he went to a bowling alley in williamsburg. he was feeling well at that time and except for his feeling of fatigue, and, once again, his first symptom of fever occurred today and that was the beginning of his assessment. we are aware that he has been in close contact with his fiancee and with two friends, both -- all three of these contacts are healthy and are being quarantined. the governor mentioned an additional person. this person was a driver of an uber car with whom the patient had no direct physical contact and is considered not to be at rick. on -- today, he -- when he

reported fever, he contacted the health department. we contacted ems and he was brought to bellevue hospital. the test for ebola was conducted on blood drawn here at bellevue hospital, and conducted at our public health lab. i think that i should turn over to dr. zucker to talk about the process of his transfer. we really are confident that all of the protocols that we've worked so hard to put in place for communications with all levels of our public health system with our emergency medical system, with our public health system has worked as well as we expected them to work and we're glad that the patient is safely here at bellevue hospital. over to you, dr. zucker. >> thank you. thank you, dr. bassett and thank you, governor cuomo and mayor de

blasio. firstly, our wishes and prayers go out to this doctor, his family and friends for a speedy recovery. as you've heard the time line of what we have heard about this patient, i think it's important to mention that as bellevue has been preparing for this and we as a state and a city have been preparing for this for awhile. all of the processes involved in making sure that he is monitored, taken care of at the hospital i'll mention in a moment and most importantly him getting into the hospital. the ems system brought him in with the proper protective gear. he was immediately brought to the isolation area that bellevue hospital has established for patients who could have ebola. he has been taken care of by an excellent team and all of his medical problems are being addressed. as you know ebola patients can have a lot of different problems and these are all being watched for closely.

i think it's also important to just reiterate that you can only get ebola by being exposed to bodily fluids and that's a very important point to make. he has been in the hospital as we know. his symptoms began -- he had a fever. that symptom began this morning and some of the other symptoms, as well this morning. i think that it's important to just reiterate that the management of all the issues that come forth with ebola have come together nicely with this patient and we look forward to a quick recovery for him. thank you. >> once again, we'd like to thank our federal partners who have really been extraordinary. the new ebola czar who just started the job, ron klain, sylvia behrwell who is the head of health and human services and the head of the cdc, dr. tom frieden who is with us tonight

by telephone and will turn it over to dr. frieden now. doctor, can you hear us? >> yes, i can. can you hear me. >> yes, very well. >> okay, well, thank you very much, governor. thank you to the mayor and first and foremost our thoughts and focus are with the doctor and patient in new york city h it comes to his care, we'll continue to provide whatever assistance is necessary to be sure he is treated safely and effectively. i think as has been said it's very important that people understand how ebola spreads and what risk is. when someone gets ebola, they become -- they're not infectious initially but get more infe infectious the sicker they get. the concern is with the health care workers caring for him at bellevue. fortunately bellevue has been preparing for this and drilling this.

cdc has been in come close communication and federal authorities, in fact, by coincidence or because of good preparations, we already had a team on the ground and spent several days reviewing all of bellevue's preparations even before this patient became ill, therefore, reviewed the preparations and observed the hospital working. we will -- we are also sending an additional cdc ebola response team, which is in transit now with individuals who have extensive experience treating ebola so that we could work in partnership with bellevue to ensure that the patient gets as safe and effective care as possible. we're also encouraged by the transport process that was used to eliminate or minimize any risk of transmission during that prose s -- there were several

individuals who had contact with him before he developed a fever and isolated and those individuals will be monitored for 21 days. i remind people that for the case of mr. duncan, dallas, even his household contacts were with him for several days after he became ill, did not develop ebola. ebola is a scary disease and it's fearsome because of how severe the illness is but dis not spread easily, like the flu or the common cold or measles. only spreads by direct contact of body fluids of someone ill. i will say that as a former commissioner of the city health department it is a fantastic health department and at cdc we're delighted to work in partnership and will do everything to ensure that coordination of the federal, local and state levels is seamless and provides for all of

the needs so that the care of the patient, the isolation and contact tracing will all be done in a way that minimizes risk. and i would encourage anyone who wants more information to check our website at cdc.gov and we look forward to continuing to work closely with new york city. >> thank you. thank you very much, dr. frieden and dr. frieden will stay with us during the question and answer period and with that we'd like to turn to questions from the media. yes. >> can you speak a little louder? [ inaudible ].

>> yeah, i'll give you as much information as i have. as i said at the outset this is an evolving situation in which we are still interviewing people including talking to the patient and i'll echo what everyone else has said that we are all -- our main focus, of course, on the recovery of that patient. s bowling ailingly was called the gutter bowling alley. the patient went with friends there and he did bowl while he was there according to our understanding of events. the patient was not feeling, you know, although he reported fatigue, he was not symptomatic. he had no fever and as dr. frieden has explained, we are very clear that people become contagious as they become sick. so his first fever, in fact, was

today earlier this -- in the late morning today. and he did have a fever for -- or did not have a fever for the whole time he left guinea. out of an abundance of caution the bowling alley has closed and we, of course, will be sending health department staff on site tomorrow to look at the bowling alley. so that's, you know, i can only reiterate what we've been saying for weeks that the way people contract ebola is by being in touch with a person who is sick with ebola and being in touch with their body fluids. and, of course, the doctor was a doctor who was working in an ebola treatment center in guinea. and that was how he became

infected. at the time that he was at the bowling alley, he had had no fever. [ inaudible ] suddenly i'm being truly miked. the -- we obviously want to protect people's privacy. but the -- these are individuals who will be permitted to opt for a home quarantine. the patient, of course, is in the hospital, one of the patients is in the hospital today. one of the other patients -- one of the other contacts so there are three contacts, one of whom is in the hospital today. yes. >> can you tell me --

[ inaudible ] -- come in contact with the -- travel and quarantine and opt out -- [ inaudible ]. >> so you're asking about the health workers here at this hospital. the health workers, of course, are using full protective gear. they were ready because we knew that this patient was being transported. he had a very orderly removal from his home and with emergency workers who were in full protective gear. he came here and had a very smooth transfer up to the isolation ward which he's been looked after by experienced, seasoned health workers who all have been training for this purpose over the last months, training, drilling and so on. these workers are working on this unit exclusively and as far

as having anybody who has opted out of that i would tauj to dr. raju. >> no one opted out so -- [ inaudible ]. >> no, that's what's so important about the work that bellevue has done to prepare for this day. something that they began months ago in august. there is a long-standing isolation unit here, one that dates back to the 1990s and the days of the aids epidemic when mul multiresistant tb was a real scourge in this city. this unit is -- has been converted for the care of patients with ebola. there's a small dedicated laboratory on this unit, so that it is really a self-contained space. so i really want to applaud the preparations of bellevue

hospital. they worked really hard to put in place all of the systems that were needed, so that means not only having all of the stuff, they also have all the stuff and they have all the systems, the processes in place and everything today worked as we hoped it would. >> if i could add -- >> just one second. >> i think one of the advantages is the health care workers feel prepared and they feel equipped. the upside of all the rigger and all the drills and all the meetings is they know they were prepared just for this moment. and we learned from dallas that way and as i said yesterday, the mayor and i were with a session that must have been 5,000 health care workers. we have an abundance of equipment, abundance of training and experienced professionals and i think that's brought their confidence in the entire system

up. >> and further, i just want to clarify, these folks at ems, for example, not only have been training for weeks and weeks but are first responders. their job is to protect other people and it's a matter of honor they take on a difficult role. equally, bellevue is legendary of having taken on a host of challenges over the years, the professionals here at bellevue are the finest, they are the most battle tested. so anyone who is working as part of the team helping this patient knows exactly why they're doing it and what they're doing as part of their sense of mission. yes. [ inaudible ] . >> well, the patient today developed a fever and had some gastro intintestinal symptoms, well. so these are the symptoms that let us know that this patient

was -- had a clinical picture that was really fully consistent with ebola. >> is fatigue a symptom. >> fatigue can be a symptom of many things. the thing to make clear the first time this patient had fever was today and it's -- and fever is the typical sign of a person developing contagious ebola. >> and over here for one more then we'll come to this side. yes. [ inaudible ]. >> was not symptomatic yesterday when he -- >> what i can say, his friend said that he -- that they felt he seemed well. but the -- and the patient as i've said did not report any fever. and although he did report that he felt tired. >> yes. [ inaudible ].

>> well, he did -- attempt to self-isolate and still getting clear the amount of time he spent outside his apartment but our impression is that he spent most of his time in his apartment and he was taking his temperature twice a day. he was being mindful about contact with people. he's a medical doctor, as we've all said, so he was very alert to the -- to signs and symptoms of ebola coming from a place where ebola is truly ravaging the population. tha [ inaudible ]. >> the waste? >> we have contracts in place for the removal of medical waste. the patient only displayed symptoms today and i see no reason for the ten apartments in

the apartment building to be concerned. we have -- >> the apartment is isolated. the super will not let anybody in. there are no housekeepers expected to arrive. the apartment is locked and not accessible. >> dr. zucker? >> i was going to make the other point he left his key in his apartment and locked the door as a very meticulous individual and recognized if the key was floating around somebody may pick it up. >> dr. bassett. >> i just wanted to add then to point out that the state health department, dr. zucker, announced just last week that eight hospitals in this state would be designated as settings where ebola patients could be cared for. we are the first state to identify a limited number of hospitals of which this hospital

is one. bellevue hospital is one of the five hospitals in new york city and as you've all been hearing they've been working, they were ready today. they showed how ready they were to accept a patient to -- [ all talking at the same time ] >> just to clarify, all -- there are about 200 hospitals in the state. they have all prepared if someone walks into the hospital and presents themselves and suggests that they might have illness. but to get all 200 hospitals ready for intensive treatment, obviously, would have been very difficult, so the decision was made to take eight hospital, one of them is bellevue, and really focus and concentrate intensive efforts and that turns out that was a wise and prudent course of conduct. >> may i add also, we -- the department of health was ordered to look at these hospitals and

all the hospitals across the state and bellevue was one of the hospitals we already came in and looked at to be sure they were prepared for a patient like the patient you've seen today. so we're already one step ahead. >> john. [ inaudible ]. >> the -- >> at this point -- >> sorry. this would be based on the clinical team taking care of him right now. so we'll see how his progress goes. they are prepared to take care of him. [ inaudible ]. >> i didn't quite understand -- it seems like -- >> we know he left his apartment and so that he -- self-quarantine would have meant he never left his apartment but he did self-isolate in the

sense -- [ inaudible ]. >> he limited his contact with people and saw friends. he did leave his apartment so i don't want to give the impression that he was in his apartment the entire time and -- >> [ inaudible ]. >> he was -- during the time that he was leaving the apartment, he had had no fever. he was monitoring his temperature on -- twice a day as has been recommended and he had no fever. i don't want to give the impression that he was self-quarantining or -- because he was leaving his apartment. >> let's be clear the second he had that fever he did report immediately and cooperated fully in getting in here in the right way but also communicating his previous movements and very, very informative and called in the medical detectives to trace the other -- >> may i add that also that your

contagiousness is related to how sick so he came in very early in his illness -- >> that is a very important point in this case that he was a doctor, he was familiar with the illness. he was taking his temperature twice a day. yes, he had fatigue. he also went for a three-mile jog, right, so he couldn't have been that fatigued and when he started to sense that he had a fever he came in right away. and that's when you're contagious is when you're really extremely ill and he presented himself this morning. >> you said that dr. -- [ inaudible ]. can you tell us anymore about -- [ inaudible ] other than going out and also -- [ inaudible ] we all take the subway and the "l" train.

[ inaudible ] the trains at night can also be different than the morning. >> let us have dr. bassett and dr. zucker -- i want to preface, this is a very difficult disease to contact. it is not an aaronborn disease but takes rather intimate contact to contract the disease. >> that is right. what do we know about his whereabouts. he went to a place called the gutter, a bowling alley in williamsburg in brooklyn that to get there he took the at -- the a train and l train and went to the high line, may have stopped and gone to a restaurant along the way so we're just -- we're going to be getting more information about this. we -- he's fully cooperating with us.

we have his metro card and we are going to have the chance to talk with him, remember, he is a hospitalized patient in intensive care about all of the lineup to -- everything from his metro card travel and where he was. the question about the subway, once again, we all have been saying to all of you for weeks now that people with ebola are contagious when they're sick and what's contagious about them, their body fluids. at the time the doctor was on the subway, he had not had fever. he had no problem with his body fluids in the sense that he had no diarrhea, no vomiting, no blood loss, all of these symptoms that occur when people become much sicker. he was not symptomatic in -- at that time. he had no fever.

and so he did not have a stage of disease that creates a rick of contagiousness on the subway. we consider that it is extremely un li unlikely, the probability being close to nil, that there woulding any problem related to his taking the subway system. >> dr. zucker. >> i just want to echo the words of dr. frieden. remember, the patient in dallas had -- was many people were exposed to him and in the end only very, very few people got sick. i would get on the subway tomorrow and ride the subway. >> follow up on this -- [ inaudible ] -- >> this is the only place -- >> when he had the fever he contacted his employer, msf, and then that set the chain into the correct motion.

>> take a few more. >> the doctor in quarantine as opposed to -- [ inaudible ]. and i was wondering d.o.h was one policy and you wrap it up in plastic and burn it -- >> i think let's not talk about that right now. >> again, i'm respectfully -- i want to say we're talking about the immediate situation. we're talking about a patient who is a medical doctor who handled the communication with the city health department properly. he's here in the right facility. let's stay where we are in that. >> that's bad karma. >> [ inaudible ]. >> all of the contacts the three, two friends and his fiancee are well and they are

all going -- are all in the process of being quarantined. >> last question. >> they would not be tested. there's -- they are not symptomatic. there would be no reason to test them. >> symptoms. >> unless they develop symptoms. >> [ inaudible ]. >> yes. >> [ inaudible ]. >> no. >> [ inaudible ]. >> he was and he was wearing full protective gear and was aware of no breach. i'm sorry i didn't hear you. >> has been home since his return. all right. we're going to conclude it and thank all of my colleagues and the staff here at bellevue. they're doing extraordinary work at this moment. we will, of course, have additional updates as information is available.

>> thank you. >> you're listening to a press conference. new york's mayor, bill de blasio and new york's governor andrew cuomo as well as health officials and heard the director of the cdc dr. frieden try to allay concerns as much as possible about ebola in new york city, trying to give as much information about dr. spencer to test positive for the ebola virus in isolation at bellevue and his girlfriend is also under observation in isolation, though not quarantine. health hovels trying to allay fears as much as possible. clearly seems like they have traced as much as possible the movements of dr. spencer since he returned from guinea. >> it certainly sounds like it

anderson and tried to convey this scientific fact that until someone becomes quite sick, they are not going to transmit the virus. i think it's important to be very clear that, you know, i was a little surprised that when you heard the health commissioner and -- saying he was sort of self-quarantining but not really because he was on a subway. he was at a restaurant. he was bowling. he did not self-quarantine and i think the fact needs to be very clear here. now, from a scientific perspective, one can make the argument that i think many have that they're really no scientific merit to quarantining somebody because the reason that is done to prevent a threat to the general public. if he was not sick he should not be a threat to the general public h is the issue that will come up again and again. should health care workers who have taken care of patients with ebola in africa in this

situation, should they undergo an observation period for 21 days before they were able to come in contact with it is. there is no mandatory quarantine. you've heard elizabeth talk about it and the fact that we were in west africa and we were not given specific instructions like that. this is what the health community will have to figure out what kind of guidance they'll provide. >> sanjay, i know our coverage will continue. that does it for me. i appreciate you watching this last 2 1/2 hours. our coverage continues on this and a number of other topics with don lemon and cnn tonight, right now. >> anderson, thank you very much. it's having because you have been covering this as well as us for quite some time and it's happening now in new york city where, as you heard the governor, anderson say they're on top of each other. but as you heard him say you

should not be concerned. the health commissioner's estimation as well. it's very hard to spread this disease or contract the deed even though it is, you know, very often fatal if not caught quick enough. >> i mean you know he was on the one train, on the "a" train, i take those tapes pretty much every day depending on exactly which route i decide to take and williamsburg, brooklyn all the time so i don't think this is something that i as a new yorker am worried about and we just have to look at the evidence, don, of the 48 people that thomas eric duncan the ebola patient who died coming from liberia, of the 48 people he came in contact with none tested positive, only ones who did were health care workers. so for the general population at this point we're not at a stage where i think should be the kind of concern. >> you took the at -- a train

again. continuing on with our coverage about the doctor who returned from guinea treating ebola patients has now tested positive for the ebola virus. he is now in the opt and, of course, the people he came with are being monitored in quarantine. one of them according to new york city's health commission ser now in the hospital. we want to get some analysis on this and get some things clear here. dr. sanjay gupta is here and elizabeth is here and poppy and dr. devi. is here. dr. gupta, the health commissioner talked a lot but we weren't clear. the patient in the hospital besides this doctor is the girlfriend of the doctor. the commissioner is saying he came in contact with three people at his apartment which

was his two friends and girlfriend but the girlfriend i assume is in the hospital and friends are in quarantine. >> that's what i took away from that, as well. the girlfriend is probably the person he had the nose intense contact with so that's why they probably put her into isolation. the even the risk to her is quite small. you'll remember, don, mr. duncan had been at home for two days with symptoms because he was originally turned away from the hospital. but even though he was at that apartment for two days, the symptoms, it doesn't appear any of the people in the apartment with him got sick but nevertheless, this is exactly what you're supposed to do. he goes into isolation, dr. spencer does and people he had intense contact with especially at the time he started to develop symptoms have gone to isolation as well. you know, one thing, don, i think is important to point out

is that he was not in quarantine when he got back from west africa, it sounds like he finished his duties on october 12th and through back october 14th and developed his fever today. that's 11 days after he was taking care of patients but did not go into quarantine. there was no emandate he do so but will be an issue that comes up again and again. you heard the health commissioner say he was trying to isolate himself but he was on the subway and in bowling alley. >> there is a little time gap. they said he completed his work in guinea october 12th and left on the 14th. via europe, but he didn't arrive at jfk until october 17th so there was some lapse or layover where he spent time in europe. i guess if he was not symptomatic there, there is no concern. i imagine.

>> that 's right, don. i think it's a really important point that you're not a threat in terms of transmitting the virus until you're symptomatic and also i'll try to explain this. it's not a binary thing. it's not like as soon as you have symptoms all of a sudden you're fully infection now and before that you are not. as they get sicker that's when they become more and more infectious that is part why people who are health care workers and taking care of the sickest time are going to be at the most rick. mr. duncan, i know it's one patient but people he was living with when he was starting to become ill did not become infected. on the other hand two nurses who took of him when he was very ill contracted it. >> this was just last night where he took the train and went to this bowling alley and i've

got a question about that. they are now sending people to the bowling alley. why respect they sending people to the subway or his apartment because it's our understanding they're not doing any sanitizing of the apartment or the -- the plane we were told has been taken out of service to be cleaned but why not the subway? >> you know, one can ask questions why the bowling alley, why the plane. i think part of this is they're judgment calls on who owned the establishability and this term gets thrown around a lot, don, abundance of caution. so this is one of those situations where the bowling alley folks said, look, this is how we're going to handle this situation. he was bowling at this bowling alley. doesn't sound like he was symptomatic. the idea that there's a threat because he was there is extraordinarily low. i mean, never want to say zero

percent because that's not how science works but it's low and there's a collision now of science and social concern and so the bowling alley owners know their bowling alley is in the news. >> dr. gupta, stand by. to elizabeth cohen at the cdc. so, elizabeth, apparently he was feeling weak for awhile and went for a jog. feeling fine then he's feeling weak for a short time after that last night he went to the bowling alley and according to the doctors at the press conference, between 10 and 12 this morning eastern time in new york, that is when he started feeling sick and his temperature was elevated and reached out to the health department. how quickly then -- all of a sudden immediately you become symptomatic and you can spread it that quickly?

>> don, it's not binary. it's not like you're not infection one moment and you are infection the next moment. it's sort of a continuum. in the very beginning when you're not infection is when you're not ill. we can't tell you when he became infection. there is not a specific moment. one thing this experience -- it may lead to a discussion about fever. you know, we hear so much about fever. ebola patients have fever. there have been studies. one in the new england journal of medicine and not all, 10 to 150% don't have fever especially in the beginning. and so it does make you wonder about that period of time when he is said to have not felt well and was stick walking around. >> to poppy harlow at bellevue hospital. you were in that press conference and we have heard through the day there was a press conference earlier. there's obviously this one this evening and both the governor

and the mayor say that the -- during the transport everyone followed protocol and they had on the hazmat suits ready for this doing drills, the risk to the population of new york city or health care workers very minimal if any at all. >> yeah, really nil is what they said. we heard governor cuomo, new york city bill de blasio saying repeatedly in that press conference trying to assuage concerns, this went seamlessly, this deer knew he may have been exposed po ebola. was watching it. got this 103-degree fever and called doctors without borders that he worked with. they called the health officials here in new york, an ambulance and fdny responded with has mart suits and cordoned off his apartment. he locked his own door. followed every single step to come to bellevue which we are

told is 100% prepared and told by a hospital official, they likely took him immediately into isolation so, you know, and you and anderson were talking about the subway. can new yorkers go to work like normal. yes, i'm going to take the subway and take the "a" train. it's so hard to contract the disease. we want to make sure people in new york don't panic. we heard a few important details. one is that four people are now in isolation, the patients, the doctor, his girlfriend or fiancee as they referred to in the press conference and two close friends. what we also know is not only did he go bowling in williamsburg, brooklyn and take an uber cab, they just confirmed that to us but visited the high line which is a long stretch of elevated outdoor space in new york city around shth street and

visited a restaurant. we don't know which but he was trying to isolate himself but certainly, certainly was not quarantined. >> all right, thank you, everyone. stand by, we've gathered a team experts to help get us through this. also, how did new york city handle its response? how did new york city handle its response? and really what is the risk to the larger population. the most populous city in the country with thousands of tourists coming here every single day. we'll be right back with our breaking news conference live from new york. i have a cold. i took nyquil but i'm still stuffed up. nyquil cold and flu liquid gels don't unstuff your nose. really? alka-seltzer plus night rushes relief to eight symptoms of a full blown cold including your stuffy nose. (breath of relief) oh, what a relief it is. thanks.

anytime.

breaking news here on cnn, ebola has reached new york city, a doctors without borders physician, 33-year-old craig spencer who recently returned from west trick has tested positive for the ebola virus. he has been in isolation the bellevue hospital in manhattan. that's since this morning. dr. debbie is with us. dr. alexander garza with us and gavin mcgregor skinner. juliet kayyem and dr. debbie, talk to us about this virus. you said the temperature depends

on -- the fever depends upon your immune system. >> some have a low fever. some don't have fevers right away and some have high. so your body, your immune system is what creates the fever. there's a period you don't know if the patient is contagious or not. it depends. it could be there before it reaches high levels -- >> i want to talk to juliet kayyem. coordinating with hhs, also ron klain, a new ebola czar and also you heard the head of the cdc speaking at the press conference, the question all of this training they have been having here. they feel that they are prepared for it. new york city prepared it is prepared. they're activating its emergency operations system in brooklyn.

all of these the right moves? >> absolutely. i think, you know, over the last couple of months, some of the sort of communications errors that have come out of the government are that they overpromised and underdelivered and saying it would never come here. we're prepared. the truth is texas was and what happened in the texas hospital was a wake-up call and it was a wake-up call to every state they need to start training these protocols because someone will walk in with a fever and new york -- this press conference as well as their response was a course correction, factual and very soothing. they did not tray from what they knew. there were no promises made. they are going to take this seriously, open up an emergency operations center. >> and the governor actually mentioned dallas saying, you know, they did things wrong. we're prepared here.

>> yeah, exactly right. we still don't know what happened in texas. there was sort of full disclosure tonight exactly where he was, how he came into, you know, sort of knowing that he had ebola, who he contacted, notice that there was tremendous focus on transportation. every single speaker talked bit. how they moved him from the apartment not to the emergency room but straight to the special site that has been set up. i will tell you having been at the department of homeland security every single governor, every mayor of every major city is on a call with their heads making sure they know what to do because we are now in a phase where we just can't predict who is going to show us. nothing to be scared about. this is what public safety do. they train and learn and learn in realtime as we're seeing with ebola so a lot of good news coming out however scary it may

seem. >> what health experts have been saying all along. more questions. the question is, dr. garza, doctors without borders have a high success rate of them not contracting ebola. what could have gone wrong with this case? >> hard to say right now, don, so obviously though if you look at who gets infected with ebola, a very high percentage of them are health care workers and makes sense because they are treating the patients that have the -- the highest viral load of anybody and so it's not unexpected that health care workers would be at the highest risk for contracting the disease. as was played out today. >> dr. gavin, he did try to self-quarantine or self-isolate for awhile. but then, again, he went out in public and went for a jog and visited a restaurant. de a number of things. should health care workers, especially those coming from

places like he came from guinea, some of the places that have the highest number of people who contracted ebola and has been treated patients with ebola, should they know better and be a system in place where they're quarantined for -- self-quarantined for 21 days when they return? >> don, this is a very important question and, again, now from my time, when we had been dealing with ebola patients in nigeria we came back and we followed actually -- the cdc has guidelines so any health care worker who has had direct contact, cdc tells us we should control our movement for 21 days as well as taking our temperature at least at a minimum of twice a day. so all of our team that came back from nigeria, we developed a peer-to-peer network and talked to each other. we ensured we were all feeling fine and aren't having any simms of ebola and do self-report and

this is really important because if we had come back and had been put into quarantine, how would very have been able to earn a salary to support our families. while we don't have simms we can do our daily work and actually earn money. now, to tell them everyone who comes back from west africa has to go into quarantine that affect families. we all want to go back as soon as we can. how does that affect the u.s. military that's in there at the moment. again, so let's stick with the facts. we know you can't transmit ebola until you're symptomatic but let's look at the symptoms. it's that sudden onset of fever and many of the ebola patients i worked with say the day of the fever had -- i felt fatigued, hi a headache and abdominal pain and backache, i felt nauseous and, then, bang, that onset of the fever comes in as we saw with dr. spencer and that's what we need to ensure so when we

triage now it has -- if you've traveled from guinea, sierra leone, or liberia and do you have any of the following symptoms, it's not just the fever, it's all the other ebola symptoms we have to triage for. >> dr. gupta is with me joining me now from atlanta, dr. gupta, you and i talked about travel restricts or travel ban. would it -- how do you really put that into place and monitor it because he came from guinea, but he came from europe, right, through europe so how do you mon to that? he did go into one of the five airports now monitoring ebola patients, jfk, newark, washington, dulles, o'hare and atlanta hartsfield but may not have worked in this particular case. >> i think that's right, don. i mean i think if you statute a travel ban the concern has been sort of twofold. one is that people who are in these west person countries go by land to another country. they may fly into another place around the world and then come into the united states.

so unless you're starting to institute bans from many, many countries, it's probably not going to work. the second issue is that, you know, you need to continue to get humanitarian aid into west africa. i mean you've heard the numbers, don, they're talking about possibility of 10,000 cases per week. you start to restrict humanitarian aid that could increase more so and, frankly, that puts not just west africa but the whole world in rick. we talked about this, as well. i think the cdc needs to be clear, the guidance needs to be clear. if you're a health care worker taking care of patients with ebola in west africa, should you be quarantined for 21 days? >> right. >> self-quarantine for 21 days. you know, it's been back and forth. even within this news conference, first you heard the health commissioner say he self-isolated. not really, on subways, bowling

alleys, that doesn't help in terms of building confidence. >> dr. gupta, the average person would say and heard people who said it to me, just on the street shouldn't health care workers and specially people who have been treating patients, thunts they know better than to go out in public and possibly risk spreading this virus? >> here is the dichotomy, the rub, don, you are not going to -- you are not going to transmit the virus until you're sick, right. you'll transmit -- more likely to transit it when you're more sick. it's going -- you're not really a threat to the general public. but having said that, you know, if someone has had intensive ex-ex exposu exposure, may just the prudent thing to do. what is a little surprising to

me is that there really is no guidance on this. i was in west africa, i came back. i was in ebola tents. my colleague elizabeth cohen was in west africa, a month ago, there was no guidance when we came back. this is the new world in which we live. the guidance will need to be clear. while travel bans may not work the idea of people being judicious about their exposure to other people i think is important and the fact that, you know, i'm sure dr. spencer is a very meticulous, responsible guy but was on subways, was bowling and at a restaurant having returned from west africa having had contact with patients with ebola. this will need to be addressed and answered very clearly. >> dr. gupta, stand by here. we've got a lot more. also the other huge breaking news story here in new york. police on alert after a hatchet attack on officers and fears there is a terror connection with this. be right back.

sweered lobster'sory! endless shrimp ends soon! the year's largest variety. like new spicy siriacha shrimp, or parmesan shrimp scampi. as much as you like, any way you like. but it won't last long, so hurry in today. and sea food differently. means keeping seven billion ctransactions flowing.g, and when weather hits, it's data mayhem. but airlines running hp end-to-end solutions are always calm during a storm. so if your business deals with the unexpected, hp big data and cloud solutions make sure you always know what's coming - and are ready for it. make it matter. (receptionist) gunderman group is growing. getting in a groove. growth is gratifying. goal is to grow. gotta get greater growth. i just talked to ups. they got expert advise, special discounts, new technologies. like smart pick ups. they'll only show up when you print a label

and it's automatic. we save time and money. time? money? time and money. awesome. awesome! awesome! awesome! awesome! (all) awesome! i love logistics. i'm sure you know what this meeting is about. yes, a raise. i'm letting you go. i knew that. you see, this is my amerivest managed... balances. no. portfolio. and if doesn't perform well for two consecutive gold. quarters.

quarters...yup. then amerivest gives me back their advisory... stocks. fees. fees. fees for those quarters. yeah. so, i'm confident i'm in good hands. for all the confidence you need. td ameritrade. you got this.

welcome back. ebola in new york. but i want to turn to another huge story. a gruesome attack on new york police today. our jim sciutto joins me with the details. what do we know about the hatchett attack in queens, new york. >> reporter: this was a brazen attack. in broad daylight on the streets in queens. four new york city police officers, they had paused to take a photo when what you're seeing right now, this man ran up and attacked them with a hatchet and critically struck one in the head and one in the arm. they believe he might have been stalking them for some time and came possibly hiding himself behind a bus stop and that's when he came up and struck. we now know his identity by a

new york police department, zale thompson, 32 years old. had a criminal record in california. he was also discharged from the navy for misconduct but this is what concerns police. they looked at his social media, facebook page as well as postings on youtube and saw things there that made them concern that this attack on police might be tied to recent calls by jihadist groups for attacks on soldiers like we saw in canada or law enforcement officers like we saw here in new york so really just a very worrisome thing and if it bears out to be tied to islamic extre extremism, what authorities have been telling me they're concerned about in the u.s. because they're frankly so hard to track. so hard to prevent as a result. >> these lone wolf attacks, so to speak. yanks tore reporting the bre

breaking news in new york city. >> announcer: this is cnn breaking news. hello, it's 11 p.m. in new york and this is cnn tonight, i'm don lemon. our breaking news, new york and the nation on alert over ebola. dr. craig spencer who returned from treating ebola patients in west africa on october 17th, he is infected. he is in isolation in bellevue hospital right now in new york city. he had close contact with at least three friends. they're all now quarantined. anoth another, a taxi driver, not considered at risk at the moment. want to get straight to poppy harlow at bellevue hospital where they wrapped up a press conference including the mayor and governor of new york city. both saying new yorkers shouldn't be worried. i'm not sure how much that will translate to those who say there are still too many unknowns. >> reporter: it's a good