I’M NOT SURE THIS IS A “BOMBSHELL,” BUT I DON’T LIKE IT: CDC Says Ebola Spread to America is ‘Inevitable.’ But Patrick Sawyer was heading to America when he got sick, so if he had been infected a bit later, or incubated a bit longer, it might have already arrived. That said, conditions for spread are much less favorable here than they are in fetid West African cities with poor sanitation and unfortunate burial customs.