Of Vice President bidens sons booted from the navy after testing positive for cocaine. Nothing, of course, stays hidden forever. Good afternoon, everyone. Welcome to the lead. We are live today from outside the National Institutes of health in bethesda, maryland, where one of the ebola patients is now being treated. Thats where we begin with our medical lead, our national lead. Health care officials across the country are scurrying to make sure their towns are not the next to make the diagnosis thats whipping up fears of a global pandemic. There are four patients being currently treated for ebola in the United States. Dozens of Health Workers in texas who have been told not to travel after one of them ended up on a cruise ship. 16 people in ohio are being monitored after been infected nurse touched down there. Hundreds more are being warned after they shared a plane with her. It is a fastmoving and frightening Public Health emergency. Today president obama again made it clear that the country and the world need to do more and fast if they want to stop the virus from slashing through cities here in the United States. And today cnn broke the story that democratic lawyer ron klain will manage the daunting task for the white house. In texas, the epicenter of the u. S. Outbreak, nearly 80 Health Care Workers are under close watch with twice daily temperature checks. Everyone who came in contact with Thomas Eric Duncan, the liberian man who was hospitalized and then died from the disease at dallass Texas Health Presbyterian has been told to shelter in place. Texass department of health instructing them, stay home, do not use public transit. Do not go out around large crowds. The dallas nurses, nina pham and amber vinson, treated duncan. Pham whisked in a specially outfitted plane and escorted by a fa a group of police. She is looking cheerful and the doctors here in maryland thankfully promised she would walk out of the ohio let us hope and pray so. The case that has the Health Community holding its collective breath is that of the second nurse, amber vinson. Frontier airlines is now reaching out to 800 people who flew on the plane that took vinson to cleveland after authorities revealed she may have had symptoms days before previously revealed to the public. The worry that ebola could become a biomedical ticking time bomb has transportation officials on high alert today. New yorks Governor Andrew Cuomo announced plans to conduct random Ebola Response drills on the citys subway which handles 6 million riders a day. And one rider on a bus in washington reportedly from west africa vomited. Cnn has reporters positioned all across the country following these threads as they develop. Well start with rene marsh. Reports are streaming in that another Texas Health Care worker is on a cruise ship. Reporter there are reports that someone on board is being monitored for the deadly virus. Its enough to raise concern. But experts say the risk is low. That ship right now on the water and headed back to texas as we speak. A Lab Supervisor from the hospital where ebola patient Thomas Eric Duncan died remains quarantined on a cruise ship. Eric lufner is one of the more than 4,000 passengers on board. Its like, holy cow, were on a boat with an ebola scare. Reporter the woman never had contact with duncan but may have had contact with his fluid samples. In a statement, Carnival Cruise lines says at no time has the individual exhibited any symptoms or signs of infection and it has been 19 days since she was in the lab with the testing samples. The lab tech boarded the carnival magic on october 12th, before being notified of increased monitoring requirements. If i were on this cruise ship, i wouldnt be concerned at all. In a vast excess of caution, she is isolating herself, which from an objective sciencebased Risk Assessment is quite unnecessary. Reporter the ship is currently returning to texas. Mexico refused to allow it to dock. And a request by the u. S. Government to evacuate the passengers through belize was rejected. Meanwhile, two coworkers of the lab technicians, nurses nina pham and amber vinson, are being treated for ebola. Before being diagnosed, vinson flew round trip from dallas to cleveland. Frontier airlines is notifying up to 800 passengers, including those who flew with her and those who later traveled on one of the same planes. Im more worried than i am angry. Its kind of one of those things where it happened, now i just want to be positive and deal with it and move on. Reporter and other ebola scares continue. A sick passenger died on a flight en route from nigeria to jfk thursday. Emergency responders determined ebola was not the cause. And at the pentagon this morning, a woman who said she had been to west africa vomited in a parking lot. She was taken to a hospital for evaluation. So everyone acting out of an abundance of caution. In texas, the state where these two nurses were infected with ebola, the state is directing all Health Care Workers who had direct contact or even entered Thomas Eric Duncans room to stay away from Public Places where people congregate. That is all outlined in this one page or here. That essentially means they are not allowed at restaurants, grocery stores, theaters and of course not on commercial flights or cruise ships. Jake . A country on edge. Rene marsh, thank you so much. Amber vinson, the nurse spent four days in akron, ohio, her hometown preparing for her wedding before she was hospitalized with ebola back in texas. But evidence she may have had some symptoms while there has officials racing to track down everyone she might have come in contact with, anyone who might be exposed. 16 people, including mrembers o her family, are being monitored around the clock. Doctors are also keeping tabs on other people who sat next to her on flights. Cnn National CorrespondentSusan Candiotti is on the ground now in akron, oklahoma. We know that amber vinson was potentially contagious for much longer than we originally had been told. How has that changed the way, susan, that officials in ohio are responding to this crisis . Reporter not only in ohio but elsewhere, too, because now theyre learning the protective gear that nurses vinson and pham were wearing, didnt work, didnt protect them completely from ebola. So its expanding the definition of contact. At least start getting doctors to talk to people more about what kind of contact you might have had. And in the case of amber vinson, again, growing evidence that she may have been feeling odd while she was here saturday and sunday. Heres how the cdc put it. She rested for a long time on some days. She said she felt funny. Those types of things. But nothing specific. The judgment that we came up to is that we cant rule out that she wasnt ill, okay, for the time that she was here in ohio. Reporter and admittedly, the cdc is now saying that it shouldnt have told her that it was all right for her to get on that plane, even though she had despite her only having a slight fever. So it is changing the way they are looking at how they should be monitoring people who might be infected. Jake . Susan candiotti in akron, ohio. Thank you so much. As federal officials here rush to guard against ebola, the World Health Organization today admitted that it bungled worldwide response to the outbreak. In a memo obtained by the associated press, the agency writes, quote, nearly everyone involved in the outbreak response failed to see some fairly plain writing on the wall. Cnn chief medical correspondent sanjay gupta is in atlanta. Thanks for joining us. This is a startling admission. If the w. H. O. Cant handle this, why should we have any confidence that ebola can be stopped by individuals in places like akron, ohio . Well, they definitely bungled things and they admitted that. Ill talk more about that in a second. But i will say that i dont think that necessarily means that it cant be handled going into the future. One of the things to keep in mind, jake, since 1976, there have been a couple dozen nearly outbreaks. And every single time, its been handled fairly easily. This was different in a few different ways. There was this idea that patients were moving more, they were getting to big cities. It was a more globalized society. And i think the World Health Organization just didnt anticipate how significant that movement was going to be. It was just much more challenging to track all these patients and to track all these contacts. And by the time they realized how widespread it had become, it was sort of starting to get out of control. Their words, not mine. And thats sort of the situation that were in. But keep in mind, senegal, there was a case there, some say senegal now is free of ebola. Nigeria, theyre on their way to saying that nigeria is going to be eradicated of ebola as well. So it can be done. But its going to require a hur been done. And weve seen people on the front lines, Health Care Workers, people treating patients with ebola we heard a passenger who sat three feet away from amber vinson, and he said the nurse who is helping him monitor his symptoms is not as safe as he would like her to be. And there still seems to be no consistent standard for how to treat these potentially very sick, potentially infectious people. Its important to categorize these people for who they are and whats going on with them. Somebody to sat next to somebody who subsequently was diagnosed with ebola is not necessarily infected themselves, not necessarily infectious or contagious themselves. What the nurse is likely doing is taking that persons temperature. So beyond the obvious things, the normal safety precautions, washing your hands, putting on gloves and things like that, theres really no other safety standard. She is not treating this person for ebola because this person doesnt have ebola, doesnt have the infection. The person youre talking about who sat on the plane close to ms. Vinson, he doesnt even need to be quarantined. You only get quarantined if you are potentially a danger to the public. And in this case, hes not been diagnosed with an infection. So some of this is confusing because people are throwing around various terms. Quarantine, isolation, infected, not infected. This person is not a threat to the Public Health and hasnt been diagnosed with ebola. And the chances are very low he will ever get sick. Remember patrick sawyer, the guy who flew to nigeria and then when he got to nigeria in the airport terminal, he collapsed, subsequently died of ebola. No one on those plane rides that he was on ever got sick. Important point to remember. Absolutely. Dr. Sanjay gupta, thank you so much. Appreciate it. The new socalled ebola czar announced hours ago. Hes already under attack. Can he overcome the rancor and partisanship to lead the country out of the ebola crisis . And lawmakers calling for the white house to ban travel to the u. S. From the countries hardest hit by the ebola virus. President obama saying it will only make the problem worse. Whos right . The answer when we come back. 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Im jake tapper at the National Institutes of health where one of the ebola patients is being treated and where we are today devoting much of our show to this ebola crisis, continuing on our national lead. Breaking news now, the Obama Administration announcing that barda, the medical research arm of the department, is working as quickly as possible with pharmaceutical companies to scale up production of ebola drugs such as zmapp, this as the president called earlier today for an all hands on deck approach. But with criticism growing and fear spreading, the president now seems to think that a oneperson approach might help rein in what critics have called a disjointed effort so far. Today president obama announced he would appoint an ebola czar to coordinate the federal response. To the surprise of many, the president did not turn to an expert in Infectious Diseases or a medical scholar or a hospital executive. Instead, he tapped a wellknown washington insider. So if youre a president , what do you do when a deadly disease is terrifying the public and needs to be contained and the response has been questioned . We did not correctly diagnose his symptoms as those of ebola and we are deeply sorry. Reporter well, if youre this white house, you put someone in charge. Earlier today, cnn broke the story that president obama will appoint ron klain to be ebola czar to help manage and coordinate the federal response to the crisis. Klain is no stranger to highlevel responsibility. The 53yearold lawyer also served as chief of staff to Vice President joe biden. Bill clinton and i are ready. Reporter and Vice President al gore known for good relationships on capitol hill, klain was in charge of the distribution of hundreds of billions of stimulus dollars. Though he first became known for leading al gores effort to win the florida recount in 2000. Ron klain. Reporter klains ultimately unsuccessful handling of that electoral crisis was the inspiration behind Kevin Spaceys character in recount. But what klains resume doesnt reflect is any sort of medical background. The man tasked with coordinating the National Response to a potential pandemic has a background in law, politics and well, staying on message. The skill hes lent to president obama, john kerry and others as a key debate adviser. White house officials argue there are enough doctors at the cdc and n. I. H. Im trained as a physician. Im trained in internal medicine. Reporter what they need now is a topnotch manager. Will klain have room to do his job . Hell report to two others in the white house, Homeland Security adviser lisa monaco and susan rice. Im so scared. Reporter and one small odd casting note, Kevin Spaceys pandemic victim character from the movie outbreak is no way related to his comparison to our new ebola czar. Republican lawmakers especially have been highly critical of the administrations ability to contain ebola in the United States. In a hearing yesterday with the nations top Health Officials, pennsylvania congressman tim murphy, a republican, went so far as to say the trust and credibility of the government are waning. And representative murphy joins me now live. Congressman murphy, i want to read this tweet from Vice President biden. It says, theres no one better at getting government to work at its best than ron klain. Hes a tested manager and problemsolver and a trusted adviser. And yet you called the appointment of ron klain tone deaf. Why . Because when i had a hearing yesterday, three hours of some great experts in the areas of health care, disease management, et cetera, not one of them said, could you please appoint a Campaign Worker and a political operative to govern this issue. I think this is a time where americas looking to build confidence in having a medical crisis. And it would have been helpful to have someone who knows something about Infectious Disease, a disease management quarantines, all those issues, to help here. America needs to have confidence. And i would love it if the white house could be working towards that. Love it if the h. H. S. Secretary would speak up about it. We dont need another expert in politics. This is not a political issue, but a medical issue. I hear you. But to play devils advocate here, ron klain handled the stimulus dollars. He is wellregarded in the administration for knowing a lot of people in government, knowing a lot of people on capitol hill. And the white house says this is a managerial position. There are plenty of Infectious Disease experts at n. I. H. , at cdc. Is that not an argument thats valid at all . Youre talking about someone who may be a great guy. I dont know him at all. This is nothing personal or political. This is an issue about what America Needs and thats policy differences. Do we have quarantines and isolations or not . Do we restrict travel from africa or not . Do we need more planes to bring people over who may be sick who may be american citizens . How is the military going to handle the Infectious Disease aspect . How do we advance money through the h. H. S. Where this is needed . These are medical decisions of what happens and what do we do in terms of training hospitals, et cetera . Having someone with zero experience in this doesnt do anything to add confidence when america is very worried about this issue. Youve been a vocal pro