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

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,

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

sanjay gupta throughout the day. 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 morgan is firing back against walmart after the shopping giant argue

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 ne

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

sanjay gupta, and also dr. seema yasmin, sanjay, let me start with you.have actually learned things from treating amber vinson and others? >> yes, it is very fascinating. still a small number of patients, so in order to say you learned things you want to learn from other patients. but one thing that sticks out, how aggressive is ebola? one doctor said we don't know if it is worth it to put somebody on dialysis, and could it put the health care workers at risk? the doctor said he would recommend it. it is a different way of looking at and treating ebola. >> also, amber vinson seemed to recover quickly, they believe she probably got exposed to a small amount? >> there are all sorts of theories. one is, you get diagnosed earlier and treated earlier. >> i always thought even a tiny amount of ebola is devastating. >> here is the way it is, if it is a small amount and replicates and is unchecked. in her case, she got a blood transfusion from somebody who had antibodies. could that come in her system and keep her from getting more sick and prolonging her illness

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 gets

sanjay gupta. sanjay, up till now, most of us were under the understanding that it wasn't necessarily a lethal virus, that you could beat this. and now we're hearing about a child dying. >> yeah, i think that was the general sort of thinking about this and we obviously have been talking more recently about the fact that this particular virus was people associated with developing weaknesses and even paralysis in some of the limbs. one of the things to keep in mind when you think about this sort of thing is that a child who -- this is a sad, tragic story -- but a child with enterovirus 68, you want to know a lot of things about this child. were there other infections? was the child sick in some other way? we know people who have weakened immune systems are going to be less likely to do well from this sort of infection? some of those details are still coming in from -- i read the same report from rhode island that you did. but we talk about ebola and all these different sort of pathogens. you keep in m

sanjay gupta is with us, sanjay he says he doesn't have an objection to the travel ban but doesn't havefor that yet. he says they will monitor the cases in texas, and the flight amber vinson took was all in-depth. and he will go into a discussion about the czar. >> reporter: adding another layer of bureaucracy, that adds more complexity to the situation. but keep in mind, the situation with amber vinson being in dallas, cared for in dallas originally, a local health issue but then getting on the plane to cleveland, coming back to dallas, now in the hospital behind me you do get the sense there is much more than local health issues at play here. there are many other issues that need to be coordinated. and whether that is an ebola czar, if that is the term they're using, whether they can ov oversee the moving parts. whatever that is, and perhaps that is what he is willing to do. >> and in terms of the travel ban, he said it doesn't make sense, people do broken travel ban, it raises the risk in the united states. it doesn't lower them. does that make sense to you? >> well, i think there is

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

sanjay gupta about that. first, we're looking at people experiencing a particular kind of ebola simple tom. symptom. this causes them to behave in ways that experts on the virus say just doesn't make any sense to them. it leads to public confusion, unnecessary fear, possibly delays containment of the virus in africa, ending sadly with the mandatory quarantine. not their own. others. including one man you will hear about in a moment, his case is remarkable. the one who is already famous. the famous one is kaci hickox. despite showing no signs of ebola, she was taken to isolation and was supposed to live there for three weeks. complete with porta-potty. ms. hickox wquarantined because new jersey governor chris christie and new york governor andrew cuomo decided to impose a 21-day quarantine on anybody returning from an ebola-stricken country. yesterday, they were forced to backtrack on the rules and ms. hickox was allowed to leave the tent, however, she still is required to quarantine herself at home in maine f

sanjay gupta. joe johns, david gergen, sanjay gupta and, again, celine gounder. let's talk about what this means from a medical perspective. sanjay, we'll start with you and your reaction first of all to this announcement. >> as jake mentioned, we've been talking about the idea that somebody who could sort of work at the executive level of government but not always through formal channels to get things done with regard to ebola, maybe a person like that would be necessary as we've brought in this notion of airline travel and other things and, you know, it seems like much more than a local health issue and it's consumed attention of many people within the government. ron klain, interestingly enough, has done a lot of things. people may also remember him -- i don't know if jake said this -- but he was involved with the recount back in 2000. in fact was part of that. his character was portray bid kevin spacey in the movie "recount." but he's been around for a long time. he was involved with the company that primarily worked on health, revolution health, steve case's

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

thank all of these doctors for all of their wonderful work and also plans on getting your advice, 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 t

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 as

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

sanjay gupta to tell his story. "sanjay gupta m.d." starts right now. >> all right. i've never done this before, so here we go. the people back home are so jealous. >> yeah. >> you're probably wondering what's happening right now. well, so was i. truth of it is fun of this was supposed to happen, beach, the camel ride, returning to a country my mother fled 70 years ago as a refugee. did you ever think you would be doing this? >> i was not planning on this. snits going to be a journey of surprises. >> yes. >> what are you thinking right now? >> i can't believe it. i can't believe it. >> you never thought you'd come back here. >> never. never. >> now i'm back with my son after 67 years. >> i'm not 67, just to be clear. >> i'm back after 67 years. a lot of things happened because i was only 5, you cannot be 67. >> right. >> i tell people my mom was a refugee when she was a young person. >> i'm still a refugee. i never got back. >> my mom was a survivor of one of the bloodiest partitions in history, the religious wars between hindus and muslims in india and pakistan. you

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

sanjay gupta joins me now. good morning, sanjay. we keep hearing you can't get this virus because it's not airborne, you can't get it through the air yet this photographer contracted ebola somehow in west africa. >> i was e-mailing with dr. nancy snyderman who is the correspondent for nbc news, he was working with her. she says i'm not sure how he got it exactly. keep in mind he just started working with nbc on tuesday and then started to feel unwell the next day, and had that fever. that's what prompted the examination, but he had been in liberia for some time already before that so it's unclear at some point what the exposure was. dr. snyderman, nancy talked a little bit more about what's going to happen over the next few days for him but also for the team because there was a whole team of people that were working with him. take a look. >> once he became symptomatic we only spent a few hours ago. we were working in a work space when he told me he wasn't feeling well. he joined us 72 hours earlier as an independent journalist and h

sanjay gupta, we'll have more in just a bit. what you have just heard from the cdc director, and the apparent miscommunication that sent duncan home despite clear red flags the question is how prepared are hospitals in the united states? drew griffin joins us right after the break. ♪ 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. 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 interne

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

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

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 al

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

sanjay gupta is at cnn head quarters. rene marsh at dulles airport outside washington. sanjay, these four close family members of mr. duncan who were ordered the stain side their home, and if they leave before october 19th, they could be placed under arrest. why would authorities require this? >> well, they want to keep a close eye on them. the concern is that they had direct contact with mr. duncan, could they develop symptoms themselves. at first they said, look, it's okay, go about your business. we just want to make sure you take your temperature twice a day. we have to be able to monitor you that way. for whatever reason, either because they weren't complying or were not able to reliably get those temperatures, they say we'll put you in a location where we can find you. they went through steps of bringing them their food. they're trying to make it so that these people really stay in one location. a lot of this is happening because of this patient, mr. duncan, and not getting tested and admit right away. want to give you a little background on what happened there, ca

sanjay gupta. sanjay, why are these people traveling seemingly so freely when they know they have exposed? >> well part of this is the question should they sort of put it on themselves to limit their travel? they're health care professionals, they've had contact perhaps with the ebola virus and part of it is just sort of what are the rules and regulations. the important, one of the important points here from a public health perspective is that again as elizabeth said if it you're not sick, you're not going to be transmitting the virus, very important. but what we've also heard from dr. frieden a few days ago is that there's this whole policy of what's known as controlled movement and that means if somebody has had contact with a patient who has had ebola, then they can't travel by commercial airline, they can't go on a cruise ship with lots of people. they can in a car or get on a charter plane but shouldn't be doing the movements with lots of other people and that doesn't seem to be happening. peop

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

"sanjay gupta, m.d."om now. >>> coming up next here in the "newsroom," an american on the ground in syria actively fighting against isis and he may not be the only one. is he doing anything wrong by being there? the answer ahead. at t-mobile get 4 lines for a hundred bucks. with unlimited talk, text and now up to ten gigabytes of 4g lte data. plus hook up the family with the samsung galaxy s5 for zero down >>> we're looking overseas now to syria where a kurdish group actively battling isis these there are three americans fighting with them. one of them has now been identified as a 28-year-old named jordan mattson from racine, wisconsin. mattson's friends said he told them last month he was heading to syria and he's now appeared on a kurdish television station. >> i am from wisconsin in the united states. i was previously a soldier in the united states army. i wanted to come join because i got sick of watching so many innocent people be killed as daesh grew and my country doing nothing about it for over a

sanjay gupta pointed out.t the united states is prepared should a highly contagious disease come to our shores? >> i think the fact that we're seeing cases of ebola arrive here now, we're reaping the rewards of not to be month. one charity, doctors without borders has done the bulk of the work. for an international system that's not acceptable. if we want no more cases coming it has to be controlled in west africa. the administration stepped up now to do that,er other country needs to be putting resources in there as well. >> call to action from dr. van tulleken, dr. fauci, dr. sanjay gupta, thank you for the conversation had and it will continue on cnn. >>> another story of great concern the man being held for the disappearance of hannah graham under the microscope. will jesse matthew be linked to other unsolved cases in virginia in we have new details for you ahead. a simple question: in retirement, will you have enough money to live life on your terms? i sure hope so. with healthcare costs, who knows. umm..

sanjay gupta, the doctor, director of center for disaster preparedness at columbia, and the author of many books, upcoming "ebola" history of a deadly virus. sanjay, thomas duncan symptoms, visits to the hospitals, you heard louise describe it. how clear sunny was, duncan arrived from liberia, told the person when she checked them in. the person asked for social security, he didn't have one from liberia. she told the health care worker as well. by her account the hospital didn't miss understand. they just didn't seem to consider that this could be ebola. i think you are right. we heard the same thing from the hospital now. that jibed with her version of events. at first, remember anderson weave couldn't figure out what happened here. we heard the hospital hadn't asked and mr. duncan hadn't disclosed he was from liberia. we know that is not true. because the next day the hospital came back and said, well in fact, we did ask. we were told that he is from liberia. but somehow within the team, the health care team, the information got lost. somehow wasn't acted upon. that is a mess. that,

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

sanjay gupta. also a senior fellow at the institute for humanitarian affairs. thor of the book, ebola, the natural and human history of the deadly ebola virus. sanjay, we're getting a lot of questions, cary asked why are patients with ebola being treated at different hospitals and not at just one or two standard locations. a lot of people have asked us that. >> well, a lot of that has to do with where the patients end up. so in the case of mr. duncan he was obviously in dallas when he got sick and went to the emergency room there. and the anticipation, if you sort of had to look in the future a bit, we're likely to get other patients in the united states that after arriving here will be diagnosed with ebola. so they may not be in one of these places that have the centers, the emory, the nebraska, the nih, those places. so that is why the local hospitals, the local emergency departments have to have some of this training. they're still going to be the first line even he haif the pat are subsequently transferred. >> and even if it not here, it could be down the ro

sanjay gupta joins us live with the very latest. >>> a new shocking secret service blunder.nauthorized man riding in an elevator with the president. this as the agency's

sanjay gupta outside emery hospital where vinson is being treated. sanjay, what do you know about her condition there this morning? >> reporter: she got here late last night. we expect we'll get an update sometime soon. we know -- you probably saw the video of her walking off the plane, getting into the ambulance, obviously a good sign, ana overall. that's the building where she's going to be treated. we know it's the same team that treated dr. brantly and mrs. write writebol. as you know, ana, they've had a pretty good track record. two patients, dr. brantly and mrs. writebol. a third patient is doing well, expected to be discharged sometime soon. >> based on what you know, sanjay, what is the difference? we know this is a special bio containment unit. the people have expertise in treating highly infectious diseases. what are they doing differently that hasn't happened in dallas? >> i don't know that they're doing anything differently as much as they've just been trained really well. they've done the training, the dils over and over again. we know th

sanjay gupta here in atlanta, and listen to this testy exchange, sanjay, between the secretary of health and human services and matt lauer on the "today" show this morning just a couple of hours ago. >> yet with all due respect, madam secretary you're not answering my question. do you have complete confidence that that facility can successfully treat these two patients without spreading this virus further? >> matt, what we have put in place are what we believe oversight and assistance in the implementation of the protocols that we know can work and have worked over 30 years in terms of fighting ebola. >> so sanjay, first off, silvia burwell there cites the strength of ebola protocols but that seems to be what failed to begin with. >> to some extent. let me give detail, it's important, there are two parts to this, ana. one is the prevention of secondary infections, of other people getting an infection, and then the other part is the treatment of a patient once they are infected. you got to think about these things a little bit indifferently. from a treatment standpoint, given that there i

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

sanjay gupta here to answer some of the questions that you have been tweeting us. here we go. with this one. can ebola survive on surfaces such as door handles and glass windows if somebody sneezes, can i contract ebola that way? >> a couple questions there. so it can live outside of the body, this ebola virus. maybe even up to a couple days? it's still unlikely that if someone touches a surface with ebola virus is and then touches their nose, eyes or mouth they could get the infection that way but it's unlikely. we haven't seen that actually happen. we don't think that's common. as far as sneezing goes, it's one of these things if somebody were to sneeze, it's not so much that it's putting the virus into an airborne state, but if they were to sneeze onto somebody else and the person was infected, that could potentially cause an infection. so sneezing in close proximity more from bodily fluids could cause an infection and it can live outside the body but that's less likely as a source of an infection. >> this is interesting. how long is the ebola virus transmittable in sweat o

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

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sanjay gupta outside the cdc. sanj sanjay, since you had that conversation, we have learned this hospital did not ask the man whether he had been to liberia or west africa nor did that man volunteer it. so clearly -- i mean, do you think there is some kind of breakdown in the proetd kohls here? >> i think there's no question there was and it's too bad because in so many ways there's been months now that they have had to prepare for this. john, i think you and i talked about this a few months ago even when i was in guinea at that at some point this exact situation will happen. there will be a patient who arrives in the united states and is diagnosed with ebola. my point is that there's been plenty of time to prepare for this sort of thing and the fact that there's a lot of difficult challenges, obviously, in taking care of patients with ebola, but getting a simple travel history, being able to identify those patients who are high risk, that's one of the easy things. that's lower down on the list that, you know, we -

sanjay gupta is joining the conversation. y, your reaction to this second case and it being transmitted from thomas eric duncan not to one of the four people under quarantine, but a health care worker at this hospital. >> it represents the first time, as you have been talking about, that ebola has now spread from person to person in the united states. that's what we've been talking about in spain over the last several days. there's going to be a lot of questions and hopefully some of the questions will be answered at 8:30. but as he was saying, the question about what exactly this health care worker came in contact with mr. duncan, was this someone who came in contact with him at his first -- the first time he went to the hospital? and was turned away? was it someone that came in contact with him at the second visit when he was admitted but before hes with diagnosed with ebola? or is this a health care worker that came in contact with him after he was officially diagnosed? those are three different scenarios completely. if it

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 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

sanjay gupta live from the cdc this morning, thanks so much. >>> next hour dr. gupta will answer your ebola questions. tweet them to us at cnn usi using #ebo laqanda. we'll get to as many of your questions as possible. there's word another patient in hawaii is undergoing testing for ebola. health officials in honolulu are tight-lipped about the case saying the patient shows symptoms consistent with ebola and a number of less fearsome influences flu and malaria. the patient is in isolation and the early stages of testing. >> what we've asked the hospitals tell us about is anyone with a travel history and anyone with a fever, and when those two come together, we've asked them to be very careful and in an abundance of caution while you're working with them whatever else might be going on, make sure you isolate against ebola just in case that is the case. >> health officials won't say whether the patient had recently traveled to west africa or for how long they've shown these symptoms. the hospital says it is equipped to deal with ebola if the tests come back positiv

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

sanjay gupta and jim acosta. it sounds like the president was upbeat, overly optimistic about the readiness of the united states to deal with ebola. >> yep. i think that's right. wolf, i think it reflected what i think a lot of people were saying including the leaders at the cdc and even within the nih, and so it sort of -- they all had a similar message that it was an unlikely thing to occur a patient would come here with ebola although they thought it could occur, thought it was unlikely. that has happened. they talked about flight crews would be informed and trained to recognize someone who is sick with ebola, laboratories would be increased in their capacity to test for ebola and i think most importantly, and to this discussion that hospitals would be prepared to be able to take care of patients once they were diagnosed with ebola. so all those things that he talked about back on september 16th have now been tested, wolf, and just once, you know, this dallas hospital and so far track record has not been very g

sanjay gupta is back us with. could it become airborne?, you've been studying ebola since 2003. you say ebola is prime to go airborne. why do you believe that? >> so we know from our own studies and those of our collaborators that ebola is capable of entering human airway tissue from the airway size. so lung tissue can be entered from the airway side. this is exact lit mode of entry that influenza takes to get into the lungs. i'm not saying -- and i reiterate, we have no evidence that in the current epidemic there has been airborne trans mission. however, when this issue is discussed, people frequently said there are no receptors on the lung, this can't happen and viruses don't change their mode of transmission. none those statements are in fact true. and that's why i have been trying to speak out on this. there are a few others that i was trying to make this point as well. >> in theory, it's possible. this happens with bacteria and other infectious diseases. we come up with andy buy ottics and other treatments to fight bacteria and then w

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

sanjay gupta and he is outside of emory hospital as they await the patient. i know you just got off the phone with a government official and you have news about why the decision was made to send this nurse to emory but not the nurse currently still at dallas presbyterian. >> reporter: it sounds like a staffing issue, erin. i've been curious about this decision for amber to come here in emory, because it would provide better treatment or were they concerned about the ability to contain ebola in dallas and thought memory would do a better job. we are hearing a slightly different picture and an important one, they are worrying about taking care of patients because of staffing in dallas right now. as was said to me by the government official, there is concerns that there are nurses walking out and not able to care for the patients. so it is not as much of a situation, there is a magic potion or wand waived here at emory, but they are concerned they can't keep up with her care over there, erin. >> that is pretty significant. that they would be at this point saying