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Fears of the Ebola virus deepened Wednesday with word that a second Dallas nurse caught the disease from a patient and flew across the U.S. Midwest aboard an airliner the day before she was diagnosed. President Barack Obama cancelled a campaign trip to address the outbreak.

It’s not clear how the nurse contracted the virus, though the second case among health workers pointed to lapses beyond how one individual may have donned and removed protective garb.

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Authorities declined to say what type of care the nurse provided to Thomas Eric Duncan, who was diagnosed with Ebola after coming to the U.S. from Liberia. He died Oct. 8.

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Infected Ebola patients are not considered contagious until they have symptoms. The airplane crew said the woman had no symptoms during Frontier Airlines Flight 1143 from Cleveland to Dallas-Fort Worth on Monday. She flew from Dallas to Cleveland on Oct. 10.

The CDC said it is alerting the 132 passengers who were on the return flight “because of the proximity in time between the evening flight and first report of illness the following morning.” Officials are asking them to call the health agency so they can be monitored.