Between 10 00 and 11 00 a. M. , that he was getting a higher fever, that he may be sympt symptomat symptomatic, he immediately called authorities, they brought him here to the hospital, following every single precaution. They locked his apartment behind them. Hes been in isolation at bellevue ever since. They say it could not have gone more smoothly and new york could not have been more prepared. This is the preimminent hospital to deal with this. You mentioned the four people he was in direct contact with, three of them are quarantined b, one along with him at the hospital, two at home. He was not in isolation. He tried to stay in his apartment most of the time when he returned on october 17 from guinea, but he did venture out. We know as recently as yesterday, he took the subway and also an uber cab and he went bowling in williamsburg, brooklyn. We know that he visited a restaurant in new york city. We dont know which one. We also know that he visited the highline park, a very an area thats full of people and tourists in new york city. So he was not quarantined. A lot of people on twitter, as you know, are asking why was he out and about. Well, he did follow every protocol, were told, of Doctors Without Borders, the group he was working with. He regularly took his temperature two times a day. Immediately when he found these symptoms he did what he was supposed to do. I think i misspoke and i said overabundance to be cautious here in the city. He did do what he was supposed to do. But as i spoke now to the head of the office of emergency management, they still are interested in tracking his movements. And finding out exactly where he went. And theyre using the subway to do that. They are. They say hes cooperating and he told them everywhere he went. But this is also a patient fighting for his life. Hes a patient that needs to focus on Getting Better right now, so they are using his metro card for example to track you can track every where will he went on his metro card for the last eight days since hes been back in the United States. Because at this hour, what they are doing what they immediately began doing in new york is track everyone who may have been in contact with him. Who was bowling with him last night at the Bowling Alley, you bet theyre going to talk to those people. They closed it down. Theyre going to be inspecting it, sanitizing the Bowling Alley. You can bet they will be talking to his neighbors, people in his building. This is really about two critical things, saving the life of this doctor and making sure this does not spread to anyone else in new york city, the govern governor, the mayor, saying new york could not be better prepared to do that but they have to follow all the steps to do that and that means cracking down everyone they can. Thank you very much. I want to turn now to our next guests. Juliette, is new york city doing tonight is what theyre doing tonight the model in what a city should be doing when faced with an ebola patient . Absolutely. I mean, it didnt begin tonight. Thats the important thing. For months before they were doing the training. Its not just the Public Health officials. Its the interdisciplinary training, the locals with the state and the federal government, integrating what the protocols will be at the lowest level, the hospital, and then the information flow. Now that we have the patient in new york city, now its the post, sort of the investigation about where hes been, who could have been exposed, however unlikely. And, you know, part of this is a sense of grit. I think that is an important aspect of leadership. You saw in the mayor and governor, an impressive press conference. They portrayed grit. They understood what the threat was. They put it in perspective and they assured people the First Responders were doing everything possible. So so far its looking as good as you can imagine the first ebola case in new york city looking. So you have to ask a question, right, in order to get an answer. We dont want to sensationalize this at all or scare people. But many people at home are asking the same questions. I have friends who lived with me in harlem, up in harlem. Theyre concerned about it. I read you their Text Messages in the break. People are really concerned. Ill ask you the questions people at home will be asking. We know that dr. Spencer took the a train, the el train and the 1 train. And so earlier, we were asking why are they going to sanitize the Bowling Alley. We learned from the official here that the Bowling Alley did it themselves. New york city officials didnt ask them to do that. Are people on the subway system safe . Thats kwet. I would say they absolutely are. When we ask should we be worried what is the risk, youre always talking a cost benefit analysis. Whats the benefit were going to get from sterilizing the subway system and what is the cost . We know they didnt close the Bowling Alley but the Bowling Alley can close itself and sperlize themselves. Im sure in a couple of days theyll be running just fine. But the subway, the benefit is absolutely minimal. The viral being anywhere on that subway system is so vanishingly small. Many said there are mixed messages coming from as high as the cdc and other organizations. Is that bhie people are saying you know, there are so many unknowns with this, i just dont know. Im not sure that they know. I think when you hear two different messages it is confusing. Stlr some positives, though. This physician did not go through the er. He called First Responders who came prepared to treat ebola. There was no spread to any other patient. And the hospital seemed to be more prepared to handle this. They knew he was coming. Theyve been doing drills for months. They had mock patients. Theyve had a lot of Different Things that have been done. A lot of these hospitals have formed their own strike team, similar to the pentagon strike team. So within the hospital, its not that every Single Person in the hospital has to be prepared to treat ebola. Although they all know about ebola, but the strike teams are specifically trained to come in and take over when theres an ebola patient. The governor said there are 200 hospitals in the state and all of them were equipped to deal with ebola, but the ones equipped to deal with it most intensely, they designated eight hospitals in the state. But for a long time, dr. Thomas f ri eden from the cdc said any hospital can treat an ebola patient. Is that you juliet saying yeah . Is that so . I think i think this is a much smarter approach. This is part of the challenge that confronted the government the first month of this was sort of promises that it wasnt going to hit, we werent going to get ebola. Everyone knew that someone would come here and that every hospital was prepared. That is just unrealistic. This is a very, very unique disease that has only, you know, less than a handful of people have gotten it in the United States. So you can not prepare every hospital. And as we talked about cost benefit, the benefit of designating certain hospitals is, you know, just a good use of dollars and resources. Its smart and the governor said that tonight. He said the cost to outfit every single hospital in the state would just be immense and its just not practical. Do you work with ebola patients. Until this epidemic, theyve been very, very rare. As i understand, you were on your way to uganda to do some sort of training but youre not going because of this breaking news story. Have you worked with ebola patients and you said hemorrhagic fever. There are other ebolatype viruses that we treat similarly. In uganda they are very an outbreak of a very similar virus. Were going to be right back with more breaking news. dad theres nothing i cant reach in my subaru. vo introducing the allnew subaru outback. Love. Its what makes a subaru,a subaru. [ male announcer ] great rates for great rides. Geico motorcycle, see how much you could save. [ male announcer ] come from all walks of life. If you have high blood sugar, ask your doctor about farxiga. Its a different kind of medicine that works by removing some sugar from your body. Along with diet and exercise, farxiga helps lower blood sugar in adults with type 2 diabetes. With one pill a day, farxiga helps lower your a1c. And, although its not a weightloss or bloodpressure drug, farxiga may help you lose weight and may even lower Blood Pressure when used with certain diabetes medicines. Do not take if allergic to farxiga or its ingredients. Symptoms of a serious allergic reaction include rash, swelling or difficulty breathing or swallowing. If you have any of these symptoms, stop taking farxiga and seek medical help right away. Do not take farxiga if you have severe kidney problems, are on dialysis, or have bladder cancer. Tell your doctor right away if you have blood or red color in your urine or pain while you urinate. Farxiga can cause serious side effects, including dehydration, genital yeast infections in women and men, low blood sugar,kidney problems, and increased bad cholesterol. Common side effects include urinary tract infections, changes in urination, and runny nose. Do the walk of life yeah, you do the walk of life need to lower your blood sugar . Ask your doctor about farxiga and visit our website to learn how you may be able to get every month free. A doctor coming back from west aftercalf was diagnosed with ebola, the first diagnosed case in new york city. What are you learning miguel . His home has been sealed off and will remain sealed off until workers get in there and figure out if they need any more to investigate inside the apartment. Health officials telling us that they will not be in his apartment tonight. But they probably will be in here tomorrow. Police presence is increased in this area a bit. Things seem to be calming down a bit for now. Earlier tonight when that positive result came back, the neighborhood did light up quite a bit. A lot of people coming to the apartment to see what was going on. Heightened Police Presence here. Increased amount of concern. We heard from a lot of people around the neighborhood who didnt seem very concerned. Didnt think it was possible. Was waiting for the test result to come back. As soon as it did, there was greater concern for people coming into the building and in this area. One individual who came in here sayi ining you know, ive got t take more precautions now. One good thing that the doctor did was not go to work for the ten days that he was back from guinea. One thing that will not set back was he took the 1 train, the a train, the l train, major subway lines here in new york city. Even though theyre saying theres no chance of people getting it, the fact that the Health Department is tracking all that, they say well, why track it if theres no chance of getting it. Quickly, did you speak with Doctors Without Borders . Because he was in guinea working with Doctors Without Borders. What did they say . They have released their protocols finally so that we have a better sense of what doctor and all their Health Care Workers who work in their zones come back and go through. Its a 21day period, the same period as the disease takes to show. Check temperature twice a day. It does not say anything about selfquarantining. They said this doctor did everything he was meant to do in order to quarantine himself or take care of himself. They do say, though, dont go bahhing to work for 21 days. He had not been to work for the ten days that he was back. He checked his temperature twice a day. Once he had his temperature, he was experiencing symptoms he did call Health Professionals. They say hes done exactly what he should have done. Earlier in new york, Governor Andrew Cuomo and mayor bill deblasio held a News Conference along with top city officials. Heres part of it. Today testing confirmed that a patient here in new york city had tested positive for ebola. The patient is now here in Bellevue Hospital. We want to state at the outset, there is no reason for new yorkers to be alarmed. Ebola is an extremely hard disease to contract. Its transmitted only through con tangt with an infected persons blood or other bodily fluids. Not through casual contact. We have had a full coordinated effort that has been working literally night and day, coordinating city, state and federal resources. Coordinating and drilling from airports to transportation to subway stations to ambulances, to hospitals. So we are as ready as one could be for this circumstance. The patient is presently hospitalized in isolation at this hospital. The patient is a 33yearold doctor working with the famed Human Services organization, Doctors Without Borders in guinea. He completed his work in guinea on the 12th of october and left guinea on the 14th of october. Via europe where he arrived in the United States at jfk airport on the 17th of october. At the time that he departed guinea throughout his journey home to the United States, he was well with no symptoms. When he arrived in the United States, he was also well with no symptoms. And he, being a medical doctor, undertook to check his temperature twice a day, which he has done since he departed from guinea. Op the 21st, he began feeling somewhat tired, but the first actual symptoms that the patient displayed were today sometime between 10 00 and 11 00 this morning when he experienced a fever and contacted msf, who rapidly contacted the Health Department, and the process of bringing this patient to Bellevue Hospital as a person considered at high risk for ebola. Bellevue has been preparing for this and we as a city and state have been prepearing for this for a while. All the processes involved in making sure that hes being monitored, taken care of here at the hospital, im mention that in a minute. But 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. Hes been taken care of by an Excellent Team and all of his medical problems are being addressed. When it comes to his care, the federal government has and will continue to provide whatever assistance is required to make sure hes treated safely and effectively. I think as has been said, it is very important that people understand how ebola spreads and what the risk is. When someone gets ebola, they become theyre not expected initially, but they become decreasingly infected the sicker they get. So right now, the concern is for the Health Care Workers who are caring for him at bellevue. Fortunately, bellevue has been preparing for this and drilling for this. Cdc has been in close communication with hospital authorities. In fact, by coincidence, or because of good preparations, we already had a team on the ground that had spent several days reviewing all of bellevues preparations, even before this patient became ill. They had reviewed the preparations and observed the hospital working. 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 can work in partnership in bellevue to make sure the patient gets as safe and effective care as pob. The prez conference earlier this evening, i need to tell you that andrew cuomo will be a guest on new day tomorrow morning. Well be right back. Queer back with our breaking News Coverage. The question is dr. Gavin, how much have officials here, including the cdc and hospitals around the country, how much have they learned from dallas . Weve heard the cdc director say there were glitches in protocols but we havent seen the protocols and it wasnt defined what those glitches were. We havent taken a lot of Lessons Learned away from dallas. But we have stuck with our basic principles of Public Health preparedness for highly Infectious Diseases such as ebola and as you heard from new york, the preparedness from hospitals and especially bellevue had been going through for many weeks now. Theyre saying if the fans will be functional and effective to provide the patient care for an ebola patient, but also got to remember that again, bellevue is going to wake up in the morning and go oh, my gosh, ive got an ebola patient and theyre going to realize how much waste is generated each day just by one patient. And they have the processes in place to dispose of safe ly all that waste. Im glad you mentioned that. Theres a video i just got. Someone sent me, bob, say i just noticed that the nypd was taking off gloves and putting them in public trash can. And i sent a note to producers saying true, im sitting here looking at the camera, i dont always see the video because im concentrating on sometimes whats on the teleprompter or thinking about what the next question is going to be. So here you go. Is there any concern with that . I guess we dont know what theyve been handling or doing. I mean, who knows. They may have just had i cant think of a single reason why they would be putting the gloves in the trash cans. But we dont know the full story. But for sure, it doesnt look good what theyre doing there. Theres a couple of things to consider. In the hospital, people wear gloves for a lot of Different Things. If you come in contact with any kind of blood or bodily fluids, you would not put those in a regular garbage can. You put them in biohazard trash. Thats destroyed in