Diary Prequel Package — page 404

tive and irity and rent tive fairs \dministrator • Katie Fallon, Assistant to the President and Director of the Office of Legislative Affairs • Jennifer Palmieri, Assistant to the President and Director of Communications • Rajiv Shah, Administrator of the U.S. Agency for International Development • Suzanne George, Deputy Assistant to the President and Executive Secretary and Chief of Staff of the National Security Council • Rand Beers, Deputy Assistant to the President and Deputy Homeland Security Advisor • Ron Klain, Ebola Response Coordinator • Amy Pope, Special Assistant to the President and Senior Director for Energy and Climate Change • Gayle Smith, Special Assistant to the President and Senior Director for Development and Democracy • Caroline Tess, Special Assistant to the President and Senior Director for Legislative Affairs • Corey Gruber, Senior Director for Preparedness Policy • Edward 'Ned" Price, Assistant Press Secretary for National Security Affairs • Larry Kerr, Director for Medical Preparedness and Policy Rajiv Shah, Administrator of the U.S. Agency for International Development The discussion centered around developing a policy of direct, active monitoring to preserve the scientific principles as well as to avoid the issue of a broad quarantine that had been initiated by Christie and Cuomo as indicated above. There was a two and one half-hour discussion at a meeting that was supposed to take one hour. When the President first came in he appeared extremely tired and somewhat detached. However, he quickly perked up and got involved in discussion. There was some disagreement around the room with Jeh Johnson of DHS feeling uncomfortable with just a direct, active monitoring since he felt that there would soon be many more healthcare workers entering the country and the social issues of public fear and concern would not be satisfied by just a direct active monitoring. Chuck Hagel has already indicated that returning military personnel from West Africa would be confined to barracks for 21 days following return from West Africa. However this is a much different story than civilians since military have the capability of easily confining personnel to barracks and providing them with all the necessary comforts and not demeaning them or stigmatizing them. I articulated several times, and the P resident referred to me and asked me questions multiple times regarding my recommendation that a direct active monitoring guided by matching the stratified risk experienced by the healthcare worker to a stratified stringency of restriction we could functionally accomplish the same thing as a broad quarantine for everyone. The president agreed mostly with what I said but he felt we should go a little bit further and encourage the healthcare workers to restrict themselves to some degree even if technically they were cleared to move around. Samantha Power was connected to the meeting by teleconference from Guinea where she had just landed. She mentioned that the West Africans there were very concerned about a possible quarantine. We had been with her the day before at the prior PC meeting. Again, Tom Frieden was relatively reserved during the discussion; however, it was tough since he was connected by teleconference. The final decision which has not yet been implemented since it awaits a document from