TIME Media

In Cable Ebola Coverage, It’s the Story vs. the Facts

Israeli-US actor and musician, member of the band Kiss, Gene Simmons poses during a photocall for the TV serie "Gene Simmons" as part of the MIPCOM, on Oct. 14, 2014 in Cannes, southeastern France.
Israeli-US actor and musician, member of the band Kiss, Gene Simmons poses during a photocall for the TV serie "Gene Simmons" as part of the MIPCOM, on Oct. 14, 2014 in Cannes, southeastern France. Valery Hache—AFP/Getty Images

As the disease comes to New York City, 24-hour news wavers between science and sensationalism. But what does Gene Simmons think?

The guest on Friday’s Fox News’s panel show Outnumbered gave a damning assessment of the government’s response to Ebola, after a Manhattan doctor who had recently returned from West Africa was diagnosed with Ebola Thursday night. “In point of fact, we are completely unprepared for things like this,” the guest said. “We can’t even take the simple precaution of not letting anybody from a certain part of Africa come into America before you pass a health test. The fact that this doctor and this nurse [in Dallas] were just allowed to run around… is lunacy.”

The guest was Gene Simmons. As in Gene Simmons from the face-painted ’70s rock band KISS.

Now, I don’t mean to imply that Simmons lacks the medical authority to talk about Ebola policy. He did, after all, write “Calling Dr. Love.” He’s practically a diagnostic professional! But that comment summed up where a story like Ebola is eventually bound to go once cable news has had enough time with it.

In any breaking news incident, you have the facts and then you have the story. The facts are what happened. The story is why you care–the details, quotes, opinions and fears that make the facts juicy. In cable news, the story generally wins.

So Thursday night, the facts were: Someone in New York City had Ebola. Dr. Craig Spencer, who had been volunteering with Doctors Without Borders treating patients in Guinea, had come back to Manhattan. He’d followed the accepted guidelines for self-monitoring, checking his temperature twice daily, and watching, per the medical organization’s guidelines, for “relevant symptoms including fever.” When he detected a fever that morning–before which, he would not have been infectious–he went to the hospital.

But then there’s the story! The story was that the day before Spencer went to the hospital, he went bowling! He rode in an Uber vehicle! He went jogging and ate at a restaurant and walked in a park. He rode the subway–the crowded subway! None of this, according to medical science on Ebola, presented a danger from a nonsymptomatic person. But it felt wrong in people’s guts. And that makes a better story.

Thursday and Friday’s cable coverage showed plainly this struggle between story and facts. At times, the dichotomy was present in the words and images of the same report. Friday morning on CNN, the top-of-the-hour news noted that Spencer was not contagious, according to authorities, when he went out Wednesday–but only after it ran down the subway-taxi-bowling story and said the city was “on edge.” Anchor John Berman interviewed experts including Daniel Bausch of the Department of US Medical Naval Research, who said “it looks like everything was done right” in the Spencer case. The on-screen graphic: “EBOLA IN NEW YORK: REASON TO WORRY?”

The coverage, like so many stories, has also become an extension of partisan politics. There are midterms coming up: Republicans are invested in a crisis-of-confidence narrative while the Democrats must convey an everything’s-under-control narrative. So on Fox, Sean Hannity was hammering the government for being unprepared, and seemingly every host was hitting the refrain that Spencer was “fatigued” when he went out Wednesday. MSNBC, on the other hand, emphasized the low risk this case posed to New Yorkers along with the generally positive response to New York’s public-health response to date.

As for CNN under Jeff Zucker, it is biased as always toward the juicier story. In a noontime report, correspondent Jean Casarez noted that an NYPD team had photographed some trash outside Spencer’s apartment, and then left. “So it’s still sitting out there right now?” Banfield asked, adding that she’d seen police throwing latex gloves into street trash. Had the gloves been anywhere near any dangerous fluids? Is any of that trash an actual risk? Who knows? There was no further information. But the detail sounded spooky, so the report just left it sitting there, like the recycling bags on the curb.

By midday Friday, the general tone of coverage shifted to one that was less anxious, partly because better news had broken: Dallas nurse Nina Pham was declared Ebola-free in her recovery, and Spencer, it turned out, had not had the 103 degree fever first reported Thursday night, but a much lower 100.3-degree fever–undercutting the insinuations that he might have been sicker on Wednesday. Then too, there seemed to be a growing awareness that Spencer had, after all, contracted the disease by risking his life to help others, and it was maybe unseemly to present him as some kind of arrogant bowling menace.

For now, the news fever seemed under control. But it was a reminder all the same. Ebola may only be spread through contact with infected bodily fluids. Fear and anxiety are much more easily transmitted, through the air.

TIME ebola

How to Talk to Your Kids About Ebola

Electron micrograph of Ebola virus
NIAID/EPA

Here's the best way to calm kids' fear and anxiety over Ebola

Even Centers for Disease Control and Prevention director Dr. Tom Frieden admits it: “Ebola is scary.” But for kids seeing alarming headlines without understanding the context of the disease, Ebola can seem like a looming and personal threat.

TIME spoke to Dawn Huebner, a clinical child psychologist and author of the book What to Do When You Worry Too Much: A Kid’s Guide to Overcoming Anxiety about the best way to talk about Ebola with your kids—without scaring them silly.

What should I say to my child who is really scared about Ebola?
Let them know that it’s important to think about proximity—how close they themselves are to the virus. Which is to say: not very. “It’s really important to underline that we are safe in the United States, and that people who have contracted Ebola have been in West Africa or were treating patients with Ebola,” says Huebner. “Not only should parents underline how rare Ebola is, and how far away the epidemic is occurring, but also how hard the disease is to contract.” Huebner says parents can tell their older children that direct contact with an infected person’s bodily fluids like vomit or diarrhea is necessary to spread Ebola. “This has been reassuring to the children I see, as they know they are not going to be touching that,” she says.

By ages 7 and up, kids begin to grasp that their worries and fears aren’t always rational. “Parents can talk to kids about how one of the ways worries and anxiety get their power is by making us think about things that are very unlikely,” says Huebner.

Should I keep my child away from the news?
Your kids can watch the news to stay informed, but media overload is not always a good thing. “The news is often sensationalized and gives kids the idea that they are at an imminent risk,” says Huebner. When kids see endless stories about Ebola on the news, they don’t always realize they’re hearing the same thing on loop. “I’ve had kids come into my office who are under the impression that there are hundreds of people in the U.S. with Ebola.”

How do I know if my child is reacting appropriately to the news?
“An appropriate reaction would be to feel nervous and ask some questions, but to be reassured by the parents’ answers,” says Huebner. Psychologists distinguish between questions that are information-gathering, and questions that are reassurance-seeking. If a child asks reassurance-seeking questions—like “Are we going to be ok?”—once or twice, that’s normal. But asking the same questions over and over signifies that a child is really dealing with anxiety and that their concern is not being curbed. At that point, parents may need to sit their children down for a longer conversation to address their fears and concerns.

My kids don’t want to fly on an airplane over the holidays. How do I convince them they are safe?
It’s important to emphasize that the vacation destination is one that is safe, and not at great risk for Ebola. Parents can also stress that no one in the United States has yet contracted Ebola from a plane ride. However, parents should avoid making comparisons, like “It’s more likely to get in a car crash than to get Ebola.” That will only stress a child out more.

Ebola freaks me out too, and I accidentally overreacted in front of my child. How do I fix this?
“One of the wonderful things about children is that you really can revisit things that didn’t go so well the first time,” says Huebner. If parents slip up with an overreaction, they should have a conversation with their children and reference the moment. She suggests a conversation opener like this one: “I was thinking about when you overheard me on the phone with my friend. I was really overreacting. I got nervous when I heard about Ebola, and you saw me when I was nervous. Now I’ve gotten information and I’ve calmed down, and I’ve realized this is a very sad thing that’s happening far away. It’s sad, but it doesn’t have to be scary for us.” Rational, calm conversations will help ease a child’s fears about Ebola.

TIME ebola

Ebola: World Bank Chief Calls for Health Workers in West Africa

World Bank President Dr. Jim Kim speaks to reporters in Washington about Ebola on Oct. 24 Michael Bonfigli—The Christian Science Monitor

Says thousands needed to stop the spread of Ebola

The global health community needs “thousands” more health-care workers in West Africa to tame the Ebola virus epidemic that has so far killed nearly 5,000 people, the president of the World Bank told reporters Friday.

Dr. Jim Yong Kim, chief of the international financial institution, said a lack of trained medical personnel in Guinea, Liberia and Sierra Leone is one of the main challenges hampering the international effort to control an outbreak that has ravaged three West African countries and risks spreading to its neighbors.

Kim said the global community has stepped up its response to Ebola, but conceded that the World Bank, like other international organizations, was late to recognize the severity of the epidemic. The spread of the virus in the three stricken nations at the heart of the epidemic has left healthcare workers in triage mode. As a result, they are often unable to use “the ideal techniques” for combating an epidemic, such as contact tracing—the process of identifying and isolating the contacts of infected patients.

“We are now on a war footing,” Kim said, “but it took us a long time to get there.”

Kim said that international organizations have ratcheted up levels of support to West Africa after a sluggish start, but said more must be done. “We’ve got to get beyond these sort of nihilists notions that nothing can be done,” he said. The World Bank has pumped $400 million into West Africa to fight Ebola.

Kim praised Dr. Craig Spencer, the physician who was diagnosed with Ebola Thursday night in New York City. Spencer contracted the virus while treating Ebola patients in Guinea as a volunteer for the international organization Doctors Without Borders, or Medicins Sans Frontieres.

“Dr. Spencer is a hero,” Kim said, urging more doctors to follow his lead and fight the epidemic at its source. He added that both the patient and city officials executed a textbook response to Spencer’s symptoms.

Kim said he hoped that the cases in Dallas and New York would help open the eyes of the world to a disease gutting large swaths of West Africa and prompt the global community to spring into action more quickly in the future. “I think this is a wakeup call,” he said, pausing slightly. “I hope this is a wakeup call.”

TIME ebola

WHO: Millions of Ebola Vaccine Doses Could Be Ready Next Year

Liberia Races To Expand Ebola Treatment Facilities, As U.S. Troops Arrive
U.S. Navy microbiologist Lt. Jimmy Regeimbal handles a vaccine box with blood samples while testing for Ebola at the U.S. Navy mobile laboratory on October 5, 2014 near Gbarnga, Liberia. John Moore—Getty Images

Five new experimental vaccines are expected to undergo testing

Pharmaceutical companies are committed to making millions of doses of Ebola vaccines available next year, the World Health Organization announced Friday.

The United Nations organization said that two vaccines are currently ready for clinical trials and five more experimental vaccines are expected to undergo testing in the first four months of 2015.

The remarks were made by WHO Assistant Director-General for Health Systems and Innovation Dr. Marie-Paule Kieny and publicized on the WHO’s Twitter account. Kieny cautioned that the the vaccines might be “proven not usable” but it’s still “prudent” to prepare a large amount, according to the Twitter account. Over 4,800 people have died from Ebola this year.

If early testing goes well, more advanced trials of the potential Ebola vaccines could take place in the West African countries hardest hit by the Ebola outbreak as soon as December.

TIME ebola

NYC Doctor With Ebola Described As a ‘Dedicated Humanitarian’

Doctor Quarantined At NYC's Bellevue Hospital After Showing Symptoms Of Ebola
A health alert is displayed at the entrance to Bellevue Hospital October 23, 2014 in New York City. Bryan Thomas—Getty Images

Friends and colleagues have high praise for Dr. Craig Spencer as he begins a fight for his life

The New York City-based doctor who tested positive for Ebola Thursday after working with virus patients in the West African country of Guinea is a high achiever and a “dedicated humanitarian,” the hospital where he works said in a statement.

Dr. Craig Spencer “is a committed and responsible physician who always puts his patients first,” said a statement from New York Presbyterian/Columbia University Medical Center, where Spencer serves as an emergency room doctor. Before being diagnosed with Ebola, Spencer had been working with humanitarian aid group Doctor’s Without Borders fighting the virus’ outbreak in West Africa.

Spencer, 33, left Guinea, one of the countries hardest hit by the recent Ebola outbreak, on Oct. 14. Spencer returned to the U.S. via New York’s John F. Kennedy International Airport on Oct. 17. He began showing symptoms on Thursday, Oct. 23, when his temperature was recorded at a slightly elevated 100.3 degrees fahrenheit, New York Gov. Andrew Cuomo said Friday morning, clarifying widespread reports Thursday that Duncan’s temperature was above 103 degrees. Ebola can incubate undetected in the body for up to 21 days before an infected person shows symptoms. Ebola patients are not contagious until they show symptoms, and they become increasingly contagious as they get more sick.

Spencer graduated from Baltimore’s Johns Hopkins University, studied Chinese language and literature at Henan University in China, earned a medical degree from Detroit’s Wayne State University School of Medicine and, in 2008, started his residency in New York, becoming a fellow at the Columbia University Medical Center’s International Medicine Program, according to information drawn from his LinkedIn profile by The Wall Street Journal. Spencer’s LinkedIn page has since been taken down.

“He was an outstanding student, humanitarian, excellent physician,” one of Spencer’s professors told the Journal. “He’s done a lot of good international work. He had been to parts of the world—marginalized, disenfranchised—working to improve the human condition.”

According to a friend who met Spencer through the website Couchsurfing, which connects travelers with free places to stay, he’s a runner who plays the banjo and speaks French, Chinese and Spanish.

TIME ebola

How Ready Is New York City for Ebola?

The city says it's much more prepared for Ebola than Dallas

Doctors Without Borders physician Dr. Craig Spencer tested positive for Ebola on Thursday, Oct. 23, at Bellevue Hospital in New York City, immediately testing the strength of the city’s preparation for the deadly disease.

Given the mistakes made during the first case of diagnosed Ebola in the United States—Thomas Eric Duncan in Dallas—New York City has more fears to quell and also more to prove. Can it do better than Dallas?

Its leaders certainly think so.

New York City has been prepping and drilling its hospitals for the possibility of an Ebola patient since July 28, when it was confirmed that Americans Dr. Kent Brantly and Nancy Writebol had contracted Ebola in Liberia. “I wanted to know that our staff was able to handle [a possible Ebola patient],” says Dr. Marc Napp, senior vice president of medical affairs at Mount Sinai Health System.

“We’ve prepared for a variety of different things in the past: anthrax, H1N1, small pox, 9/11, Hurricane Sandy,” Kenneth Raske, president of the Greater New York Hospital Association (GNYHA) told TIME. “This preparation is not unusual.”

New York City is also one of the first cities to adopt a new system that designates one hospital within a region—Bellevue in this instance—to be the headquarters for Ebola care. If there’s a patient who is a risk, like Spencer, Bellevue will take the patient. Should a potential Ebola case walk into the emergency room of another hospital, those patients can be transferred to Bellevue.

This is not the first time New York officials have responded to a possible Ebola case. In early August, Mount Sinai announced it had a patient with a travel history and symptoms that were a red flag for Ebola. The emergency room isolated the patient and the hospital sent blood for tests to the Centers for Disease Control and Prevention (CDC)—tests that ultimately came back negative.

The city wasn’t as lucky with Spencer, who had been self-monitoring since returning from Liberia. Spencer notified Doctors Without Borders when he ran a temperature on Thursday morning. Staff from New York’s Bellevue hospital were soon at his doorstep in hazmat suits, ready to take him in for treatment to the hospital.

“We were hoping [this] wouldn’t happen but we were realistic,” New York Governor Andrew Cuomo said in a press conference at Bellevue Thursday night. “We can’t say this was an unexpected circumstance.”

Cuomo noted that New York City had the advantage of learning from Dallas’ experience and its mistakes. Texas Presbyterian Hospital failed to diagnose Duncan with Ebola right away, despite his Ebola-like symptoms and the fact he’d been in Liberia.

“The trigger went off again when the nurses got sick in Dallas,” says Mount Sinai’s Napp. New York officials worked closely with the CDC and local health departments as well as with JFK Airport to ensure procedures were in place for identifying people who may be at risk for Ebola at every point of entry to the country. On Oct. 21, the city hosted an Ebola education session that was run by area health experts, with members of the CDC who demonstrated the proper donning and doffing personal protective equipment (PPE). Over 5,000 health care workers and hospital staff members took part.

“As a result of the missteps in Dallas, there were a whole new series of protocols,” says Dr. Robert Glatter, an emergency medicine physician at Lenox Hill Hospital in New York City.

There are some challenges—New York has spent time and energy preparing based on now outdated CDC guidelines. The new CDC guidelines for PPEs were only announced on Oct. 20, which doesn’t give the city much time to “practice, practice, practice” them as CDC director Dr. Tom Frieden has suggested.

And New York City has the challenge of sheer size and density. New Yorkers live in very close quarters with one another. Thankfully, Ebola isn’t an airborne disease, so even though Spencer traveled Brooklyn to go bowling, since he wasn’t symptomatic, anyone he might have encountered is at very low risk of contracting the disease.

For now, New York City has just one patient, and it plans to get it right. Doing so might restore American confidence in the system—but failure would be devastating.

Read next: Can You Get Ebola From Subway Poles and Bowling Balls?

TIME ebola

Can You Get Ebola From Subway Poles and Bowling Balls?

New York City Subway System
Getty Images

Lots and lots of research says no

Concerns were raised Thursday that the New York City doctor Craig Spencer, MD, who has been diagnosed with Ebola, had been to a Brooklyn bowling alley, had ridden the subway, and been inside an Uber taxi.

So, can you get Ebola from bowling balls or subway poles, or Uber doorhandles for that matter?

The short—and accurate—answer is no, and that’s based on what scientists know after decades of studying Ebola. Spencer was not symptomatic at the time, according to reports, which means he was not contagious at the time.

But, you may ask again, shouldn’t people who rode on the same train, in the same taxi or who touched the same bowling balls as Spencer, worry a little?

The research that exists says, again, no. The virus only survives inside bodily fluid of an infected person—meaning their blood, sweat, vomit or feces—that then comes into contact with an open sore or the mucus membranes of another person.

Data suggests the virus can, in theory, survive on surfaces if it’s inside a liquid. But the only confirmed case of a person getting Ebola from an object or material that can carry infection was during an Ebola outbreak more than a decade ago in Gulu, Uganda, when a patient got the disease by sleeping with a blanket that had been used by an Ebola patient. Based on what we know about transmission of the virus, that blanket must have had an infected person’s wet bodily fluids on it.

A study from 2007 by researchers at the Tulane School of Public Health and Tropical Medicine sampled 31 objects and surfaces that were not visibly bloody—they looked at bed frames, stethoscopes, etc—inside an isolation ward that treated Ebola patients. All specimens tested negative for the virus, suggesting the risk of transmission from surfaces was extremely low.

Read next: How Ready Is New York City for Ebola?

TIME ebola

Ebola in New York: How Worried Should the City Be?

A doctor diagnosed in New York City raises public health questions in one of the world's most densely populated urban areas

Dr. Craig Spencer, 33, of New York was diagnosed with Ebola Thursday night after he was isolated at Bellevue Hospital. Before he was rushed to Bellevue in Manhattan earlier Thursday afternoon, the Medecins Sans Frontiers (MSF) MD took a subway to Brooklyn on Wednesday night where he spent a few hours at a bowling alley, and then took an Uber car back home. Health officials say that he was not symptomatic—and therefore not contagious—at the time. The next morning, he took his temperature and reported that it was 103F, and immediately reported it to MSF, which then notified the state and city health departments. (New York Gov. Andrew Cuomo said Friday morning the doctor’s temperature had been 100.3F, not 103F as previously reported.)

The diagnosis has raised concerns about how quickly Ebola could spread in a city as densely packed and populated as New York. But in a late night press conference, the mayor and governor of New York, as well as the city and state health commissioners were quick to assure the public that New York was prepared for such a case, and that everything had gone according to plan in identifying, isolating and bringing Spencer to Bellevue. “We are as ready as one could be for this circumstance,” said Cuomo. “What happened in Dallas was the exact opposite. Dallas unfortunately was caught before they could really prepare, before they knew what they were dealing with. We had the advantage of learning from the Dallas experience.”

President Barack Obama meanwhile spoke on the phone Thursday night with Cuomo and, separately, with New York City Mayor Bill de Blasio, offering any additional federal support necessary in terms of patient care, the maintenance of safety protocols for healthcare workers, and the identifying of any of Spencer’s contacts who might be at risk of exposure.

The public has been assured that riders of the subway, and even residents of Spencer’s apartment building, are at very low risk of getting infected. “There is no reason for New Yorkers to be alarmed,” said de Blasio. “Ebola is an extremely hard disease to contract.”

As sobering as the Dallas experience was for that city, widespread cases in New York are unlikely, they said, because Spencer was asymptomatic when he was in public places, and because Ebola is only spread from person-to-person when two conditions are met.

First, the infected person must be symptomatic, meaning he has a fever, is feeling nauseous, has a headache or is otherwise feeling ill; and there must be direct contact with his body fluids — saliva, sweat, blood, urine, vomit or feces — at this time with another person’s mucous membranes such as in the eyes, nose or mouth, or with an open wound.

City health commissioner Dr. Mary Travis Bassett said that Spencer had gone for a three mile jog, and that the night he visited the bowling alley, also strolled along an outdoor area in downtown Manhattan where he ate at a restaurant. He was taking his temperature twice a day since leaving from Guinea on Oct. 14 and did not have a fever until the morning of Oct. 23, the night after he visited the bowling alley and after his other excursions. Bassett said that since Spencer was a doctor and fully aware of his risk of having been infected with Ebola, he had been limiting his contact with others since arriving back in the U.S. once Oct. 17.

And because Spencer was alone in his apartment when he began feeling ill, with a fever and some gastrointestinal problems, the number of people who may have had direct contact with him when he started becoming contagious is small. New York City health officials said on Thursday that Spencer’s fiancee was in isolation at a hospital, two of his friends and the driver of the Uber car he rode were being monitored.

On Thursday night, Uber issued a statement saying they had confirmed with both CDC and New York health officials that “neither our driver partner nor any of his subsequent passengers are at risk.” The statement added, “Our thoughts are with the patient and his loved ones.”

Spencer’s apartment is cordoned off, and officials will likely sterilize or incinerate all of its contents, as they did with the apartment in which Dallas Ebola patient Thomas Eric Duncan lived, and with the apartment of Nina Pham, one of the nurses whom Duncan infected.

New York State has designated eight hospitals to care for Ebola patients, including Bellevue. While all 200 are prepared to isolate and initially handle anyone who might come in with suspected Ebola, if they test positive they will be transferred to one of the eight hospitals that are designed to treat patients with staff that has drilled in the proper protocols for protective equipment and handling and removal of waste. At Bellevue, for example, the lab for testing blood samples is contained within the isolation unit so samples from infected patients are not mingled with those of other patients.

Given the mistakes made in Dallas, in which one patient infected with Ebola transmitted the virus to two health care workers, New York City is on alert. However, in a press conference late Thursday night, Mayor Bill de Blasio assured the city that Bellevue had been drilling for this possibility for months.

With additional reporting by Zeke Miller

TIME ebola

Mali Minister of Health Confirms First Ebola Case

First case is a 2-year-old

Mali’s Minister of Health said the country has its first case of Ebola in a tweet Thursday.

The patient is reportedly a two-year-old girl who recently came into the country from Guinea, Reuters reported. The country borders Guinea, where the Ebola outbreak started. Mali is one of the first countries to start experimental vaccine trials.

TIME ebola

Health Care Worker Tests Positive for Ebola at New York City Hospital

The entrance to Bellevue Hospital on Oct. 23, 2014 after a doctor who recently returned to New York from West Africa was rushed with a fever t o be tested for possible Ebola, the city's health department said.
The entrance to Bellevue Hospital on Oct. 23, 2014 after a doctor who recently returned to New York from West Africa was rushed with a fever t o be tested for possible Ebola, the city's health department said. Timothy A. Clary—AFP/Getty Images

A test confirmed he has the virus

A health care worker who was rushed to New York City’s Bellevue Hospital Thursday has reportedly tested positive for Ebola.

Craig Spencer had recently returned to the United States from one of the three West African countries hardest hit by the Ebola outbreak. The New York Times reported Thursday night that the Centers for Disease Control will need to confirm the initial positive test.

Spencer was transported to Bellevue by a specially-trained team wearing personal protective equipment, after he reported experiencing fever and gastrointestinal symptoms. Given the health care worker’s recent travel history, the Centers for Disease Control and Prevention and the New York City Department of Health concluded that he should undergo Ebola testing. They also screened for more common illnesses like Malaria.

The patient recently worked with Doctors Without Borders, and contacted the group Thursday morning to report a fever, the organization confirmed. “As per the specific guidelines that Doctors Without Borders provides its staff on their return from Ebola assignments, the individual engaged in regular health monitoring and reported this development immediately,” Doctors Without Borders said in a statement sent to TIME.

Disease detectives from the City’s Health Department have already started actively tracing the patient’s contacts as a precaution. They will notify and isolate anyone at potential risk of contracting Ebola. A White House official told TIME Obama has been briefed on the New York case multiple times Thursday.

New York City previously designated Bellevue Hospital to receive any Ebola patients that should enter the city. Bellevue has also been preparing to accept Ebola patients from other hospitals if need be. New York City hospitals in general have been preparing and drilling for the possibility of a patient with Ebola since August, most recently by holding an an Ebola education session for over 5,000 local health care workers on Tuesday.

This is the second time New York City has seen a potential case of Ebola. In the first case, a patient at Mount Sinai Hospital wound up testing negative for the virus.

–with additional reporting by Zeke Miller

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