More than 80 people had direct or indirect contact with the first person to be diagnosed with the deadly Ebola virus in the United States, health officials said Thursday, as four members of the patient's family were quarantined as a precaution.

Dallas County officials said 12 to 18 people had direct contact with the Texas patient, and they in turn had contact with scores of others. All were being monitored and none had shown any symptoms.

A top health official urged U.S. hospitals to heed lessons from Dallas, where a hospital initially sent the ailing patient home, despite information that he had recently visited West Africa, potentially exposing more people to the virus.