Bio-containment grew into a medical protocol, run by the next generation CDC, the new Centers for Health Expansion (CHE). A Digital Earth may have new abilities, but the physical world’s nations and countries refused to be left behind. On a Digital Earth, governments made themselves more powerful than ever before.
The CHE’s new containment protocols are triggered by a medical crisis like a lethal infectious disease or bio-terror attack. The nation’s new strategic healthcare firewall starts with medical security everywhere it’s needed. Digital assessment of the situation triggers the right coordinated response: medical services of course, paramedics, but also police or the military.
In 2025 in Madison, Wisconsin, the new digital Centers for Health Expansion (CHE) turned its focus to serving as a digital firewall that protected the nation’s medical security.
When Kani Imara was discovered to have Ebola a week after he arrived from Africa, he was at the University of Wisconsin’s Student Health Center with a fever, severe diarrhea and vomiting. His doctor suspected an African infectious disease and Focused the CHE’s First Responder Shared Space. The CHE’s Susan Leck, followed its Active Knowledge protocol and Activated an Ebola specialist, Harvard’s Dr. Richard Chester. Within an hour of Kani’s arrival he had diagnosed that Kani had the new, vaccine-resistant strain of Ebola.
Patient isolation and treatment were immediately coordinated. The next priority was bio-containment and protection of those who had been in contact with the Ebola patient.
Ms. Leck Activated Kishana Taylor, an CHE infectious disease specialist located in Miami, Florida. Kishana turned to the Shared Space’s Active Knowledge protocol to identify people for bio-containment, and set up their quarantine and monitoring.
Ms. Leck said she would obtain the clinic’s list of the staff and patients who may have been exposed there. She Activated Suresh Sharma, the clinic’s administrator, to get the information.
Kishana went to retrieve the patient’s contacts during the past week in Madison. She used the already Focused First Responder Shared Space and Activated two available homeland security agents, Arthur Ekman in Arlington, Virginia, and Martha Reyes in New York City.
By 2025 border security was digitally enhanced, cameras omni-present, recording constant, and many eye-level cameras had screens for two-way communication. Ubiquitous sensors and automated systems used sensors and triggers.
Any of these could be used as silent triggers as needed, without disclosing which cameras, microphones or analyses were running: Recognition, unexpected behavior, speech analysis, presence in the wrong place, gunshot sounds, fever temperatures, X-ray-like views through walls and more could Activate the appropriate digital assessment. The right response — paramedics, police, private security or another service — could assess, communicate digitally or respond physically at the scene. Government Shared Spaces included the place of the incident, and the mobile personnel providing assistance, so those responding could interact live in a situation as they raced to deal with it.
If first responders needed help they used geo-location to identify and involve local bystanders. Their local devices could be turned into additional cameras observing and recording a situation, with or without telling the person who owned the device. Sometimes people were asked to help with emergency assistance like CPR (Cardio Pulmonary Resuscitation), with these actions observed and guided by online First Responders.
In this incident Kishana told the two homeland security agents this vaccine-resistant Ebola was a biosafety level 4 event, a fatal infectious disease for which vaccine is not available and treatments are only partly successful. (1, 2) Under the laws of 2025, a Level 4 medical event is a national security threat that authorizes full digital bio-containment.
Kishana told the agents to back-trace Kani Imara’s contacts since arriving in the United States. She gave them his mobile phone number from his medical records. Arthur immediately used that to see where and when he entered the country, and created a timeline of everywhere he had been since then. Within minutes he was displaying a list of Kani’s locations for the past week in their Shared Space.
As each location was added Martha used an NSA database to instantly access the video records from many of the places Kani Imara had visited. She pulled up Kani’s biometric scan from when he was admitted into the U.S. at the airport in New York. His visual images were used by the automated recognition system that reviewed all the video records. This generated a playlist of video segments, with each one tagged for its location, date and time. The list auto-sorted itself so it matched the timeline sequence of Kani’s activities.
The agent back-traced Kani Imara’s locations and contacts since arriving in the United States. Within minutes a list of Kani’s locations for the past week was displayed in their Shared Space.
Kishana, the CHE infectious disease specialist, visually reviewed Kani’s movements during the last week, to see his Ebola status in each video. The videos started with his arrival in New York, showed him going through immigration and flying directly to Chicago. From there he traveled by bus to Madison, Wisconsin. Those transit videos showed him in very good health and non-contagious.
In Madison his video trail was spotty but his mobile phone location records were clear enough. He had been met by local contacts at the bus station. His mobile phone records showed they took him to his new apartment. After that Kishana saw him as he walked around the university campus and visited several of the professors under which he would study. His greeters returned periodically. Over the next few days they showed him the neighborhood around the university, took him to a supermarket and several restaurants. The mobile phone records showed he had visited two of their homes where other phone records showed he met their families and some friends.
Kishana found it easy to estimate when he had started getting sick — because that’s when Ebola turns contagious. She made the dividing line one day before he showed any symptoms, to be safe.
“Starting two days ago, everywhere he’s been is a hot zone,” she said. “We need contact information for everyone who was in those hot zones while he was there, and up to two hours after he left each place. That’s the biosafety containment list.”
“Okay, we’ll use the patient’s locations from the past two days, and give you the phone, identity and contact data for everyone else at each location,” Martha said. “If there’s security video we’ll confirm each person’s identity with facial recognition.”
“Ebola’s badass,” Arthur added. “We’ll add content analytics of all the communications and social media of everyone on that list. Anyone who referred to the Ebola patient in any way will be flagged as a close personal contact.”
“Perfect. That matches the steps in the bio-containment protocol,” Kishana said.
“You’ll have the full contact list within an hour. Is that soon enough?”
“That works. The CHE digital bio-containment protocol will be ready.”
“We’ll use the patient’s locations from the past two days, and give you the phone, identity and contact data for everyone else at each location.”
While waiting, Kishana used the government’s timeline of Kani’s activities and locations to pre-group each type of contact into three groups: immediate risk (quarantine), high risk (required monitoring with travel restrictions) and low risk (periodic monitoring, with regular Active Knowledge information). She created a Shared Space for each of the three groups, then added to each a team of live CHE infectious disease specialists. They would Activate each Shared Space’s members together, inform them of the arrival of Ebola and their involvement. Each group would be personally informed of the steps they needed to take. Active Knowledge guided each person based on their individual behavior and questions. All three Shared Spaces included live infectious disease specialists at the CHE to add instant personal assistance at all times.
Before contacting anyone Kishana followed the Active Knowledge protocol and updated Lisa Garber, the CHE communication specialist in the First Responder Shared Space. Lisa asked Kishana to speak at the CHE’s press conference that evening, when they would tell the world’s media about this first Ebola incident in over a decade. The press conference was growing beyond the first Ebola patient’s unexpected arrival in the United States, his diagnosis and isolation at Chicago’s Rush University Medical Center. Lisa expanded it to include the Ebola bio-containment that would, by then, be in place in Madison, Wisconsin. This would demonstrate the CHE’s swift action to bio-contain and geo-fence this Level 4 medical event.
As she finished these preparations, Kishana received the bio-containment lists from Susan Leck and the homeland security agents. She shared them with the CHE bio-containment specialists who would run each of the three Shared Spaces. They worked together to categorize the lists of people, then began using the Shared Spaces right away.
Every contact was sorted into three groups: Immediate risk (quarantine), high risk (required monitoring with travel restrictions) and low risk (periodic monitoring).
The group in the Immediate Risk Shared Space included those who had been close to Kani and helped care for him after his symptoms began, and the medical clinic’s doctor and nurse who treated him personally. Each person met individually with a CHE specialist in the group’s Shared Space. Based on their personal interviews, five of them were moved into 21-day quarantine with 24×7 health wristband monitoring. Their immediate families and the others with close personal contact were moved to the High Risk Shared Space.
The five who were quarantined were unhappy but provided digital accommodations. They continued to go to work digitally in jobs around the world, spend time with family digitally, go out with friends to digital activities, and enjoy the world’s best events digitally. In fact, with the government picking up all their costs, they could enjoy some digital vacation explorations.
The group in the High Risk Shared Space included Kani’s personal live contacts while he was contagious. Each person was given a health monitoring wristband they had to wear for 21 days. For the next 3 weeks their wristband’s health data would be monitored 24×7, symptoms auto-diagnosed and Active Knowledge instructions delivered immediately to whatever device and screen they were using at that time. If anyone’s health data reached a risk threshold, a CHE specialist would activate a live connection with that person right away.
The group in the Low Risk Shared Space received the same, but with a lower response threshold: They each had to wear a health monitoring wristband, were assessed 24×7, received Active Knowledge that fit their personal condition, and were contacted immediately if their health data produced an alert.
To keep Ebola from spreading elsewhere, everyone was restricted from traveling by car and by public transportation. To assure the travel geo-fencing, the wristbands monitored locations so digital responses and alerts were triggered if someone left the Madison area or started using public transportation. First, messages were sent to that person’s device in use and an alert went to the CHE in their Ebola Bio-containment Shared Space. If they were driving and continued, the nearest police officers were alerted. If they completed entry to public transportation like a bus, taxi cab or airport an alert was sent to the driver or security at that form of transportation.
Each person in the High Risk Shared Space had a brief personal interview with a live CHE specialist every day. The Low Risk Shared Space was Activated together as a group every second day by a live CHE specialist. The CHE specialists made sure wristband health monitoring was unintrusive: Monitoring was invisible, geo-fencing undetectable, Active Knowledge responded rapidly, and any questions answered personally.
Ebola’s spread had been blocked immediately. Once the people in each hot zone were back-traced and categorized in the three bio-containment Shared Spaces, digital infection monitoring and Active Knowledge took over. Ebola may have just arrived that day, but it was already bio-contained, monitored and stopped from spreading.
Each person in the High Risk Shared Space was given a health monitoring wristband they had to wear for 21 days. They were monitored 24×7 and if anyone’s health data approached a risk threshold, a CHE specialist would activate a live connection with that person right away.