Diary Prequel Package — page 406

able to be done by Skype or Face Time. However, Ron Klain thinks that the POTUS and Jeh Johnson want actual physical presence of monitor (health official, nurse, etc.). Trying to reconcile. Had important conversation with Jen Cohn of MSF Switzerland who kindly got on a teleconference reps from MSF of many countries (Brussels, Paris, Geneva) to discuss the RCT Ebola vaccine trial that Cliff is actively planning to start in Monrovia in December following completion of the Phase 1 trial that started in Maryland in Sept. (ChAd3) and Oct (VSV). Looks like MSF wants to be helpful. They are asking good questions about supply for post-trial distribution, etc. They seem to not be against an RCT. CDC came out with new interim guidelines for Monitoring and Movement of people (including HCWs) returning from West African Ebola countries. Now based a lot on what I and Tom have been articulating at the recent White House meetings. First stratification of risks to the person; and then matching the risk to the degree of monitoring and then using clinical judgment when needed to determine level of restriction. All based on knowledge of how virus is spread. Risks: high, some, low but not zero. Monitoring: passive - take your own temperature and sxs and no need to actively tell anyone; active - take your own temp and sxs and report to a health official; direct, active - someone else takes your temp at least 1x per day and evaluates sxs and then makes clinical judgment as to your restriction on a daily basis Immediately following their release of guidance and the press briefing by Tom Frieden, the White House put my out on all the evening TV shows that were either taped or live from studio in Building 10: PBS NewsHour; CNN Situation Room; ABC, CBS, and NBC Evening News. Oct. 28, 2014 - The political issues are heating up around Ebola with the elections only 1 week away. Gov. Christie is standing firm in saying that the US government, particularly the CDC, are playing catch-up with Ebola and that his initiation of a quarantine for 21 days for healthcare workers and other travelers returning from West Africa is the way to go. I have been on multiple television programs specifically indicating that I respect the opinion of the governors and that I understand that they are trying in good faith to do the best for their constituents. However, several TV commentators have now pitted me against Gov. Christie, feeding him with somewhat out-of-context quotes from TV interviews indicating that I am directly challenging him as being unscientific. He is lashing back saying that I am just defending the administration. He sometimes mixes me up with CDC. However, he has mentioned me by name several times in discussions on TV interviews. I am very concerned about this politicizing of an important global health problem. I was on Good Morning America with George Stephanopoulos, CNN with Sanjay Gupta, and MSNBC with Morning Joe early this morning. In fact the ABC producer came all the way into the NIH to make sure that the interview with George Stephanopoulos went well. Immediately after I appeared on GMA, Gov. Christie appeared and Matt Lauer was instigating him telling him that scientists like me was saying that he "got it wrong on" thus instigating Christie to lash back at the scientific and public health community including me. This is really a very unfortunate evolution of