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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.

The President: Well, I wanted to give you an update I just

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