Diary Prequel Package — page 396

two lines trying to keep up with the evolving situation. I heard from the White House and Sylvia Burwell that the White House and Sylvia herself were very keen on my being at the meeting at the White House in order to help develop a coherent policy. This was in gun just a wallpapers response to the fact that , a Doctors Without Borders emergency medicine physician working in Guinea had come back to New York and was self-monitoring for symptoms and fever according the MSF protocol. This is the ongoing protocol if someone at low but nonzero risk for infection returns to their country of origin after serving in West Africa taking care of Ebola patient. However since there were previous infections in the Ebola treatment unit where he worked, the evolving guidelines put him in the category of a high risk person. Nonetheless, he was following the doctors without Borders protocol which means that when you come back to your country of origin after being in a West African country you should monitor yourself with fever and symptoms and if you develop a fever call MSF and then report yourself to state health authorities. As it turned out, felt fatigued the previous day but nonetheless went out for a run. The following day as mentioned above he took several New York City subway rides to Brooklyn where he bowled and then went back and ate at a restaurant in Manhattan. The next day he developed a fever of 103 F. Technically he is a for you you just tell me and I can't go to a and the same thing you stop. Exposed 2 friends at the bowling alley and the Uber driver who drove him back to his apartment in Harlem. . Once he got a fever, proper protocol of hazmat transportation to Bellevue took place as mentioned above. However, because of the concern about risk to New Yorkers and people from New Jersey, Gov. Christie of New Jersey and Gov. Cuomo of New York State surprised and shocked the New York City public health authorities as well as the CDC and the US government (including President Obama) by declaring an absolute quarantine on all healthcare workers coming back to the United States through New York or Newark airports who had any contact with an Ebola patient. They either did not think this out fully or it was a pure political move. This violates all of the principles that indicate that people without symptoms are clearly not of danger or inffectious to others. This is becoming a political issue without a doubt since both Governors Christie and Cuomo are up for reelection and there is an outcry that we are worried too much about people's rights than we are about the safety of the public. However, as I have had to emphasize multiple times in the Press the danger of transmitting from an infected but asymptomatic individual is vanishingly small. However the President asked Lisa Monaco and Chief of Staff Denis McDonough to hold a principals policy committee meeting to sort out what kind of response we should have to this declaration of quarantining by the governors. This was a very important meeting for me to be at since it is very clear that we need to do more than just passive monitoring since there needs to be some clinical judgment and whether or HCWs, as well-meaning as they are, should actually leave their apartment and enter into public transportation such as subway, bus or even airplane. And so the PC meeting was held in the Situation Room at 2:30 PM on a beautiful crisp fall day. At the meeting besides me and Tom Frieden by video from Atlanta, Chief of Staff Denis McDonough, John Podesta, Gayle Smith, Leslie Dach, Sylvia Burwell, Susan Rice, Defense Secretary Chuck Hagel, Ron Klain, USAID administrator Rajiv Shah, Attyorney General Eric Holder, Amb. Samantha Power, DHS Sec. Jeh Johnson, Amb. Powell from the Department of State, Presidential Counsel Eggleston, Valerie Jarrett,