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Timeline of contraction and initial symptoms[edit]
On September 15, 2014, the family of Ebola patient Marthalene Williams were unable to summon an ambulance to transfer Williams to the hospital. Their tenant, Duncan, helped to transfer Williams by taxi to an Ebola treatment ward in Monrovia, Liberia. Duncan rode in the taxi to the treatment ward with Williams, her father, and her brother. The family was turned away due to lack of space, and Duncan helped carry Williams from the taxi back into her home, where she died shortly afterward.[9]
On September 19, Duncan went to the airport in Monrovia, where according to Liberian officials Duncan lied about his history of contact with the disease on an airport questionnaire before boarding a Brussels Airlines flight to Brussels. In Brussels, Duncan boarded United Airlines Flight 951 to Washington Dulles Airport.[10] From Washington, 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][12] and stayed with his partner and her five children, who live in the Fair Oaks neighborhood of Dallas.[13][14]
Duncan’s illness and death in Dallas[edit]
Duncan began experiencing symptoms on September 24, 2014, and went to the Texas Health Presbyterian Hospital emergency room late in the evening of September 25, 2014. During this visit, the hospital reported his symptoms were a 100.1 °F (37.8 °C) fever, abdominal pain for two days, a headache, and decreased urination; but that he had no vomiting, diarrhea, or nausea at the time. The ER nurse had asked about his travel history and recorded he had come from Liberia. It was initially reported that this information was not relayed to the doctor by the hospital’s electronic medical record (EMR) system,[15] but the hospital later retracted that statement.
Hospital officials also said that Duncan had been asked if he had been around anyone who had been sick, and said Duncan told them he had not.[16] He was diagnosed with a “low-grade, common viral disease” and was sent home with a prescription for antibiotics.[17] Medical records later retrieved by the Associated Press revealed Duncan had a fever as high as 103 °F (39 °C) during the initial visit and that he rated his pain as 8 on a scale of 1 to 10.[18]
Treatment and death[edit]
Duncan began vomiting on September 28, 2014, and was transported the same day to the same Texas Health Presbyterian Hospital emergency room by ambulance, where he was left in the waiting room for approximately three hours before being isolated.[19][20].
Nurses were not in full Hazmat suit when receiving Duncan. His Ebola diagnosis was confirmed during a CDC news conference on September 30, 2014,[21][22]
On October 7, it was reported that Duncan’s condition was improving. However, Duncan died at 7:51 a.m. Central Time (DST) on October 8, 2014, and became the first person to die within the United States of Ebola virus disease.[23] [24][4]