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Thomas Eric Duncan

Thomas Eric Duncan (December 30, 1972 – October 8, 2014) was a Liberian citizen who became the first Ebola patient diagnosed in the United States on September 30, 2014. Duncan, who had been visiting family in Dallas, was treated at Texas Health Presbyterian Hospital Dallas.[1][2] By October 4, his condition had deteriorated from "serious but stable" to "critical".[3] On October 8, he died of Ebola.[4] Two health care workers became infected with Ebola virus, 26-year-old nurse Nina Pham and 29-year-old nurse Amber Vinson, both of whom had taken care of him at Texas Health Presbyterian Hospital (THPH).

Thomas Eric Duncan
Born(1972-12-30)December 30, 1972
DiedOctober 8, 2014(2014-10-08) (aged 41)
Dallas, Texas, United States
Cause of deathEbola virus disease
NationalityLiberian
OccupationPersonal driver
Known forFirst diagnosis of Ebola virus disease in North America
ChildrenKarsiah Eric Duncan

The family eventually threatened to sue the hospital based on the claim that Duncan had not received proper and timely care. The family was thus able to receive compensation from THPH. On November 10, 2014, Duncan's family reached a "resolution" with THPH that included the hospital covering the expenses related to Duncan's intensive and onerous treatment, as well as an undisclosed amount cash payment to the family.[5]

Background edit

Duncan was from Monrovia, Liberia, to date the country hit hardest by the Ebola virus epidemic.[6] He worked as a personal driver for the general manager of Safeway Cargo, a FedEx contractor in Liberia.[7] According to manager Henry Brunson, Duncan had abruptly quit his job on September 4, 2014, giving no reason.[8]

Contraction of Ebola edit

Timeline of contraction and initial symptoms edit

On September 15, 2014, the family of Marthalene Williams, who later died of Ebola virus disease, could not call an ambulance to transfer the pregnant Williams to a hospital. Duncan, their tenant, helped to transfer Williams by taxi to an Ebola treatment ward in Monrovia. Duncan rode in the taxi to the treatment ward with Williams, her father and her brother.[9]

On September 19, Duncan went to Monrovia Airport, where, according to Liberian officials, he lied about his history of contact with the disease on an airport questionnaire before boarding a Brussels Airlines flight to Brussels. In Brussels, he boarded United Airlines Flight 951 to Washington Dulles Airport.[10] From Dulles, he boarded United Airlines Flight 822 to Dallas/Fort Worth. He arrived in Dallas at 7:01 p.m. CDT[11] on September 20, 2014,[1][2] and stayed with his partner and her five children, who lived in the Fair Oaks apartment complex in the Vickery Meadow neighborhood of Dallas.[12][13] Vickery Meadow, the neighborhood in Dallas where Duncan lived, has a large African immigrant population and is Dallas's densest neighborhood.[14]

Duncan's illness in Dallas edit

 
Texas Health Presbyterian Hospital, where Duncan was treated

Duncan began experiencing symptoms on September 24, 2014, and arrived at the Texas Health Presbyterian Hospital emergency room at 10:37 p.m. on September 25.[15] At 11:36 p.m., a triage nurse asked him about his symptoms, and he reported feeling "abdominal pain, dizziness, nausea and headache (new onset)".[15] The nurse recorded a fever of 100.1 °F (37.8 °C), but did not inquire as to his travel history as this was not triage protocol at the time.[15] At 12:05 a.m., Duncan was admitted into a treatment area room where the on-duty physician accessed the electronic health record (EHR). The physician noted nasal congestion, a runny nose, and abdominal tenderness. Duncan was given paracetamol (acetaminophen) at 1:24 a.m.[15] CT scan results came back noting "no acute disease" for the abdominal and pelvic areas and "unremarkable" for the head.[15] Lab results returned showing slightly low white blood cells, low platelets, increased creatinine, and elevated levels of the liver enzyme AST.[15][16] His temperature was noted at 103.0 °F (39.4 °C) at 3:02 a.m. and 101.2 °F (38.4 °C) at 3:32 a.m. Duncan was diagnosed with sinusitis and abdominal pain and sent home at 3:37 a.m. with a prescription for antibiotics, which are not effective for treating viral diseases.[15][17]

Treatment and death edit

What we're seeing now is not an "outbreak" or an "epidemic" of Ebola in America. This is a serious disease, but we can't give in to hysteria or fear. – President Barack Obama on the Ebola outbreak

Duncan's condition worsened, and he was transported on September 28 to the same Texas Health Presbyterian Hospital emergency room by ambulance.[18][19] He arrived in the emergency room at 10:07 a.m., experiencing diarrhea, abdominal pain, and fever.[20] Within fifteen minutes, a doctor noted that Duncan had recently come from Liberia and needed to be tested for Ebola. The doctor described following "strict [CDC] protocol" including wearing a mask, gown, and gloves. At 12:58 p.m., the doctor called the CDC directly. By 9:40 p.m., Duncan was experiencing explosive diarrhea and projectile vomiting.[20] At 8:28 a.m. the next morning, the doctor noted that he "appeared to be deteriorating". By 11:32 a.m., he was severely fatigued, enough to prevent him from using the bedside toilet.[20] Later that day, he was transferred to an intensive care unit (ICU) after all other patients had been evacuated. The next day, September 30, he was diagnosed with Ebola virus disease after a positive test result.[20]

Duncan's diagnosis was publicly confirmed during a CDC news conference the same day.[21][22] Duncan died at 7:51 am on October 8, 2014.[23][24]

Other infected edit

On the night of October 10, Nina Pham, a 26-year-old nurse who had treated Duncan at Texas Health Presbyterian Hospital, reported a low-grade fever and was placed in isolation. On October 11, she tested positive for Ebola virus, becoming the first person to contract the virus in the U.S. On October 12, the CDC confirmed the positive test results.[25] Hospital officials said Pham had worn the recommended protective gear when treating Duncan on his second visit to the hospital and had "extensive contact" with him on "multiple occasions".

Pham claimed that "she doubts whether she can ever be a critical care nurse again – in part because of the emotional stress and anxiety over the trauma she experienced and in part because of the fear and stigma that follows her". She sued the hospital and settled for an undisclosed amount of money.[26]

On October 14, a second nurse at the same hospital, identified as 29-year-old Amber Joy Vinson,[27] reported a fever. Vinson[28] was among the nurses who had provided treatment for Duncan. Vinson was isolated within 90 minutes of reporting the fever. By the next day, Vinson had tested positive for Ebola virus.[29] On October 13, Vinson had flown Frontier Airlines Flight 1143 from Cleveland to Dallas, after spending the weekend in Tallmadge and Akron, Ohio.

Reactions edit

On October 2, Liberian authorities said they could prosecute Duncan if he returned because before flying he had filled out a form in which he had falsely stated he had not come into contact with an Ebola case.[30] Liberian President Ellen Johnson Sirleaf told the Canadian Broadcasting Corporation she was angry with Duncan for what he had done, especially given how much the United States was doing to help tackle the crisis: "One of our compatriots didn't take due care, and so, he's gone there and in a way put some Americans in a state of fear, and put them at some risk, and so I feel very saddened by that and very angry with him. ... The fact that he knew (he might be a carrier) and he left the country is unpardonable, quite frankly."[31] Before his death, Duncan brazenly claimed that he did not know at the time of boarding the flight that he had been exposed to Ebola; he said he believed the woman he helped was having a miscarriage, which contradicts corroborated accounts from family members who also helped transport the woman to an Ebola ward.[9][32]

Duncan's family said the care Duncan received was at best "incompetent" and at worst "racially motivated".[33] Family members threatened legal action against the hospital where Duncan received treatment.[34] In response, Texas Health Presbyterian Hospital issued a statement, "Our care team provided Mr. Duncan with the same high level of attention and care that would be given any patient, regardless of nationality or ability to pay for care. We have a long history of treating a multicultural community in this area."[35]

See also edit

References edit

  1. ^ a b Fernandez, Manny; Onishi, Norimitsu (October 1, 2014). "U.S. Patient Aided Ebola Victim in Liberia". The New York Times.
  2. ^ a b "Thomas Eric Duncan: From healthy to Ebola". WYFF4. Retrieved October 3, 2014.
  3. ^ "First US Ebola case Thomas Duncan 'critical'". BBC News. October 4, 2014. Retrieved October 4, 2014.
  4. ^ "Texas Ebola patient dies". CNN. October 8, 2014. Retrieved October 8, 2014.
  5. ^ Walt Zwirko (November 12, 2014). "Hospital will pay Duncan's medical bills, set up charity". USA Today. Retrieved March 16, 2015.
  6. ^ "Ebola Weakens Liberia Food Security". VOA. September 23, 2014. Retrieved October 27, 2014.
  7. ^ "Liberia says Dallas Ebola patient lied on exit documents". USA Today. October 2, 2014. Retrieved October 14, 2014.
  8. ^ Onishi, Norimitsu (October 1, 2014). "Liberian Officials Identify Ebola Victim in Texas as Thomas Eric Duncan". The New York Times.
  9. ^ a b "Thomas Eric Duncan timeline", The New York Times; accessed October 8, 2014.
  10. ^ "Ebola Patient in Dallas Lied on Screening Form, Liberian Airport Official Says", The New York Times, October 2, 2014
  11. ^ "History ✈ United #822 ✈ FlightAware". FlightAware. Retrieved October 2, 2014.
  12. ^ Frosch, Dan (October 2, 2014). "Dallas Man Tells of U.S. Ebola Patient's Decline". WSJ. Retrieved October 4, 2014.
  13. ^ "Retracing the Steps of the Dallas Ebola Patient". The New York Times. October 1, 2014.
  14. ^ "Vickery Meadow neighborhood is 'melting pot of America'" (). The Dallas Morning News. October 11, 2014. Updated October 12, 2014. Retrieved on July 14, 2015.
  15. ^ a b c d e f g . The Dallas Morning News. October 17, 2014. Archived from the original on October 25, 2014. Retrieved October 25, 2014.
  16. ^ "Notable Elements of Mr. Duncan's Initial Emergency Department Visit" (PDF). US Congress. Retrieved October 27, 2014.
  17. ^ Berman, Mark (October 1, 2014). "Texas Ebola patient told hospital of travel from West Africa but was released". The Washington Post. Retrieved October 3, 2014.
  18. ^ Gilblom, Kelly (October 3, 2014). "Electronic-Record Gap Allowed Ebola Patient to Leave Hospital". Bloomberg. Retrieved October 3, 2014.
  19. ^ "Dallas hospital says Ebola patient denied being around sick people". Los Angeles Times. October 2, 2014. Retrieved October 3, 2014.
  20. ^ a b c d "Details of Duncan's Treatment Reveal a Wobbly First Response to Ebola". The New York Times. October 25, 2014. Retrieved October 25, 2014.
  21. ^ "Ebola in the US – Ebola in Dallas". 2014 Ebola Outbreak. Archived from the original on October 13, 2014. Retrieved October 3, 2014.
  22. ^ Maggie Fox (October 2014). "How Did The Ebola Patient Escape for Two Days?". NBC News. Retrieved October 3, 2014.
  23. ^ Gander, Kashmira (October 8, 2014). "Thomas Eric Duncan dead: First US Ebola victim dies in a Texas hospital". The Independent. Archived from the original on May 7, 2022. Retrieved November 15, 2018.
  24. ^ Botelho, Greg; Wilson, Jacque (October 8, 2014). "Thomas Eric Duncan: First Ebola death in U.S." CNN.com. Retrieved November 15, 2018.
  25. ^ Fernandez, Manny (October 12, 2014). "Texas Health Worker Tests Positive for Ebola". New York Times. Retrieved October 12, 2014.
  26. ^ "Nurse who got Ebola settles hospital lawsuit". CNN. October 25, 2016.
  27. ^ "Second Ebola-infected nurse ID'd; flew domestic flight day before diagnosis". Fox News. October 15, 2014. Retrieved October 15, 2014.
  28. ^ Justin Ray (October 18, 2014). "What We Know About Amber Joy Vinson, 2nd Dallas Nurse Diagnosed With Ebola". KXAS-TV NBC5 DFW.
  29. ^ . Texas Department of State Health Services. Archived from the original on October 22, 2014. Retrieved October 15, 2014.
  30. ^ "Liberia to Prosecute Man Who Brought Ebola to United States". NBC News. October 2, 2014. Retrieved October 3, 2014.
  31. ^ "Liberian President criticizes Ebola patient in Dallas". CNN. October 2, 2014. Retrieved October 3, 2014.
  32. ^ Selk, Avi (October 8, 2014). . Dallas News. Archived from the original on October 11, 2014. Retrieved October 17, 2014.
  33. ^ "Ebola Outbreak and Outcry: Saving Thomas Eric Duncan". The Huffington Post. October 7, 2014. Retrieved October 17, 2014.
  34. ^ "Family of Thomas Eric Duncan says his death from Ebola is 'racially motivated'". WGN-TV. October 12, 2014. Retrieved October 17, 2014.
  35. ^ "Dallas' Ebola patient waited days for experimental drug". CNN. October 7, 2014. Retrieved October 17, 2014.

thomas, eric, duncan, december, 1972, october, 2014, liberian, citizen, became, first, ebola, patient, diagnosed, united, states, september, 2014, duncan, been, visiting, family, dallas, treated, texas, health, presbyterian, hospital, dallas, october, conditio. Thomas Eric Duncan December 30 1972 October 8 2014 was a Liberian citizen who became the first Ebola patient diagnosed in the United States on September 30 2014 Duncan who had been visiting family in Dallas was treated at Texas Health Presbyterian Hospital Dallas 1 2 By October 4 his condition had deteriorated from serious but stable to critical 3 On October 8 he died of Ebola 4 Two health care workers became infected with Ebola virus 26 year old nurse Nina Pham and 29 year old nurse Amber Vinson both of whom had taken care of him at Texas Health Presbyterian Hospital THPH Thomas Eric DuncanBorn 1972 12 30 December 30 1972Monrovia LiberiaDiedOctober 8 2014 2014 10 08 aged 41 Dallas Texas United StatesCause of deathEbola virus diseaseNationalityLiberianOccupationPersonal driverKnown forFirst diagnosis of Ebola virus disease in North AmericaChildrenKarsiah Eric Duncan The family eventually threatened to sue the hospital based on the claim that Duncan had not received proper and timely care The family was thus able to receive compensation from THPH On November 10 2014 Duncan s family reached a resolution with THPH that included the hospital covering the expenses related to Duncan s intensive and onerous treatment as well as an undisclosed amount cash payment to the family 5 Contents 1 Background 2 Contraction of Ebola 2 1 Timeline of contraction and initial symptoms 2 1 1 Duncan s illness in Dallas 2 2 Treatment and death 2 3 Other infected 3 Reactions 4 See also 5 ReferencesBackground editDuncan was from Monrovia Liberia to date the country hit hardest by the Ebola virus epidemic 6 He worked as a personal driver for the general manager of Safeway Cargo a FedEx contractor in Liberia 7 According to manager Henry Brunson Duncan had abruptly quit his job on September 4 2014 giving no reason 8 Contraction of Ebola editTimeline of contraction and initial symptoms edit On September 15 2014 the family of Marthalene Williams who later died of Ebola virus disease could not call an ambulance to transfer the pregnant Williams to a hospital Duncan their tenant helped to transfer Williams by taxi to an Ebola treatment ward in Monrovia Duncan rode in the taxi to the treatment ward with Williams her father and her brother 9 On September 19 Duncan went to Monrovia Airport where according to Liberian officials he lied about his history of contact with the disease on an airport questionnaire before boarding a Brussels Airlines flight to Brussels In Brussels he boarded United Airlines Flight 951 to Washington Dulles Airport 10 From Dulles he boarded United Airlines Flight 822 to Dallas Fort Worth He arrived in Dallas at 7 01 p m CDT 11 on September 20 2014 1 2 and stayed with his partner and her five children who lived in the Fair Oaks apartment complex in the Vickery Meadow neighborhood of Dallas 12 13 Vickery Meadow the neighborhood in Dallas where Duncan lived has a large African immigrant population and is Dallas s densest neighborhood 14 Duncan s illness in Dallas edit nbsp Texas Health Presbyterian Hospital where Duncan was treated Duncan began experiencing symptoms on September 24 2014 and arrived at the Texas Health Presbyterian Hospital emergency room at 10 37 p m on September 25 15 At 11 36 p m a triage nurse asked him about his symptoms and he reported feeling abdominal pain dizziness nausea and headache new onset 15 The nurse recorded a fever of 100 1 F 37 8 C but did not inquire as to his travel history as this was not triage protocol at the time 15 At 12 05 a m Duncan was admitted into a treatment area room where the on duty physician accessed the electronic health record EHR The physician noted nasal congestion a runny nose and abdominal tenderness Duncan was given paracetamol acetaminophen at 1 24 a m 15 CT scan results came back noting no acute disease for the abdominal and pelvic areas and unremarkable for the head 15 Lab results returned showing slightly low white blood cells low platelets increased creatinine and elevated levels of the liver enzyme AST 15 16 His temperature was noted at 103 0 F 39 4 C at 3 02 a m and 101 2 F 38 4 C at 3 32 a m Duncan was diagnosed with sinusitis and abdominal pain and sent home at 3 37 a m with a prescription for antibiotics which are not effective for treating viral diseases 15 17 Treatment and death edit What we re seeing now is not an outbreak or an epidemic of Ebola in America This is a serious disease but we can t give in to hysteria or fear President Barack Obama on the Ebola outbreak Duncan s condition worsened and he was transported on September 28 to the same Texas Health Presbyterian Hospital emergency room by ambulance 18 19 He arrived in the emergency room at 10 07 a m experiencing diarrhea abdominal pain and fever 20 Within fifteen minutes a doctor noted that Duncan had recently come from Liberia and needed to be tested for Ebola The doctor described following strict CDC protocol including wearing a mask gown and gloves At 12 58 p m the doctor called the CDC directly By 9 40 p m Duncan was experiencing explosive diarrhea and projectile vomiting 20 At 8 28 a m the next morning the doctor noted that he appeared to be deteriorating By 11 32 a m he was severely fatigued enough to prevent him from using the bedside toilet 20 Later that day he was transferred to an intensive care unit ICU after all other patients had been evacuated The next day September 30 he was diagnosed with Ebola virus disease after a positive test result 20 Duncan s diagnosis was publicly confirmed during a CDC news conference the same day 21 22 Duncan died at 7 51 am on October 8 2014 23 24 Other infected edit Further information Ebola virus cases in the United States Cases diagnosed in U S On the night of October 10 Nina Pham a 26 year old nurse who had treated Duncan at Texas Health Presbyterian Hospital reported a low grade fever and was placed in isolation On October 11 she tested positive for Ebola virus becoming the first person to contract the virus in the U S On October 12 the CDC confirmed the positive test results 25 Hospital officials said Pham had worn the recommended protective gear when treating Duncan on his second visit to the hospital and had extensive contact with him on multiple occasions Pham claimed that she doubts whether she can ever be a critical care nurse again in part because of the emotional stress and anxiety over the trauma she experienced and in part because of the fear and stigma that follows her She sued the hospital and settled for an undisclosed amount of money 26 On October 14 a second nurse at the same hospital identified as 29 year old Amber Joy Vinson 27 reported a fever Vinson 28 was among the nurses who had provided treatment for Duncan Vinson was isolated within 90 minutes of reporting the fever By the next day Vinson had tested positive for Ebola virus 29 On October 13 Vinson had flown Frontier Airlines Flight 1143 from Cleveland to Dallas after spending the weekend in Tallmadge and Akron Ohio Reactions editOn October 2 Liberian authorities said they could prosecute Duncan if he returned because before flying he had filled out a form in which he had falsely stated he had not come into contact with an Ebola case 30 Liberian President Ellen Johnson Sirleaf told the Canadian Broadcasting Corporation she was angry with Duncan for what he had done especially given how much the United States was doing to help tackle the crisis One of our compatriots didn t take due care and so he s gone there and in a way put some Americans in a state of fear and put them at some risk and so I feel very saddened by that and very angry with him The fact that he knew he might be a carrier and he left the country is unpardonable quite frankly 31 Before his death Duncan brazenly claimed that he did not know at the time of boarding the flight that he had been exposed to Ebola he said he believed the woman he helped was having a miscarriage which contradicts corroborated accounts from family members who also helped transport the woman to an Ebola ward 9 32 Duncan s family said the care Duncan received was at best incompetent and at worst racially motivated 33 Family members threatened legal action against the hospital where Duncan received treatment 34 In response Texas Health Presbyterian Hospital issued a statement Our care team provided Mr Duncan with the same high level of attention and care that would be given any patient regardless of nationality or ability to pay for care We have a long history of treating a multicultural community in this area 35 See also editIndex caseReferences edit a b Fernandez Manny Onishi Norimitsu October 1 2014 U S Patient Aided Ebola Victim in Liberia The New York Times a b Thomas Eric Duncan From healthy to Ebola WYFF4 Retrieved October 3 2014 First US Ebola case Thomas Duncan critical BBC News October 4 2014 Retrieved October 4 2014 Texas Ebola patient dies CNN October 8 2014 Retrieved October 8 2014 Walt Zwirko November 12 2014 Hospital will pay Duncan s medical bills set up charity USA Today Retrieved March 16 2015 Ebola Weakens Liberia Food Security VOA September 23 2014 Retrieved October 27 2014 Liberia says Dallas Ebola patient lied on exit documents USA Today October 2 2014 Retrieved October 14 2014 Onishi Norimitsu October 1 2014 Liberian Officials Identify Ebola Victim in Texas as Thomas Eric Duncan The New York Times a b Thomas Eric Duncan timeline The New York Times accessed October 8 2014 Ebola Patient in Dallas Lied on Screening Form Liberian Airport Official Says The New York Times October 2 2014 History United 822 FlightAware FlightAware Retrieved October 2 2014 Frosch Dan October 2 2014 Dallas Man Tells of U S Ebola Patient s Decline WSJ Retrieved October 4 2014 Retracing the Steps of the Dallas Ebola Patient The New York Times October 1 2014 Vickery Meadow neighborhood is melting pot of America Archive The Dallas Morning News October 11 2014 Updated October 12 2014 Retrieved on July 14 2015 a b c d e f g Congressional committee releases timeline detailing how Presbyterian treated Ebola patient Thomas Eric Duncan The Dallas Morning News October 17 2014 Archived from the original on October 25 2014 Retrieved October 25 2014 Notable Elements of Mr Duncan s Initial Emergency Department Visit PDF US Congress Retrieved October 27 2014 Berman Mark October 1 2014 Texas Ebola patient told hospital of travel from West Africa but was released The Washington Post Retrieved October 3 2014 Gilblom Kelly October 3 2014 Electronic Record Gap Allowed Ebola Patient to Leave Hospital Bloomberg Retrieved October 3 2014 Dallas hospital says Ebola patient denied being around sick people Los Angeles Times October 2 2014 Retrieved October 3 2014 a b c d Details of Duncan s Treatment Reveal a Wobbly First Response to Ebola The New York Times October 25 2014 Retrieved October 25 2014 Ebola in the US Ebola in Dallas 2014 Ebola Outbreak Archived from the original on October 13 2014 Retrieved October 3 2014 Maggie Fox October 2014 How Did The Ebola Patient Escape for Two Days NBC News Retrieved October 3 2014 Gander Kashmira October 8 2014 Thomas Eric Duncan dead First US Ebola victim dies in a Texas hospital The Independent Archived from the original on May 7 2022 Retrieved November 15 2018 Botelho Greg Wilson Jacque October 8 2014 Thomas Eric Duncan First Ebola death in U S CNN com Retrieved November 15 2018 Fernandez Manny October 12 2014 Texas Health Worker Tests Positive for Ebola New York Times Retrieved October 12 2014 Nurse who got Ebola settles hospital lawsuit CNN October 25 2016 Second Ebola infected nurse ID d flew domestic flight day before diagnosis Fox News October 15 2014 Retrieved October 15 2014 Justin Ray October 18 2014 What We Know About Amber Joy Vinson 2nd Dallas Nurse Diagnosed With Ebola KXAS TV NBC5 DFW Second Health Care Worker Tests Positive for Ebola Texas Department of State Health Services Archived from the original on October 22 2014 Retrieved October 15 2014 Liberia to Prosecute Man Who Brought Ebola to United States NBC News October 2 2014 Retrieved October 3 2014 Liberian President criticizes Ebola patient in Dallas CNN October 2 2014 Retrieved October 3 2014 Selk Avi October 8 2014 Before his death Duncan said he mistook Ebola case in Liberia for miscarriage never lied Dallas News Archived from the original on October 11 2014 Retrieved October 17 2014 Ebola Outbreak and Outcry Saving Thomas Eric Duncan The Huffington Post October 7 2014 Retrieved October 17 2014 Family of Thomas Eric Duncan says his death from Ebola is racially motivated WGN TV October 12 2014 Retrieved October 17 2014 Dallas Ebola patient waited days for experimental drug CNN October 7 2014 Retrieved October 17 2014 Retrieved from https en wikipedia org w index php title Thomas Eric Duncan amp oldid 1184706789, wikipedia, wiki, book, books, library,

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