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Anderson Cooper 360 Degrees

Ebola Patient Timeline; Parents Concerned Their Children May Have Contract Disease; Interview with Nancy and David Writebol; Enterovirus D68 Found In Four Patients Who Have Died; Graham Suspect Linked To Yet Another Case; Accused White House Fence Jumper Pleads Not Guilty

Aired October 01, 2014 - 20:00   ET

THIS IS A RUSH TRANSCRIPT. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED.

ANDERSON COOPER, CNN ANCHOR: Good evening. Thanks for joining us. It was just one security breach too many. This guy ran across the White House lawn, in the front door and through the hallways triggered a chain of events that today caused the Secret Service director her job. It did not, however, end the revelations about other breaches and dysfunction that might have cost the president his life.

Also tonight, new sexual assault allegations against the man charged in the disappearance of University of Virginia student Hannah Graham.

We're going to get to all that but we begin, though, with all we've been learning and some of it is troubling, about the first case of Ebola diagnosed here in the United States.

Ebola in America. We're devoting a good portion of this hour and all of the next hour on 360 because people want to know, are doctors, hospitals, public health officials, customs and border patrol, you name it -- are they up to the challenge of a virus that kills more than half the people who catch it?

So far, what Thomas Duncan encountered in the days after he arrived in Dallas from Ebola-torn Liberia, at least part of the way on a United Airlines flight and we're just learning possibly through Washington's Dulles Airport, does not inspire complete confidence. Nor do some of the answers we'd been getting from public health officials.

First among them, why did this hospital where Mr. Duncan is now quarantined in serious condition initially turned him away? Sending him home even though he showed up with fever, vomiting and reportedly told the nurse he had just come from Liberia. He returned days later by ambulance too ill to travel on his own. The question is, did people at Texas health Presbyterian Hospital drop the ball?

That is just one of many questions tonight. Seeking some answers for us tonight, medical correspondent Elizabeth Cohen and Dr. Sanjay Gupta, also 360's Gary Tuchman. Recovered Ebola patient Nancy Writebol joins us shortly as well with her husband. But we begin with Elizabeth Cohen.

So Mr. Duncan, he's in the hospital tonight. Take us through how he ended up there, the series of events. ELIZABETH COHEN, CNN SENIOR MEDICAL CORRESPONDENT: All right,

Anderson, let's start with September 20th. That is when Mr. Duncan arrived in the U.S. from Liberia. He is a Liberian national. He arrived and was feeling fine. That's what we're told. On September 25th, he's feeling ill and he visits the emergency room in the evening at Presbyterian Hospital where I am, and they sent him home.

On September 28th, he visits again, this time in an ambulance and he is isolated. On September 29th, a family friend feels that things aren't moving fast enough and they call the CDC.

Now I will tell you, Anderson, I was talking to an official about this situation and he said look, this is clearly a screw-up, that was his term. He said clearly, somebody shows up with a fever and a history of travel in Liberia, you should -- you should, you know, immediately, do not pass go, do not collect $200, treat this person as an infection risk. Obviously don't let him out. And protect, you know, yourself.

Apparently a nurse at that September 25th visit did ask him if he had recent travel to Liberia or to any Ebola affected country and he said yes, but we're told that that sort of got lost. That piece of information was not passed on or got miscommunicated. And so his care team didn't know about it.

COOPER: And moments ago, the Dallas mayor said that Mr. Duncan may have come in contact with up to 20 people. How much do we know about who those people are and if they had been tested for the virus?

COHEN: Right, we know that five of them are children who go to various elementary, middle and high schools here. And those children have been told not to go to school. We have heard that some of them are ambulance drivers, the folks who brought him here on his second visit to Presbyterian. We don't know about the rest of them.

As far as the children go, we're old -- an official told me they are kin. That was the word she used. Kin. We don't know exactly how they're related but that they frequented the house often.

COOPER: And he was reportedly vomiting in the ambulance on the way to the hospital. And those -- have those people now -- I mean, you said maybe that they had been tested. Are they being isolated?

COHEN: Well, here's how -- the way that it works is that we're told that all of these contacts, the ambulance drivers, family, et cetera. They don't have symptoms, that no one is sick yet. And Anderson, by definition, you don't give an Ebola test to a healthy person, because even if they're going to get Ebola the next day, while they're healthy, they're going to test negative. It's just a feature of the test.

If you're healthy, you're going to test negative. So there is no reason to test a healthy family member or ambulance driver. They're going to test negative. What they're told to do is they are told to watch their health and they are told to take their temperature twice a day or perhaps even more frequently.

COOPER: So wait a minute. Let me just --

COHEN: And then the very second --

COOPER: Let me just understand this.

COHEN: Sure.

COOPER: If you have contracted Ebola, if you are infected with Ebola, but you're not showing the signs of it, it actually takes a certain amount of time, you will still -- you will test negative?

COHEN: Right, and I'll tell you a little personal story about this, Anderson. So I arrived home from Liberia four days ago. And the minute I arrived my husband said let's take you to get an Ebola test. He didn't think that I had Ebola. I didn't touch any bodies or anything like that. I didn't get near patients. But he's like, let's just nip this in the bud, I want to know if you have it.

And I said, I'm sorry, sweetie, I would love to get that test, but it doesn't exist. If you are healthy, even if the virus is inside of you growing, you are going to test negative because that's just the way the test works. It's not sensitive enough to pick up an infection unless you have so much virus in you that you're actually ill.

COOPER: The other -- I mean, the good news here before people freak out is that while you are healthy, before you start -- if you are infected but you're not showing any signs you cannot then transmit the virus. It's not until you actually start showing signs that you can transmit the virus.

Elizabeth, we're going to have more on that later on in the program. More now on the people who came into contact with Thomas Duncan, including, as Elizabeth just said five school age kids.

Gary Tuchman, he's been pursuing that part of the reporting. He's talking to people in a city that fair to say is -- well, at least parts of it now on edge.

(BEGIN VIDEOTAPE)

GARY TUCHMAN, CNN NATIONAL CORRESPONDENT (voice-over): We've learned this is where Thomas Eric Duncan was staying during his first trip to the United States. An apartment complex in north Dallas, where authorities say the Liberian citizen may have had contact with five children.

Those five children, says a Liberian community leader in Dallas, are the children of Duncan's girlfriend who Duncan was visiting.

Stanley Gaye says he has talked to Duncan's girlfriend.

STANLEY GAYE, LIBERIAN COMMUNITY ASSOCIATION OF DALLAS/FORT WORTH: They are home, they are doing well.

TUCHMAN (on camera): And the children as well?

GAYE: The children as well are doing fine. Again, all she asks is for our prayers.

TUCHMAN (voice-over): The five children go to four different schools in the neighborhood. The Sam Tasby Middle School is one of them.

NELY CATALAN (PH), CONCERNED PARENT: I panicked and I got scared.

TUCHMAN: Nely Catalan heard on the news that at least one of those children could have been exposed to Ebola, went to her son and daughter school. So she came early to pick her children up.

CATALAN: I got scared because I thought that the kid came to the school and probably has contact with him. I know it doesn't get contact by the air, but you never know.

TUCHMAN: All five of the children who may have had contact with the man diagnosed with Ebola are now staying out of school. But many of these parents, we're told, those five parents were in school on Monday and Tuesday.

Maria Gallardo (ph) has a son and daughter in another one of the four schools.

MARIA GALLARDO, CONCERNED PARENT: I'm scared. I'm worried -- I'm worried for my son and my daughter and me.

TUCHMAN (on camera): More than 3500 children are enrolled in these four schools so there are a lot of concerned families. Nobody can offer any guarantees. But the school district has told parents the children are not in any imminent danger.

(Voice-over): All four schools are being cleaned and sanitized over the next several days but they will remain open. Students say they were given a piece of paper in school that explain the situation in English and Spanish.

(On camera): And it says, "This morning we are made aware that a student in your school may have had contact with an individual who was recently diagnosed with the Ebola virus."

Now does that -- did that worry you? Were you scared?

UNIDENTIFIED FEMALE: Yes, and I don't feel like going to school tomorrow.

TUCHMAN: Well, I want to tell you and your mother, you don't need to be scared because the person in your school doesn't have Ebola, they were just near someone who had it. So you don't have to worry, OK?

UNIDENTIFIED FEMALE: OK.

TUCHMAN (voice-over): Daisy and Betsy are fourth graders, or twins.

(On camera): When you heard about this Ebola stuff, what did you think?

UNIDENTIFIED FEMALE: We got scared. TUCHMAN: You're twins and you talk at the same time. But are you OK

now?

UNIDENTIFIED FEMALE: Yes.

TUCHMAN: Because they're taking good care. The students who are here didn't have Ebola, you know that, right?

UNIDENTIFIED FEMALE: Yes.

TUCHMAN: OK, so are you coming back to school tomorrow?

UNIDENTIFIED FEMALE: Yes.

(END VIDEOTAPE)

COOPER: They really do talk at the same time.

Did -- it sounds like a number of the parents you talked to are at least contemplating keeping their kids home from school.

TUCHMAN: None of the parents we talk to, Anderson, say definitely that they will be keeping their kids out of school tomorrow but many of them are on the fence. I mean, keep in mind, this is the first time this exact situation has played out in an American school. In addition, this situation, though, many of the parents at these schools speak little or no English. They're afraid that some information is getting lost in translation.

They're a little confused, a little bewildered like anybody would be, but because they don't speak English very well, it makes it more acute.

COOPER: It's also important just, again, to stress because we don't want to sow any kind of unreal -- you know, panic or anything like that. The kids who went to the school, they don't -- at least, you know, they don't show any signs of having Ebola. They just came in contact with, as you say, with somebody who does.

And unless they were actually showing signs of it, they would not have been able to transmit it to anybody else. So if they weren't showing signs, and even if they're in school, there's no way they would have transmitted it.

Gary Tuchman, thanks, in Dallas.

Now in Atlanta, and the Centers for Disease Control, during a recent visit, President Obama expressed confidence that the public health system could meet the Ebola challenge. Listen.

(BEGIN VIDEO CLIP)

BARACK OBAMA, PRESIDENT OF THE UNITED STATES: We're working to help flight crews identify people who are sick, and more labs across our country now have the capacity to quickly test for the virus. We're working with hospitals to make sure that they are prepared and

to ensure that our doctors and nurses and our medical staff are trained, are ready and are able to deal with a possible case safely.

(END VIDEO CLIP)

COOPER: Well, that confidence, that assessment now appears at best premature, at worst perhaps unfounded.

Chief medical correspondent Dr. Sanjay Gupta has been looking at the big picture. He joins us now.

It just seem like there were major missteps in how this was handled. You're at the CDC now, how are they explaining this?

DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: They don't have very good explanations, Anderson. And look, this is an historic day. What we're talking about. A patient being diagnosed with Ebola in this country. This is the first time it's ever happened. This is the first time this has ever happened outside of Africa. And I'm sure when they look back on this, this is not how they expected or wanted it to go.

The -- biggest misstep was a patient went in with very, very clear signs of concern about Ebola and was turned away, as you've talked about. I talked to Dr. Frieden about this exact scenario just a bit earlier this morning and asked him about it.

Take a listen closely to what he said.

(BEGIN VIDEO CLIP)

GUPTA: What is the guidance? Should that person have been tested?

THOMAS FRIEDEN, CDC DIRECTOR: We weren't there, so I can't tell you exactly what that person said.

GUPTA: You're advising the public health departments, last time I was here there was a call with many primary care doctors to educate them on this exact issue. That was a couple of months ago. Should this person have been tested?

FRIEDEN: You know, we know that in busy emergency departments all over the country, people may not ask travel histories. I don't know if that was done here. But we need to make sure that it is done going forward. That's the bottom line.

(END VIDEO CLIP)

GUPTA: That's Dr. Frieden, he's the head of the CDC, Anderson.

Look, I mean, you know, they've been doing this drills for months. I was here a few months ago and said, well, what is the United States doing to prepare? We know this is going to happen at some point. A patient is going to show up in the United States with Ebola and be diagnosed here. What are you doing to prepare? And one of the first things they say is figure out who's at risk and

make sure they get tested. That was 101. And in this case it didn't happen -- Anderson.

COOPER: Right. And, I mean, clearly, he seems to want to try be avoiding answering that question or being put on the spot. But I mean, clearly, I mean, a family friend of this patient says they informed the hospital he had been to Liberia. Clearly, somebody there dropped the ball.

New information tonight, the patient may have traveled through Washington's Dulles Airport. The CDC is standing firm that travelers who may have been on the plane with him are not at risk, right? And that's because he, what? Because he wasn't showing symptoms on the plane?

GUPTA: Yes, that's right. I mean, you know, in Liberia they would do a screening ahead of time. It involves a questionnaire. But also involves taking one's temperature. And, you know, taking temperatures is actually a pretty significant tool because someone is going to develop a temperature, a fever early on before they really start to develop even more significant symptoms.

So given that he didn't have fever, given that he's apparently, by his report, was still healthy when he landed in Dallas after all those other airports, it's unlikely that he would have actually had any kind of transmission to other passengers.

Let me just say, Anderson, as well, you know, I -- you know, I was over in West Africa, and you and I have covered these types of stories. I do a lot of homework, ahead of time. I mean, I come home, I have three kids in my house. I wanted to make sure both personally and professionally, that I was going to be safe. That I wasn't going to transmit this virus to my own children.

And looking into the science and really fully understanding that unless someone around me on one of the planes that I took was sick, I wasn't going to be at risk because you don't transmit this virus when you're sick. You transmit the virus when there's enough virus in your body, makes you sick, and then it's in your bodily fluids, and that's when you start to excrete it. Someone is not sick, they're not dispensing virus, you know, on to other people.

COOPER: Yes.

GUPTA: So I felt comfortable with that and I think the passengers on those planes should feel comfortable of that as well.

COOPER: Yes. It's an important distinction.

Sanjay, thanks.

A quick reminder, make sure you set your DVR, you can watch 360 whenever you want. And again, we are on two hours tonight, all the way to the 10:00 hour in the East Coast. Coming up next, a very unique voice. One of the only Americans who

contracted and survived the disease, Nancy Writebol, talks about the crucial days ahead for Thomas Duncan. She joins me as well as her husband.

Later, why this case could be just the dress rehearsal for what some expert are calling the big one. A leading expert on Ebola and similar diseases will join us with that.

(COMMERCIAL BREAK)

COOPER: News Dr. Anthony Fauci, this country's top infectious disease researcher says the hospital in Dallas where Thomas Duncan is now quarantined with Ebola, in his words, dropped the ball. Dropped the ball when Duncan first showed up last Thursday with fever and vomiting and saying he'd recently arrived from Liberia.

The question was asked and answered by a nurse as the Ebola guidelines specified but somehow the information never was disseminated and Mr. Duncan was sent home. The hospital saying today there was no reason to admit him. He came back Sunday seriously ill.

Now if anyone tonight knows what he is going through right now it is Nancy Writebol. She contracted the virus during missionary work in an Ebola clinic in Liberia. She was treated successfully there and in Atlanta. She joins us tonight with her husband, David.

Nancy, you've been free of Ebola for more than a month now, you look great. I understand you're still taking medication. How do you feel?

NANCY WRITEBOL, EBOLA SURVIVOR: I feel good, thank you. I'm getting stronger every day. And just continuing to regain my strength.

COOPER: When you heard that a patient had been diagnosed with Ebola here in the United States, in Texas, what was your reaction? What did you think?

N. WRITEBOL: Well, Anderson, I was not surprised. You know, we live in such a small world that it is very easy to travel from one country to another. And so it didn't take me by surprise. I'm very thankful that he is here and that he could receive medical care and that our doctors know what they're dealing with.

COOPER: For you, that's -- I mean, as you look back on your treatment it was coming to the United States, you believe that really saved your life. And there was a lot of attention on the ZMapp, on the serum that you got. But you're not clear that that is actually what did it. You think a lot of the follow-on care that you actually got in the United States may have really saved you.

N. WRITEBOL: Yes, you know, the medical care that we received was amazing at Emory. And also, not only the care, I mean, they were able to check what was happening daily and hourly in our bodies. And so that's just not possible in a third world country where lab work takes sometimes hours to get back. And so you're right, the care that we received here was critical to us in our recovery. But you know, we don't know how much the ZMapp played into that.

COOPER: David, what about for you? When you heard this, I mean, it must have brought back obviously scary memories when your wife was battling the virus. You yourself were quarantined, as well.

DAVID WRITEBOL, HUSBAND OF EBOLA SURVIVOR: Yes. Well, it's -- again, I was -- I was saddened to hear that. And our hearts and our prayers go out to the family concerning that condition. And yet we just wish them well and hope that -- I hope for a speedy recovery and that the doctors and the nurses and his treatment will go well and that he will be able to survive.

COOPER: And Nancy, do you think it's inevitable that there will be more cases? And I bring this up not to sow fear, but we're learning now that, you know, this patient exhibited symptoms of Ebola, sought treatment in Dallas hospital. According to friends of his, they say that they informed the hospital that he was from Liberia and yet he was sent home.

So I ask the question, because -- I mean, are doctors really ready, you know, looking out for this as they should be, do you think?

N. WRITEBOL: Well, I think it's brought another awareness to the situation and to the problem of people presenting themselves at medical hospitals where doctors and nurses need to be on alert. The fact that patients are and that people are traveling, and that it is very possible for someone to walk into an emergency room or into a hospital to receive care. And I think, again, it's another way to bring awareness to the fact that we need to be on alert.

Do I think that it's possible we might have more cases? I think it is possible.

COOPER: What do you want people to know about Ebola, people in the United States? Because there's a lot of fear, obviously, and a lot of it is understandable. But this is new in the United States. What do you want people to know about it?

N. WRITEBOL: Well, again, I think people need to realize and to remember it's not airborne. And you know, the way that it's transmitted is through bodily fluids. And so that is something that, you know, even in our own minds we have to remember, OK, this is not airborne. And I think that that will help people to not have as great a fear. And I think, too, that if they know somebody that is exhibiting symptoms that look like Ebola to get help immediately.

Don't wait thinking, oh, this is just the flu, I'm going to wait, or, you know, and that's really getting really any better. Don't wait to seek out medical help.

COOPER: Nancy Writebol and her husband, Dave.

As always for more on these stories and others, go to CNN.com.

Coming up next, why some believe this latest Ebola outbreak might not be the worst we face in coming years, that it's only a dress rehearsal. The author of a very important book on the subject joins us.

Also, an update on that virus, a different virus hitting so many kids around the country and word that one of the kids infected with the disease, well, tonight now died. We'll tell you what you need to know and watch out for.

(COMMERCIAL BREAK)

COOPER: Well, the strain of Ebola, thank goodness, does not spread like small pox or even the flu. That is the good news. The bad news is twofold. First the question remains just how well prepared is any country, even a medical superpower like United States, against deadly diseases in such a tightly connected world.

And second, what happens when Ebola mutates as it has in the past to a strain that can in fact spread more easily from person to person?

David Quammen has written extensively about Ebola and other viruses that originated in animals and spread to people as Ebola has. His upcoming book is "Ebola: The Natural and Human History of a Deadly Virus."

David, thanks for joining us. This outbreak happening so close to international airports now. Was it just a matter of time before we saw infected people traveling to the United States on commercial airlines?

DAVID QUAMMEN, AUTHOR, "SPILLOVER": I think it was just a matter of time, yes. One of the things about this West African outbreak that was I believe a fateful circumstance was the fact that the outbreak began in the countryside. It always begins in the countryside, comes out of the forest. But the countryside in Guinea, Sierra Leone, and Liberia is not very far from some big capital cities with international airports.

So it's not surprising that this case has arrived, that other cases have traveled. That somebody went to Lagos. This virus doesn't fly particularly well, but we've seen that it can fly. And the closer to the original outbreak to the capital cities and the airports the more likely that is going to happen.

COOPER: I mean viruses mutate, is it possible for it to mutate to a form that does spread through the air or is there no way Ebola can do that?

QUAMMEN: Well, it's not in the right sort of family to be highly likely to do that. There are families of viruses that are much more susceptible to airborne transmission. The influenzas, the corona viruses, including and SARS and MRSA. Those are much more likely to travel on a respiratory route. Ebola we've heard a hundred times is carried in bodily fluids.

It is mutating, and there is a new scientific study that has measured the degree to which it's mutating. The more cases that occurs in West Africa, the more change it gets to mutate. Whether it can mutate to become airborne is another question. That's probably a big leap. But it could perhaps mutate into a form that allows it to be infectious in a human being before it causes symptoms, rather than the other way around. And that would be a scary thing.

COOPER: Right. That would obviously be very alarming. Because right now there -- it is sort of the good news is that even if somebody is infected as we've said before, but it bears repeating. Even if somebody is infected, until they actually show symptoms, they actually cannot spread the virus to others. So if somebody rides on a plane and they feel fine, they're not showing other symptoms, there is no danger to other passengers as of now.

QUAMMEN: That is right, but if you were going to create a nightmare virus, you would create or imagine a virus that is shed from a victim, is excreted from a victim before the victim gets really sick so that a person is still walking around, interacting with people and riding the subway and airplanes at the point where he is not yet sick, but is shedding virus. That is the nightmare scenario.

COOPER: You said -- there is some good news in that if they can stop Ebola in Lagos, the capital of Nigeria, the CDC said the Nigeria has contained its outbreak, they can do that. Then the U.S. should be able to stop it in Dallas.

QUAMMEN: You would think so yes, they stopped it in Nigeria because of a strong health care system apparently and a lot of help from Bill and Melinda Gates, who put a lot of money in there, and very quickly helped them convert a malaria treatment center into an Ebola treatment center.

That, plus tracing the case contacts, getting around them, getting people isolated, allowed them apparently to stop it in Nigeria. And if they can do it in Nigeria, we ought to be able to do it in Texas.

COOPER: We did a lot of reporting on viruses, in Africa, gone out with hunters and shown how viruses were transmitted from animals to humans. You call this Ebola outbreak a dress rehearsal for the next big one, the next epidemic or pandemic.

What should we be learning from this outbreak to prepare for the next one? And is the next one that you're most concern about that one that the virus is transmittable before somebody shows symptoms?

QUAMMEN: Well, what we should be learning, first of all, is that this is not a one-time event. Assuming that we can stop this in Texas which I certainly take Tom Frieden's point, that can be done. It should not be a problem.

Assuming it can be stopped, then the real point is that this is not a one off deal. This is not a one-time event. This year it is Ebola, 2014, it even makes it to the U.S. Next year, it will be a different virus, the year after there will be a different virus.

As you've said Anderson, there are a lot of these viruses emerging from non-human animals, getting into humans, spreading around the world partly because of bush meat and other practices disturbing the tropical ecosystems.

If it is Ebola this year, next year, it might be Margberg or Hendra or Nipa or a new influenza or SARS or MRSA, or a new Corona virus that we haven't heard of yet.

COOPER: All right, David Quammen, appreciate you being on. Thank you very much. David is going to join us in our next hour as well, our live edition then.

We are also going to devote that entire hour to the Ebola crisis. Also our panel of experts will be taking your questions, any questions you have about. I know a lot of people have questions. Tweet with the hashtag #Ebolaqanda or go to our Facebook page, Facebook/ac360.

Coming up next, federal health officials have their hands full tonight. Not just with Ebola, but the respiratory virus has been striking kids across the country sending some to the ICU, and they recently found four patients who died.

The CDC says it is not clear what role the Enterovirus 68 could have played in the deaths. There also concern the virus may be linked to neurologic complications including paralyses in a small number of kids in three states.

But nationwide, the CDC says 500 cases of the virus have so far been confirmed. Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases at the NIH told me a short time ago.

(BEGIN VIDEO CLIP)

DR. ANTHONY FAUCI, DIRECTOR, NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES: That particular virus is a bad actor. It is part of the broad category of enteroviruses. This one is a particularly bad actor for a number of reasons. First of all, the outbreak is significant, in 41 states, it attacks children, adults almost never get attacked.

(END VIDEO CLIP)

COOPER: Our Deborah Feyerick joins me now with the latest. Have you got new details about one of the patients who died, a young girl and her fight with the virus?

DEBORAH FEYERICK, CNN NATIONAL CORRESPONDENT: Yes, absolutely. Anderson, we're learning more about one of the victims. She is a 10- year-old girl. She is from Rhode Island. She is one of four people that you mentioned who have died, who tested positive for the Enterovirus 68.

Now health officials are being very clear saying it's not sure whether in fact the virus contributed to their deaths. All they know is that it was present in their bodies when they die.

Now the 10-year-old girl was short of breath. She was having trouble breathing so her parents took her to the hospital basically to get her checked out, make sure everything was OK.

A state official said once that child arrived at the hospital in his words, quote, "Everything fell apart within 24 hours." Now this child had two health issues, not only did she have the enterovirus, but she also had a staph infection.

This is a very rare combination and the staph appears at this point to have been the main cause of death. But officials looking at this very closely.

COOPER: And hospitals are also worried about a polio light form of the virus.

FEYERICK: Yes, and this is really surprising to everybody, Colorado, Boston, Michigan, doctors have seen a handful of these cases of the mysterious neurological illness that weakens the limbs. It causes a cranial nerve dysfunction as well abnormalities in spinal gray matter.

Colorado had 10 cases. We are told were hospitalized. Boston had four. Michigan, one child actually developed this partial paralysis after being hospitalized. Right now in Colorado the children are undergoing physical therapy.

Doctors are saying it is really not clear what the long-term effects of this partial paralysis will ultimately be.

COOPER: And these Enteroviruses, I mean, they are pretty common. Could the numbers actually go higher?

FEYERICK: Yes, they could, Anderson, and the reason -- the CDC is prioritizing its testing, specifically they were looking at children who have severe respiratory illnesses. They're the ones at the greatest risks.

The numbers are expected to grow because test results are not yet back on clusters of people with respiratory illnesses, the Enterovirus, people get it usually late year, early summer or autumn.

The majority experience it just as a cold. The difference this year, Anderson, so many children, 500 in 42 states are actually being hospitalized. And that's the changer.

COOPER: Scary stuff, Deborah Feyerick, thank you very much.

Just ahead, we have breaking news, the suspect in the disappearance of UVA student, Hannah Graham, linked to yet another sexual assault investigation. Jesse Matthew is his name.

He was accused of raping a student at Liberty University 12 years ago. He was never charged. Randi Kaye went to the university to sort out what happened. Now we're learning of another investigation at another university. That is next.

(COMMERCIAL BREAK)

COOPER: Breaking news tonight about the suspect in the disappearance of the UVA student, Hannah Graham, linking him to yet another case. Now, we know now of two different Virginia universities that Jesse Matthew attended in 2002 and 2003 and that he was accused of sexual assault at both of them.

Randi Kaye joins me live from Lynchburg, Virginia. So what have you learned?

RANDI KAYE, CNN INVESTIGATIVE CORRESPONDENT: Anderson, what we know right now is that this latest case that we are just learning about took place at Christopher Newport University. That's in Newport News, Virginia.

We know it occurred back in September of 2003. Now, that university is not saying much, but they are telling us that Jesse Matthew was questioned related to a sexual assault back in September of 2003. That is about all they're saying.

But what is so interesting is that that took place just 11 months after he was questioned about an alleged rape here at Liberty University just in October of 2002. So that was just 11 months later, which is really remarkable.

Now what that university is telling us is that he was a student there in 2003, at Christopher Newport University. He played football there and then suddenly just two months into the semester he left. That was alarmingly familiar to what we learned about at the Liberty University campus here in Lynchburg today.

(BEGIN VIDEOTAPE)

KAYE (voice-over): Liberty University, October, 2002, a female student calls police at 4:26 a.m. to report a rape. Officers respond immediately. The girl tells them she was raped at the Vine Center, the school's sports arena.

MICHAEL DOUCETTE, COMMONWEALTH ATTORNEY: According to the report, she called the Lynchburg Police Department.

KAYE: Lynchburg Prosecutor Michael Doucette didn't work the case but has reviewed the file. He says the male student named as the attacker is Jesse Matthew, the same Jesse Matthew accused in the disappearance of UVA student, Hannah Graham. Now 12 years later, Liberty University confirms that, too.

DOUCETTE: Her complaint to the field officer identified him by -- as LJ.

KAYE: LJ appeared to be his nickname on campus where he was a student.

(on camera): Doucette says that Matthew cooperated with police and even gave them a statement. But was never charged due to lack of evidence and no eyewitnesses here at the arena where the alleged attack happened.

DOUCETTE: The issue became one of consent, one where she said she had not consented, one where he said that she had.

KAYE (voice-over): Doucette would not discuss details of the alleged assault, only telling us Lynchburg Police were in contact with the girl who still has not been identified publicly until she stopped returning their calls.

The prosecutor at the time dropped the case. Until then, Jesse Matthew had a good thing going here at Liberty University. Matthew was enrolled from 2000 to 2002. He reportedly had a football scholarship, playing defensive lineman for the Liberty Flames.

(on camera): Why Matthew left after the rape allegation is still unclear. Was he expelled from Liberty University or did he leave on his own? Citing student privacy laws, the university won't say.

(voice-over): One former teammate told us Matthew was childlike and awkward and didn't really know what was appropriate. That may be true, but if he was violent and capable of rape, one person who survived his alleged attack is still refusing to come forward all these years later.

(END VIDEOTAPE)

COOPER: Randi, the alleged rape, could it impact the case, and if so how -- the case against Matthew for the disappearance of Hannah Graham? Because I mean, this witness has not come forward and so far was not willing to report or testify.

KAYE: Right, that is the big question, Anderson, the commonwealth prosecutor we spoke to today, Mr. Doucette, said he sent the file over, the file that he has seen, he sent it over to the prosecutor in Charlottesville who is handling the Hannah Graham case.

He also sent it over to Chief Longo, where he has a long history with the chief of police. He is hoping they'll take another look at it. Now remember, he didn't tell us everything that was in that file, so we didn't know what they are going to learn from it.

But if they do find a nugget in there that makes them want to take another look at this case here from Liberty University, it is a question of will that woman after all these years, 12 years later now, come forward and finally talk to them.

COOPER: All right, Randi Kaye, appreciate it. Thanks.

Just ahead, we have breaking news. The Secret Service under fire, the director resigns, the accused White House fence jumper appears in court. And new details come to light about another security lapse. That is next.

(COMMERCIAL BREAK)

COOPER: Breaking news tonight, the director of the Secret Service has resigned as the agency deals with multiple security lapses, some of which we're hearing about in new details. Calls for Julie Pierson to step down increased after she

testified on Capitol Hill yesterday. Julie Pierson, the same day that we learned an armed security contractor was allowed to get into the elevator with President Obama during a recent trip to the CDC in Atlanta.

Meanwhile, the accused White House fence jumper pleaded not guilty today. Authorities say that Omar Gonzales was able to get through the front door and into the east room.

Pamela Brown joins me now with more. So I understand you learned more information about the guy who hopped the fence. What do you know?

PAMELA BROWN, CNN JUSTICE CORRESPONDENT: That is right, Anderson. We have learned Gonzales had an injured foot when he allegedly hopped the White House fence. That means he was apparently limping across the White House lawn and was able to still breakthrough five layers of security.

Also tonight, Anderson, we're learning from a Secret Service source that the entire incident from the time Gonzales went over the fence to the time he was tackled inside the White House was all captured on tape by an elaborate surveillance system. That video is now in the hands of investigators.

Also this source says Gonzales ran into the mansion and bulled over a female officer who was trying to close one of the mansion's double doors. That officer apparently according to this source was able to get up, chase Gonzales and eventually tackle him outside the east room -- Anderson.

COOPER: We're also I understand learning new information about the security breach that took place at the CDC about a guy getting in the elevator with President Obama and had a gun, which is incredible.

BROWN: Yes, it really is. We talked about this last night. You're right, we're learning new details. A Secret Service official tells us the security contractor who the Secret Service allowed on an elevator with the president took his phone out and started taking pictures of the president.

Since he acted in an unprofessional manner, that caused a red flag. He was questioned and it wasn't until later, Anderson, that the Secret Service discovered that the contractor had a gun on him.

Now, of course, the Secret Service is not supposed to let anyone with a gun near the president without its prior approval. And also, Anderson, despite some reports that this contractor has a criminal background, CNN is told he has no prior convictions -- Anderson.

COOPER: All right, Pamela, thanks very much. A lot to talk about with Dan Bongino, a congressional former candidate and a former Secret Service agent. His brother is a current agent. Dan joins me now. So how does something like a security breach at the CDC happen?

Not only did the guy have a gun on him, according to the "Washington Post," he also had a criminal record although that is now being denied.

DAN BONGINO, FORMER SECRET SERVICE AGENT: Yes, that is an interesting piece of information, Anderson. I was confused about that. Because the Secret Service has a program, a special program for people within that inner, inner sanctum, close to the president.

That program is an extra level of background check in addition to just the standard criminal check. So when I heard initial reporting about a criminal background, multiple felonies, it didn't make any sense to me.

So that is a very important fact. Now, how does he get in the elevator with a gun? Clearly a security lapse, again, I'm not apologizing for them. I don't know because what we do in the Secret Service is we clear an entire floor out.

If the president is going to walk on the floor of all the employees, everyone there and everyone comes back in through the metal detector, how he got through there with the weapon, I'm not sure.

COOPER: I read something about the arm's reach program, which is supposed to prevent somebody with a criminal history from getting near the president, right?

BONGINA: That was the problem with the sign language translator at the Mandela funeral, as well. The arms reach program, the inner, inner sanctum. You know, we'll always check these folks with an extra level of scrutiny. The distance from the president buys you time.

The lack of distance buys you no time, buys you no options, as well. That's why there is always going to be extra levels of scrutiny and that's why the story makes a little more sense if he did not have any criminal background. There is no way he would have been in that elevator, excuse me, with a felony history. No way.

COOPER: I mean, the other thing is that these revelations were only recently brought to light because the various news organizations reporting them. Some people say there is just too much secret when it comes to the Secret Service or at least trying to kind of cover their own mistakes.

BONGINO: Right, the first rule of crisis management, right. Get the story out fast and accurate. Neither was done. It was a slow roll and it was not accurate. You know, you can't have it that way when you are dealing with the security of the president of the United States. It is a bipartisan issue.

And when both Darrell Issa and Steven Lynch on opposite sides of the political spectrum are both going after you, your agency is in a lot of trouble.

COOPER: Julia Pierson, what do you make of the resignation? Is it a step in the right direction to fix what's wrong, make sure these breaches never happen again? Had she just lost the confidence of the personnel there?

BONGINO: Anderson, there was a near mutiny amongst the agents and the Uniform Division Officers of the Secret Service. It is not a coincidence that there are whistle-blowing accounts appearing in just about every news outlet, yours and many others.

The men and women there are really frustrated. They feel like management let them down. I feel she was part of that problem. I think it was a responsible move to step down. She said she wanted to take responsibility and it doesn't mean anything without consequence.

You can't fire the Uniform Division Officers in regard to the fence jumper, and say you had nothing to do with it. So I think it was the right move. I think the interim director, Joe Clancy, is a terrific human being, excellent character, terrific work ethic, he is unanimously respected amongst the rank and file agents.

COOPER: So you think he can make a difference?

BONGINO: I think he can make a real substantive difference. I had preferred initially. I think I said on your program, an outside director, so they're not looking at the Secret Service. You can't prevent having come up through the agency. But if I had to pick a former insider, he is my number one draft choice. There is no question about it.

COOPER: Dan Bongino, appreciate you being with us. Thanks very much.

Our live coverage continues ahead. We're devoting the next entire hour to Ebola now that it has arrived in the U.S. The questions regarding the health workers on the frontlines, are America's hospitals ready?

We're telling you more about the first patient, the fact that a Texas hospital sent Thomas Duncan home when he was feeling sick, that raised concerns, you can ask questions about Ebola and tweet us your questions as well. Sanjay Gupta will join us next. We'll be right back.

(COMMERCIAL BREAK)

COOPER: Good evening. Thank you for joining us. Tonight on 360, Ebola in America, the first case diagnosed here. We're devoting the next hour to this story. There are big questions about how it was handled and by extension, how prepared we are as a country to meet the challenge of a virus that kills half of those who catch it?

It can cross oceans on airliners. Thomas Duncan brought it here from Liberia to Dallas, Texas. He arrived on the 20th of last month. By the time an ambulance took him to Texas Health Presbyterian Hospital on Sunday, he was already seriously ill.

At the same hospital, they had sent him home, even though he had a fever and was vomiting and he had told the nurse he had recently been in Liberia. So there are big questions about that and many more things.

Tonight, we are taking your questions as well. Tweet us using #ebolaqanda right here at the bottom of your screen, you can see it.