Concerns about the health care system in Dallas is coming into question following reports that the confirmed Ebola patient was sent home initially from the hospital and was seen throwing up outside all over a common area of the apartment complex where he had been staying.

“His whole family was screaming. He got outside and he was throwing up all over the place,” resident Mesud Osmanovic, 21, said on Wednesday to Reuters.

The man, who has been identified by a family friend as Thomas Eric Duncan, reportedly helped transport a pregnant woman who suffered from Ebola to a hospital in Liberia before boarding a flight to the United States.  The woman was turned away from the hospital due to lack of space and Duncan transported her back to the family home where she died.

Texas health officials initially said 18 people had contact with the man but now reports say as many as 80 are under observation because of possible contact.

Hospital officials admitted when the man first came into a hospital on Thursday and was then sent home with antibiotics he had told a nurse that he had traveled to West Africa.

“Regretfully, that information was not fully communicated throughout the full teams. As a result, the full import of that information wasn’t factored into the full decision making,” Texas hospital official Mark Lester said.