OPERATOR: Your lines have been place on a listen-only mode. During the question and answer session, you may press star 1 to ask a question. Today's conference is being recorded. If you have any objections, please disconnect the line. I'll turn the call over to Dr. Barbara Reynolds. You may now begin.
BARBARA REYNOLDS: Good afternoon. You're joining CDC's briefing on our Ebola response update. You'll be hearing from two speakers today and then we'll take questions. Could i please ask for those who are going to be asking questions in the room that you wait for the microphone so that we can hear that question. Our first speaker today is CDC director Tom Frieden.
TOM FRIEDEN: Thank you very much and good afternoon. Today we are deeply saddened by the death of the patient in Dallas. Despite maximal interventions, we learned today that he passed away and our thoughts go out to his family and friends. He is a face that we associate now with Ebola. Since the start of the epidemic, 3,742 patients in West Africa have been documented to have died from the disease. We don't have their faces as prominently in front of us, and we know that even more people have been affected. So we think about this and we remember what a deadly enemy Ebola is and how important it is that we take every step possible to both protect Americans and stop the outbreak at its source in Africa. One of the things we do to protect Americans here in the United States is to improve our preparedness in our health care system. The three key steps are first thinking of the possibility of Ebola and identifying who may have the disease so that, second, they can be rapidly tested and, third, effectively isolated. That's crucial for our response and identification; diagnosis and safe care of anyone who may have Ebola needs to be top of mind right now for health care providers throughout the country. We have provided by detailed national should be available to every front line health care worker about how to address a patient who may have Ebola. Anyone with fever should be asked if they have been in West Africa, specifically guinea, Sierra Leone and Liberia in the past 21 days and, if so, rapidly isolated, fully assessed and, if appropriate, tested for Ebola. We provide something called health alert networks which reach hundreds of thousands of health care workers. We do webinars; we reach out to professional associations, hospitals, emergency department associations, medical associations, and many others, so that we can ensure that the available information is up to date and useful. Right now, the bottom line of what we're talking about today is that we're stepping up protection for people coming into this country and for Americans related to travel. We will continuously look at ways that we can increase the safety of Americans, and we do that at many different levels. We do that in Dallas where officials there are working intensively to monitor every person who might have had contact with the index patient to ensure if they do develop fever they're immediately isolated and the chain of transmission can be broken. We do that in our health care system with the kind of outreach i have described so that patients will be rapidly diagnosed and, if found to have Ebola, rapidly and effectively isolated. We do that at the source, understanding that until this outbreak is over in West Africa, whatever we do can't get the risk to zero here in the interconnected world that we live in today. And we do that through entry and travel programs, including the efforts that we undertake in West Africa and some that will be described in more detail later in this briefing. I think before turning it over to the deputy secretary Alejandro Mayorkas from the department of homeland security i would like to emphasize the basic principle we use while looking at intervention. Protecting Americans is our number one priority. Second we make sure that whatever we do is something that works, that we evaluate, and that we can think of ways that we can continuously improve. Third, we recognize that whatever we do until the outbreak is over in West Africa, we can't get the risk to zero in this country. That's why we continue to surge the CDC response in West Africa and the whole of government U.S. response in West Africa and, in fact, the international response where we're seeing hundreds of health care workers, hundreds of millions of dollars and intensive effort deployed in the three countries most heavily affected. And finally, as we say in health care, above all, do no harm. We have to be sure that whatever we do doesn't intentionally increase the risk that we will be at risk. Just to remind us of what happened a decade ago in the SARS outbreak. The SARS outbreak cost the world more than $40 billion but it wasn't to control the outbreak. Those were costs from unnecessary and ineffective travel restrictions and trade changes that could have been avoided. What we want to do is ensure that we don't undermine our ability to stop the outbreak at its source and unintentionally increase our risk here. So to outline some of the new measures being taken and review some of the measures that are already taken, I'll turn it over now to deputy secretary Mayorkas.
ALEJANDRO MAYORKAS: Thank you very much, Dr. Frieden. The department of homeland security is focused on protecting the air traveling public and is taking steps to ensure that passengers with communicable diseases like Ebola are screened, isolated, and quickly and safely referred to medical personnel. We have implemented a range of measures to ensure a layered approach. To date, the existing measures in place include issuing "do not board" orders to airlines if CDC and the department of state determine a passenger is a risk to the traveling public. Two, providing information and guidance about Ebola to the airlines. Three, posting notices at airports to raise awareness about Ebola. And, four, providing a health notice commonly referred to as a care sheet to travelers entering the United States that have traveled from or transited through the affected countries with information and instructions should there be concern of possible infection. We are announcing, we have announced today enhanced measures, specifically the enhanced screening will consist of targeted questions, temperature checks, and collection of contact information of travelers from the three affected countries entering the United States at five airports — JFK, Newark, Dallas, Chicago O'Hare, and Atlanta. Customs and border protection officers by way of background, the CBP officers observe all passengers for overt signs of illnesses through visual observation and questioning as appropriate. For those entering the United States at all ports of entry. In addition, moving forward all travelers arriving to the five airports i identified in the United States from Liberia, Sierra Leone, and Guinea will undergo the enhanced screening measures. They will answer targeted questions about whether they have had contact with Ebola patients. We will collect additional U.S.-based contact information should CDC need to contact them and finally we will take their temperature with a non-contact thermometer which can be a key indicator of potential infection. We are taking these additional measures in a dynamic environment to ensure a layered approach and that we take the security measures that we assess to be needed right now. With that, Dr. Frieden, I'll turn it back.
TOM FRIEDEN: Thank you. And before opening for questions I would just recap that starting at JFK on Saturday and at the four other airports that were mentioned in the following week — and that was Dallas, Newark, Chicago, and Atlanta — these five airports represent about 94 nearly 95 percent of all of the 150 travelers per day who arrive from these three countries. The department of homeland security, CBP, customs and border protection will be implementing a new detailed questionnaire as well as a temperature taking and providing information to each traveler. If any travelers are found to either have a fever or have history of contact with Ebola then the on-site Centers for Disease Control and Prevention public health officer will further interview that individual, assess the individual, and take additional action as appropriate. Now, I want to really emphasize that this is stepping up protection. It's going to find people with fever or contact who don't have Ebola. In fact, we know that over the past couple of months about one out of every 500 travelers boarding a plane in West Africa has had a fever. Most of those had malaria. None of those as far as we know have been diagnosed with Ebola. So we expect to see some patients with fever and that will cause some obvious and understandable concern at the airports. I would like to spend a minute just talking about malaria, because it is so important to understand how it's relevant here. Malaria is spread by mosquitos. You can't get it from somebody else and malaria is a disease which, in West Africa, is extremely common. It's also a disease which traditionally has been known in health care as a fever that comes and goes. So it may come for 48 hours and then go away in cycles of every two or three days. The species of malaria in this part of the world, it comes back every two or three days. So it would not be surprising if we saw individuals with malaria have a fever after coming back here. And that might be common presentation among those who have fever, if any such people are identified. This is why; incidentally, we strongly encourage Americans traveling to areas of the world that have malaria to take preventative medications which are highly effective at preventing malaria. What we would do in this situation is a clinical assessment and an exposure assessment. If appropriate, we would then hand that individual off to either the local health care system that might need to assess and isolate the individual and test them and we would facilitate that, or to the local public health system which would — if the person is actually a contact take appropriate action to at a minimum ensure that their temperature is taken every day for 21 days after the last exposure. So just before taking questions I would reiterate what we're doing is stepping up protection. We will evaluate the new measures and start them on Saturday at JFK and other the coming week at the four other airports i mentioned. We will evaluate this experience. We're always looking for ways we can better protect Americans. Thank you and we'll start with questions in the room. Just wait for the mic, thank you.
REPORTER: Dr. Frieden, there are critics out there saying even with these enhanced efforts that people will fall through the seams, that it won't be enough. Will these efforts be enough to protect the country, to protect other people from Ebola?
TOM FRIEDEN: What we're doing is putting in additional protections. We've been very clear that as long as Ebola continues to spread in Africa, we can't make the risk zero here. We wish we could. We wish there were some way that we could make it zero here. And i understand there have been calls to ban all travel to West Africa. The problem with that approach is that it makes it extremely difficult to respond to the outbreak. It makes it hard to get health workers in because they can't get out. If we make it harder to respond to the outbreak in West Africa, it will spread not only in those three countries but to other parts of Africa and will ultimately increase the risk here. That's why the concept of above all doing no harm is so important. Next question in the room.
REPORTER: Hi. I'm wondering what other times that such screening might have been conducted at airports and, if so, how effective is this actually at finding sick people?
TOM FRIEDEN: We have looked at different screening methods at different times. The thermometers that are used are highly effective. They're FDA approved; they're approved for use in U.S. hospitals, they don't require touching the patient and they give a reliable result. Deputy Secretary Mayorkas, is there anything you'd like to say about prior events?
ALEJANDRO MAYORKAS: I do not believe so, Dr. Frieden, thank you.
TOM FRIEDEN: Next question in the room.
REPORTER: What's the legal authority that the federal government has to hold American citizen if they need to be quarantined. And there have been some public health experts that have said it's looking like a needle in the haystack and the effect of what's happening is to calm the public panic about people that — that the risk, that the actual usefulness of catching somebody with it is pretty low but that the real effect is to calm people down, basically.
TOM FRIEDEN: I'll make a couple points and turn it over to deputy secretary Mayorkas. The first point is that the number of travelers is relatively small. We're talking about 150 per day. So it's not an effort that would be particularly disruptive to large numbers of people. We think it's manageable. And in terms of the legal authorities, both within the public health and within the border efforts, there are legal authorities. In public health most fundamentally there's a right to protect the public and we can do that by isolating individuals who may be infectious and may be a risk to the public. Mr. Mayorkas?
ALEJANDRO MAYORKAS: Thank you, Dr. Frieden. I would just amplify that response. Indeed in our screening we have the authority to take measures with respect to U.S. citizens as well as non-citizens to ensure that the public safety or security is not threatened. That is in the public health arena just as it is in the national security arena. Thank you.
TOM FRIEDEN: We'll go to the phone for the next question. I'll take a few from the phone and come back to the room.
OPERATOR: Our first question today is from Jon LaPook with CBS News.
JON LAPOOK: Hey, Tom. How are you? Here's my question. The CDC has said that really all we need are face masks, gowns and gloves in order to be adequately protected but then you see these big hazmat suits and I'm wondering if, ironically, any consideration is being give on the possibility that these clunky suits are actually increasing the risk of inadvertent contamination because in taking them off somebody can actually get contaminated.
TOM FRIEDEN: Thank you, Dr. Lapook. There is definitely a balance here. The more cumbersome personal protective equipment is, the greater the possibility that there will be a problem. For example, in West Africa, we have seen needle sticks with clean needles but through infected or — not infected but potentially contaminated gloves. It's difficult to work in more cumbersome personal protective equipment, and that's why we're looking at many practical approaches that will still be safe. We recognize that there's understandable concern with the infection in Spain, with the infections in West Africa to make sure that our health care workers are safe, and that's why CDC has infection control experts who work intensively with any facility that is concerned about or has a patient with Ebola. Next question on the phone.
OPERATOR: Our next question is from Sean Robb from FOX News.
SEAN ROBB: Thank you for taking my call. My question, doctor, you may have explained this in a previous conference call. Explain to us whether Thomas Duncan was eligible to receive blood plasma from Dr. Brantley.
TOM FRIEDEN: Specific questions about the care of the patient who died in Dallas would have to be referred to the hospital there. I would just remind us that Ebola, even with the best of treatment, is a terrible disease and is fatal in a high proportion of cases and we encourage rapid and early diagnosis because the earlier someone is diagnosed, the more likely they will be to survive. In the room.
JOSH SHIREK: What information can you tell us about a possible second Ebola patient in Texas? Do you know whether this person was in contact with Mr. Duncan? Was he one of the people you've been watching? Was he also, perhaps, recently in West Africa?
TOM FRIEDEN: My understanding, and this is kind of recent information, but we will get definitive information in the next few hours, is that there is someone who does not have either definite contact with Ebola or definite symptoms of Ebola who is being assessed. And you know what we expect is that as people are more concerned, has there's a higher index of suspicion people will be assessed, there will be rumors and concerns and potential cases. And that's as it should be. We should just keep in the perspective. Right now, there's only one patient who's ever been diagnosed with Ebola in the U.S. and that individual tragically died today. We are tracing the other — the 48 people, ten with definite and 38 with possible contact. None of them as of today has had fever or symptoms suggestive of Ebola. But we recognize we're not out of that 21-day waiting period and we're actually at the peak incidence period of eight to 10 days so it's certainly time when we're anxious and carefully assessing.
TOM FRIEDEN: We'd have to get back to you on that. My understanding is that he had neither definite contact nor definite symptoms suggestive of Ebola. Next in the room.
NOAM LEVEY: I'm with the "Los Angeles Times, given the demand for manpower and supplies in West Africa, are there critical resources that are being diverted for the screening process that could perhaps be better utilized on the ground in West Africa or elsewhere?
TOM FRIEDEN: The screening program here is not diverting from or in any way undermining our efforts in West Africa. Temperatures will be taken under the supervision of customs and border protection. CDC already does staff quarantine stations. We'll need to add a small number of additional staff to provide 24/7 coverage at these five airport and it's in no way going to make it more difficult for us to stop the outbreak in Africa. In the room.
REPORTER: Earlier you talked about the added level of screening includes checking temperatures. But if the symptoms don't show up for potentially 21 days, how does that help?
TOM FRIEDEN: We're looking at every layer that can be put in and we're assessing different possibilities for what can be done. One of the issues that's quite important is the information that's provided to travelers who arrive in this country. And that's provided in West Africa, it's provided by here through the CBP entry station, through information to individuals entering here. And that's one of the areas that we'll be looking at closely in the coming days. Next question in the room.
REPORTER: Could you describe where the decision to do this additional screening at airports came from? Did it originate in homeland security or with the CDC or in the white house first? I ask because i know you were critical of taking this step a week ago. And second, can you tell us a little bit more about the quarantine facilities? Will they be at each of these airports? Will the staffers testing temperatures and asking these questions, will they be wearing protective gear?
TOM FRIEDEN: I'll start and ask Deputy Secretary Mayorkas to continue. I have said consistently that we will do whatever is effective to protect Americans. This is a whole of government response. It's a whole of government response in Africa and it's a whole of government response here. And we look carefully to see what we can do and what we can do most effectively to protect Americans. Deputy secretary?
ALEJANDRO MAYORKAS: I would echo — thank you, doctor. I would echo Dr. Frieden's remark. This has been a collective effort across the administration to respond to this outbreak of Ebola in West Africa. The individual customs and border protection officers will not be wearing masks. That has been the medical assessment of the need right now. Thank you.
TOM FRIEDEN: Yes, there are quarantine stations in each of these airports.
JONATHAN COHN: Hi Jonathan Cohn from the New Republic. You said that we can't eliminate the threat to the United States until we take care of the outbreak overseas. Can you speak to a second for the state of the international response? What is the resource situation there? What needs to happen to stop the outbreak that isn't happening already?
TOM FRIEDEN: We're seeing surging in of resources into the country, into each of the three countries. And what CDC is doing is now surging out to each of the counties and districts within the countries. These are three countries that have three different epidemics. Liberia has had the most extensive epidemic so far. There have been in some areas of Liberia some decreases in recent weeks, but we don't know whether those will hold. In Sierra Leone we're continuing to see increases in cases that are very concerning. Guinea has seen increases and decreases and we're monitoring that very closely. We've seen a greatly strengthened response from the World Health Organization and the United Nations. We've seen many other countries stepping up, including the United Kingdom. If you look in Sierra Leone and if you look at our efforts just as an example through laboratory work, CDC operates several of the essential laboratories in these countries, but in addition the United Kingdom, South Africa, Russia, China, Canada, the European Union, and I'm probably leaving out a few, they also do laboratory work. So there has been really a strong international response. The challenge is how rapidly the disease is spreading. But we are seeing in West Africa some signs of progress. For example, we're seeing more safe burials in Liberia. USAID has contracted with an organization that's expanding throughout the country to provide safe burial services. We're working closely with communities to do that and to increase isolation and treatment capacity. So I think we're beginning to see that kind of surged response have an impact on the front lines, but it's going to be a long, hard fight and in West Africa we're far from being out of the woods.
TOM FRIEDEN: There has been a major effort from the U.S. and other partners. We hope and expect to see more resources coming in from countries around the world matching the kind of leadership that the U.S. is showing. Right now, the biggest challenge is getting the resources needed to the front lines where they're most needed. We'll go to the phones for a few questions.
OPERATOR: Our next question is from Marilynn Marchione with the Associated Press.
MARILYNN MARCHIONE: Hi, thanks very much. I wanted to ask about the situation in suburban Dallas. Dr. Frieden, you said the person does not have definite contact with Ebola or definite symptoms. Did he or she have possible contact and was this person among those you were tracking already? Is CDC involved in this case?
TOM FRIEDEN: You know, since it's an emerging situation I really would have to refer you to Dallas. Often in situations like this, information may change from minute to minute. But I would just reiterate what I said earlier. We don't have a concern for symptoms consistent with Ebola or for definite contact as far as everything that I have learned up to a few minutes ago. Next question on the phone.
OPERATOR: Our next question is from Leonor Ayala with Telemundo Network.
LEONOR AYALA: My question is more regarding air travel and the new procedures for the five different airports. Is there a special procedure that — or any guidance giving to the airlines when thinking about cleaning an aircraft that has just arrived from West Africa? Is that a necessary precaution to take? And if so, can you explain what the airline should be doing in that regard?
TOM FRIEDEN: CDC has detailed guidelines and works very closely the airline industry. There are guidelines, if there were to be a patient potentially with Ebola for enhanced cleaning of the airplane. Deputy Secretary Mayorkas, is there anything more that you would like to add?
TOM FRIEDEN: In the room then? Let's go to people who haven't asked questions.
SARAH WHEATON: Sarah Wheaton with Politico. You noted that earlier diagnosis increases the chances of survival. So given the delay in the diagnosis of the Dallas patient, did that lead — did that contribute to his death? And also, it's still ambiguous what the communication failure was at that hospital and so how can Americans be confident that other hospitals are not going to make the same mistake?
TOM FRIEDEN: I can't comment on what might have happened with an individual patient, but one of the things that we're working hard to promote now is ensuring that doctors and nurses, pharmacists, health care workers throughout the health care system think Ebola in anyone who has fever and ask whether they have been in West Africa in the past 21 days. That's really important because that will help us ensure that if there is another patient who arrives; they're rapidly identified for their own sake, for their care and the community's sake to isolate them promptly.
CALEB HELLERMAN: Caleb Hellerman, CNN. Just following up on Marilynn's question a bit. We've heard a little bit about who this person is in Frisco, Texas. Just to clarify the 48 people who contacted, either high or low risk, are all 48 of those, are they being monitored with a personal in-person temperature check so if this person was not one of them they would not be getting those checks? Is that fair to say?
TOM FRIEDEN: In Texas, very intensive work has gone on to identify everyone who had — appears to have had definite contact with the index patient and everyone who might have had contact with the indexed patient. That identified ten people with definite contact and 38 in whom contact could not be ruled out. For those 48 people, every one of them has been identified, monitored everyday with someone from the public health system measuring their temperature with an accurate device. None of them have had symptoms. None of them have had fever. There have been rumors and concerns of other contact or other cases, none of those have panned out. I understand there's a situation now that's being assessed. Again, the latest information we have is no definite contact, no definite symptoms.
KELLY MURRAY: Kelly Murray, CNN Money. Two questions. One is that Duncan didn't have a fever when he was questioned and he lied about his contacts so would our screening process now be effective in catching him today? And second of all, can you talk a little bit more about what cost the $40 billion in the SARS epidemic and what we're doing to prevent that type of needless problem today?
TOM FRIEDEN: So it is true that the index patient when he left Africa didn't have a fever and we think he didn't have a fever when he arrived here. He became sick four days after arrival. These additional questions may have identified him as a contact interviewed by CBP, Customs and Border Protection, after arrival in the U.S. We're looking at every step that can be taken to increase the likelihood that if somebody arrives and develops Ebola they will be rapidly diagnosed and isolated. In terms of the costs of SARS, many of those costs were related to people cancelling travel, to trade restrictions or to trade that didn't occur and I have to say, I've spoken with business leaders who've emphasized to me that there's so many misconceptions about Ebola that they're already seeing things like a reduction in investment in parts of Africa that are not in any way, shape, or form involved in the Ebola outbreak. So we're concerned that if we don't ensure that we focus on what works and do that well, we may have that same kind of unnecessary and counterproductive cost here. On the phone, please.
OPERATOR: Our next question is from Anna Almendrala from Huffington Post.
ANNA ALMENDRALA: Hi. I wanted to ask a question about the difference in care between Thomas Eric Duncan and Kent Brantley but I think you've already addressed that you're referring those questions to hospitals, is that correct?
TOM FRIEDEN: Yes, I would just comment that each patient's situation is different. Unfortunately ZMapp, which is a promising, but unproven experimental treatment for Ebola, is not available. There is, as far as we understand, no more of it in the world. And while people are working hard to manufacture more, it takes a long time to develop. Other medications, it's really up to the treating physicians and the family whether or not to use. So that's all I would have to say at this point. Next question on the phone.
JACK NICAS: Hello. Are these announced measures the extent of the new screening protocols or is there more to come? I.e., screening for outbound travelers in West Africa or further screening for those travelers or for other ports of entry here in the U.S.?
TOM FRIEDEN: First off, screening of outbound travelers is already under way, has been for some time. Every person leaving that has their temperature taken with an FDA-approved device. Every person leaving is monitored for fever and over the last two months we have identified 74 with fever and three others with symptoms that resulted in them not boarding the planes. So outbound travel is being monitored now. We're always looking at all of the programs that were implemented to see how they can be better or more effective. One of the things that we'll be looking at in the coming days is how this pilot goes or how this program goes starting in JFK and rolling out to the other four airports and thinking about what else can be done as we continuously work to increase safety of the American people.
JACK NICAS: Okay, thank you. One follow-up. You mentioned yesterday, I know you've done screenings of outbound travelers but you mentioned maybe strengthening those outbound screenings. And one other quick follow-up. How will passengers to be screened be identified? Particularly if a traveler's original flight out of West Africa is a separate booking from their U.S.-bound flight? That means the original flight won't show up on itinerary data provided to CBP.
TOM FRIEDEN: Deputy Secretary Mayorkas, would you like to respond?
ALEJANDRO MAYORKAS: Yes, thank you very much, Dr. Frieden. And if I can just add something in response to the immediately preceding question that we are working very closely together across the administration and we will continue to assess the risk of the spread of Ebola into the United States and take additional measures as necessary to protect the American people. I think it's very important to emphasize a — the point that Dr. Frieden made which is we are continuously assessing the situation and taking the measures that we deem necessary. We have in our screening capabilities the ability to identify individuals' travel not only with respect to the last point of departure, but the point of origin. And so that we can, in fact, identify the full journey of the individual arriving in the United States. Thank you, doctor.
TOM FRIEDEN: In the room?
WENDY CORONA: Yes, hello, Wendy Corona with WSB-TV. My question to you is the goal has always been to stop the outbreak at the source. We're seeing that that is not the case anymore. Ebola was identified originally decades ago. What can you tell us then? Is this a new day for the U.S.? Is Ebola here in essence as one of our viruses and diseases that we need to keep an eye on?
TOM FRIEDEN: We have stopped every Ebola outbreak until this one. This is an unprecedented outbreak in West Africa. We're surging the response with a whole of government approach from the U.S. and the global community. It's going to be a long, hard fight, but we remain convinced that we can contain the outbreak in West Africa. If we fail to do that, then it would be a very different situation because it could spread to other parts of Africa and could be a longer term risk to us here now. But as of today, the only patients with Ebola in the U.S. are in hospitals. The only risk is among people who have returned in the last 21 days. And it is important to put in perspective what the risks are. Ebola is scary. It's a deadly disease. But we know how to stop it and we're stopping in West Africa community by community. Dallas is doing an excellent job of tracing contacts to stop it there. And health care workers throughout the U.S. need to think Ebola in people who have fever and have returned from any of these three countries in the past 21 days. Two more questions then we're going to stop. I think, sir, you haven't had a chance.
DOUG STODDARD: Doug Stoddard with NBC news. Earlier today CDC sent out strict guidelines with handing the human remains of Ebola patients. Can you expand on the guidelines and if the CDC will be playing a role with the Dallas victims?
TOM FRIEDEN: Yes. As in Africa, we're concerned of that handling of individuals who have passed away from Ebola is a very high-risk procedure. The way Ebola works is, if you're exposed but not sick, you have no ability to pass it on to others. As you begin to get sick and off fever you may be able to pass to others and the sicker you get the higher the amount of virus in your body. When someone dies from it, there are large quantities of virus. So we have worked very closely with the authorities in Texas to ensure that respectfully and with the ability of the family to view the body, the patient, who died earlier today, his human remains will be safely removed and safely handled so that they will not present a risk to anyone in the family, to anyone in the health care system, or to anyone who's participating in the process of burial. We have one last question and that will be back to the beginning.
CHRISTOPHER KING: Christopher King with CBS 46 in Atlanta. Again, we already know about Nancy Writebol and Kent Brantley, but there was a patient who was brought here to Atlanta about a month ago. What happened to that patient and can you tell us who that patient is?
TOM FRIEDEN: We don't reveal information about individual patients. We certainly provide detailed consultation from CDC on every single patient who we find; every single patient who might have Ebola so that we can provide that expert consultation and ensure that they get the care that's available here. So just in wrapping up, I'd like to thank all of you for your interest. I'd like to remind us of the tragedy or Ebola for the patients' family in Dallas and for the thousands of families throughout West Africa that have been dealing with this terrible disease for the past six months. I'd like also to thank the Department of Homeland Security and Deputy Secretary Mayorkas for their partnership in this and for Customs and Border Protection and the commissioner there, Gil Kerlikowske, with whom we work very closely and have a very productive relationship. And remind us that the bottom line here is that we're stepping up our efforts to protect Americans, that we will always look at what works, we'll continuously evaluate it and consider what more we can do to keep Americans safe, understanding that as long as Ebola is spreading in Africa it will remain a risk here. We will do everything we can both to stop it at the source and to protect Americans here. Thank you very much.


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Alice Lloyd College would like to announce that Jerkia Leann Vandyke of Keen Mountain, Virginia and Victoria Danielle Halcomb of Pikeville, Kentucky have been named this year's recipients of the Bhatia Foundation, Inc. Scholarship for the 2010-11 academic year. This scholarship was established in 1996 by Dr. and Mrs. Sarvan K. Bhatia in loving memory of their dear parents, Shri Hansraj-Kaushalaya and Lahorimal-Kartar. To be considered for this scholarship, students must have an interest in nursing, math or science education and must have a minimum cumulative GPA of 3.5. As recipients of the Bhatia Foundation, Inc. Scholarship, Jerkia's and Victoria's names will be engraved on a beautiful plaque to be displayed on the campus of Alice Lloyd College.


text:
by James Schlarmann in Government, Medicine
Doctors Marvel at Discovery of Vertebrate Republican
WASHINGTON, D.C. — Over the weekend, scientists and medical professionals were stunned, shocked, but ultimately quite excited about the re-discovery of a species of Republican — one that is a vertebrate.
"When Republicans were first discovered back in the middle of the 19th century, there were actually lots of them that had spinal columns," Dr. Benson Hunnydeux told reporters from the National Institute of Institutional Biology this morning. "In fact, up until about the 1968 presidential election and the Southern Strategy, there were Republicans registering black people to vote in the Jim Crow south and participating in Freedom Rides, but from that point on, the number of vertebrate Republicans dwindled to the point that we'd all thought they were extinct."
On Saturday, Republican Congressman Justin Amish of Michigan, a man who was elected to Congress as part of the Tea Party wave of 2010, called for the impeachment of President Donald Trump. Amash threaded his thoughts on the Mueller Report into a series of tweets that spelled out his belief that Attorney General William Barr has been lying to the American people about what FBI Special Counsel Robert Mueller's report says or doesn't say about Trump's conduct. Amash accused his fellow Republicans of not reading the report because they're afraid they will come to similar conclusions.
Here are my principal conclusions:
1. Attorney General Barr has deliberately misrepresented Mueller's report.
2. President Trump has engaged in impeachable conduct.
3. Partisanship has eroded our system of checks and balances.
4. Few members of Congress have read the report.
— Justin Amash (@justinamash) May 18, 2019
"When Rep. Amash tweeted that he believes Trump should be impeached, it sent shock waves through our whole institute," Dr. Hunnydeux said. "This is like discovering a pack of wild dinosaurs somewhere. This is like finding a mammoth just cold kickin' it in some suburban mall parking lot! Ladies and gentlemen, we've found a Republican with a spine, and we want to study it and hopefully get it to breed in captivity, which would give us one hell of a shot of saving the GOP."
The endangered nature of vertebrate Republicans "has always been of grave concern" to Hunnydeux's team.
"We watched them treat Trump not even with kid gloves the first two years of presidency. If Obama had done half the things Trump did, they'd have not just impeached him, they'd have drawn and quartered him," Hunnydeux said. "So we really thought heading into the midterms last year that vertebrate Republicans had gone completely extinct."
Hunnydeux says that the importance of the discovery of Amash's spinal column was made even more apparent by the reaction of Sen. Mitt Romney, Republican, from Utah to his call for impeachment. Speaking on a Sunday interview show, Romney hedged quite a bit and said he disagreed with Amash's conclusions.
"I just don't think that there is the full element that you need to prove an obstruction of justice case," Romney said. "I don't think impeachment is the right way to go." (CNN)
Dr. Hunnydeux says that Romney's statements "really bring into focus" just how few Republicans have a spine.
"They're mostly just meat and chemical sacks, stuffed with Koch brother and Adelson cash," Hunnydeux explained. "Mitt Romney makes Justin Amash look like he's got a pine of pure steel. Romney's always been mealy-mouthed and a flip-flopper. He blasted Trump all campaign long and then had dinner with him to grovel for the Secretary of State position. But you could never really tell just how utterly without any vertebra he was until you saw Amash come to the conclusion that most people have after actually reading the report."
Mr. Trump took a day, but then lashed out at Amash, calling him a "lightweight."
Never a fan of @justinamash, a total lightweight who opposes me and some of our great Republican ideas and policies just for the sake of getting his name out there through controversy. If he actually read the biased Mueller Report, "composed" by 18 Angry Dems who hated Trump,….
Trump's tweets demonstrate a third species of Republican, Hunnydeux says.
"Trump is a very interesting species of Republican. He's just as invertebrate as Romney. Look at him. He can't stand up to Vladimir Putin, or even Kim Jong-Un," Hunnydeux said. "He fawns over truly horrible people like a coward. But he acts really tough on Twitter and in press conferences, so we looked into it. Turns out, the president is a third species of Republican that can fake having a spine, like some animals can blend in with their surroundings, or puff out their spikes to look intimidating. But if you push Trump just even a little bit, his fake spine crumbles and he just starts ranting about Hillary and Obama."
Hunnydeux and his team want to get Amash into their lab facilities as soon as possible to conduct test on him, in order to determine if they can somehow save the species. He is "not all that hopeful," but the emergence of Amash's spine does give him some hope.
"Two weeks ago I was convinced that there weren't any Republicans with spines out there anymore," Dr. Hunnydeux explained, "but Amash gives me a glimmer of hope that there might be a few more out there. And if there are a few, we could breed them into many, but it would take time and money, to be sure. Maybe it'd be better just to let the GOP die off, but can you imagine what kind of far-right crazy would spring up in its place?"
Congressman Amash could not be reached for comment.
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Cristiano Ronaldo Has Asked To Be Allowed To Leave Manchester United Should They Receive 'Satisfactory Offer'
Jack Kenmare
Published 16:14, 02 July 2022 BST
| Last updated 16:52, 02 July 2022 BST
In one of the biggest transfer stories of the window so far, Cristiano Ronaldo has asked to be allowed to leave Manchester United should the Premier League club receive a 'satisfactory offer' in the coming weeks.
That's according to a report from The Times, who claim the five-time Ballon d'Or winner's decision is driven by a desire to play in the Champions League for the remainder of his career.
In fact, Ronaldo, 37, believes he has 'three or four years' left at the highest level.
🔺 EXCLUSIVE: Cristiano Ronaldo has asked to be allowed to leave Manchester United should the Premier League club receive a satisfactory offer in the transfer window https://t.co/yx8POGB5M4
— Times Sport (@TimesSport) July 2, 2022
With the experienced forward heading into the last year of his current deal at Manchester United, his future at Old Trafford has been under intense speculation of late.
Last month, the forward's agent reportedly held discussions over a possible transfer with Chelsea owner Todd Boehly.
According to The Athletic, Boehly met Jorge Mendes in Portugal and the idea of Ronaldo making a surprise move to Stamford Bridge this summer were amongst the topics of conversation during the meeting.
🚨 EXCL: Todd Boehly met Jorge Mendes in Portugal last week. Idea of Cristiano Ronaldo to Chelsea among subjects discussed. Unclear if #CFC will pursue. Man Utd expect him to stay. 37yo loves #MUFC but has concerns. With @dansheldonsport for @TheAthleticUK https://t.co/pHXelZAIIb
— David Ornstein (@David_Ornstein) June 25, 2022
Bayern Munich have also been linked with a move for the 37-year-old this summer. In fact, Ronaldo was offered to the Bundesliga champions by his agent Jorge Mendes.
That's according to German publication Sport1, who claim after internal discussions, Bayern's CEO Oliver Kahn and sports director Hasan Salihamidzic 'quickly lowered their thumbs'.
Their reason for doing so was largely financial.
And it seems Ronaldo's agent Mendes has been looking elsewhere, too. Last month, Italian outlet La Gazzetta dello Sport reported that Mendes offered his client to Serie A side AS Roma, who are managed by former boss Jose Mourinho.
But Manchester United teammate Bruno Fernandes expects to see Ronaldo in pre-season training on Monday, despite the ongoing transfer rumours surrounding his future.
"I spoke to him a few weeks ago - we're both on vacation, no one bothers friends on vacation," he told Portuguese outlet Record.
"I hope to meet him on the fourth to train there. I'm not expecting more than that. There is nothing more than that, but each one takes care of their future.
"I don't believe that the club is willing to lose a player of the value of Cristiano."
Image credit: Alamy
United are 'expecting' the former Real Madrid and Juventus forward to stay, but these latest reports may suggest otherwise.
Thoughts on the future of Ronaldo? Do you think he should stay at Old Trafford and play under Erik ten Tag this season?
Let us know in the comments.
Featured Image Credit: Alamy
Topics: Cristiano Ronaldo, Manchester United, Manchester United Transfer News & Rumours
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Gary Neville Says Cristiano Ronaldo Should Be Allowed To Leave Manchester United This Summer
Cristiano Ronaldo Wants To Leave Manchester United Because Of 'Lionel Messi Fear'
Chelsea Told They Would Be 'Deluded' To Sign Cristiano Ronaldo
Tottenham Hotspur complete first direct signing from Chelsea in 14 years
Man United fans tell club to sign Christian Eriksen replacement on transfer deadline day


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Soldier Praising Mladic Faces Discipline After BIRN Report
Defence Ministry is mulling measures against Bosnian army soldier whose activities on social networks were reported by BIRN.
The Armed Forces of Bosnia and Herzegovina has launched disciplinary proceedings against a soldier named Djordje Tojcic, whose Instagram profile praised the former Bosnian Serb commander Ratko Mladic.
The International Criminal Tribunal for former Yugoslavia, ICTY, in The Hague, found Mladic guilty of genocide in the town of Srebrenica and of other war crimes.
The Balkan Investigative Reporting Network in Bosnia and Herzegovina, BIRN BIH, reported that police were investigating allegation about Tojcic's activities on social networks.
It said police had reviewed the allegations about Tojcic, who on his Instagram profile published a picture of Mladic's military cap from the 1992-5 war in Bosnia with the description: "Europe knows, but will not admit, the general fought against terrorism."
Following the description of the image, Tojcic added the message: "Thank you for everything!!"
Bosnia's Defence Ministry stated that measures would be imposed on Tojcic if a disciplinary proceeding confirms the allegations.
Author birnEUPosted on February 19, 2018 February 24, 2018 Categories News and EventsTags Bosnia and Herzegovina
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Your guide to Seymour, Wisconsin assisted living facilities. With so many senior housing options available, how do you know which one is right for your family?
The official website for the city of Seymour is http://seymour.govoffice.com.
Seymour is also known as: Home of the Hamburger.
Seymour is a city in Outagamie County, Wisconsin, United States. The population was 3,451 at the 2010 census. The city is located within the Town of Seymour and the Town of Osborn.
The minimum allowable age of residents is 55, residents can self manage their diabetic care, staff monitors medication and reminds residents when it's time to take them, wheelchair accessible showers are available at this location, aging in place allows residents to remain in one location as their care needs change, this community was built in 2012, and the community is licensed for 52 residents.
Nutrient rich meals are provided to residents, 55 is the minimum age allowed for residents, this community provides complimentary transportation, and hospice is an option available at this location.
Healthy meals are provided to residents, caring nurses are on staff to help you, a podiatrist visits the community to address any issues related to your feet, wheelchair accessible showers are available at this location, hospice is an option available at this location, aging in place allows residents to remain in one location as their care needs change, and this community was built in 2004.
Vegetarian food options are available for all meals, a podiatrist visits the community to address any issues related to your feet, speech therapy is available on-site by a visiting speech therapist, residents who drive will find parking available to them, wheelchair accessible showers are available at this location, full tubs are available, and the community is licensed for 60 residents.
55 is the minimum age allowed for residents, a visiting podiatrist helps keep your feet healthy, speech therapy is offered via a speech therapist who comes to the property often, staff can help residents monitor their blood sugar, wheelchair accessible showers are available at this location, residents can arrange for a room at this community that will allow them to live in this location whatever their healthcare needs are and become, and this location was renovated in 1990.
50 is the minimum age allowed for residents, nurses are on staff, caregivers at Matthews of Wrightstown are trained to spot potential disorientation presented by residents, residents who need help with medication management can be given reminders and be monitored to make sure they are taking their medications, wheelchair accessible showers are available at this location, respite care is offered, and aging in place allows residents to remain in one location as their care needs change.
Nutritious meals are provided to residents, vegetarian menu options are available for all meals, licensed nurses are on staff to help you, regular occupational therapy by a visiting therapist helps you stay active and engaged, speech therapy is offered via a speech therapist who comes to the community regularly, resident parking is available to residents who drive, and this community provides complimentary transportation.
A podiatrist visits the community to address any issues related to your feet, regular occupational therapy by a visiting therapist helps you stay active and engaged, this property is its own stand alone building, transportation is available for additional cost, wheelchair accessible showers are available at this location, residents can arrange for a room at this community that will allow them to live in this location whatever their healthcare needs are and become, and this community was built in 1992.
40 is the minimum age allowed for residents, physical therapy can be done without leaving the community by a visiting physical therapist, regular occupational therapy by a visiting therapist helps you stay active and engaged, caregivers at Grand Horizons are trained to spot potential disorientation presented by residents, caregiver employees can deal with any wandering issues memory care residents may have, the property can handle injectable medicine, and transportation is available for additional cost.
Speech therapy is available on-site by a visiting speech therapist, residents can self manage their diabetic care, this community provides complimentary transportation, respite care is offered, aging in place allows residents to remain in one location as their care needs change, this location was renovated in 2011, and the community is licensed for 104 residents.
Nutritious meals are provided to residents, 55 is the minimum age allowed for residents, a podiatrist visits the community to address any issues related to your feet, hospice is an option available at this location, respite care is offered, this community was built in 1991, and this location was renovated in 2012.
This community can provide pet care, licensed nurses are on staff to help you, regular occupational therapy by a visiting therapist helps you stay active and engaged, this community is its own stand alone building, caregivers at Carrington Manor can address potential disorientation presented by residents, this community administers patient medications, and respite care is offered.
Pet care is available for residents, nutrient rich meals are provided to residents, physical therapy is handled by the physical therapist that makes regular visits to this property, the community is secured for the safety of memory care residents that might be prone to wander, this community is its own free standing building, caregiver staff can deal with any wandering issues memory care residents may have, and the community is licensed for 20 residents.
Nutrient rich meals are provided to residents, the minimum allowable age of residents is 50, nurses are on staff, a visiting podiatrist helps keep your feet healthy, residents who need help with medication management can be given reminders and be monitored to make sure they are taking their medications, transportation is available for additional cost, and this location was renovated in 2012.
The community is secured for the safety of memory care patients that might be exit seeking, staff is trained to deal with any wandering behaviors that might present themselves dealt with, trained staff monitors medication and reminds residents when it's time to take them, transportation is available for additional cost, wheelchair accessible showers are available at this location, full tubs are available, and aging in place allows residents to remain in one location as their care needs change.
This community can provide animal care, delicious and wholesome meals are provided to all residents even those with dietary restrictions, vegetarian food is provided, trained staff can assist with injectable medication, residents who drive will find parking available to them, respite care is offered, and this community was built in 1991.


text:
An attempt to answer some questions about the Nats' situation
These are, unfortunately, uncertain times for the Nationals. They were all set to open the 2021 season Thursday night against the Mets, then learned the game had been postponed when one (eventually three, possibly four) players tested positive for COVID-19.
Now, with Major League Baseball declaring the game would not be made up today, the Nats face another day stuck at home in isolation, awaiting results of another round of tests that should help determine whether they can actually play as scheduled Saturday or not.
We still don't have answers to every pertinent question at this point, but let's try to answer what we can for now ...
WHEN ARE THEY GOING TO PLAY?
We don't know. Really. Though everyone hopes they can play Saturday and Sunday afternoons as originally scheduled, it's going to depend on what this next round of test results shows, and what conclusions are drawn from the contact tracing that was still taking place Thursday evening after the new positive tests were revealed.
WHAT WOULD IT TAKE TO PLAY SATURDAY?
Just a hunch here, but you've got to believe it would take a complete set of negative test results today. If no new positives emerge, and those who did test positive or are deemed close contacts are safely quarantined at home, it's possible the remaining healthy Nationals (plus some reinforcements from the alternate training site in Fredericksburg) could take the field Saturday to open the season. But if there's another positive test, it's hard to see MLB allowing a game to be played yet.
WHO MAKES THE CALL ON THIS?
MLB, and MLB only. The teams have no say in the matter. And based on what we saw last summer, the league is going err on the side of caution whenever possible.
DOES THE FACT THE NATS AND METS PLAY EACH OTHER SO MUCH MAKE A DIFFERENCE?
Officially, no. But practically speaking, sure. If the Nationals were playing a non-division rival that wasn't scheduled to return to D.C. this season, there might be more of a push to play this weekend, perhaps even to play a 14-inning doubleheader Sunday. But because the Mets make two more trips here this season (June 18-20, Sept. 3-6) there is more opportunity for makeup games. You would have to think that fact helps MLB take a more conservative approach this weekend.
COULDN'T THE NATS JUST CALL UP THE ENTIRE TEAM FROM FREDERICKSBURG TO PLAY INSTEAD OF THE BIG LEAGUERS?
In theory, yes. But in reality, they aren't in a position to do that yet. Some of the players who are now at the alternate training site traveled on the same charter bus and plane as the major leaguers. (Some did drive their own cars from Florida to Virginia.) The good news is that test results for everyone in the Fredericksburg camp came back negative Wednesday, according to general manager Mike Rizzo. So at some point here, this would be an option. But it doesn't appear to be an option quite yet.
HOW LONG DO THE AFFECTED PLAYERS HAVE TO REMAIN IN QUARANTINE?
Depends which entity you believe takes precedence over the other: MLB or the District of Columbia. MLB protocols state: "Individuals who test positive will be required to isolate for a minimum of 10 days, receive appropriate care and monitoring from the club medical staff and be cleared by the Joint Committee and the individual's team physician, following a mandatory cardiac evaluation and a determination that the individual no longer presents a risk of infection to others." Any others deemed as close contacts to the player who tested positive "will be subject to a mandatory quarantine of seven days and must test negative on day 5 or later among other requirements to rejoin club facilities." D.C. protocols are even stricter: 14 days isolation for someone who tests positive, 10 days for close contacts.
WHY AREN'T THE NAMES OF THE PLAYERS KNOWN?
MLB clubs are not permitted to publicly name players who test positive for COVID-19 or are forced into isolation due to contact tracing, unless the players give permission. That may happen at some point, but for now the affected players have not chosen to release their names.
WHY HASN'T THE OPENING DAY ROSTER BEEN ANNOUNCED YET?
Rosters must be submitted to MLB on the day of the season opener. Because the Nationals never played Thursday, they weren't required to announce their 26-man roster. As we've seen, things can change very quickly. So they aren't going to feel any pressure to announce a roster until they know for certain they're going to play on a given day. And no sense announcing a particular player is on the roster or on the COVID-19 list until it's clear that player is or is not eligible to play in a game that will be held that day.
WHEN WILL WE KNOW ANYTHING NEW?
Probably this afternoon, much as we did Thursday afternoon, once the next round of test results comes in.
covid-19, featured_sidebar, frontstory_nationals3, mark zuckerman, nationals, nationals pastime, new york mets, opening night
With at least three positive tests, Nats' opening series in flux
Full series postponed, nine players now in quarantine (updated)


A Press Conference with Dmitry Shliakhtin, newly elected RusAF President, and Gennady Aleshin, Chair of the Interim Coordination Committee (ICC) of the Olympic Committee of Russia, took place after Extraordinary elective RusAF Conference.
Interest towards elections of new athletic governing bodies was so high, that there was hardly enough space for mass media representatives. Over 100 journalists highlighted this event.
Dmitry Shliakhtin said that he would combine the two positions, Minister of sport of Samara region and President of RusAF. Mr. Shliakhtin addressed journalists by saying that his primary task in his new role is to fulfill all IAAF criteria, so that Russian athletes could compete in the Olympic Games in Rio.
Gennady Aleshin informed journalists in details about the elective procedures of the RusAF President and Members of Presidium. Mr. Aleshin mentioned that RusAF Presidium consists now only of new Members and does not include any acting athlete. Chair of ICC explained that athletes have to focus now on the preparation for the Olympic Games in Rio.