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hole low, i am ray swarez, the united states now plans to send 3,000 soldiers to liberia to help that country fight it's spreading ebola outbreak. the world bank estimates that the disease threatens some of the poorest countries on earth, with economic contraction. a disaster as they are still getting back on their field after years of war. some are being bent to fast track a response to the disease. the signs are good so far, but we are still far from ready to scale up drug treatment. are we at the point where a public health strike force a nato for disease, should be equipped and waiting for crisis just like this one? with people constantly on the move, is the ebola crisis after czars and

h1n1 a cig isal that the old disease tool kit just isn't enough to meet threats. >> ebola is now an epidemic, it is spiring out of control, it is getting worths, it is spreading faster and exponentially. >> the three west african countries hit hardest, liberia, guinea, and sierra leone are struggling to contain the virus. president obama plans to send 3,000 u.s. troops to the region, to build more treatment centers. to provide an additional 1,000 beds, establish a military command center, in liberia, to help direct response teams on the ground, create an air bridge to send medical workers and aid to the reare john more quickly, the president also said he would deploy more personnel from the u.s. public health service and

u.s. a. i.d. to give out supplies and information kits. >> if the outbreak is not stopped now we could be looking at hundreds and thousands of people effected. the world health organizationest military hospitals 2500 people have died since march, out of a suspected 5,000 cases. so this is an emdemocratic that is not just a threat to regional security, it is a potential threat to global security if these countries break down. if their economies break down, if people panic, that has profound effects on all of us even if we are not directly contracting the disease. >> on the same day as the president's nouns, the who warns the united nations close to 1 billion-dollars is needed to stop ebola's spread.

the level of surge we need to do is unprecedented. >> the world bank warned it could see an economic catastrophe if the community doesn't ramp up it's response. >> it is welcoming to sending 3,000 men, especially during this time to fight ebola. the pledge came as a reare leaf to many international and national response teams already working, many local treatment centers are filling up as soon as they open. the president of the united states has rolled out an american people to aid liberia, and called on other nations to step up aid before the virus spreads. from thousands to hundreds of cases. we will begin today's

update on the spread of this disease. back in the u.s., after spending much of this year trying to beat back the outbreak in sierra leyon. welcome to the program, given what you saw, how would you explain the busting out of what used to just effect small agricultural communities, remote places. into the streets of big shanty towns and siddys. this really occur uhed in a central tri-state reare john, the central region for three countries. and the boundaries between these countries and the borders between these countries are simply colonial borders. tribally they do not exist, so the same tribal languages are spoken really throughout the three regions. and so you add a high degree of trade and transit just to do tribal

connections, and representation relationships that go back hundreds and hungs of years trade in that area. and then following the decade, or so of civil conflict in that region, you did have a lot of aid projects that went into build roads, etc. to make the economies once again viable. so you are dealing with communities that not only are are highly transportable across borders, but that can also -- that are also highly transportable within their own country due to good road conditions. so a very highly mobile situation. and that's not something we have encountered because, before prior to this, ebola outbreaks as you know have occurred in remote or geographically reare mote or political my unstable areas. here we have a place that is very easy to get out

of the area, so it spread to the capitols quite easily. >> this is a disease for which the alarm bells starting months ago. how come it too so long for it to raise to the pore position gnat to the threat. >> i think we had some early on successes. as you know the outbreak starts in guinea, and we had a few cases that trickled over into liberia. there was a very intense international effort, very early on, at stopping the outbreak. and it was largely successful. and the outbreak was only a few days from being declared over, and it was a few days before that that a few more cases popped up. and so what i would say is we had some early on successes and i think that allowed us some false confidence in thinking that the

outbreak was indeed over. while the case was we had cases out there that were in denial, or in fear, or their family may have been hiding them, and so it took time for that second mounting of the international effort because basically at 1 point, everyone didn't think this was more or less over. and now we are in the midst of the worst ebola outbreak. >> it was the very fatality that limited the spread. people in a cluster would all die or mostly die, and it would burn itself out. what's keeping this thing racing through populations? why isn't that working this time. >> what's keeping it working here, is again, go back to culture, and kind of population density. when you have it transmitted in the rural settings and that geography, is usually

more or less difficult to trance verse. so it's not as easy for people to be as remote -- i'm sorry, as transportable from village to village. whereas in the rural and urban settings, you have a lot of contact between individuals. and especially in this culture, due to the extensive trade between these countries. earlier you had mentioned economy suffering the economies between these countries are intimately linked through trade of food and goods and minerals so there's all these links between them, that keep them traveling and highly mobile, and it is that high mobility of this particular culture, as well as combined with a social disinstruction of the government and anything associated with government. and so that has largely

resulted in the civil conflict in the reare john. >> also with us for the rest of the program, andrew former administrator for the agency for international development, who now teaches at the institute of texas a&m university. and dr. jack claw, who is now a professor at karn give melon universities hinds college, dr. chow, you heard joseph there talking about mountain. well, these governments partially because they didn't know what else to do, started to try to limit people's movements. did that work? does that work? >> well, clearly in this case it did not work. in fact, what also happened is that insufficient people were -- people did not have access to adequate treatment and the key to the strategy is to get people into a care can

setting where they can be provided with medicines and i. v. fluids. the propagation of the virus also was perpetuated when people were taking care of family members at home. which exposed them, broader number of people, entire families to the virus. and now we are seeing increasing numbers of ebola orphans and that is tearing the social fabric in these three countries. >> you heard joseph there, also refer to a high degree of lack of trust. now there are stories that would not report contacts and suspected cases does that come from that fear or lack of trust of the government. >> it came from the hiv aids public health community, and fighting stigma. of a prominent scary disease, one

with highly fatality is a powerful force. it keeps people from seeking care, it makes people afraid of health workers. many health workers are themselves afraid to be seen as health workers. so they retreat from patient care. and people retreat people who need the help, retreat into their homes only to have the epidemic blossom. >> andrew, the i.m.f. and organizations of it's kind don't throw around words losely, so when their latest report used the word catastrophe that got my attention. what's making it so? what got my attention, doctors without borders, they have an aversion to the use of any military in aid efforts. particularly in emergencies but particularly the american military, they don't like the american military, and antiamerican, just because of where they come from and their disinstruction of the united states.

when they called for military assistant, and u.s. military assistance, i was quite shocked because this is a direct contra dix to their normal culture that told me, they are one of the biggest ngos on the ground, they focus on health. it told me this crisis was much worse than i assumed. ebola has been responded to on a small scale, the mortality was so is high they died before they communicated the disease. now the death rate is 50 to 60%, which is still very high. thiveian flu that killed almost 90 million people, 5% of the world's population died in 1918. the death rate was only two to 3%, the a low death rate is much more dangerous, because it means the people with the disease infecter for more people.

so the rate of death has a profound effect on the ability to prez. >> the president referred to the collapse of economics and governments. is that hyperbolic. >> we know kit have a profound effect on fragile states and these sierra leyon, and liberia are coming out of terrible civil wars in the which hundreds of thousands of people died. there were terrible atrocities, now john -- allen johnson surly is one of the most able heads of state in africa, in my view, and the fact that she is in charge and she has a competence cabinet, which is not always the case in some of these countries. helps but they still don't trust her, they don't trust the system because of the legacy of the civil war and what happened. and i think the one of the biggest factors if it ever came to the united states, and i have to say i think it is going to

get to the united states. the motion this can be contains is nonsenses. not in terms of the number of people, our healthcare system is very strong, but in terms of panic, the biggsest danger is panic in west africa, and panic in any country that's effected by it. we will take a closer look at the plan to send 3,000 soldiers to west africa, what can can soldier dozen in a health crisis? stay with us. >> a firsthand look at the ongoing battle against the isil threat. >> bombs are cracking off in the distance... >> this is a booby trap in the islamic state >> ...a sniper around the corner here... >> from the front lines, josh rushing reports, on al jazeera america

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dr. jack chow, the president rolled out his plan, international organizations are calling for more funds to be sent into the three most heavily effected countries is this what they need now and is it enough. >> well, let's commend president obama for taking the lead, in committing america to lead the fight. the 3,000 pen nell and the 1700 bets will save lives. the next question is can he bring international partners into the fight? seeger rah leyon and guinea have escalated numbers yet this initiative seems to be a country to country initiative. and the question is who can be part of that coalition?

guinea is french speaking so it's natural to assume that perhaps france can play a role. so perhapses that's another plank to bring in. the other indicators that i would be looking for is when the 1700 beds are deployed how rapid will they be filled up? if they have overfilled then that indicates that we need to escalate the response. further more, the clinics that might be close to the guinea sierra leone border they may provoke, unintentionally, mass migrations of people from those countries who want to seek care in these american bases. you have done international relief, emergency relief in places around the globe, does this look well designed to you. >> well, i don't think it is a matter of it being well designed the disaster response team,

which we created 25 years ago, in the office of foreign disaster which is the unit charged by federal law with leading international disaster response, the military supporting the dark team, according to the talks points if you read them of the administration, they have been there since early august. and they have about night $5,000. they also have a provision of law which is called the notwithstanding clause. they can spend money without going through the very laborious federal contracting rules they don't have to post notice, they can literally start moving money within a day. they move 16 tons of medical supplies and they are beginning a community based program. jamming is right, if all of the people with that it is -- with ebola, start congregated in the u.s. hospitals, the field hospitals the military, it's not going to work.

because you can treat people if they have the p proker medication, and proper training. so i think -- i don't think it is a function of the respond from a. i.d. or the n.g.o.s, i think something is going on. this has spread much more rapidly, -- i have been shocked by it, i have to say, i am watching it carefully, it is moving in a way that public health experts have not seen before. and i might add, the career people when we had thivian flu fear, said it's not a matter of when -- not a matter of if, but a matter of when we have a major pandemic of some kind. people thought it would be thivian flu, didn't turn out that the virus are mutated and spread officially. and it didn't.

there's several strains of this, and i don't think we know enough about the disease in it's mutated form, to know whether it's more efficiently being transmitted. >> is that a possibility? mr. fair, that the disease is changed in a way that makes it -- harder to fight, harder to limit? >> it is a possibility. and it has been looked at, and there are very limited mutations in it. at this point, nothing to indicate that what is leading -- a higher transmission rate. sow how do question explain the behavior of the disease that people hasn't predicted? is. >> i go back to the socioeconomic conditions that you encounter. guinea and

liberia, @j