mr. duncan. were not under quarantine but they were in a self-isolation where they were monitoring their temperature. was the worker part of that group? >> my understanding is that's correct. there are 75 people who are still monitoring themselves plus two to make it 77. those two are nina pham, the nurse who was diagnosed on sunday, and now this patient diagnosed overnight and the information came out today. of course, the news that just came out from the cdc about the frontier airlines flight is very disturbing because it talks about a lot of people on the flight who now will be sought out and and talked to to see if they need to be monitored. it sounds like the current patient flew first home to cleveland and back here on the 13th, the day before yesterday when she showed symptoms and so that is a completely different wrinkle in this story involving a lot of other people who are not involved in the care of duncan but might have had a contact with this person. in the case of nina pham, only one

mr. duncan passed away.a -- the faa announced in five airports there are additional screenings taking place from passengers coming from the three places in west africa. the passengers coming off the flight will take it to an isolated area. their temperatures checked and so this is taken has a turn here. and sadly we have seen thousands of people die in west africa. we've had four or five americans who have survived. but this is a deadly virus, folks. and folks need to remember that. we're happy that the folks who survived the disease or the virus have survived. but this is a very deadly virus. we're seeing that in africa. it's spreading out of control. >> thank you very much. we have the statement in. dr. david laky, a commissioner of the texas department of health services reads the past week has been an enormous test of our health system. for one family it's been more personal. today they lost a dear member of their family. they have our con dodolenccondo. we provide compassionate care. ebola attacks the b

mr. duncan. that wasn't anywhere. obviously it is a consideration i think given what is happening in the world right now. to your point, anderson. sochl one comes in with fever of 100.1. first time came in wasn't having symptoms of diarrhea, nausea, vomiting that. could be a lot of thing thousands even if you returned from liberia. even in west africa you have lots of different diseases that can cause mild fever. that wasn't the pattern of events. missed his travel history. they didn't investigate it further. while they may have been right in thinking about other things as a possibility here, the fact that they didn't consider ebola as a possibility was the crucial mistake. >> doctor, you mentioned yesterday to me. there have been big cutbacks in public health, disaster preparedness. what do you make of what louise has said so far? and also what does does this mean for other potential outbreaks out there, outbreaks that are airborne, potentially more dangerous? >> yes, we may have had a different problem with these ou

mr. duncan. that was not anywhere. obviously, it is a consideration given what is happening in the world right now. but to your point, anderson, somebody comes in with a fever, 100.1. sounds like the first time he came in he was not having the other symptoms of diarrhea, nausea, vomiting, things like that. that could be a lot of things even if you returned from liberia. in west africa you have a lot of diseases that could cause fever. but still that was not the pattern of events here. they just kind of missed this important part of his travel history and didn't investigate it further. so while they may have been right in thinking about other things as a possibility here the fact that they did not consider ebola as a possibility was the crucial mistake. >> doctor, you mentioned yesterday to me i mean there have been big cutbacks in public health, and disaster preparedness, what do you make of what louise has said so far. and also what does this mean for other potential outbreaks out there, outbreaks that are airborne? >

mr. duncan. i met with that health care worker's parents and the health care worker and their parents have asked that their privacy be respected and their name not be released at this time. i expect with the activities that happen today, information will come to light, but let's remember as we do our work that this is a real person who is going through a great ordeal and so is that person's family. let's be as respectful as we can possibly be. we expected that something -- that it was possible that a second person could contract the virus. contingency plans were put into place and the hospital will discuss the way that the health care worker followed those contingency plans which will make our jobs in monitoring and containment much easier in this case than in the last one. i want to stress before we bring up a doctor a very important fact. you cannot contract ebola other than from the bodily fluids of the symptomatic ebola victim. you cannot contract ebola by walking by people in the street or b

mr. duncan. and as you report now, as you did allude to that sheriff deputy is now not showing symptoms consistent with an early ebola diagnosis. is there a sense, i think people outside of texas do get the sense, there's a slow response. not only once mr. duncan was readmitted, the fact that sheriff deputy was even in fear, he did go into that environment to serve that quarantine notice, that there was not anything done necessarily to protect his health. so can you respond to that? and then tell us whether or not there are hospital procedures now in place to ensure that a nurse seeing somebody in the same condition would actually implement immediately movements or, you know, activities to get that person quarantined or treated or at least tested? >> there were procedures in place with the cdc and the county health department to screen for ebola before mr. duncan got here. when those are followed, the person is immediately put in a private room. and the appropriate procedures are carried out. as

mr. duncan had survived? why couldn't mr. duncan have survived. >> reporter: ebola patients all got experimental medications almost immediately. brantley and sacra received experimental medications almost immediately. blood donations. all this on top of the fact that duncan showed up at presbyterian on september 25th with a fever and blood pain. and stomach pain. he told the hospital he recently traveled to liberia, but still they told him to go home. a huge lapse on the part of the hospital. he was admitted september 28th missing three days he could have been treated and extending the days he potentially could have infected others. >> the thing that should be of great concern is that he was discharged from the hospital and sent home and was allowed the be in the community. >> reporter: when asked why it took nearly a week to get the medication to duncan the hospital told cnn the care team has been consulting with the cdc in emory on the daily basis discussing the treatment including the use of investigational drugs. duncan's

mr. duncan had contact with, these are people mr. duncan himself may have had contact with.t's an important point because again, they're only worried if you came in contact with someone who was sick with ebola. not if you came in contact with a contact. these are new terms i think for a lot of people right now but important terms. those hundred people, many of them may not have any cause for concern at all but there may be some that are going to be asked to monitor themselves, to take their temperature and to see if they have fever as possibly a first sign of infection. >> that's a huge, huge significant clarification. thank you for that, sanjay, that 100 people in direct contact. we're not factoring those who may have had contact with those who had contact with thomas duncan. sanjay, stand by for a moment. thank you for that. i want to bring in dr. morris and dr. vantellkin. louise says that -- this was troubling, she doesn't think that she came into contact with the bodily fluids of this patient, but dear god, we've got -- we've got medical professionals in africa who are

mr. duncan was. it started this afternoon around 12:30 in the town of frisco which is 30 miles north of dallas. this deputy went into an urgent care center saying he didn't feel well. doctors determined he had some symptoms of ebola. about nine emergency vehicles came to the scene. the deputy car was roped off by police tape. 14 people were inside the urgent care center. they were told not to leave. then he was rushed by ambulance to the hospital. authorities are saying there is a low risk of ebola and it was because of the reasons. he was never with duncan. duncan was already in the hospital. this deputy has never been to west kafr aafrica. he's not one of the 48 contacts medical officials are keeping an eye on. a short time ago the deputy's son spoke out. >> he woke up sore and fatigued and had a bit of stomach ache. no fever. no vomiting, diarrhea or anything like that. just experiencing somewhat flu-like symptoms. again, my dad being the cautious person just decided to be safe than sorry. just ki

mr. duncan, that was later recommended by the cdc. patients who may have been exposed were one day kept in strict isolation units. the next day they were ordered to be transferred out of strict isolation and into areas where other patients, even those with low-grade fevers who could potentially be contagious. >> so we have a lot to discuss here, but first i want to read you something from texas health presbyterian hospital responding to these allegations. spokesman says "we take compliance very seriously. we have numerous measures in place to provide a safe working environment, including mandatory annual training and a 24-7 hotline and other mechanisms that allow for anonymous reporting." so back with me now, cnn chief medical correspondent 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 ha

mr. duncan. that was later recommended by the cdc. patients who may have been exposed were one day kept in strict isolation units, the next day they were ordered to be transferred out of strict isolation and into areas where other patients, even those with low-grade fevers who could potentially be contagious. >> frankly, these allegations by the union, nurses union, are shocking. texas health presbyterian hospital is responding to the allegations, a spokesman says "we take compliance very seriously. we have numerous measures in place to provide a safe working environment, including mandatory annual training and a 24/7 hotline and other mechanisms that allow for anonymous reporting." that's not much of a statement, frankly. i have a panel of doctors with me. i'll get their take right after the break. [ female announcer ] take skincare to the next level with roc® multi correxion® 5 in 1. proven to hydrate dryness, illuminate dullness, lift sagging, diminish the look of dark spots, and smooth the appearance of wrinkles. high performance

mr. duncan, despite the protocols. we also know that second nurse was allowed, after contracting ebola, to board a commercial airliner flight. she was told by the cdc -- she wasn't told don't get on the flight. the cdc gave her the green light to do that. that was a serious mistake. >> right. >> throughout this process there have been mistakes. dealing with a virus with an epidemic is a learning process. it's a learning process with high stakes. we can't afford mistakes. but i am hopeful that the health professionals, you know, the doctors and nurses and cdc officials who are risking their lives are brave, courageous professionals. i'm hopeful we'll continue to improve our response. but the best thing to do is to minimize the initial contact with ebola. i have to say, candy, it was over two weeks ago that i sent a letter to the faa asking what they were doing to protect u.s. citizens to stop commercial air travel out of these countries to protect the pilots, the flight attendants and the fellow passengers. it's now bee

mr. duncan. there had been better communication on that friday, he would have contacted fewer people while he was contagious. this would be a smaller outbreak. i think it's right that we don't need to panic about what's going on in texas. but i hope that this will elevate the level of attention to what's going on in west africa where this disease is in danger of blowing up into a pandemic. >> i want to big up on what the dallas morning news said today. "instead of sending a blood specimen for immediate testing for ebola, as suggested by the guidelines from the cdc, local health officials spent the next 24 hours doing other bloodwork and trying to rule out other causes." if you put this in perspective, this is the fourth largest metro areas in this country. one of four cities to carry out ebola diagnostic testing. if these mistakes are happening in dallas, human error, as simple as it may be, what does that say about our readiness on a national level, if it can come down to lack of communication b

mr. duncan.erstand the apology, but, we are still angry about the lack of preparation, education and training. >> did he, is he correct here? is he telling the truth when he says that protective equipment including gowns? >> according to the nurses that came forward to us, we believe that that is not the case. >> okay. >> are nurses, let me get the other reactions then get back to you. dr. plyler, what do you make of this apology and then saying, you know, but we did provide them with, with equipment, and then we added things after, after -- after diarrhea and such? >> right. don, just -- i did spend the belt better part of the summeren liberia, implementing protocols, ebola treatment uniits. e the enormous time with taking care of patients with ebola, and accustomed to international standard of protocols. and i, i think there is -- a bar set for what is expected. i think we need to all be on the same playing field. we need to -- utilize the-- the international standard of excellence, for impleme

mr. duncan. but an indication at how seriously they are taking the case here, dallas today activated its emergency operations center that is usually not done unless there is some kind of natural or major disaster. that's how serious they are here. the patient, thomas eric duncan is in serious but stable condition tonight at texas presbyterian hospital. health officials are reaching out to as many as 100 people who may have come in contact with duncan, including the ambulance medic who is transported him to the e.r., hospital staff, family, and friends and their children. according to dallas' mayor, duncan came into contact with as many as 20 people. his girlfriend and her children are under quarantine. she has no symptoms at this point but is very worried. >> we have delivered several days of food to that apartment. those people in the apartment and they are going to be treated with the upmost respect in this unusual situation. >> reporter: duncan was screened three times before boarding his flig

mr. duncan. either when he was on that flight going into brussels or later transfer to go washington, d.c.. or later to dallas, are any of them in danger? >> there is a little disagreement and basic consensus was we would not want to sit next to a patient with ebola. >> we're just learning that -- >> if the guy is coughing up blood, that's highly contagious. >> we're getting word that three more students have been taken out of texas area schools. that brings the title to eight who might or might not have had contact with mr. duncan. we talked to the texas superintendent of the school system who said this is limited, that attendance is still high, 86%. what would you he witell those parents in that school district? >> it's tough. if they have the ebola, 50% chance of survival and pray. otherwise just try to practice clean hygiene and hope for the best. i would also tell the american public that these scenarios l. will be repeated over and over. we're woefully underprepared. it's time to develop pr

mr. duncan. unfortunately, his diagnosis, and the procedures that followed, raised critical questions about our preparedness for highly infectious diseases such as ebola, and how federal, state, and local authorities coordinate in their aftermath. as ranking member of this committee, i often urge my colleagues not to use opposition of influence to promote fear in the public. hence, i want to clarify that while it is proper to have serious concerns about the ebola virus, it would be irresponsible for us to foster the narrative that an ebola epidemic in the united states is eminent. rather, this searing provides us an opportunity to review state, local, federal, and global public health infrastructure, learn where there are inconsistencies and gaps, and lay the foundation for eliminating these disparities. while the ebola virus has caused the united states to institute new screening procedures at airports, it is incumbent upon us to work with our international partners to eradicate the virus at its

mr. duncan. they're not saying that those people have had direct contact with mr. duncan for sure.have actually been confirmed as having direct contact and those people are being monitored. but the number could go up and they want to find out if there's any other possible direct contacts with mr. duncan. at some point they want to make sure they find everybody. they don't want to find out afterwards there was somebody who did have direct contact with mr. duncan that wasn't found and possibly got sick and became another source in terms of an ebola infection. they want to find everybody now to try to prevent this from turning into an outbreak. it's sort of tried and true methods in terms of outbreak controlp they haven't been able to do it effectively in west africa. they've been missing people which is why the numbers continue to increase. they don't want to miss anybody here, wolf. >> yeah. 6,000 plus people have been infected and more than half of them have already died. so this is a serious crisis and there have been some estimates by the cdc in atlanta maybe as many as a million

mr. duncan's initial emergency department visit. on september 28th, mr. duncan was transported to the hospital by ambulance. once he arrived at the hospital he met several of the criteria of the ebola algorithm. at that time -- >> i'm wolf

mr. duncan when mr. duncan was transferred from the emergency department to the e.d. >> that was sometime from september 28th to the 30th, is that correct? >> that's correct. >> the second nurse, ms. vincent, was she also an icu nurse? >> correct. >> so they were exposed after a point when we recognized that ebola was being looked at, is that correct? >> no nurses from the first time they had contact with mr. duncan were in personal protective equipment according to the cdc guidelines. nina, cared for mr. duncan -- >> they were already using universal precautions but also were using some of the more isolation and just answer yes or no? >> yes. >> okay. to that, i would like to move to dr. frieden. this, of course -- i'll back up. on october 6th, i sent a letter to the cdc and hhs calling for travel restrictions. there's no question i believe travel restrictions need to be put in place. now after having this subcommittee hearing, i believe even more strongly that we need them. i just want to back up to a c

mr. duncan. unfortunately, his diagnosis, and the procedures that followed, raised critical questions about our preparedness for highly infectious diseases such as ebola, and how federal, state, and local authorities coordinate in their aftermath. as ranking member of this committee, i often urge my colleagues not to use opposition of influence to promote fear in the public. hence, i want to clarify that while it is proper to have serious concerns about the ebola virus, it would be irresponsible for us to foster the narrative that an ebola epidemic in the united states is eminent. rather, this searing provides us an opportunity to review state, local, federal, and global public health infrastructure, learn where there are inconsistencies and gaps, and lay the foundation for eliminating these disparities. while the ebola virus has caused the united states to institute new screening procedures at airports, it is incumbent upon us to work with our international partners to eradicate the virus at its

mr. duncan. key events from our preparation time line are attached to our submitted statement but scheyer brief overview, as the ebola epidemic in africa worsened over the summer, texas health hospitals and facilities began educating our physicians, nurses and other staff on the symptoms and risk factors associated with the virus. on july 28th an infection prevention nurse specialist at texas health received the first centers for disease control and prevention health advisory about ebola virus disease and began sharing it with other texas health personnel. the healthcare advisory encouraged all healthcare providers in the u.s. to consider ebd and the diagnosis of febrile illness, in other words, a fever. in persons who had recently traveled to affected countries. the advisory was also sent to all directors of our emergency departments and signage was also posted in the e.d.s. on august 1st, texas health leaders, including all regional and hospital leaders, and the e.d. leaders across our system,

mr. duncan? >> well, handling him is what actually happened. there were obviously some missteps, but first when you identify someone who is here and we had said several times that inevitably we were going to have someone who got on a plane without symptoms which would get them through the screening process that this individual got through when he left from liberia and then once here our role is our capability is to be able to identify and isolate the person as quickly as you possibly can, give them appropriate treatment, and importantly, begin the very meticulous process of contact tracing. which is the fundamental mechanism whereby you prevent an outbreak. so from the standpoint of what we would do is exactly what we did. obviously without some of the rough points that occurred during that process. >> yeah. i mean, i guess in some ways maybe i'm asking more of a legal question. i'm just curious because the scenario could be that people will know that they've been exposed, they're not sick yet, but get on planes and come to the united states fo

mr. duncan? >> well, handling him is what actually happened. there were obviously missteps but when we identified someone that was here and we said several times inevitably we were going to have someone who got on a plane without symptoms which would get them through the screening process that this individual got through when he left liberia. once he got here, our role and ca ca ca cape capability. you prevent an outbreak some of from the standpoint of what we would do is exactly what we did obviously without some of the rough points that occurred during that process. >> yeah. i mean i guess in some ways maybe i'm asking more of a legal question. i'm curious. the scenario could be that people know they've been exposed, they're not sick yet, but get on planes and come to the united states for treatment. so you can understand that, dr. fauci, because treatment is so hard to get and get any kind of care. this may happen more and more. is this something the united states has given thought to or your department in terms of do we take all those patie

mr. duncan's initial emergency department visits. on september 28th, mr. duncan was transported for the hospital by ambulance once he arrived at the hospital, he met several of the criteria of the ebola algorithm. that time the cdc was notified. the hospital followed all cdc and texas department of state health services recommendations in an effort to insure the safety of patients, hospital staff, volunteers, nurses, physicians and visitors. protecting tiff equipment included water immaterial permeable gowns, eye protection and gloves, since the patient had di diarrhea, shoe covers wee shortly added. we notified the human health services department and infectious special disease specialists arrived shortly after -- >> doctor could you -- >> diagnosing the u.s. and texas health dallas, later that same day. cdc officials were notified and they arrived on our campus october 1st. >> doctor could you -- one moment, please. >> we are going way overtime here and we want to hear some of the details, can you wrap up a lot of members want to question questions on the

mr. duncan, and not getting tested and admit right away. want to give you a little background on what happened there, carol. >> in this hospital, thomas eric duncan, the first patient diagnosed with ebola in the united states is fighting for his life. >> we're hoping and praying that eric survives the night. we've got our hopes up for him. >> doctors say he's in serious, but stable condition. duncan is a liberian national, and he traveled for the first time ever to the united states to visit his family in dallas. "the new york times" reports he may have become infected on september 15. that's when he helped carry a pregnant woman who died from ebola to the hospital. september 19th duncan flies from liberia to brussels, belgium, showing no obvious ebola symptoms or fever during airport screening. from there he boards united airlines flight 951 en route to washington dulles, connecting to another united flight 822 to dallas. september 20th he arrives in dallas and heads to this apartment complex to visit family. four days later he starts devel

mr. duncan, apparently treating him. give us your perspective on this. it sounds pretty risky to me. >> it should not have happened, wolf. very clear now that should not have happened. it was another misstep. let me make one thing clear. the cdc offers up guidelines, recommendations, regarding how to care for people who have come in contact with ebola. but these aren't mandates. these aren't laws. they're recommendations. one of the things they talk about is something known as controlled movement. while someone who has come in contact with ebola is not necessarily quarantined, again, unless they're sick, they're not going to be a risk to the general public, while they're not quarantined, they are told they can only have controlled movement. if they're going to fly, it must be a chartered plane. if they can get in a car and drive. but commercial air flights, those are off the table. and yet it still happened here twice. so it wasn't supposed to happen. and you can imagine now, wolf, the passengers on that plane, essentially seeing these notices on your pr

mr. duncan died. everyone knows that when he first went to the emergency room, it was not recognized that he had ebola. i mean, that was a misstep that's very clear, unfortunate. certainly was not deliberate. i think it was a mistake that could have been made no matter who the person was. once mr. duncan got into the hospital in texas, it's an excellent hospital, they provided excellent medical care. i think people need to appreciate even under the best of circumstances, ebola is a very serious disease, in this particular epidemic, with an overall mortality of a bit more than 50% and some circumstances even a lot more, so i think you have to put that into consideration. >> here are some of the questions we're getting on twitter and elsewhere from viewers out there. you're the expert. they say mr. duncan did not receive a blood donation or transfusion which the nbc journalist in nebraska did receive from dr. kent brantley, the missionary who survived ebola. would that have made a difference? >> certain

mr. duncan did not get early treatment.ame in on september 25 complaining of a foovever, tolde hospital he had been in liberia, they sent him home and he came back on the 28th. those couple days are crucial. ebola patients need what's called fluid management which is a fancy term for making sure someone doesn't become dehydrated and to go for those two or three days without the fluid management is huge. the other patients who have been treated in the u.s. from the stories that -- the reporting we've heard, they didn't go that far. once they were identified as having ebola they got medical care much more quickly. >> it's just terribly sad. i think that we all had been hoping, hope against hope, that maybe he would fight it, especially since we heard a little bit of positive news. elizabeth, why don't you stick with us? clearly there's things we need to discuss but we want to bring in dr. frank glover, he's a medical missioner and the president of shield in africa, the u.s. company based ngo working in liberia. he also partne

mr. duncan. has your organization in texas identified where the specific breaches in protocol were that , orlted in her infection alternatively, the inadequacy of the protocol? dr. varga, that question is for you. >> thank you, sir. we are investigating currently of this exposure and the contraction of the illness. inhave confirmed that nina, care with mr. duncan, was wearing protective patient equipment through the whole period of time, and as dr. frieden already mentioned, with the diagnosis of the ebola , the full hazmat style , we don't know at this , what the juncture source or the cause of the toosure that caused nina contract the disease was -- >> i will interrupt you because of limitation of time. i want to go to dr. frieden. just stated, health-care personnel were following cdc protocols while treating mr. duncan, which include the use of so-called ppe, personal protective equipment. do the cdc guidelines on the use of ppe mirror current international standards that, by the way, are bein

mr. duncan. temperatures have been taken by outreach workers every day, so of the fortier, none have developed symptoms, none have developed a fever. 48, none have developed symptoms, none have developed a fever. for those who have been affected, our thoughts are with them, and we are delighted that nih is supporting a hospital in texas and that also emory university is doing that as well. and the third area is after the identification is effective isolation, and we are looking very closely at what might possibly have happened to result in these two exposures. there i assumed that if are any new recommendations based on that analysis, that protocol will be redistributed? the data to look at see what we can do to better protect americans. >> thank you. dr. frieden, you mentioned a iowa that is working on a vaccine that just went into phase one clinical trials this week. is that correct? >> that is correct. >> i just spoke with two employees there and i know that they are working to come up with a

mr. duncan.ecting their employees. >> what you've said just isn't true. they didn't do a great job. a great job is when you treat an ebola patient and he survives, not you turn him away from the hospital and then he actually gets worse and then he comes back and then you treat him and then he dies. and no one else on staff gets ebola. >> all right. >> now it seems painfully simple. jake tapper talking to the former president of the dallas medical association. this comes down, let's bring back in alexander van tulleken, a doctor obviously and dr. joseph mccormick. good to have both of you here. accountability matters in a situation like this it's not about a blame game. but it's about who's in charge, who's doing the right thingsments because this is not in-depth science we're talking about. what do you see with the experience you've had, dr. mccormick in dealing with ebola outbreaks and what it takes to get it right. what do you think is going on here? >> i think there was a certain level of conf

mr. duncan has died. >> the questions will come, and they will stop. it's your job to keep asking those questions. the medical personnel at the texas facility were caught between trying to devote enough energy as they could to their patients and then to also try to be accountable to the public about what had already happened there. to the extent that those questions are coming, at least it is not a distraction to the treatment of these patiences. >> at this point the should be able to focus on this and do some after action investigation. there are questions we want answered in the media and government as well. i would want to know what went wrong. something did go wrong along the way. something in protocol, equipment, for sure in diagnosis early on with mr. duncan, which had a serious effect on him and also on -- in terms of spreading the disease. all this has to be looked at. what can we take from this? >> let's listen once again to nina pham speaking from her hospital room in texas before she left to get on that plane to fly up to maryland tonight. >

mr. duncan at this hospital. you can feel the anxiety.uick some of the top health officials were questioned, i spoke a brief, go with a member of the oversight committee. congresswoman, thank you very much for joining me. after today's hearing, how satisfied are you with the way that the cdc has handled things so far? >> i think the cdc from the beginning of the outbreak and the problem that we had with these gentlemen, mr. duncan, that died here, has learned a lot of lessons that are making us much more safe at home. the crisis has been overstated in terms of its threat to americans. what we need to do to keep ourselves safe end to eliminate this crisis is to focus on west africa. it has no health infrastructure. clucks a lot of people were saying that it needs to stay in west africa and there should be a travel ban. do you agree with that? >> does this make the situation better or does it make it worse? the cdc over the last month or so has said that in fact it would make it harder for us to , thatthe victims of ebola it will go undergr

mr. duncan might be alive right now? >> i'm inclined to believe that, but also he came back to the hospital a couple of days when he was there just getting a drip without treatment because they had not determined which alternative medicine they would use because they could aren't find more zmapp. that would seem to me a lack of preparedness for the protocols that have been established. have you ever spoken with any of the family members of potentially suing someone? >> well, that's private. i think at this point they are just mourning over what should they do with his body and with the shock. to get into suing would be so political and right now they're concerned just about the pain and the loss of him so suddenly. >> i want you to stand by, reverend jackson, dr. skinner, dr. goodman. stay with us, we'll continue the breaking news coverage. we'll take a quick break. much more after this. event sinks a hole-in-one, quicken loans will pay your mortgage for an entire year. that is how it's done. truly amazing! get in the ho

mr. duncan checked no. the associated press has seen the very questionnaire he filled out before leaving liberia. they say he checked no. that answer is not true. cnn learned that he helped an ebola patient days before boarding a flight for the united states. a patient living in the same home as mr. duncan. and here in the united states, growing outrage. today we're learning new details of what can only be called obvious mistakes. the sweaty sheets and soil towels he used while at his relatives apartment. and the cdc will remove them. but duncan's brother said that has not happened yet. shocking considering it was seven days since he went to the hospital with symptoms of ebola. and united airlines is, quote, reaching out to all passengers on the two legs of duncan's trip. they are doing this voluntarily but the cdc chairman tom frieden said this yesterday. >> at this point, there is zero risk of transmission on the flight. >> elizabeth cohen is a cnn correspondent, outside of the dallas hospital where dunca

mr. duncan will be cremated, one of the safest ways to dispose of the body since it can transmit the virus after the victim has died. tonight, duncan's four family members are still under quarantine orders. orders that will not be lifts until october 19th. that marks the end of the virus' long, 21-day incubation period. they could still, theoretically have it and not develop symptoms up to ten days from now. health officials on the ground say they are still not showing any signs of fever, one of the very early indications of ebola. that is something that is being monitored continuously, in fact, multiple times a day, we are told. greta? >> thank you. >>> many americans are terrified about the possible spread of ebola. a dallas county judge was in the apartment where thomas duncan was staying. he was not wearing protective gear, why did he do that? he joins us. good evening, sir. >> good evening, greta, glad to be here. >> nice to have you. can you explain why you were in the apartment? >> well, i was in the apartment the night before i moved them to let them know that they needed better li

mr. duncan. he is in serious condition, but stable. he was asking for food and talking to people as well. we are hearing more about what is happening with all of the potential contacts around mr. duncan. the texas department of health trying to find about 100 people, they say. that doesn't mean all of the people need to be monitored, but 100 people may have come in contact at some point with mr. duncan. they want to talk to them and find out if they had contact and what that contact was. right now, they are monitoring 12 people. that means they are taking their temperatures and monitor them for 21 days. if they don't develop a temperature during that time, they get the free and clear sign. four people within his immediate vicinity, girlfriend and three more people are being quarantined now. they will be forced to stay in their home. they will have their temperature taken there. this is a legal matter. if they leave, christine, they could be charged by law. inside the apartment where mr. duncan was staying, we know some squalor detail a

mr. duncan. >> absolutely. and that's what's -- representing or speaking with nurses purportedly from here, anonymously, that the guard they wore originally were not complete, their necks were exposed. mr. duncan sat outside the isolation room for quite some time, that nurses went in and out of the area without decontaminating. questions were asked of the doctor today about that. and he did not have a comment. so that's -- that's how the day began. it wasn't great. and now this. just completely taken into it a new level of concern. and, again, one step behind all the way. the cdc, the local officials. they knew about this. they had to know about this. before that news conference. frontier airlines were notified at 1:00 a.m. if i read the e-mail correctly, mountain time. and that news conference was a lot later than that. if they knew the cdc was telling this to frontier airlines, that statement we might have more cases really seems quite ironic right now because it may mean that the concern is much greater than

mr. duncan. >> thank you, 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 ris

mr. duncan. we are experts in our field and we don't want to be judged by this one incident. this could have happened to any hospital. we were just the first in our county that it happened to. some things went wrong and we're proud to say that presbyterian has owned those things and will make us stronger and be able to work more diligently for healing labs in the future. >> one good model for u.s. hospitals might be nigeria's approach to ebola. just weeks ago it was feared that the most populated country in africa would face an explosive outbreak but instead, nigeria has been declared ebola-free. >> today, 20 of october, 42 days it means twice the incubation period. after the last confirmed case of ebola virus disease was discharged from the isolation wards, having tested negative for the ebola virus. the chance of transmission have been -- the chains of transmission have been broken. >> what made a difference, this is how nigeria did it, immediately declaring an emergency. intensive training for

mr. duncan when mr. duncan was transferred up. >> that was some time up from september 28 through the 30th. is that correct? >> that is correct. >> the second nurse, ms. vinson, was she also an icu nurse? so they were exposed after the point -- >> that is not correct. the nurses from the time may have first contact with mr. duncan were in personal protective equipment according to cdc guidelines. nina cared for mr. duncan. >> i will stop you right there. they are already using universal precautions, but were using more isolation. just answer yes or no. >> yes. ok, to that, i would like to move on to dr. frieden. on october 2 -- excuse me, october 6, i sent a letter calling for travel restrictions. so there is no question i believe they need to be put in place. after having this subcommittee hearing now, i believe even more strongly that we need them. i want to back up to a couple of questions for dr. frieden and fauci. are there multiple strains of ebola? >> there are five different zaire, ands, ebola oth

mr. duncan. adequate masks and face shields to protect the nurses and other health-care workers. he was not put into an isolation room for several hours. >> president obama was meant to be campaigning in new jersey and connecticut today. a sure sign of the deep concern in the white house about the way this is being handled is the abrupt cancellation of the trip. >> the president is convening members of his team who have been responsible for responding to the ebola situation in this country. the president wants to do that because he wants to make sure that all of the needed resources of our federal government are being deployed to deal with this specific situation. >> the president problems pale in significance compared to the daily battle in west africa. here in sierra leone, there is theory about getting health-care workers to remove a dead body from the street. the third world country to the richest nation in the nation, it shows what a dangerous disease this is. abc news, washington. >> for mo

mr. duncan were in personal protective equipment according to cdc guidelines. nina cared for mr. uncan. stop you right there. they are already using universal but were using more isolation. just answer yes or no. >> yes. i is ok. this, and i will just back up, on october 2 -- excuse me, october 6, i sent a letter calling for travel restrictions. there is no question i believe they need to be put in place. after having this subcommittee hearing now, i believe even more strongly that we need them. i want to back up to a couple of questions. are there multiple strains of ebola? >> five different subspecies. this outbreak is one particular subspecies. all of these have been closely related third >> we know it has to one particular strain. the quote was, unless it mutates, there will not be an outbreak here in the united states, is that correct? be a largell not outbreak here buying a mutation. >> lemon nurses were using how has thisar, happened? it tells me something is changing herein are we currently looking into the situation now? what we have seen is very little change in the viru

mr. duncan, they are to monitor their health until october 29th. r duncan's family, they ended their quarantine yesterday. ies. >> all right. elizabeth. now these new questions, is 21 days enough, you are supposed to be doing blood testing, there will be more questions here. let's take it as good news for now. another bigs a peck mr. ron klain is coming under criticism. they are criticizing this pick as being political than practical. the big ticket item here, michelle, he doesn't have a medical background. >> that's exactly right. he has been in politics a long time. the former chiefs of staff, very high profile physicians there, it's been interesting, for a long time, we heard republicans call for there to be an ebola czar. all rotto, he doesn't want to be called an ebola czar, a response coordinator. now the criticism is he isn't coming from the field of medicine but the field of politics. as for the administration we heard them say they didn't want or need a coordinator. because that would add another layer of bur rocky case. okay. a coordinator