Governmentprovided protocols recommended to her are patently untrue and hurtful. The new ebola czar ron klain officially starts work on wednesday. In washington, the pentagon is creating a 30member Ebola Response team to help civilian doctors. The cdc will soon issue new safety protocols for hospital staff. Positive news today, if ebola returns, the nations doctors and white house say they will be ready. We want to make sure if we see any case of ebola present itself here in the United States, that we have the necessary medical protocols in place to contain that spread and protect the American People from this disease. The mood is much brighter today at texas health br presbyterian than three weeks ago. Sarah doloff has been there through it all. Reporter good afternoon. So much what has come out of the press conferences in the past few weeks has been serious and at times scary. It was nice for these officials to step back and Say Something positive for a moment. For those that rolled off the monitoring list are the fiancee of Thomas Eric Duncan and her family. They have been living in isolation at a home here in dallas. Theyll stay there a couple more days before they move into a new home thats being provided by the city and anonymous donors. Now, also included in that group were four school children. We originally thought they were going back tuesday, but they scrambled. Everything went off today. Those four kids returning to school and classrooms with open arms, were told, by the school district. Now here the focus shifts to about 120 people who are being watched. All of these people had contact with Thomas Eric Duncan, and their magic day, the day they roll off the monitoring list, is november 7th. Lets give you an update on the nurses. Nina pham at last update was in fair condition being treated at nih in maryland. Were told the trip to maryland was very tiring. It actually led to her being downgraded from good to fair condition. She is, however, being able to facetime with family and friends. Amber vinson in stable condition at emory hospital in atlanta. Her family releasing a statement defending criticism about her decision to travel in the days before her diagnosis. The Statement Reads in part, quote, in no way was amber careless prior to or after her exposure to mr. Eric duncan. She would not knowingly expose herself or anyone else, ent quote. Pe have good news about the nbc freelance cameraman, hes being treated in nebraska and is doing very well and may be able to leave isolation unit. A few good reasons to celebrate today. Lots of good news from sarah doloff in dallas. These people were in quarantine for 21 days, but experts are saying, is that long enough . New research by drexel professor charles haas suggest a 21day quarantine is not enough to completely guarantee the virus is gone. Thats something many of us here at the cycle did not know before our morning meeting. Crunching the numbers from each and every case from this current outbreak. Professor haas is determined theres a 12 risk of a person developing symptoms after the incubation period which means a 12 risk they could become contagious. The World Health Organization stands by its 21day time line but out of caution they wait 42 days before declaring a nation ebolafree. We just saw that in nigeria. We spoke with professor haas about his research in the new article is 21 days long enough for ebola quarantine . Why is professor haas saying 21 days is not long enough after most show symptoms after nine days and w. H. O. Is sticking by 21 days is enough . Hes saying is that because when you look at the distribution of people who have gotten cases of ebola in africa, is that there are its not the risk of contracting the disease after exposure drops to zero after 21 days. Thats just not true. Its not true from the World Health Organizations own data on this. The risk is small but it still remains. He told me theres still an 8 in 1,000 chance that after 30 days even theres a chance of contracting ebola. Which is small but when youre talking about numbers like what were hearing out of africa, there are thousands of people affected, well, 8 in 1,000 starts to feel real there. The w. H. O. Saying were looking at potentially 10,000 cases a week as soon as december. Using your math there and from the interview, youre talking 80 new infections. Thats scary. Yet were being told by credible folks here that panicking about this is not useful. So, what is useful . Its useful to think of, just in general, the viruses arent its not going to be so cut and dried. There are still some unknowns. Whats interesting about this, thankfully up until now, the outbreaks of ebola have been small. Cases in the hundreds. Now we have cases in the thousands and with those new cases comes new data. We can get a better sense of what the course of this disease looked like. What advice would professor haas give to the World Health Organization and the cdc right now in terms of weighing the costs versus the risk here . Yeah. I would imagine in the United States it seems like everybody who has been caught in this web of the disease that they might have been exposed or not has been accounted for. So, i would think these people would still be under good monitoring and aware of the symptoms. Its good to know, we dont know everything about this disease. Also of interest is we dont know how many people might have inborn immunity to this disease, too. As it progresses and more cases come across, well learn more about it. I would think with any Infectious Disease you would have rather than certainty, okay, at 21 days, thats it, its gone, end of story, you would have this weigh of possibility and cost benefit analysis. Does the way they came up with this guideline at the w. H. O. , does that match the way they assess other diseases in similar situations . I dont know about that completely. The w. H. O. Did recently release all of his data from the first nine months of the outbreak in africa and that data is available publicly. What they found with 95 of the cases, the disease was contracted within 21 days of exposure. Brian, the professor haas says in his report a frank sharing of the lack of knowledge that doctors have about ebola would help the public. I think a frank sharing of the lack of knowledge doctors have would lead to further unhelpful panic. Yeah, thats what i imagine. Im not a Public Health official but i imagine crafting the ways to reassure people at the same time being scientifically valid and increasing the publics understanding of how disease works. I think what dr. Haas would want people to know, you know, science doesnt work on absolutes. It works on probabilities. It works on confidence and impulse. Yes, after 21 days we can be pretty well assured that these people are in the clear at 95 confidence. But, you know, its just not always so pretty like that. Thank you very much for that report. Youve heard the concern 21 day says may not be enough. Up next, what does the medical Community Think about that idea . Well ask an Infectious Disease specialist, dr. Frank esper. The cycle will roll on. So guys its just you and your honey. The setting is perfect. You know what . Plenty of guys have this issue, not just getting an erection, but keeping it. Well, viagra helps guys with ed get and keep an erection. And you only take it when you need it. Good to know, right . If ed is stopping what you started. Ask you doctor about viagra. [ male announcer ] ask your doctor if your heart is healthy enough for sex. Do not take viagra if you take nitrates for chest pain; it may cause an unsafe drop in blood pressure. Side effects include headache, flushing, upset stomach and abnormal vision. 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Youre breathing on me if you want to save fifteen percent or more on car insurance, you switch to geico. Its what you do. Head for the cemetery were back with Infectious Disease specialist dr. Frank esper for what we heard in our last block, concern a 21day quarantine period might not be long enough. We have positive news with the quarantine ending but what do you make of the assessment by researcher charles haas no amount of quarantine will provide absolute assurance. Should we be concerned about this number 21 . The answer is 21 days actually work. Nothing in life is ever going to be 100 . But what we do see, in this outbreak as well as the outbreaks in the past, is that if we monitor the exposed individuals for over 21 days and they dont show infection or any symptoms, then were actually able to control the outbreak. 21 days is important not for any one individual person, but 21 days is important to stop the spread of this virus in this country as well as others. As we look at the reaction arent the country, some people breathing a sigh of relief, like maybe we turned a corner and as youve said and others have told us, a lot of people want total certainty. They want that in an individual level when they see the doctor and they certainly want that when thinking about the risk of Infectious Disease. How much of the entire reaction to this and the washington political reaction do you think reflects a desire for a type of certainty that does not exist in the medical arena . As we were just talking, the fear of ebola lasts longer than 21 days. Unfortunately, fear is one of those aspects of this disease we have to address as much as the virus itself. For the people who are on the street, going about their normal daily lives, they should not be worried and they should be feeling a lot better. The less we hear about ebola, the less we hear about the patients and how well theyre doing, the better the news tends to be. But from a physician standpoint, from the people down in the Emergency Department to the people in the intensive care, we must remain vij lentd. Not just for this outbreak that happened in dallas but for the next outbreak that can come to our shores and may show up in peoria or springfield or whatever, we as a physician and medical community, we must remain vigilant. To your point, doctor, theres a lot of misinformation out there. New polling from Harvard School of health, 85 of americans incorrectly believe they can get ebola from someone sneezing on them. 52 fear a large Ebola Outbreak in the u. S. Something that has a, you know, miniscule possibility of actually becoming a reality. 38 are worried that they or a Family Member may become sick with ebola. How do you strike that balance of assuaging some of these fears, educating people about the real very low risks that ebola actually poses to the American Public without further stoking hysteria just by focusing too much on talking about ebola . Who need to creation ebola with respect. The disease requires us to be very vigilant. The disease requires a certain amount of appreciation for what it can do if we do nothing. That being said, the disease is spread to Family Members and to health care workers. It is not something that is transmitted to people walking along the street. Its not something transmitted to people in the Grocery Store or anything like that. Its to very close, prolonged, intimate contact that comes from being within a family with someone who is suffering from ebola or being a medical care provider whos going to be working with a patient with this disease day in and day out. Those are the people who must remain vigilant, as i said before, but the rest of the country, as we continue to watch those who have been exposed and we dont see any new patients coming, should feel a lot better each and every day we dont hear about new cases. Doctor, we have a new well, First Time Ever ebola czar coming on the job on wednesday. Do you think this person will be able to help you do your job . And do you think the ebola czar should have been a medical professional . I dont necessarily think you need a specific physician or doctor to be the person in charge of Ebola Response because there are three phases that i see that are required in order for us to make the American Public a lot safer. One, we have to deal with the ebola problem here within the United States. Thats in dallas as well as those nurses that are now in atlanta and over in maryland. Two, we have to be ready for any new cases that may show up on our shores, Emergency Departments, thats on the physicians and hospital staff to be ready for those. Lastly, we need to deal with ebola at its source. Thats in west africa. These are not physician questions. These are not a problem a physician would deal with. What you need is a leader. You need someone who is good at administration, good actually has the authority to ensure prompt response and to ensure correct response which we didnt have before his announcement so im happy theres someone there. Has the cdc been helpful to you and your husband in getting prepared and what changes do you think we might need to see from the cdc Going Forward . The cdc has been very, very helpful. Not just over the last several weeks, but the last several months. We have not been wan ton for guidance from the cdc. Theyve been out front in providing our hospital and staff with information uptodate information and revisions as new sources and new data come in. We are almost inundated every day. Here at our hospital, we are meeting every day with revising our protocols, understanding whats going on. And ill tell you, you mentioned a few minutes ago how doctors are talking to other doctors about things that went wrong or things problems they had. Actually, i would tell you that the people in the United States should be actually very reassured that that is happening. Were not trying to hold back our missteps. Were not trying to hide anything. If we had a problem, we are letting the physicians know what problems we had, how we dealt with them, what worked and didnt work so that other physicians, if we are unfortunate to have another case, will not make those same mistakes. Again, im actually very reassured. That dialogue is going on right now. Certainly more of an optimistic tone today. 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