But what has some new yorkers on edge is what spencer did before he was rushed to the hospital. He went bowling, he went for a run, he road the citys sprawling and jampacked subway system. We do know that spencer had been taking his temperature twice a day since he returned to new york a week ago after bravely treating ebola patients in guinea. Health Officials Say spencer was not contagious ebola patients are not contagious until they develop a fever and nausea. Dr. Spencer did that yesterday. He reportedly did start feeling sluggish a couple days ago. There are questions about why he didnt selfquarantine from the start. Why dont all Health Workers returning from ebola hot zones selfquarantine. We ask that question to experts. Dr. Spencers fiance and two friends who had contact with him after his symptoms emerged, they are now under quarantine. City Health Workers have been canvassing his neighborhood. A swat team from the centers for Disease Control is now on the ground here in new york city. New yorks governor says this is not the time to panic. I understand the fear that comes from that word now, ebola, and it is scary. Theres no doubt about that. But a little dose of reality also, right . This is not transmitted like the flu is transmitted or a common cold or common virus. Its not about sneezing, etc. This is basically bodily fluids transfer when the person is systematic. The more ill the person is, the more contagious the person is. But the person has to be systematic. Thats new york governor andrew cuomo. Dr. Spencer is a physician with doctors without borders. He is now the fourth person diagnosed with ebola in the United States. He is at Bellevue Hospital right now which is one of eight new york medical centers designated to treat ebola patients. We want to start with our senior medical correspondent Elizabeth Cohen outside that hospital this morning. Elizabeth, whats the latest on dr. Spencers condition . We havent heard anything since last night, john, when the mayor said hes in good shape. We have a press Conference Starting very soon where we will hopefully get more details. We want to know how hes doing and we want to know is he going to be getting a blood transfusion from an ebola survivor . A lot of experts say thats a really helpful treatment. And is he going to be getting an experimental medicine. We know zmapp isnt available but there are other medicines patients can get. John . Theres been a remarkable rate of success in the United States since the death of Thomas Eric Duncan. The news that nina pham, the nurse who came down with ebola, she is being released after being declared ebola free. Elizabeth, lets talk about new york state here. New york state has been preparing for ebola now for weeks. They had training sessions at the Javits Center here, theyve been doing run throughs in Emergency Rooms for some time. They seem determined not to make the same mistake that were made in dallas. Right. In dallas they were just caught totally unaware. They hadnt had ebola training, this gentleman just walked in off the street. They didnt know what to do. Thats very different from bellevue. At bellevue theyve been training for this. Theyve been training for protective gear, training for all the little things, what do you do with the dirty sheets and towels, all of that. That is so important. A few weeks ago tom freeden, fre director of the cdc said any hospital can handle an ebola patient. He doesnt say that anymore. I think he recognized that some hospitals are better at it than others and this hospital would be in the category of being better at it. In this pro stress the moment that he saw he had a fever to when he was take on the the hospital who when he was admitted to where he was admitted in that hospital, that has been prepared for some time, a very different situation than the one in texas. What was not so prepared and what people are now asking questions about, elizabeth, is what dr. Spencer did in the previous few days. He was out in public. He was in the subway. He was bowling. So what does the city, what are health Officials Saying about that . You know, i think cdc is beginning to think do we need to have different rules for returning Health Care Workers . Because right now anyone who returns from west africa, whether you took care of a patient or never even saw a pick certain, all of just the same person. I say us because i came back from liberia last month. That is that youre supposed to take your temperature, monitor your own health symptoms. But im hearing talk now that maybe the rules should be different if you took care of an ebola patient. Maybe they should be quarantined. Thats one option but not the only option i want to make that clear. There is a middle ground here. Maybe you tell these returning Health Care Workers, you know what . You dont have to stay at home but we would prefer you dont get on public transportation. We would prefer you not go to public gatherings like bowling alleys. You can take a walk through central park, you wont be touching anyone there. Theres a middle ground between do whatever you want and be quarantined and im hearing talk that that may be where theyre headed. And a lot of the reasons for doing that, elizabeth, is to calm public fears because the science hasnt changed. The science still says until youre systematic, until you are releasing bodily fluids with ebola you are not contagious and as far as we know dr. Spencer was not anywhere near that. Elizabeth cohen at bellevue, thanks so much. Well go back as soon as the News Conference starts with mayor de blasio. Meanwhile, dr. Spencers apartment is sealed off and a crew will decontaminate it. Health Department Workers are getting flyers to neighbors with information on ebola to ease concerns in the area dr. Spencer road the subway, he took an uber taxi, he went to a bowling alley. Does anyone in those places have reason to be worried . We will speak to medical professionals about that to ease the fears about that meanwhile, in dr. Spencers neighborhood, our jean cassarez near the apartment building. What s the situation there . When do you expect them to decontaminate that building . Im right across the street from the apartment and we just had some activity right now. Were expecting the cleanup crew to arrive at any moment but what has just arrived is a new York Police Department long haul truck and theyre putting barricades up. It looks like around the entrance to that apartment. So that means that this cleanup crew isnt far behind. Heres what were learning the cleanup crew is going to do they will be going inside the apartment and according to the city councilmen who represents this district, the cleanup crew 1 going to be looking for bodily fluids of dr. Spencer. Any item that would have been in contact with his body such as sheets or polo cases, toothbrushes, a bath towel, they will clean and sanitize the apartment. It will be a meticulous effort, we are told. It will take a long time for it to do. But once they have finished it and hauled off the waste it will be ready for dr. Spencer to come back when his rid of ebola. 20 staff are expected to do all of this. The preparation is being done. We are looking at live pictures of putting up the barricades. Those bare krads to keep people out so the cleaning crews can get in and do their jobs, not because theres concern of the building or that surrounding area being contagious. That is very different situation and we saw in dallas where they struggled for days to hire a cleaning crew to get into that apartment youve been in that neighborhood for some time. How are people reacting up there to the news that there is a man, dr. Spencer, who has been diagnosed with ebola. I think theyre concerned. Ive spoken to people. Youve seen residents come out of the building and its a very serious tone here. This is the first case of ebola in new york city so people are adjusting to it. And i think that those that live in the apartment with the expression on their faces, they realize its serious. Now, we also know that Community Volunteers are being trained right now to go around the community to help educate people. Theres going to be fliers that are give on the the Community Member this is afternoon to educate them on exactly how you can and cannot contract ebola because there is a lot of fear with this and they want people to not be alarmed because as we know there are only three people at this point that have had that contact which makes them be required to have that isolation. That knowledge is so important here. Education matters so much. Those are live pictures outside the apartment of dr. Craig spencer the first person in new york city at isolation in Bellevue Hospital, this is the area around his apartment. Theyre putting up barricades because cleanup crews ared in there we expect very, very soon to decontaminate the area. Jean casarez, appreciate you being with us. Dr. Spencer is the ninth patient treated for ebola in the United States and this morning we have good news about the nurses who caught the virus while caring for Thomas Eric Duncan in dallas. Cnn has just learned that nina pham is being discharged from the National Institutes of health in maryland. Shes being declared ebolafree. Thats amazing. Samples collected from her dog lently ha ll lly bentley, ha negative. Amber vinson says her spirits are high, she is regaining strength. Her mother says doctors at Emory University hospital in atlanta can no longer detect ebola in her body and she is due to be transferred out of isolation soon. That, of course, such wonderful news. The news not always great from the beginning. Of course Thomas Eric Duncan died earlier this month from ebola. Still, all the other u. S. Patients are now being home or headed there soon. A twoyearold girl has been diagnosed with ebola in mali. She went to that country her grandmother from neighboring guinea where the Ebola Outbreak is believed to have started. Her father died after contracting the deadly virus. Local Authorities Say they are monitoring 43 people who had contact with the girl. The World Health Organization is sending additional medical experts to mall toy help prevent the spread there of ebola. While one patient is being treated for ebola in new york, as we say, another patient, knee pham, expected to be released. We have an update on both case this is hour, live News Conferences, plus, more on dr. Spencerment he didnt have ebola symptoms until thursday, but he was sluggish before then. So is sluggish dangerous . Could he have been contagious at that point . Well speak with our experts. Plus, the hatchetwielding man, a canadian shooter, just to recent lone wolf attacks. This as isis calls for followers to take action against police, journalistings, other officials. Could this be a scienter that the Terror Group Supporters are listening . Open an optimizer plus account from synchrony bank. Service. Security. Savings. Synchrony bank engage with us. No question about that. But your erectile dysfunction that could be a question of blood flow. Cialis tadalafil for daily use helps you be Ready Anytime the moments right. You can be more confident in your ability to be ready. And the same cialis is the only daily ed tablet approved to treat ed and symptoms of bph, like needing to go frequently or urgently. Tell your doctor about all your medical conditions and medicines, and ask if your heart is healthy enough for sex. Do not take cialis if you take nitrates for chest pain, as it may cause an unsafe drop in blood pressure. Do not drink alcohol in excess. Side effects may include headache, upset stomach, delayed backache or muscle ache. To avoid long term injury, get medical help right away for an erection lasting more than four hours. If you have any sudden decrease or loss in hearing or vision, or any allergic reactions like rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing, stop taking cialis and get medical help right away. Ask your doctor about cialis for daily use and a free 30tablet trial. Feet. Tiptoeing. Better things than the pain, stiffness, and joint damage of moderate to severe rheumatoid arthritis. Before you and your rheumatologist decide on a biologic, ask if xeljanz is ght for you. Xeljanz tofacitinib is a small pill, not an injection or infusion, for adults with moderate to severe ra for whom methotrexate did not work well. Xeljanz can relieve ra symptoms, and help stop further joint damage. Xeljanz can lower your ability to fight infections, including tuberculosis. Serious, sometimes fatal infections and cancers have happened in patients taking xeljanz. Dont start xeljanz if you have any infection, unless ok with your doctor. Tears in the stomach or intestines, low blood cell counts and higher liver tests and cholesterol levels have happened. Your doctor should perform blood tests before you start and while taking xeljanz and routinely check certain liver tests. Tell your doctor if you have been to a region where fungal infections are common, and if you have had tb, hepatitis b or c, or are prone to infections. Tell your doctor about all the medicines you take. One pill, twice daily, xeljanz can reduce ra pain and help stop further joint damage, even without methotrexate. Ask about xeljanz. Even without methotrexate. But with medcare, i dont have to waiting to get my diabetic supplies is such a hassle. They deliver everything i need right to my door with Free Shipping plus, medcare takes private policies, medicaid, even my medicare now we have the time to do the things we love. Medcare. We deliver a better life. All right, were waiting for a live News Conference at this hour. New yorks mayor bill de blasio will give us the latest on the first ebola case here in new york city. We also have other breaking news, very good news on the ebola front that nurse nina pham, who has been being carrot for at the National Institutes of health in maryland has been declared ebolafree. She is being discharged from the hospital. Theres a News Conference coming up shortly on that as well. I want to bring in our guests, sean kaufman is president of the behavioral based improvement solutions. Hes on the phone with us from atlanta. And in lima, peru, dr. Daniel bausch, the head of the virology and emerging Infections Department of the u. S. Naval medical research department. Sean, i want to start with you. Well talk about this new york case. We were discussing whats going on here in new york city, this dr. Craig spencer in isolation at Bellevue Hospital. There was word that he traveled all over the city in the days before he started exhibiting symptoms. He got a fever. When i heard that, it made me think of what you told us before about the abcs of safe returns from the ebola hot zone. You just got back from the ebola hot zone in liberia. Do you think it was inadvisable, to put it mildly, that dr. Spencer was out and about the way he was so soon after returning from africa . Absolutely not. I think that, you know, folks that are coming from the front line are using science to guide their decisions and, you know, its not a time to stop living, its just a time to start living responsibly. And so i think what weve seen with this doctor who has returned, again, from a huge humanitarian effort and, unfortunately, is suffering as a result of that, is that he did behave responsibly and he behaved responsibly in many different ways. He was asystematic, he was living his life but he was assessing himself on a frequent basis and he was in essence keeping himself away, especially away when he started becoming systematic. Once he was systematic he was alone. As soon as he was systematic he contacted doctors without borders, they contacted the cdc and other officials so everything went the way it was supposed to. Dr. Bausch, even though medically speaking the science says he was not a threat because he was not systematic, do you think the cdc needs to get in the game and talk about procedures to lay out some clarity in how Health Care Workers returning from these ebola hot zones have to besave in. I think its fairly clear what we need to do. The science does tell us and this so far looks to be a situation where everything was done right. The risk to a person, even in the very early phases of disease where they have fever and a headache, is extremely low. I think theres very, very little risk to the population regardless of whether when he went bowling or was on the subway. So this was done correctly and i think monitoring closely people who come back after exposure or potential exposure in west africa is the right thing to do. Just as this patient or this person did. I want to make sure our audience listens carefully to what was just said by two experts dealing with ebola for weeks and month if not years. They say procedures were followed, everything was done and it seems to be theyre saying there was no threat to people here in new york city based on what went on in the last few days. Dr. Bausch, i want istoask you about a remarkable piece of news nurse nina pham is being declared ebolafree. The National Institutes of health will hold a News Conference in just a few minutes saying she is being discharged. It seems after an awful start here in the United States with Thomas Eric Duncan dying unfortunately after being mishandled