according to the "new york times," the obama administration has been pushing governors to reverse their decisions. cnn has reached out to the white house. so far no response. we will get a report on that element in just a moment. perhaps while you were sleeping overnight, uk troops ended combat operations in afghanistan. but with isis now filling the vacuum. we will discuss. and in suburban seattle, a first year high school teacher facing a nightmare, facing a student with a gun rushing towards him we will have a live report on her actions that may very well have saved lives. for to the new rules for health care workers. we now know new york, new jersey, and illinois have

already implemented mandatory ebola quarantine policies for health care workers who arrive at their airports. two other states will now require health monitoring but not everyone thinks the quarantines are the right plan of action. dr. anthony voucher is concerned that health care workers who are eventual to curbing the spread of the virus will be discouraged from making the trip. >> i don't believe when you're dealing with something as serious as this that we can count on a voluntary system. this is government's job. if anything else the government's job is to protect the safety and health of our citizens. so we have taken this action and i absolutely have no second thoughts about it. >> this as the latest patient remains in an isolation unit at bell view hospital and we have

learned that nancy rifle has donated blood plasma to spencer. it has only been a few days since those mandatory quarantines have been enacted. as we mentioned the white house. let me turn to the white house in washington. how is the obama administration reacting to these state imposed quarantines? >> this is a real turning point for the white house in terms of getting criticism and reacting. you may remember with the ebola czar, they really responded in finally naming one. in terms of this we have been hearing from officials over the last few days we know that the white house is not looking favorably at new york and new jersey for imposing these new

regulations and we did just get in a statement from a senior administration official. i want to read part of that statement to you. we have let the governors know that we have concerns with unintended policies. we have also let these states know that we are working on new guidelines while at the same time enabling us to continue to tackle this epidemic in west africa. i would also point out that samantha power said that she believes that these new regulations are haphazard and not well thought out and it will have the effect of discouraging health care workers from traveling to west africa. the u.s. is sending some 3,000 workers. and really we have heard from a number of high level administration officials that they would like to see other countries send health care

workers as well. >> some say it is not necessary and some say it will just create new problems. >> i'm concerned of the disincentive for the health care workers it's interesting. i think people lose us that the best way to protect us is to stop it in africa. one of the best ways to stop it in africa is to get health care workers who are going through and helping them with their problem. they need to be treated in a way that does notes disinsent vise them. >> we do not have a vaccine. we do not have a cure. we only have treatment. one of the things to understand, a virus constantly trying to mu tate and vind a new host to live on. and as such, quarantine is the only thing that breaks the link. >> so three states have now

imposed their own quarantine rules. congressman, thanks for being here. where do you stand on these quarantines? >> they are rash and inconsistent with what what health care workers have been saying. i think will discourage people from going to the region to provide the emergency medical services that are so necessary to try to contain this epidemic in west africa. we cannot insulate ourselves from this problem if it gets further out of control. >> our representative, i hate to interrupt you. we need to hold on for a moment and listen in to a press conference just getting underway. >> extraordinary health care

professionals here at bellevue hospitals. we met with doctors, nurses, and other employees who are doing an absolutely amazing job in this moment of crisis. as i have said before, this is a hospital that is no stranger to the very toughest situations, whether it was 9/11, hurricane sandy, the aids crisis of 20 years ago, this hospital has been the go-to medical facility in new york city for decades. and the people here handle themselveses with that battle tested spirit and professionalism and strength that you would expect from people who have been part of the toughest situations. if there was a military analogy to be made, the people who work at bellevue are the marines of our health care system. they are extraordinarily tough, capable and only the finest get to be a part of this operation

at bellevue hospital. we went to the isolation floor, the floor where dr. spencer is now. we met with the medical team we met with the nurses. each and every one of them. they believe it is their duty to take on the toughest assignment. i want to talk to you about what is going on around this country. particularly our nurses. i want to talk about what some of the individual nurses have experienced here in the city in the last few days of people misunderstanding what's going on right now. let me just dwell for a moment on the fact that we went to the floor that is now and the people

who work there were calm and cool and collected. they were purposeful. i met people who have been providing care to dr. spencer over the last few days. they had a purposeful attitude. sober. straightforwa straightforward. they understand what their duty is and they are only too proud to perform it. and we all need to honor them. we all need to respect them. the same way we respect soldiers who go into battle to protect us. the same way we respect first responders, police officers, we need to respect our nurses, our doctors, our lab technicians. i remind you on thursday, when dr. spencer called and said he had for the first time had a

fever our office of emergency management, all of the different pieces have coordinated in an incredibly effective fashion and the care for dr. spencer continues to be the finest in the world you will hear an update in a moment from dr. spencer. again, the medical personnel fighting this fight, particularly our nurses deserve our respect. we heard reports in the last few d days of nurses being mistreated in our city it became clear that they worked at bellevue. we heard reports of people being unwilling to serve food or treating children differently.

that is absolutely unacceptable. we all have to hang together and we have to first respect or first responders i will not accept anyone disrespecting our personnel. there will be consequences for those individuals. anyone who has heard the nurse explain her situation in her proud, passionate, intelligent voice, knows that what happened to her is inappropriate. each government has to make decisions. we understand that. state governments have a right to make decisions.

this hero was treated with disrespect, was treated with a sense that she had done something wrong when she hadn't. was not given a clear direction. we owe her better than that and all the people better than that. we believe it is the finest health care system in the world. we have seen that on display here at bellevue here in the last days.

we have been studying intensely. we watched as a group of them in a conference room we're having, the conference call with medical experts from around the country contain and perfect their approach to treatment. we are working every day with our state and federal partners. we believe that is the word to use. we are all partners. we will treat them as such. we're not going to engage any sense of division it is absolutely a time when unity is necessary to fight this disease. we will continue constantly to

communicate with our state and federal partners. i have to say it every day. there is no reason for new yorkers to be alarmed. this is a very difficult disease to contract. it is not airborne. it cannot be contracted through casual contact. as dr. basset said a few days ago, all of the individuals quarantined in mr. duncan's house who had close contact with mr. duncan, every single one of them left quarantine healthy.

any new yorker who has not been exposed to bodily fluids of someone with the disease cannot get sick and there is no reason for new yorkers to change their habits in anyway. if you look around the city the last few days on our web sates, streets, and restaurants, no one is changing their habits. new yorkers are strong, resilient, focused i think one of the reasons that has happened is because of the strong and clear voice a deep thank you for what she's done. thank you, dr. basset. >> we want to answer the question that all new yorkers are asking. what can they do?

there are two things and only two things we're advising. if an individual believes they meet the characteristics that could suggest that they have been exposed to the disease, they have been in one of the three affected countries in the last 21 days or been in close intimate contact with someone who was, and additionally they have a fever, those individuals should either call 911 immediately or go to an emergency room. no other options. do not go to a private doctor. do not see if it passes by. immediately go to an emergency room if you are in that situation. and second, we have talked about the fact that the symptoms related to ebola can seem like symptoms related to the common

flu. the less flu we have, the easier it will be for the medical system to focus on ebola. it is easy. it's available at doctor's offices, clinics, many pharmacies. you can actually help our medical professionals to focus their attention on the challenge at hand by doing something as simple as getting a flu shot. a few words in spanish. [ speaking spanish ] >> we have been listening to new york city mayor talking about the crisis around the world. but the situation in new york city still being treated at bellevue hospital and he talked about how bellevue and doctors

and nurses there, he called them the marines of the hospitals saying they are well prepared to handle the situation and they are doing so cool calm and collectedly. elizabeth, what stoot out about what you heard? >> these doctors and nurses are taking risks and i think he is also saying that respect is due to them they're defending us whether they are taking patients here or in africa. they're trying to put a stop to this outbreak. only by putting a stop to this outbreak can we be protected.

you mentioned that the restaurants they were being served and children were being bullied. >> we have another speaker right now. let's break away from our conversation. >> he tolerated the plasma treatment well and he had a good night's sleep. under the watchful eyes, well trained and professional team of icu nurses and professionals. on behalf of the patient, i thank all new yorkers for the prayers and well wishes. the family and expert team in bellevue are committed to do what we do best and we do the best for the brave caring doctor and we wish him all the best and bring him back to good health.

i would very much like you to take this picture in your new statements. with that, thank you very much for the opportunity and thanks for the kind words. >> late afternoon yesterday i had a tremendous honor. i spent about ten or 12 minutes on the phone with dr. craig suspensor and i have to tell you it is always an honor to speak to a hero but to speak to someone who is fighting for his

life who is energetic, focused and concerned for others, has a great sense of humor and quite a bit in evidence late afternoon yesterday, this is an incredibly noble human being. there have been misunderstandings and misstatements. this is someone who did what we would only wish any of us would do in a moment of crisis. he ran towards the danger. he went to where the need was greatest. to protect the nation. i express my attitude on behalf of the people in new york city. he is truly a hero. he is an incredibly humble human being and someone that i look forward to spending time with when he has made his recovery. with that i would like to turn to the chief medical officer for

bellevue and express my great appreciation to him and all of his team for their professionalism and their effectiveness. >> thank you for your kind words of support and for your presence here and support for the last three days. we have been preparing for this moment for months. together with department of health and mental hygiene, we began preparing three months ago because the mayor asked us to, to be ready for the moment when a patient might possibly appear in the city with the ebola virus disease. we needed every bit of those three months to prepare. it was an enormous challenge to create a hospital within a

hospital with all new procedures and policies, to train our staff from head to toe. to procure equipment and really with a fine tooth comb go over every single aspect so that we would be ready. we did this together with colleagues and to make those procedures work so that when a patient came, it would go smoothly. i am pleased to say that all that preparation paid off. every step of the way everybody did exactly as they were supposed to. i haven't identified a single misstep in any aspect of the care that has taken place. i'm immensely impressed with our doctors, nurses, transporters, all the people have a job to play and are playing it exactly as it has been scripted.

based on things that we learn from other experts around the country in emery, nebraska, who i consider a gold standard. the care of the patient is under the direction of dr. laura evans. she is experienced in critical care and as the mayor described, been consulting regularly with colleagues around the country with tremendous experience in the care of ebola patients. at emery, the cdc in nebraska, there is a daily conference call. and i have just been overwhelmed by the support that has come pouring in from these folks and elsewhere to move heaven and earth to deliver whatever care we need, experimental agents, whatever this patient needs. i think it's fair to say that if

any treatment is available in the world it's available to our patient. he has had an opportunity to participate in decision making and choosing the options that are right for him. i am proud of our doctors, nurses. i want to end by saying we recognize, we see dr. spencer as a hero working overseas but we also see the staff of the hospital, especially our nurses who are in the room all the time as heroes here in new york city. and i will echo the mayor's words of wishing that the people of the city appreciate expressed appreciation for the work that the staff of our hospital and the agencies all through this city have been doing in the last three days to keep our city

safer, our staff safe and our patients safe. >> well said. >> again, we have been listening into this press conference we just heard from a couple of doctors who have been involved in the care and treatment of dr. craig spencer who is the ebola patient here in new york city. we heard that he tolerated the plasma treatment well. he also got a good night's sleep. i want to bring back elizabeth cohen to discuss more about what we heard who just said that if there is any treatment available that has been made available to dr. spencer, he has been able to participate in deciding which treatment he gets. what more do we know about how he is moving forward in this care facility and in 4iz own treatment? >> right. we have been told that he got

that blood transfusion from nancy. hopefully her anti-bodies will help dr. spencer. we are told he is getting an anti-viral medication. my guess is that it is an experimental medication. it could be one that several other patients have received. but really the most important thing, it is keeping him hydrated and keeping his ele electrolytes balanced. >> adam is still with me as well. he is our congressman from california who we were speaking to before this press conference took place. we heard in that press conference from the new york city mayor that some of the nurses who are taking part in the treatment and care of dr. spencer have been in many ways

bullied and treated disrespectfully. what's your reaction? >> i think the mayor is exactly right. these people should be celebrated for courage. we will need brave health care professionals to go to africa. to stand up some of these units as our troops are doing and they should be welcomed home as heroes. they are really on the forefront of this fight and we should have nothing but admiration for them. it's so distressing to see the forced isolation of the health care prak tigs her and the way she has been treated. i'm glad that the mayor called out her case in particular. i think it's indicative of a reaction not based on science or professional opinion but a rash decision that will have negative repercussions in discouraging

people from going to africa. >> do you feel light tl might be a happy medium? is there a safety procedure that the u.s. or states could implement other than the mandatory quarantines that we are seeing taking place in new jersey, new york, and illinois? >> i think it's certainly impossible to taylor make the procedure that in addition to the protocols where people take their temperature twice a day, in cases that may be higher risk, maybe we have professionals go and monitor them or make house calls on them. in cases where on the other hand, people have already been tested and tested negative and there is no reason to believe there has been any jeopardy then you don't need across the board quarantine like we see now in new jersey. i think moving to a protocol where we treat each patient

differently, it makes a lot of sense that is consistent with science. i think that we're overreacting without a lot of thought. and i think it's going to harm our efforts. >> congressman and elizabeth, thank you very much for joining me. a nurse is being held against her will as part of a mandatory quarantine from anyone traveling from ebola nations. her exclusive interview with cnn next. and when weather hits, it's data mayhem. but airlines running hp end-to-end solutions are always calm during a storm. so if your business deals with the unexpected, hp big data and cloud solutions make sure you always know what's coming - and are ready for it.

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[but the more you learn abouty insurancyour coverage,bout it. the more gaps you might find. like how you thought you were covered for this. [boy] check it out,mom! [prof. burke]when you're really only covered for this. or how you figured you were covered for this. when you're actually paying for this. you might be surprised at what's hiding in your coverage. talk to farmers and get smarter about your insurance. ♪ we are farmers bum-pa-dum, bum-bum-bum-bum ♪ [announcer] call 1-800-farmers and see how much you could save. >> welcome back. one of the loudest critics of the mandatory ebola quarantines, a new jersey nurse who was quarantined ach her return from west africa. her quarantine was called a knee jerk reaction. >> it's really inhumane.

i just came back from one of the most difficult months of my life and i am completely desensitized. and no one knows, no one can deck whether i will develop ebola in the next 21 days. so to quarantine everyone in case when you cannot predict who may develop ebola or not, and to make me stay to not be with my family, to put me through the emotional stress is completely unacceptable. >> let me bring in the former cdc detective, you were former cdc, would you have made these recommendations when it comes to quarantines? >> so the consent now in the public health community is this policy does not align with the science. it does not make sense from a medical perspective because the

nurse has had two negative tests for ebola. she is not a threat to the public. therefore protecting the health of americans. >> if not quarantines, for those who are really worried about the safety of the public, what else could be done? >> what can be done is to fol w follow, which was to self quarantine at home to take temperatures twice a day and stay in close contact. that would really protect the public's health while also respecting the very important health care workers who are

making the sacrifice. >> i know you know casey quite well. she has no shower, no flushable toilet. she had nothing to read. the fact that she has tested negative twice, does it make sense that she is being isolated? >> from a clinical perspective and public health perspective it does not make sense that she is being detained. she is not capable of transmitting ebola even if she had it to anybody. and then in her instance are detained. information was with held from her even when she spoke to a high ranking public health official. this is very concerning to

health care workers who were in west africa who are concerned about how they were treated and for many others who are being asked to go and make a sacrifice who are thinking that they may not do that now because of how the quarantine policy has played out. >> do you think there is some kind of legal case to be had here? >> her lawyer says there possibly is because she was detained without justification. it has not been explain idea she is in isolation. she is essentially in solitary confinement since she has had no symptoms and two negative tests. there seems to be a legal case to be made here why anybody is being detained. >> it is an interesting conversation. thank you for your time. definitely appreciate your expertise as always. >> thank you. >> the federal officials and cdc facing new york, new jersey, for

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>> mandatory quarantines are raising serious legal questions. and could this discourage other health care personnel from going to treat? we need to find a way when they come home that they are not stigmatized for the tremendous work that they have done. >> now president obama is stepping into the quarantine debate. cnn has learned that the white house is now pushing back on the three governors who enacted quarantines. joining me to success, cnn political commentator. let's start with you. what is the biggest league issue here when it comes to

quarantines? >> well, frankly, i think the quarantines are absolutely absurd. this is a complete fear driven knee jerk reaction of the government responding to people in the public being panicked, but legally, i don't think she has a leg to stand on because the public policy concerns outweigh somebody's individual liberty concerns. but so if she were to sue, i know she has hired a lawyer, i don't think she's going to be that successful. >> so there is not a legal basis for her to say i am being treated unjustifiably. >> particularly when people are coming in and crossing into the united states. but that aside, i think it's an absolute absurd thing that we have done. >> then a lot of people have said this is pitting science against political policy. let's talk about maybe political fall out of the quarantines. the midterm elections are just

about a week away. >> in texas, you saw the elected officials taking a huge beating because unfortunately, they originally went with the cdc guidelines and with the federal government guidelines and it was a total disaster. then you had health care workers just like we're now seeing in new york who are calling in sick saying they don't feel protected. we can talk about the science but ultimately it's easy for us to say that we shouldn't quarantine when there are many health care workers saying i'm not going to work because i don't feel protected. i don't feel like the guidelines are appropriate. and that's exactly what we had at the hospital here. which is the reason why the two patients were moved. their fellow co-workers who loved and cared about them did not feel protected.

some of this is politics are local and these officials are rerising that we're not prepared for this. part of that is the government and cdc's fault. >> is there a legitimate safety concern when you look at dr. craig spencer's case? he's in the media and being hailed as hero and a villain because of his actions of going out for a jog, going to the restaurant. >> but he was not symptommatic then. >> he didn't have a fever yet. >> unless someone is throwing up on you or defecating on you or spitting on you, you're not getting the disease. mr. duncan's family lived with him. nobody has come down with it. everybody in the united states that has been a health care worker that has come down with it has been cured. nobody is getting this unless they have been treating ebola patients.

having the government make policies because of people in the public panicking, that is the real danger. health care workers will not want to go if they will be quarantined here for 21 days. and the best way to help them is to raise awareness. >> you had a health care worker that got on a plane that had a fever and the cdc let her get on the plane. that is where you have put local officials and governors in a position where they have to step up. it may not be on the best ideas and on the best information but when we have allowed the cdc to be in control, i think you would agree with me, you wouldn't want to sit next to a nurse that got on a plane with a fever which is exactly what happened. you probably wouldn't want to go to a bowling birthday party with somebody who was starting to feel sluggish and comes down with ebola. >> i'm not planning on kissing

her or touching her on the plane. i'm not going to get ebola. i will sit next to her because you're actually wrong about that assertion. >> most people watching would not want to sit next to her with a fever. >> the 21 day quarantine is not going to address the issue that you're talking about. if you have got a nurse that has tested not once but twice, doesn't have a fever and is in lock down you're creating policy that is being dictated by irrational panic by the public. >> i'm not saying there shouldn't be a compromise. >> how about a quarantine from the flu because more people will die from that than from ebola. >> around the country right now so your points are well taken. we will be right back. you're driving along, having a perfectly nice day, when out of nowhere a pick-up truck slams into your brand new car. one second it wasn't there and the next second...

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>> in the fight against isis, a lot of the focus has been on the syr syrian border where the u.s. has carried out five more air strikes this weekend. the real fight in syria is elsewhere in the country. jamie, independent foreign correspondent is here with me now. jamie, what is the significance? >> well, we have all been focused on one area, there has been an offensive mounted since early october, which is the second largest city in syria. very close to cutting the water main supply line for the rebels. if they do so, we are then going to be faced with a siege which will decide the fate of the sirrian up rising.

they have been calling on the u.s. to launch but so far, of course, nothing's happening. the u.s. administration is still considering that it can somehow enter, intervene in syria, focus on isis, without really paying attention, i think, to the ramifications on the uprising as a whole. >> you know, i read your article in the "daily beast," "the battle. aleppo: a decisive fight for isis, assad, and the usa" and talk about the complex dynamics in and around aleppo with these three players. you just mentioned about the fsa and other rebel groups in aleppo calling on the u.s. or the coalition to do air strikes against assad, you know, that stands out because the fact of the matter is the u.s. is not fighting assad right now. it has been very clear it's fighting isis. so what would the dynamic do in terms of u.s. getting involved?

i mean, obviously assad is doing something else on his own right now while the u.s. attacks isis. >> well, assad is using the opportunity to do a lot. for example, in 36 hours, alone, last week, he launched 210 air strikes. the u.s. have launched in syria and iraq since september the 23rd 150 air -- 158 air strikes. the problem for the u.s. is this idea that these two problems are not intertwined. for example, if the fsa and the more moderate rebels do suffer the loss of their half of aleppo, then you're going to see a collapse of the uprising and strengthening of isis. as some rebel commanders point out to me, it means demoralized fighters in their brigades could well start joining isis. the administration is always, i think, not clearly understood that these are two problems which are very interconnected and it can't just separate them.

>> ryan, unfortunately will we have to end it there. thank you so much, jamie, for your work there, your reporting and keeping us all honest. appreciate it. coming up, we have some new details just into cnn on what went on friday inside the cafeteria of marysville-pilchuck high. a new report, next. some come here to build something smarter. ♪ some come here to build something stronger. others come to build something faster... something safer... something greener. something the whole world can share. people come to boeing to do many different things. but it's always about the very thing we do best. ♪ but it's always about the very thing we do best. could save you fifteen percent or more on car insurance. everybody knows that. well, did you know you that former pro football player ickey woods will celebrate almost anything?

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i want to see magnificent landscapes, incredible animals, and extraordinary vistas and magnificent people. the other in all of its diversity and beauty and strangeness. tanzania's got that. all that stuff you thought you wanted, the most jaw-dropping moments, it's here. let's turn now to friday's school shooting in suburban seattle. a community wide gathering is expected to begin at the top of the hour. we're getting a clearer picture of what happened during those heart-pounding moments during which four students were wounded and another killed. the two male victims were cousins of the gunman jaylen fryberg. at the first sound of gunfire in a crowded cafeteria that day, a young teacher sprinted from a

nearby office toward fryberg with the attempt to stop him. she reportedly grabbed his arm but pulled around and fired at himself. we learned the identity of the girl who was killed. who was she? >> reporter: well, hi, ana. first of all as you can see behind me, there's this makeshift memorial with flowers and balloons are people are going to file into the school for this community meeting. just so much sadness here. we can tell you the name of the girl who was killed, her name is zoey. she was a freshman student sitting that that table when the shooter approached them and, of course, we don't know why, but from what we're hearing, he went basically behind the friends, these were friends of his and just started opening fire. d zoe was described as someone with a larger than life personality and didn't know why the shooter would target her of

all people. take a look. >> i want you to know zoe was an amazing person and is going to be missed. i don't know, i just can't imagine how we're going to live without her and she was so beautiful and she was so funny and amazing and we all loved her so much. >> i don't have any anger toward him. i just don't know what happened. it just doesn't make any sense. none of this makes sense. they were all very good friends. they were great friends. there's no explanation. like, he snapped for whatever reason, and it just doesn't make any sense. that's what makes it so hard. >> reporter: well, in addition to that account of the teacher trying to intervene and stop the shooter, we're getting information from law enforcement, a law enforcement source telling cnn the shooter jaylen fryberg attempted to reload his weapon but he was having trouble because his hands

for shaking. ana? >> sad story. d dan simon in marysville, washington. thank you. and thanks for staying with us in the cnn newsroom. i'm ana cabrera. we're fast forwarding to the week ahead. we'll take a look at all the stories you'll likely be talking about and hearing about this coming week. let's begin with our five questions for the week ahead. question number one, will mandatory quarantines here at home keep doctors from traveling to west africa? we know both the cdc and the nih are insisting the best way to combat this virus is to get the health workers to west africa. i'll speak with a doctor who has been to the ebola hot zone in just a moment. question number two, the white house pushing back on the three states with those mandatory quarantines. will more states try to impose ebola quarantines on returning health care workers or will the white house try to implement new federal ebola guidelines? i'll talk it over with a congressman in just a few