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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.
The Press: 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.
The Press: 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.