Active Monitoring and the Latest Steps in Our Response to Ebola

President Obama meets with Ebola Coordinator Ron Klain and Officials

President Barack Obama holds a meeting on Ebola with Ebola Response Coordinator Ron Klain and members of his team coordinating the government’s Ebola response, in the Oval Office. October 22, 2014. (Official White House Photo by Pete Souza)

The United States continues to lead a comprehensive effort to enhance our preparedness to respond to Ebola here at home, while also tackling the epidemic at its source in West Africa. From helping hospitals improve training and care to coordinating and contributing significant resources to fight the disease at its source, the Administration is working to help keep Americans safe.

Today, President Obama met with Ebola Response Coordinator Ron Klain and Administration officials to discuss the latest steps we're taking to prevent the spread of Ebola here at home. One way is through active monitoring, a procedure the Centers for Disease Control and Prevention (CDC), in coordination with local health authorities, is putting in place to ensure travelers from the affected countries of Liberia, Sierra Leone, and Guinea will report their temperature and symptoms to health officials for 21 days. The CDC will work with state and local officials of six states -- New York, Pennsylvania, Maryland, Virginia, New Jersey, and Georgia, which are the destinations for the majority of travelers from the three countries -- to actively monitor them. 

President Obama Meets with Ebola Response Coordinator

October 22, 2014 | 15:38 | Public Domain

On October 22, 2014, President Obama met with the Administration’s Ebola Response Coordinator Ron Klain to discuss the U.S. response to Ebola at home and abroad.

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The White House

Office of the Press Secretary

Remarks by the President on the U.S. Government's Ebola Response and the Shooting Incident in Canada

Oval Office

4:00 P.M. EDT    

THE PRESIDENT:  Well, I wanted to give you an update I just received from the team that’s been working day and night to make sure that the American people are safe and that we’re dealing effectively with not just the Ebola case here, but the outbreak and epidemic that’s taking place in West Africa.

A number of things make us cautiously more optimistic about the situation here in the United States.  First of all, we now have seen dozens of persons who had initial interaction with Mr. Duncan, including his family and friends, and in some cases people who have had fairly significant contact with him, have now been cleared and we’re confident that they do not have Ebola.  And it just gives, I think, people one more sense of how difficult it is to get this disease.  These are people, in some cases, who were living with Mr. Duncan and had fairly significant contact with him.  They, we now know, do not have Ebola. 

And so, once again, I want to emphasize to the public:  This is not airborne; you have to have had contact with the bodily fluids of somebody who is actually showing symptoms of Ebola, which is why it makes it so hard to catch, although it obviously is very virulent if, in fact, you do come into contact with such bodily fluids.

Our hearts and thoughts and prayers are still with the two nurses who were affected.  Again, we’re cautiously optimistic.  They seem to be doing better, and we continue to think about them.

I had a chance to talk to a number of their coworkers at Texas Presbyterian today.  Spirits were good.  People were very proud of the work that they’ve done, and understandably so.  Because as I’ve said before, when it comes to taking care of us and our families, nobody is more important than the frontline health workers and nurses in particular who so often are the ones who have immediate and ongoing contact with patients.  And they’re very proud of what they’ve done, and want to make sure that everybody understands how seriously they take their work and how important they consider their jobs to be.

In addition, what we’ve also seen is two American patients, who got Ebola outside but were brought here to be treated, have now been cleared.  They have been cured, and we’re obviously very happy about that.  I know their families are thrilled about that.

And finally, we also received news that, according to the World Health Organization, both Nigeria and Senegal are Ebola-free.  Now, these are countries that are adjoining the three West African countries that are experiencing the most severe aspects of this disease.  And again, it gives you some sense that when it’s caught early, and where the public health infrastructure operates effectively, this outbreak can be stopped. 

What we’ve also been talking about then is dealing with the particulars of the situations as it arose in Dallas and what we’re doing to making sure that we don’t see a repeat of some of the problems with the protocols that took place in Dallas.

First of all, with respect to Dallas, working in coordination with Governor Perry, Mayor Rawlings and health officials in Dallas and throughout Texas, we now are very confident that if any additional cases came up in Texas, that there is a plan in place where they would go receive first-class treatment.  And we continue to actively monitor those who remain at risk because they were involved in Mr. Duncan’s treatment -- although a number of them rolled off of the list of people who could possibly get it today.   And each day, more and more folks are cleared and can be confident that they don’t have Ebola.

We surged resources both to Dallas and to Cleveland, making sure that the CDC is on the ground so that if additional cases arise out of the Dallas situation, as well as the second nurse who flew to Cleveland, that we’re on the ground and we don’t repeat any problems with respect to the protocols that have to be followed.

The CDC has refined and put in place guidelines that will make sure that both in terms of protective gear and how it’s disposed, and how we monitor anybody who might have Ebola, that those are tighter.  And our team has spent a lot of time reaching out to hospitals, doctors, nurses’ associations, health care workers.  There were thousands who were trained at the Javits Center just yesterday, I believe.

And so we’re going to systematically and steadily just make sure that every hospital has a plan; that they are displaying CDC information that has currently been provided so that they can step-by-step precautions when they’re dealing with somebody who might have Ebola. 

And I’m confident that over the course of several weeks and months, each hospital working in conjunction with public health officials in those states are going to be able to train and develop the kinds of systems that ensure that people are prepared if and when a case like this comes up.  And that ultimately is going to be the most important thing. 

This is a disease where if it’s caught early and the hospital knows what to do early, it doesn’t present a massive risk of spreading.  But we have to make sure that everybody is aware of it.  And obviously, given all the attention that this situation has received, as you might expect, hospital workers and the CEOs of hospitals, and dentists, and anybody who has contact with potential patients is paying a lot more attention and is much more open to making sure that they’ve got a sound plan in place.  And we’re going to be helping everybody to make sure that they put that plan in place.

In addition, I know that there’s been a lot of concern around the issue of individuals traveling from the three nations in West Africa that are most affected.  So, as has already been announced, what’s now happening is all flights from those nations are being funneled into three airports -- or five airports, rather.  Each of those airports have systems in place so that all the passengers getting off those flights will be monitored.

The CDC announced today that it’s going to take some additional steps to provide information to states so that they can actively monitor what’s taking place with those persons for a period of 21 days in order to protect the citizens of their various states, and will continue to put in place additional measures as they make sense in order to assure that we don’t see a continuing spread of this disease.

And on the international front, the good news is, is that along with the billion dollars that we are putting in, we’ve now seen an additional billion dollars from the world community to start building isolation units in Liberia, Guinea and Sierra Leone.  Health workers are beginning to surge there.  We’ve got 100 CDC personnel on the ground, as well as more than 500 military personnel.

I should emphasize that our military personnel is not treating patients.  But what we’re doing, which nobody else really has the capacity to do, is to build the infrastructure -- the logistical systems, the air transport, the construction -- so that, as other countries start making contributions, they can be  confident that it’s going to get in where it’s most needed, and it’s going to be coordinated effectively.  And we just want to thanks, as always, our men and women in uniform who are doing an outstanding job there.

We’re already starting to see some very modest signs of progress in Liberia.  We’re concerned about some spike in cases in Guinea.  One of the good things that has come out of all the attention that this has received over the last several months -- and, frankly, the coordination of the United States with the international community -- is that people understand if we are going to protect all of our citizens globally, we have to do a better job of getting into these countries quicker and providing more help faster.  And American leadership has been vital in that entire process.

So the top line, I think the key message I want to deliver is that although, obviously, people had concerns with Mr. Duncan -- and our hearts still go out to his family as well as the two nurses that were infected -- in fact, what we’re seeing is that the public health infrastructure and systems that we are now putting in place across the board around the country should give the American people confidence that we’re going to be in a position to deal with any additional cases of Ebola that might crop up without it turning into an outbreak.

And I want to emphasize again:  This is a very hard disease to get.  And in a country like the United States that has a strong public health infrastructure and outstanding health workers and hospitals and systems, the prospect of an outbreak here is extremely low.  If people want to make sure that as we go into the holiday season their families are safe, the very best thing they can do is make sure that everybody in the family is getting a flu shot.  Because we know that tens of thousands of people will be affected by the flu this season, as is true every season.

I’ll say one other thing about this.  If there’s a silver lining in all the attention that the Ebola situation has received over the last several weeks, it’s a reminder of how important our public health systems are.  And in many ways, what this has done is elevated that importance.  There may come a time, sometime in the future, where we are dealing with an airborne disease that is much easier to catch and is deadly.  And in some ways, this has created a trial run for federal, state and local public health officials and health care providers, as well as the American people, to understand the nature of that and why it’s so important that we’re continually building out our public health systems but we’re also practicing them and keeping them in tip-top shape, and investing in them, because oftentimes the best cures to prevent getting diseases in the first place -- and that’s true for individuals, it’s true for the country as a whole.

Thank you very much, everybody.

Q    Can you say something about Canada?

THE PRESIDENT:  Oh, thank you very much.  I appreciate -- thank you.  I had a chance to talk with Prime Minister Harper this afternoon.  Obviously, the situation there is tragic.  Just two days ago, a Canadian soldier had been killed in an attack.  We now know that another young man was killed today.  And I expressed on behalf of the American people our condolences to the family and to the Canadian people as a whole.

We don’t yet have all the information about what motivated the shooting.  We don’t yet have all the information about whether this was part of a broader network or plan, or whether this was an individual or series of individuals who decided to take these actions.  But it emphasizes the degree to which we have to remain vigilant when it comes to dealing with these kinds of acts of senseless violence or terrorism.  And I pledged, as always, to make sure that our national security teams are coordinating very closely, given not only is Canada one of our closest allies in the world but they’re our neighbors and our friends, and obviously there’s a lot of interaction between Canadians and the United States, where we have such a long border.

And it’s very important I think for us to recognize that when it comes to dealing with terrorist activity, that Canada and the United States has to be entirely in sync.  We have in the past; I’m confident we will continue to do so in the future.  And Prime Minister Harper was very appreciative of the expressions of concern by the American people. 

I had a chance to travel to the Parliament in Ottawa.  I’m very familiar with that area and am reminded of how warmly I was received and how wonderful the people there were.  And so obviously we’re all shaken by it, but we’re going to do everything we can to make sure that we’re standing side by side with Canada during this difficult time.

Q    What does the Canadian attack mean to U.S. security, Mr. President?

THE PRESIDENT:  Well, we don’t have enough information yet.  So as we understand better exactly what happened, this obviously is something that we’ll make sure to factor in, in the ongoing efforts that we have to counter terrorist attacks in our country.

Every single day we have a whole lot of really smart, really dedicated, really hardworking people -- including a couple in this room -- who are monitoring risks and making sure that we’re doing everything we need to do to protect the American people.  And they don’t get a lot of fanfare, they don’t get a lot of attention.  There are a lot of possible threats that are foiled or disrupted that don’t always get reported on.  And the work of our military, our intelligence teams, the Central Intelligence Agency, the intelligence community more broadly, our local law enforcement and state law enforcement officials who coordinate closely with us -- we owe them all a great deal of thanks.

Thank you, guys.  Appreciate you.

END
4:16 P.M. EDT

The White House

Office of the Press Secretary

Readout of President Obama’s Call with Texas Presbyterian Hospital Workers

Today, President Obama convened a telephone call with healthcare workers at Texas Presbyterian Hospital in Dallas to thank them for their courage and perseverance in dealing with the first cases of Ebola to appear in the United States. The President conveyed his thoughts and prayers to their two colleagues who were infected with Ebola and wished them a speedy recovery. He emphasized the importance of integrating lessons learned from Dallas into response plans going forward, and reviewed the additional steps that have been taken to strengthen the Nation’s ability to respond quickly and effectively should new Ebola cases emerge. The President concluded by noting the difficult conditions under which doctors, nurses, lab technicians, and caregivers work on a daily basis in hospitals throughout the country, and praised Texas Presbyterian staff for staying focused on the vital mission of caring for others in times of need regardless of the difficult circumstances.

President Obama Extends Warmest Wishes for Diwali

Today, President Obama wished a Happy Diwali to all those who celebrate the festival of lights.

Watch on YouTube

In 2009, President Obama became the first U.S. president to celebrate the festival of lights, a time of rejoicing for many in the Asian American and Pacific Islander (AAPI) community and across the world.

The White House

Office of the Press Secretary

Readout of the President’s Video Conference with Afghan President Ashraf Ghani

Today, the President spoke with President Ashraf Ghani Ahmadzai of the Islamic Republic of Afghanistan by video conference, along with his Chief Executive Officer Dr. Abdullah.  The President again commended the President and Dr. Abdullah on their political agreement, reaffirmed U.S. commitment to support the unity government, and congratulated the two leaders for a productive first month for the new government.  The Presidents discussed strengthening the Afghan National Security Forces to improve the security situation in Afghanistan, American and regional support for an Afghan-led peace process, and near-term Afghan budgetary reform and longer-term fiscal sustainability.  The President also reiterated his offer for President Ghani and CEO Abdullah to visit the White House early in the new year.

The White House

Office of the Press Secretary

Readout of the President’s Call to Prime Minister Harper of Canada

President Obama spoke by phone with Prime Minister Stephen Harper to express the American people’s solidarity with Canada in the wake of attacks on Canadian Forces in Quebec on October 20 and in Ottawa on October 22.   President Obama condemned these outrageous attacks, and reaffirmed the close friendship and alliance between our people.  The President offered any assistance Canada needed in responding to these attacks.  Prime Minister Harper thanked the President and the two leaders discussed the assault and agreed to continue coordination between our governments moving forward.

Remembering Benjamin Bradlee, "One of the Most Respected Newsmen of His Generation"

President Barack Obama awards the 2013 Presidential Medal of Freedom to Ben Bradlee during a ceremony in the East Room of the White House, Nov. 20, 2013.

President Barack Obama awards the 2013 Presidential Medal of Freedom to Ben Bradlee during a ceremony in the East Room of the White House, Nov. 20, 2013. (Official White House Photo by Lawrence Jackson)

When he retired as executive editor of the Washington Post, the entire newsroom was on its feet.

He'd begun his career at the paper more than four decades earlier, on Christmas Eve of 1948, as a police and court reporter earning 80 dollars a week.

In the decades that followed, he'd guide the paper through its most challenging moments. Under his watch, the Post would successfully challenge the Federal Government over the right to publish the Pentagon Papers, bring the events at Watergate to light, and usher in a "new era of investigative journalism," as the President put it when he honored him with the Presidential Medal of Freedom -- the nation's highest civilian honor -- last year.

His previous boss and publisher, Donald Graham, called him "The best American newspaper editor of his time."

Benjamin Bradlee, the legendary 26-year executive editor of the Washington Post, died at home last night at the age of 93.

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The White House

Office of the Press Secretary

Readout of the President’s Call with Prime Minister Tony Abbott of Australia

President Obama spoke with Australian Prime Minister Abbott last night to discuss the situation in Iraq, the Ebola epidemic, and the upcoming G-20 Summit in Brisbane, Australia.  The President thanked Prime Minister Abbott for Australia’s significant efforts in Iraq, where both countries are working to help Iraq strengthen its security forces and are conducting airstrikes against the Islamic State of Iraq and the Levant.  The two leaders also agreed that the international community must act boldly and quickly to arrest the Ebola epidemic.  President Obama thanked Prime Minister Abbott for the financial contributions Australia has made to the Ebola response effort and they discussed additional commitments.  The two leaders committed to closely coordinate on these and other national security priorities.  They also looked forward to the G-20 Summit, which Prime Minister Abbott will host in Brisbane in November.

The President’s BuySecure Initiative: Protecting Americans from Credit Card Fraud and Identity Theft

President Obama signs Executive Order to provide consumers with more tools to secure their financial future

President Barack Obama signs an Executive Order to provide consumers with more tools to secure their financial future by assisting victims of identity theft, improving the Government’s payment security as a customer and a provider, and accelerating the transition to stronger security technologies and the development of next-generation payment security tools, at the Consumer Financial Protection Bureau in Washington, D.C., Oct. 17, 2014. (Official White House Photo by Pete Souza)

On Friday, President Obama signed a new Executive Order — the first part of the new BuySecure initiative — that takes critical steps to protect consumers’ financial security and improve confidence in the marketplace.

The Executive Order itself will help by assisting victims of identity theft, improving the government’s payment security as a customer and a provider, and accelerating the transition to stronger security technologies and the development of next-generation payment security tools.

In remarks at the Consumer Financial Protection Bureau (CFPB) announcing the new BuySecure initiative, the President highlighted some of the specific steps that his Administration and the private sector are taking to improve Americans' financial security — and called on Congress again to enact overdue cybersecurity legislation that will protect Americans, particularly by clarifying companies' obligations when sensitive data is breached.

Jeff Zients is the Director of the National Economic Council.
Related Topics: Financial Reform, Technology