Transcripts For MSNBCW The Reid Report 20141015 : vimarsana.

MSNBCW The Reid Report October 15, 2014

And were hearing that Cleveland City officials will hold a News Conference any minute now regarding potential contacts the Health Care Worker may have had. Earlier today we learned this newly diagnosed patient lived alone and she was isolated within 30 minutes of her arrival at texas press pa baron hospital in dallas yesterday. Crews have completed a preliminary cleaning of the outside of her apartment. Crews are expected to sanitize the inside of her home this afternoon. Msnbcs craig melvin joins me live from dallas. Craig, do we know any more about this Health Care Worker and whether she treated mr. Duncan the first time he was triaged or the second time when he came back really sick . Reporter the cdc director says at this point it appears as though she had contact with mr. Duncan before he was before he was sent into isolation. The 28th, the 29th, the 30th. Those are the three dates that he indicated she was most likely to have had contact with duncan. We can also tell you that she has three family members that live in cleveland. This is where this News Conference is something to be happening that you mentioned. They also have some sort of connection to kent state university. Were expecting that News Conference, that some of this will address. Kent state sent out a news release a short time ago saying at no point was this woman, this second the second ebola victim, at no point was she on campus, but she did have contact with those three folks. Were told theyre also being monitored. Meanwhile, you indicated that the folks on that Frontier Airline flight, the 132 passengers, one thing well learn in the News Conference from the dhs director excuse me, the hhs director, is the risk is extremely low that any folks on that plane have contracted ebola, but they went on to say some of those folks may be monitored. They assume, perhaps, the folks sitting next to her, sitting very close to her. Those folks might be monitored. Craig, so we not that this is one of the people who knew she treated Thomas Eric Duncan prooem presumably and was probably as a Health Care Worker herself was monitoring herself and watching for any kind of signs. The idea she shouldnt have flown on monday. She was in that group that was exposed. She had a 99. 5 degree temperature. However the cdcs threshold is 100. 4. What are the cdc or Health Officials youre talking to say about that fact, that she was under that threshold when she took that flight . Reporter we should note that temperature threshold has been lowered recently. At one point it was 101 and change and lowered to 100. Were trying to learn precisely when they lowered the temperature threshold. One thing that caught me from the News Conference, the cdc director said, quote, she should not have been allowed to travel by virtue of the fac she was in an exposed group. Weve got a 29yearold Health Care Worker who knew that she treated Thomas Eric Duncan. She knew that she had this elevated temperature, 99. 5. She was in the selfmonitoring group. She had been checking her temperature dut she still decided to get on that plane. The cdc director saying a short time ago that that was going to be one of the protocols, one of the rules that was going to have to change. That dozens of folks being monitored right now, these folks are being told that under no circumstances can they get on commercial aircraft. I mean, how do you i mean, how do you enforce that . At the end of the day, unless the cdc is somehow connecting with the tsa and somehow its pinged in the airport, is this just selfenforcement . Reporter well, joy reid, thats the question. I think thats one of the thats one of the questions being tossed about here, one of questions theyre trying to get an answer to, how do they enforce that, make sure these folks arent getting on planes . Keep in mind, you know, theoretical theoretically, you still have a large number of people out there that have had indirect contact with these folks, so do we even know . I mean, do we know all the folks who have come into contact at the airport . I mean, this is something its worth mentioning here in dallas, we heard this a short time ago at the News Conference, there is a considerable likelihood here were going to see more cases in the dallas ft. Worth area. We heard that from Health Officials a short time ago. The mood on the ground, as you might imagine, a bit tense. I flew in an hoir and a half, two hours ago, i flew into dallas a number of times. I have not seen people Wearing Masks before. I saw four, five people wearing those masks. We know, of course, thats not how ebola is actually spread. But that speaks to the temperature of the mood on the ground here. Yeah, absolutely. Craig melvin, thank you very much. Appreciate it. Dr. Corcorey hebert, im go to go right back to you on the same question i was asking nbc correspondent craig melvin, because if people are being told under no circumstances should they travel if theyre in this concentric circle of people who had contact with mr. Duncan, the first time he was triaged or the second time he was treated, how is that going to be enforced . This is selfpolicing were asking for even among Health Care Workers, right . Im done with selfpolicing. Im done with it. Why are we acting like this not an emergency situation . We know that we dont want people to panic, but we also know a person came into that hospital with was charged with 103degree fever. Came back into the hospital and no one knew at the time he came back the second time that he had ebola, which means there were a lot of people that were exposed at that time. Lets think about it. You know, when we talk about the ability for people to selfpolice, thats over. I mean, i think the cdc now should really step up and say, look, if you were exposed at that hospital, you cant go anywhere. Guess what . Were going to have somebody at your door thats not allowing you to go somewhere. I know that sounds bad, but lets be real. We dont need this kind of hysteria running around the country because odds are, on that airplane today, where that lady didnt use common sense and got on the airplane and potentially exposed people, lets think about it like this, when mr. Duncan came over from liberia, what about all those people that were on the plane with him . Have they quarantined them . No. Youve got to think about this. We know that dallas is not doing a really good job. They didnt do a good job at that hospital. Even a broken clock is right twice in a day. Lets hope they can get some things right now. Thomas eric duncans nephew has written a scathing oped in the Dallas Morning News and he said among the most offensive errors, and saying the medias biggest error was he knew he was exposed to ebola. Thats not true. He said the uncle the stories of his uncle helping a pregnant woman who was sick with ebola are also they sound courageous but Thomas Eric Duncan personally hold him they didnt happen. So if a person doesnt know theyre exposed, even they know theyre at risk, which happened to this nurse, but doesnt necessarily have been exposed, is there a function for a person then to selfsegregate . You know what i mean . Sure. The woman is under the threshold, 99degree temperature, not 100. If theres no regulation forcing her to not to go into public, then theres nothing to keep her home. Right. Well, lets look at a couple of things. I want to you to think about a lot of people tonight dont know the fever threshold by the World Health Organization is 100. 4. Theyre at the old 98. 6. That was changed years ago. People out there listening, thats not just for ebola. Thats for everything. 100. 4. Now, when we talk about, you know, when the ability for a Health Care Facility to be able to take care of these patients and to be able to selfpolice, we cant expect people that have been exposed, to be honest, the hospital employees are probably irate. We have the nurses union, theyre irate. I have a quote here from Deborah Burger who said what she saw was, quote unquote, carelessness, flimsy gown, protective gear that saw parts of the body exposed. So the Health Care Workers are kind of mad, so theyre not really thinking about, you know, traveling or not traveling, trying to not expose you because theyre kind of irate. I also want people to remember that when we talk about a person getting on an airplane, should we now require that we ask that question . Should have you been exposed to the ebola virus . Have you traveled . Should we ask that of everyone like we ask, you know, have you had have you packed your own bags and all those types of things that we ask . I think we should now ask that. The reason why is because what if that lady became overwhelmed with symptoms and threw up on the person next to her in that plane . Thats when the rubber hits the road. Yeah, absolutely. I want to talk to you more about that. We do have pictures now of the apartment of this next victim, live pictures of the apartment being cleaned. Those are the crews working on that right now. Talk about this three feet rule. People need to understand that if youre out there in the world out there in sheboygan and you havent had any contact with this patient or one of these nurses, this is a risk that is in a concentric circle of people, direct contact with the patient. Talk about this threefeet rule and what that means. Right. Basically, i mean, once again we talk about common sense things. We know this is not spread by respiratory droplets. However, i am going to put out there, we know there are been some cases of animaltoanimal transition with no direct contact. It was done by the Health Service of canada. What we know now in the United States, it has to be direct contact. If youre without outside of a threefoot radius, the odds of you having any type of contact with that person, to be able to spread a bodily fluid, its pretty much zero. Thats the reality. But if youve been exposed and you have your neck was exposed and you actually saw the patient and you were treating the patient, your neck was exposed and then someone touches your neck and then rubs their eye, that means you can get it. Thats within three feet. So, we need to make sure we keep those boundaries. I mean, i was on an airplane this morning and i got off the airplane and i you know, somebody recognized me in the airport. I went to shake their hand. Theyre like, nah, man, just fist bump. Were working with ebola. Im like, its like that . But thats the reality. We cannot let our irrational fears play into something thats going to make us have really bad decisions. And thats whats going go to happen. At same sometime, if anyone triaged this poor man the first time he came in with the 103 temperature, youre talking about anyone who triaged him the first time, they should be looking sharp and not getting on a plane, for instance. Exactly. And everybody else that was sitting in that in that waiting room with him. If he was vomiting, nobody knew he had ebola. Dr. Herbert, can you hang out with us . Absolutely. Kristin welker is now with me. The white house now circling the wagons. You have the president meeting with officials. Theres going to be a press conference today. What are we expecting to hear out of washington today . Reporter president obama will hold a meeting with some of the cabinet secretaries who are in charge of dealing with this ebola situation, and then well hear from the president after that. I anticipate hell try to reassure the American People in the wake of learning that this second Health Care Worker has now been diagnosed with ebola. In texas, among the questions for the president for this administration today, who specifically is in charge of this response . Were hearing more and more from Sylvia Matthews burwell. She was on morning shows earlier today talking about this. Thats going to be one of the main questions. Josh earnest expected to start his briefing. That was postponed. President obama canceled his planned travel for today. He was going to be campaigning with the governor of connecticut. And i know youll be monitoring all of that. Thank you very much. We appreciate that report. Want to let you know cleveland mayor Frank Jackson is giving a press conference. Lets dip in and listen to that. See if theres anything that may wind up being suspicious to them, so i really appreciate you coming here for that also. Now, the health department, ems, emergency medical system and several other partners and agencies weve been working in preparing for potential ebola situation in cleveland. Thats been a discussion so far because there was no reason to put it into an action. But the Health Director will talk to you about actions that were taken when she speaks. Today we were notified by Frontier Airlines and the cdc that an airplane at hopkins transported a person now diagnosed with ebola. Now, the cdc is handling that situation and is really on top of that. However, we are taking additional steps and an abundance of caution. Its important to note at this point, to the best of our knowledge, that we have not had any cases of ebola in the city of cleveland. Just the same, this is a very important Public Health issue. And it is important that we all stay focused on the facts and sharing information so that we can protect the interest of the public. And the public is aware of what she should do and have an understanding of this virus. Now, i will introduce to you, director pirilla, who will discuss what were doing, what we have been done and what people should be doing in regards to ebola. Before she speaks, i want to thank the Council Members who are here, particularly council president. Also, i know many of you have been trying to get in to talk to director smith. He will not be speaking, but he will be available for when we get into the question and answer period. Hell be available for that. Director . Thank you, mayor. My name is toinette parrilla. Director of Cleveland Department of Public Health. Youre welcome. Well, good afternoon. I would just like to reiterate, my name is toinette parrilla. I would like to emphasize what the mayor has stated. There are no current cases in the city of cleveland at this time. However, due to the need to have situation awareness, i have activated our emergency command center. As the instant commander for the city of cleveland in Emergency Preparedness situations, i believe it has risen to that level for the main focus being, again, situation awareness. This has positioned us to introduce our joint information system, which allows for us to manage communication and information at a local, regional, state and if needed, national level. At this point, we believe having that high level of transparency related to the cases, related to the situation, is what we need to give to the public. Gerngs i would like to emphasize, there are no current cases in the city of cleveland at this time. What the cdc has recommended for the Cleveland Department of Public Health and all local Health Agencies and Health Systems is to ensure that we have the capability and the capacity to detect, to protect and to respond. Within the Cleveland Department of Public Health, our role specifically is to educate the public, to inform them of what they need to know on how to protect themselves. Our role also consists of having the capability and the capacity to trace, to track and to contain. If needed, we will activate containment quarantine measures. But once again, we have no cases currently in cleveland. I would like to inform all that the Community Must be prepared. As ive stated earlier, knowledge is power when it comes to Public Health situations, with what were seeing currently with the ebola. I would like to briefly discuss how ebola is contracted just to provide all clevelanders, our public, with the knowhow so that they can protect themselves from these types of circumstances. Ebola is transmitted through blood and bodily fluids. You must have direct contact in those instances. If you do not have direct contact, you are not at risk. If you have any questions related to contracting the ebola virus, we encourage you to contact the cdc 1800 phone line. 1800cdcinfo. Again, that number is 1800cdcinfo. We have had several communications with cdc this morning. I had direct conversation with the medical director for odh and we have had approximately three to four Conference Calls today, again, keeping us aware as far as whats going on with the recent case that you are all aware about as relates to ms. Vinson. At this time, i would like to if there are no questions, i would like to now hand it over to the ems director. I have a question. Ms. Vinson. What i know about ms. Vinson at this time is shes approximately ranges from the age of 26 to 28. She flew into cleveland to prepare for her wedding. She came in to visit her mother and her mothers fiancee. She departed from Cleveland Hopkins on monday, the 13th, and she arrived into dallas that afternoon. Any additional questions about ms. Vinson or anything else should be directed to the cdc. Thank you. When you say you activated the command center, what does that mean specifically . What is t

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