? there are two different cdc protocols which they could be using. and they don't specify the kind of gloves. now, the kind of gloves we've got here are vinyl gloves. and these are widely used in hospitals. they're quite brittle and they're transparent. so if you puncture this you can't see through your skin. so it's possible she had a break in the glove. you can feel if you put it on they'll snap very easily. and if you get a small nick in the skin there you can see it's the same color as the skin so much harder to see than a purple glove. >> you can't really see that. you're right. >> but even if you don't have a break in the glove, even if the glove's intact, in taking them off

dr. sanjay gupta, our chief medical correspondent. richard, how effective is all of this? >> not very effective at all for a variety of things that sanjay is much more qualified to talk about. you don't know at various points where the person is symptomatic. you don't know at what point they are able to be infectious and contagious. and as we're seeing just today with frontier flight 1143 with the nurse that flew on that flight, now you've shown no symptoms but all of a sudden everybody's looking for 132 passengers who took that flight. now, you multiply this many times by the number of passengers who have come from africa and then you start doing things like the laser temperatures and you start worrying about passengers on different passports and where they started their journey and finally, wolf, those passengers who have taken ibuprofen or medication to bring down any fevers. and, of course, it becomes an absolute nightmare. it's not practical. but it makes people feel perhaps more secure. >> sanjay, i want to put that map back up because this second nurse, amber vinson,

dr. sanjay gupta. first to you, sanjay, should other passengers be concerned, considering how much information we've been getting about when you are contagious, when you show symptoms and when you're around other people? break it down for me. >> they're going to be concerned because they got a thing saying they should call the cdc. obviously that's going to raise their concerns understandably. your point is the important one, though, ashleigh. you really don't transmit this virus, spread it until you are sick yourself. and it sounds like from what we're hearing, if she's being completely honest, that she was not sick until she got back into dallas, developed a fever and 90 minutes later was in isolation. i'm curious what the cdc is going to say to these passengers when they get the call. my guess is they'll say, look, there was a passenger who was subsequently diagnosed with ebola on your plane. we think your risk is very, very low. but you should take your temperature yourself for 21 days. you don't n

dr. sanjay gupta, our chief medical correspondent, is with us, as is dr. van tulleken, a medical doctor as well who specializes in infectious diseases. sanjay, this notion that originally a handful of people were being scrutinized and then 18 or 20, now maybe he was in contact with as many as 100 people, it sounds pretty shocking. what concerns me is the story the official story from government officials, keeps changing? >> it does. it does keep changing, and part of that is not entirely unexpected in the sense that as you get more information about his whereabouts, where he was moving during those four days, you may add more people to the list of people that you want to talk to. it doesn't mean that they're going to be listed as contact, doesn't mean that they're going to need to be monitored. my understanding the number of people being monitored because there's confirmed contact with mr. duncan is still around 12. but think of this, wolf, as throwing out a pretty wide net. anybody that could have possibly come in contact with him during those four days, t

sanjay gupta, dr. sanjay gupta, thank you for joining us this morning. >> thank you, you got it. >>> breaking news out of london, five men have been charged following a series of terror-related arrests in the pass few days. atika shubert joins me by phone from london. what have you learned? >> reporter: the five men were arrested over the last few days and charged with terror offenses, namely in one of them swearing an oath in support of isis, but also in terms of obtaining a firearm, specifically a bical handgun. we don't have much more information than that. what we dough know is all five men will appear in front of the westminster magistrate's court shortly to be charged at the hearing there. that's what we have at the moment. hopefully we'll have more details as the case progresses. >> atika, i know details are slim and information is still coming in. do you know, are these men british nationals? >> we know that quite a few of them are british nationals, possibly all of them. they come from various

dr. sanjay gupta. sanjay, let's talk a little about these screenings at airports.e going to be perfect. people will slip through, right? >> there's no question. the context is important here. fever is often the first sign that someone is starting to get sick. that's why it's an effective potential screening tool. we talk about this known as the incubation period. the time between exposure and the time someone starts to develop symptoms. it can be as long as 21 days, typically around eight days. you've been exposed but you don't develop symptoms, the screening is not going to pick that up. i want to point out one thing, if you look back over the past couple of months, they do these exit screenings out of these west african countries. about 36,000 people have been screened, about a quarter of those people going to the united states. 77 of those people had a fever, 77 out of 36,000. and none of them were found to have ebola. so we're not talking about large numbers here. but to your point, there is a period of time when someone could sneak through. >> and if someone h

sanjay gupta. deal? >> you got it. >> dr. gupta, thank you very much, at the white house for me on this wednesday afternoon. >>> coming up, the nbc cameraman now ebola-free. he sat down with don lemon. hear what he thinks about the mandatory quarantines for health care workers coming back from the united states. >>> also, stunning video of this unmanned rocket to supply items to the international space station. what else inside this rocket? a bunch of science projects from students across the country. science projects including six sixth graders, who we'll be talking to. hi, guys. >> hi. >> we'll talk to that in just a matter of minutes. stay with me. order more shaving cream. pay the electric bill. keep towels piping hot. get kids to sit still. play beard styling tunes. learn new razor tricks. hire a pro waxer. post before and after pics. i can do all that with my android from tracfone. 90-day plans start as low as $20. unbeatable nationwide coverage. no contract. for a limited time save $30 on the new lg optimus fuel. now ju

dr. sanjay gupta, thanks, dr. sheerer, dr. yasmine, thank you as well. you can set your dvrs to watch 360 when you like. when it comes to health care workers who have contact with ebola patients, it's not just about the protective gear they wear but how they put it on and take it off. sanjay's going to show us how that happens and why it's so critical. an unprecedented program arting busithat partners businesses with universities across the state. for better access to talent, cutting edge research, and state of the art facilities. and you pay no taxes for ten years. from biotech in brooklyn, to next gen energy in binghamton, to manufacturing in buffalo... startup-ny has new businesses popping up across the state. see how startup-ny can help your business grow at startup.ny.gov ghave a nice flight!r bag right here. traveling can feel like one big mystery. you're never quite sure what is coming your way. but when you've got an entire company who knows that the most on-time flights are nothing if we can't get your things there too. it's no wonder more peopl

dr. sanjay gupta. cnn's chief medical correspondent. dr. want to start with you and what elizabeth reported, that the "associated press" has gotten ahold of mr. duncan's medical records, they figured out that he came into contact with 70 health care workers at texas health presbyterian. is that number accurate as far as you know? >> i don't know that specific number what i doe do know is that every person at the hospital who had any potential contact with mr. duncan was specifically interviewed by the cdc, and by local and state health authorities and they were assessed. contact could have been standing across a room from mr. duncan, never in close contact so that would be low risk. every person who was in real contact with mr. duncan is on active, is on active monitoring now by the cdc. >> dr. gerwa, help us understand what active monitoring means. are they reporting for work, are they inside their house? how does it work? >> they're not reporting for work. and they're being actively seen, which means they are being physically visited by e

dr. sanjay gupta at the cdc headquarters in atlanta. >>> finally, dallas health officials found a cleaning company to go to the apartment to decontaminate it, but the crew had to leave after discovering they did not have the proper permits for the job. she tells anderson cooper living under quarantine has been difficult. >> have you gone outside? >> no, i'm inside. they did not bring food here. they came late here last night with paper work for us to sign. they are going to take us to court that we'll have committed a crime. >> custodians were cleaning the elementary school wednesday night. one of the four schools attended by five children who had contact with duncan. the five children are now being home schooled. >> we're also enrolled that five students into the home-bound program so they will get curriculum support. >> united airlines reaching out to passengers on the same flight as duncan. nearly 400 passengers were referred to the cdc. united doesn't believe any passengers are at risk here. they are making the move out of caution. >>> president obama is promising the mayor of dallas a

dr. sanjay gupta, and dr. irwin, at columbia university, and author of many books -- sanjay, thomas duncan's visit to the hospital, you heard her describe how clear it was when he arrived at the hospital. the person asked for a social security number, she explained he didn't have one because he was from liberia. by her account, the hospital didn't understand, they just didn't seem to consider that this could be ebola. >> yes, i think you're absolutely right. and you know we've heard that same sort of thing from the hospital as well. that judge with her version of events, at first you remember anderson, we couldn't quite figure out what happened here. and we heard the hospital had not asked and mr. duncan had not disconclusi disclosed he was from liberia. that is not true, because one representative said we were told he was from liberia, and the team, that got misdirected. that is a miss, low-hanging fruit, you should be able to address these things if you adequately take care of patients with infectious disease

dr. sanjay gupta has more. >> reporter: john and christine, there is no question what happened is historic. a patient diagnosed in the united states with ebola. it has never happened before. a patient has never been diagnosed with ebola outside of africa. it has happened now. it raises concerns and i tell you, not that unexpected. patients getting on planes in the west africa countries, they are not sick, but carrying the ebola virus in their bodies in the incubation period. that can last up to 21 days. they can travel anywhere in the world. it not surprising it happened. it is likely to happen again in the united states and many other countries around the world. unfortunately, what happened in the first patient and missteps with diagnosis and treatment is unfortunate. hopefully it sends a clear message to hospitals and emergency room departments around the country, it should not happen again. john and christine, back to you. >> thank you, sanjay. the hospital is now investigating the misstep. duncan came to the er with the low grade fever and abdominal pain. duncan told a nurse he was vi

dr. sanjay gupta and also dr. seema yasmin. , what she is saying there, the lack of protective gear, and told to put one-inch medical tape on their necks. it is not like hospitals didn't know what ebola was like out there and what other hospitals were doing worldwide to protect them. shouldn't they have been prepared? >> no question, several problems she outlined very well. two big ones, first of all. the gear itself, what was available, not available. the training, putting it on and off. there are many steps to it. the second part of it, even if you followed the cdc guidelines on ebola it left a lot of exposed skin. and that is quite concerning. i think we have a picture. i got an exclusive look inside what emory uses to basically try and protect their doctors versus what she was just describing. take a look. i mean, this is the lead man on the five-member team that has been taking care of patients here at emory. they go above and beyond what the cdc recommends. but you can't see his whole body there, but take a look specifical