there were so many things i couldn't do as a young person. i have tried to redeem the time and say here i am, 50. i can dance but you never learned really how to dance. here is an opportunity. they will pay me to do this >>. >> i will vote for you and i stars. >> my man. there you go. a disease that used to kill peoples in the bunches is now threatening to kill in the tens of thousands. not just about the tragedy, but tumbling economies and the chance of weak states. ebola, is the inside story.

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 new episode of the ground breaking series, edge of eighteen growing up fast... >> my quest is to find me, and me is not here... >> fighting for a better future >> if you gonna go to college, you gonna end up dead on the streets... >> life changing moments >> i had never been bullied, everyone hates me... >> from oscar winning director, alex gibney,

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android mobile device. download it now real reporting that brings you the world. giving you a real global perspective like no other can. real reporting from around the world. this is what we do. al jazeera america. you are watching inside story on al jazeera america. medical experts around the globe have watched as ebola has exceeded all their predictions for spread, death toll, one aspect of the fight back won the world bank says may exact a heavy economic toll is restricted the movement of people in west africa. will it simply work. the countries are trying to cut down on border crossings on access to marketplaces.

it is two things on going, we are trying to limit the spread, but at the same time that has results such as the economy. you are are somebody who is familiar with aid operations. is this something that would be appropriate for soldiers to do? there are not social workers they are men who are trained tor dangerous? >> they work with u.s. military for 30 or 40 years. the office of foreign -- is having it's 50th anniversary in a few weeks. they have developed highly sophisticated coordination techniques. we use them in the big

tsunami in indonesia, that kill sod many people. the military worked to provide their logistic exaltty, and thengo community, the red cross community. and local civil society groups, and of course the ministries in the country. the a. i.d. does best at that. they don't have the number of -- they don't have 3,000 troops that they can immediately deploy. the dark team is relatively small, but they come with a lot of money, they move very rapidly, and the one thing the two know how to do is to work together very cooperatively. we permanently put senior officers in all the regional combat to do planning for this

. >> the i don't think this military -- wants to get engaged in decide canning n.g.o. should get how much money, which agency should be put in the lead that's something they want civilian agencies to do. >> dr. chow, quickly before we go, are are these repeated crisis telling thaws we out to have almost a disease equivalent of the u.n. blue helmets? to respond nor quickly, and more thoroughly when these kind of outbreak ooze cur. >> it is clear that ebola is at the front of what i call flash democratics. and to defeat flash democratics, we need a new -- what i call a medical nato, countries out to get together, and create a new international response force, that has the authority to provide direct treatment in countries. at present, the world does not have those capability. further more, the fact that the president has to call upon the military, shows that we need to invest further in the

united states, in civilian medical intervention forces. >> dr. jack chow, andrew, gentlemen, thanks a lot for your help. >> that brings us to the end of this edition of inside story, thank you for being with us, in washington, i'm ray swarez. >> this is al jazeera america, i'm richelle carey, live from new york. here are the top stories - tens of thousands fill the streets of new york - one of several cities taking part in climate change marches. a peace deal in yemen. it has not