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Milton Frantig

The Hot Zone

Milton Frantig was a fifty-year-old monkey caretaker who had worked with Dan Dalgard and the animals at Hazleton for more than twenty-five years. When Frantig became ill during the 1989 Reston outbreak, his vomiting and fever turned the danger inside the primate building into a feared risk to its workers and the surrounding community. He was isolated and tested for Ebola, but the tests were negative; he recovered, and the illness was ultimately thought to be a mild case of flu. His episode briefly made the possibility of human infection feel immediate, then sharpened the mystery of a virus devastating monkeys without producing confirmed illness in the people around them.

Identity and Work

Frantig belonged to the small, experienced workforce at the Hazleton monkey facility in Reston. He had worked there with Dalgard for over a quarter-century, and Dalgard knew and liked him. The familiarity matters in the account: Frantig is not an anonymous possible exposure but a trusted coworker whose sudden illness gives the outbreak a personal face. He also had a chronic hacking cough, though he did not smoke, a detail that formed part of the picture Dalgard had of his health before the crisis.

The book gives little account of Frantig outside his work and religious faith. It does, however, place him within the ordinary routines and risks of the facility: he was preparing to enter a monkey room when he began to feel sick. His years around the animals made his illness alarming to Dalgard, who knew that the monkeys were infected and feared that human symptoms could signal Ebola.

The Illness at the Facility

On the morning of December 4, Dalgard arrived at the primate building and saw Frantig by the entrance in a white Tyvek suit. Frantig was bent over, looking down, and then began vomiting. The public emergence of a sick worker in protective clothing was alarming in itself; for Dalgard, it made the possibility of a human case impossible to dismiss as an abstract concern.

After the episode, Dalgard helped Frantig indoors and settled him on a couch. Frantig was pale and shaky, felt faint, and continued to have dry heaves interrupted by coughing. Between them, he apologized for having left the building in his suit. He explained that he had been putting on his respirator to go into a monkey room when nausea came on so quickly that he could not reach a restroom or find a container. He wondered whether the odor in rooms that had not been cleaned as regularly as usual had made him sick. That was his tentative explanation, not a diagnosis.

The workers could not find a thermometer that had not been used on monkeys, so Dalgard sent Bill Volt to buy one at a drugstore. Frantig’s temperature was 101 degrees. While Dalgard and Volt were visibly frightened, the narrative presents Frantig as the calmest person present. He was a devout Christian, prayed, and recalled passages from the Bible. His dry heaves subsided, and he said he felt somewhat better. Dalgard told him to remain in the building while he left to seek approval to evacuate the facility.

Alarm, Isolation, and Testing

Frantig’s illness helped prompt Dalgard’s decision that the monkey facility had to be evacuated and turned over to the United States Army Medical Research Institute of Infectious Diseases. Another worker, Jarvis Purdy, was already in hospital recovering from a heart attack. With two of the four employees now ill or hospitalized, Dalgard feared that the illnesses might be signs of infection. He also worried that employees had gone about their lives outside the facility, and that an actual human case could carry consequences beyond the monkey house. At Hazleton Washington, he broke down while recommending that the operation be closed.

Responsibility for Frantig’s care became a point of disagreement between the Centers for Disease Control and Prevention and the Army specialists. The Centers for Disease Control and Prevention arranged for him to go to Fairfax Hospital. C. J. Peters, concerned that a possible Ebola patient should not be taken to a community hospital, argued for transport in an Army ambulance and isolation at the Institute. Joe McCormick disagreed: he believed skilled hospital staff could care for the patient without the highest level of containment. The dispute concerned the appropriate response to a suspected case, not a confirmed diagnosis; Frantig was taken to Fairfax Hospital and placed in an isolation room, where access was restricted to medical staff wearing gloves, gowns, and surgical masks.

The transfer became a public scene. A Channel 4 news crew was outside when the ambulance arrived, and Frantig came out wearing his Tyvek suit, climbed into the vehicle, and was taken to the hospital. There, he said he felt better, prayed, and watched television. His appearance and isolation made him a visible sign of the crisis, even though the question of whether he had Ebola remained unresolved.

Recovery and Significance

On December 6, Thomas Ksiazek used a newly functioning rapid Elisa test to examine Frantig’s blood and urine. Neither sample reacted to the Ebola test. Frantig’s fever disappeared, he felt well enough to grow restless, and he showed no nosebleeds. After several days in isolation, the Centers for Disease Control and Prevention told him he could go home. The account treats the illness as apparently flu rather than Ebola, while noting that the tests had found no evidence of the virus in his samples.

Frantig’s case did not resolve the larger question of why the virus killed monkeys but apparently spared the human workers. For the people managing the emergency, however, his symptoms had already changed the stakes. Dalgard’s fear and decision to seek evacuation, and the disagreement over where Frantig should be treated, show how quickly uncertainty about transmission could become a question of public safety and institutional responsibility. The episode also contrasts with the book’s descriptions of severe viral disease: here the suspected case recedes from alarm into recovery, without establishing that Frantig was infected.

That reversal makes Frantig important less as a confirmed patient than as the human possibility around which the response briefly organized itself. The monkey house remained dangerous, and the outbreak’s behavior remained puzzling, but the first alarming illness among its workers did not become a verified Ebola case. Frantig’s recovery offered relief without an explanation, leaving the central uncertainty intact.