Skip to main content

tv   Sanjay Gupta MD  CNN  October 26, 2014 4:30am-5:01am PDT

4:30 am
the west african outbreak zone or treated patients with ebola to be more specific. illinois has imlar rusimilar ru now florida is calling for twice a day monitoring. morgan zichl on will still remain under quarantine. dr. craig spencer who returned from africa last week is entering a more serious phase his illness and his condition is worse. alexandra field is outside of bellevue hospital where spencer is in isolation. why are state officials so concerned? >> well, allison, what is interesting is we're hearing from the governors from new york and new jersey specifically who said they need to really take every precaution possible to protect the public health interests. but some people are concerned that this is something of a mixed message. you have dr. craig spencer being treated here at bellevue and
4:31 am
health officials and state and local officials coming out and saying that there really wasn't a risk to the general public despite the fact he had been in new york city, he visited restaurants and bowling alley and rode the subway. officials were telling people to calm fears. it's difficult to contract the virus. it's only contracted through contact with bodily fluid. you have the governors taking every precaution, some people are saying does this go too far or why is this necessary? >> and we see here that the history here shows that health care workers are the ones who are contracting this virus. what are we hearing from the cdc about those health care workers? >> this is the concern for a lot of people. namely, the cdc and others. they are concerned that if you enact these strict guidelines, these mandatory quarantines for people who are returning after being in contact with ebola patients, that you simply won't get health care workers who are willing to go over there and do the important work. we'll read a statement we got
4:32 am
from the cdc. they say, health care workers volunteering to combat the ebola epidemic in west africa are heroes. the epidemic there won't end without them and without their work the u.s. will be at increased risk. we must protect their safety and well-being and treat them with respect when they return home while continuing to take action to protect americans so ebola does not spread here. frankly, those sent. s are similar to what we heard from the nurse who is in quarantine in new jersey. she was tested for ebola, tested negative and saying she feels that health care workers are going to be treated like criminals or prisoners if they're forced into this kind of quarantine when they return here. >> she describes the desperate scene where she is placed in a room at the airport for three hours and taken to a tent outside a hospital. we have a link to that on cnn.com. alex thank you so much. let's talk about the controversial new ebola quarantines with the professor
4:33 am
of bioethics from the university of louisville school of law and medicine. he is joining me on the phone. good morning to you, mark. >> good morning. >> let's talk about the 21-day quarantine newly issued by the rules issued by new york and new jersey. what do you think? is this going overboard? >> i'm afraid that it is. and one of the things that we need to guard against most carefully is that we spread a sense of panic. coming on the heels of earlier declarations that it was unnecessary now suddenly it's necessary people are going to wonder what they can believe and when people are not sure and distrustful of officials then there's a bad state of panic. >> so then what is the middle ground here? we read in the "washington post" that you actually recommended a mandatory ten-day quarantine followed by self-monitoring for those health care workers that
4:34 am
are returning. >> yes. i think that what i would recommend is that we have a reconvening of all the experts and quickly enter a new figure. the longer you have a quarantine, the less compliance there is with it. and the longer and more people that you quarantine, the more distrust there is. most of the people who have become ill or overwhelmingly within the first ten days. just because there are few stragglers who might get sick later on doesn't mean that we need to have everyone who has exposures quarantine for the full 21 days. i recommend that during the first ten days there be a quarantine period and if there are no symptoms, no negative tests, then we go back for the rest of the 21 days with
4:35 am
monitoring. people who are sick are not going to be hiding out. they're going to want to seek treatment immediately. they're going to want to monitor themselves. and so we can build on that and cut down the length of time and number of people in quarantine. >> but wouldn't that ten day quarantine that you're suggesting give that false sense of security to that possible ebola patient that they're okay. so after ten days they'll think i can just go about my mary way and then my kids friends and does that give a false sense of security? because the reality is doctors seem to agree on is that you can become symptomatic up to 21 days. >> right. there are cases where people get sick up to 21 days. i've read where some supposed experts say they need to quarantine people for 42 days. i mean there's sort of no limit to how far you want to extend this to have a margin of safety.
4:36 am
but i becomes a self defeating policy. i think the cdc was closer to having the right answer originally through the self monitoring. unfortunately, some mistakes cdc made has really undermind their credibility. >> now this weekend in florida a governor rick scott signed an executive order mandating twice daily, 21-day self monitoring for people from the cdc designated affected areas. do you think this is enough? >> well, i think he's in a better position than the mandatory quarantine people. i think ten days of quarantine is reasonable. if you want to go to 21 days of mandatory self-monitoring, i mean that's another approach. what i don't like seeing is all the states now jumping in and coming up with their own guidelines because people won't know what to believe and you
4:37 am
have elected officials sort of competing to -- who can be the safest for the population. our public health system is decentralized and fragmented by nature. and we need to have greater coordination and agreement among folks in charge so that we can sort of speak with one voice. >> i can see that. different states coming up with different rules can be very confusing. thank you very much. >> my pleasure. we've been talking about the new mandatory quarantines in new york, new jersey and illinois. there is one nurse at least who knows this quarantine firsthand. she was returning from treating patients in sierra leone, landed in newark, new jersey. she says she was greeted by rude airport and health officials and was put in a 21 forced quarantine. will the new policy discourage others to help ebola ravaged countries? liberia, guinea, sierra leone? we'll talk about it.
4:38 am
♪ all around the world the dedicated people of united airlines ♪ are there to support you. ♪ that's got your back friendly. ♪
4:39 am
visit tripadvisor rome. with millions of reviews, tripadvisor makes any destination better. so visit tripadvisor.com now. i found a better deal on prescriptions. we found lower co-pays... ...and a free wellness visit. new plan...same doctor. i'm happy. it's medicare open enrollment. have you compared plans yet? it's easy at medicare.gov. or you can call
4:40 am
1-800-medicare. medicare open enrollment. you'll never know unless you go. i did it. you can too. ♪
4:41 am
the u.s. ambassador to the u.n. is visiting the three obama ebola ravaged countries in africa. now power is there to see what the u.s. and the u.n. can do there on the ground to prevent the spread of this virus. the world health organization reports that there are more than 10,000 ebola cases worldwide. almost half of the cases will
4:42 am
end in death. almost all of them will be in the countries that embarrass powpo ambassador power is visiting. what is it going to take to get the countries to get control of this fight against ebola? >> hi there. just to lay the groundwork, 4,922 people have already died in this outbreak n terms of what it will take to stop it, it is what international powers and leaders have been saying for a number of weeks and months now. they need more aid. they need more medical personnel. it is not a mystery when it comes to how to contain this document. what it will take is international community stepping up and providing what is needed in these affected countries. by that, i mean more medical personnel. they need more aid in terms of beds in, temperature of better diagnosics in terms of creating more isolation units. they need more of everything.
4:43 am
and samantha power herself said in recent hours that world just isn't stepping up. people are making pledges saying that they will give what is needed and they're not following through. the reality is the longer they fail to honor the pledges, the worse it will get in those three worst affected countries. >> so you're standing there in the capital of nigeria, one of the success story declared by the world health organization as ebola-free. there is this heated debate in the use over banning flights from those three countries, liberia, sierra leone and guniea. many countries have instituted travel bans. is that part yf nigeria is so successful in fighting ebola? >> no, nigeria's success, i
4:44 am
spoke to a doctor who headed nigeria's ebola situation center. he said simply, victor, the reason they were able to succeed is because they used contact traci tracing. you heard them talk about this over and over again. that's where you track down people that have had direct or indirect contact with people suffering from ebola. they were able to do that efficiently here in nigeria, find those people when they began to show symptoms or were at high risk. take them out of the general population. that's what they did here. that is why they were successful here. and that's what it will take in those other three countries we keep talking about. in terms of the border issue, very controversial here as it is in the western america and in europe. the reality is that we can't say this enough, if you isolate yourselves, if you close down the borders, all you're doing is making it more difficult for aid in term of personnel and in term of supplies to get to those countries. you make it harder for those
4:45 am
essentials to get to those countries, you make it harder to contain the outbreak. you can't turn away from this and think you'll be safe if you close your borders. the reality is we live in an interconnected world. people will find ways to sneak across boerdz and ebola will make itself presence in your country. what people need to do with international community is they need to step up and they need to get the aid to those three worst affected countries. >> okay. thank you for reporting live from the capital of nigeria. thanks. four states are taking precautionary measures against travelers returning from those west african kun fricountries a new york doctor got sick with the virus there. so here's the question that i think a lot of people have their answer ready, is the politics of ebola outweighing the health concerns? our political panel weighs in when we come back.
4:46 am
in a race, it's about getting to the finish line. in life, it's how you get there that matters most. like when i found out i had a blood clot in my leg. my doctor said that it could travel to my lungs and become an even bigger problem. so he talked to me about xarelto®. >>xarelto® is the first oral prescription blood thinner proven to treat and help prevent dvt and pe that doesn't require regular blood monitoring or changes to your diet. for a prior dvt i took warfarin, which required routine blood testing and dietary restrictions. not this time. while i was taking xarelto®, i still had to stop racing, but i didn't have to deal with that
4:47 am
blood monitoring routine. >>don't stop taking xarelto®, rivaroxaban, unless your doctor tells you to. while taking xarelto®, you may bruise more easily and it may take longer for bleeding to stop. xarelto® may increase your risk of bleeding if you take certain medicines. xarelto® can cause serious bleeding, and in rare cases, may be fatal. get help right away if you develop unexpected bleeding, unusual bruising, or tingling. if you have had spinal anesthesia while on xarelto®, watch for back pain or any nerve or muscle related signs or symptoms. do not take xarelto® if you have an artificial heart valve or abnormal bleeding. tell your doctor before all planned medical or dental procedures. before starting xarelto®, tell your doctor about any conditions such as kidney, liver, or bleeding problems. xarelto® is proven to reduce the risk of dvt and pe, with no regular blood monitoring and no known dietary restrictions. treatment with xarelto® was the right move for me. ask your doctor about xarelto® today.
4:48 am
i'm just looking over the company bills.up? is that what we pay for internet? yup. dsl is about 90 bucks a month. that's funny, for that price with comcast business, i think you get like 50 megabits. wow that's fast. personally, i prefer a slow internet. there is something about the sweet meditative glow of a loading website.
4:49 am
don't listen to the naysayer. switch to comcast business today and get 50 megabits per second for $89.95. comcast business. built for business. the ebola panic is spreading around the u.s. the panic is. a new mandatory 21-day quarantine for travelers returning from west africa, the countries of liberia, sierra leone and new guinea to new york, new jersey and illinois and twice a day health monitoring in florida made health care workers furious. let's bring in our let's bring in maria card ono and ben ferguson. we have a democrat and republican governor who enacted these new mandatory quarantines. i'm going to start with you, maria, hopefully we can get past
4:50 am
the political bickering on. . was this necessary and was this enacted properly? >> look, i'm not an ebola expert and i don't think anyone on this panel is, but i have listened to all of the advice and the reports coming from the experts, the doctors, the health care workers, the infectious disease experts, who are all saying this is a knee-jerk reaction that doesn't lead with the science, and yes, politicos all over the map including my democratic friends are using fear to lead with this, instead of the facts and i think that they are coming into this situation where they're not focused on the reality of the situation, they are responding to what they believe are what the public wants, and that i don't think that is a responsible way to lead and it's frankly going to lead and could lead to this outbreak getting worse if we don't have health care workers and doctors stepping up to the
4:51 am
plate to go to the hot zone where this needs to be contained, because they're furious about how they're getting treated and what the policies that are being enacted here in the united states are. i think we really need to be concerned about this. >> wen, what do you think? new york, new jersey, mandatory quarantines? >> i don't blame them at all. being in dallas, where we trusted the authorities, we trusted the cdc, we trusted the federal government, and it was a failure, and i think these governors, republican and democrats are in a situation where they realize the cdc was wrong. on september the 16th, when they came out the likelihood of it coming to america, they said it was so unlikely. it's not going to get here. we had the president say it's not going to happen. the cdc official -- what'd you say? >> county officials took the lead on this here and city and federal supported them. you can't just blame the president. >> but you have county officials that trusted the guidelines of the cdc, and they were a failure, and so when you're a governor, your job is ultimately
4:52 am
when you realize that you have no faith in the federal government to do this and handle this the right way, when you see health care workers in new york calling in sick, faking that they actually need to go to another hospital so they don't have to if to work, i think that tells you a whole lot about the health care society and how many of these people say oh, it's fine, i'd treat them, until they have to deal with them. look at new york now. you actually have workers saying i'm noting if to work. you had the same thing happen in dallas, they said get these patients out of here because we don't trust the protocols of the cdc. you have experts say oh it's fine. ask the experts that have to deal with ebola and they're saying i don't want to deal with this because i don't trust the protocol. >> maria you list the medical health officials, alexandra field spoke with one of them saying quarantine is the only thing that breaks the lichk. if we know that to be true why is it a bad idea because the
4:53 am
health officials work with people who tested positive for ebola. >> there are a couple of reasons. you've had way more experts coming on tv and you had several on this morning that are saying that a quarantine will actually keep health care workers from traveling to the hot zone and again, if we're focused on the science, we understand that if you are not exhibiting symptoms, you are not going to pass it on to others. this is not an easy disease to pass on to others. you actually have to come into contact with the bodily fluids are someone exhibiting symptoms and who is actually sick, so again, we are not leading with facts here. we are leading with fear and what i think needs to happen is for all of those experts to get together and maybe there's a middle ground here, you had somebody talking about perhaps a ten-day quarantine. there are actually focus on policies where you have monitoring and tracking every single day of every single health care worker that comes
4:54 am
back to the united states from the hot zone. >> maria -- >> i this i that is a good idea. >> you and i actually -- >> we should focus on things that work, not things focused on fear. >> we agree within thing, we should get some of the best people in a room. you had the ebola czar because of the federal government and paperwork not being able to attend the first meetings after he'd been named because his paperwork wasn't done which goes back to the core point, people have lost faith and governors have lost faith in the cdc. you can get a bunch of experts in the room, but the people that have been asked to take care of the ebola patients after what we saw happen in the protocol in dallas have said i don't want to be in that room. so i would trust the people that are in the medical field who do not want to be in the room treating these people when they say we're not prepared and ready for this, and i don't want to go in there because i don't trust the federal government. that is the people i would listen to the most. to say we have this under
4:55 am
control isunrealistic, based on how many people got ebola that were treating people with ebola in dallas alone. >> but again, we have to look at the facts, ben. how many people have died in the united states from ebola who have contracted it here in the united states? zero. >> there's one that died here. >> yes, that person did not contract it in the united states. so again, let's focus on fact. there's only one person currently in the united states with ebola and that person -- >> do you trust the cdc? >> that person contracted it abroad. >> i do trust the cdc. >> i don't. i think they got it wrong. >> you're one of these people, ben, focused on spreading the fear. >> it's not spreading the fear. eight watching their protocols change. their protocols change. >> well the protocols change as the situation changes. they have tightened up the protocol. >> not when you're treating ebola. >> what is a little bit laughable here is you have
4:56 am
republicans up in arms, you mentioned the ebola czar. >> and democrats, maria, and democrats. >> no, you haven't listened to me. you have republicans up in arms the president focused on appointing an ebola czar that didn't have any medical experience and then republicans go and completely ignore all of the advice from the medical experts. so you can't have it both ways. let's focus on the facts. >> i didn't even bring up that aspect of it. >> hit's not lead with the fear. >> we've got to call it there, maria cardona, ben ferguson always a pleasure to have you two on together. much more news to tell you about this morning, the next hour of your "new day," after a quick break. this is the life. with millions of reviews, tripadvisor makes any destination better.
4:57 am
4:58 am
the ultimate arena for business. hour after hour of diving deep, touching base, and putting ducks in rows. the only problem with conference calls: eventually they have to end. unless you have the comcast business voiceedge mobile app. it lets you switch seamlessly from your desk phone to your mobile with no interruptions.
4:59 am
i've never felt so alive. get the future of phone and the phones are free. comcassiness. built r business.
5:00 am
kosik in for christi paul. >> i'm victor blackwell, just shy of 8:00 a.m. on the east coast, coming up on 5:00 on the west coast. new battle lines being drawn in the political fight over containing ebola in the u.s. federal official tells cnn the cdc is "not happy" about those mandatory quarantines now in place in new york and new jersey. >> the governors of the states imposed 21-day isolation for health workers who are returning from hard-hit west african countries. illinois has a similar rule and now florida is jumping in, mandating twice daily monitoring for 21 days for anyone who is coming back from the outbreak zone. state officials say they're protecting public health, but enforcement, that is still an open question, and federal leaders worry the measures will wind up discouraging u.s. health workers from traveling to liberia, guinea and sierra leone. >> one nurse is slamming the way she was treated after landing in newark airport in new jersey, returning from her work in sierra

152 Views

info Stream Only

Uploaded by TV Archive on