efficient way during peak times so that we use less energy and drives down consumer prices and is good for the environment. i will give you one of their example. archaican old, air-traffic control system. you heard about chicago? i don't know why he was mad about being transferred to hawaii. he sets fire to some of the facilities and suddenly people could not get in and out of chicago for a couple of days. i had to land in gary, indiana. -- still somewhat restricted. it turns out that if we revamped our air traffic control system,

we could reduce the number of delayed flights by about 30%. we could reduce the amount of fuel that airlines use by about 30%. we lower ticket prices. you wouldn't have two-hour waits in the airport. if you are flying for business, that is going to save you time and money. if you want to get home to see her family, that means more time to spend with family instead of sitting in an airport. the whole economy would more efficient if we do it. it's the best time for us to rebuild our infrastructure. still a lot of construction workers out of work. it's not like contractors have

so much business. they can do the work on time. if we spent the next 10 years saying we will rebuild all what we would do is lay the foundation for more economic growth in the future. it is a smart investment. we should be doing it. some tax loopholes exist right now. they incentivize companies to send money overseas instead of here and investing in the united states. let's take that money and use that to rebuild our infrastructure.

congress hasn't done it yet. infrastructure is not partisan. eisenhower built the interstate highway system. lincoln helped build the transcat middle railroad. -- transcontinental railroad. enginedy is in favor of -- infrastructure because that makes us a superpower. >> you mentioned an increase to the minimum wage. how do you counter an opinion wouldncreasing wages increase the selling price of goods and services?

>> it's a good question. the focus studies that have been most employers pay more than minimum wage already. wage isy, the minimum in certain sectors of the economy. they are disproportionately women who are getting paid the minimum wage. think, the people majority are adults and many of them supporting families. the average age is 35 years old. they are not 16. in those states where you have wage,hike in the minimum the state right next door doesn't. he look at what is happening along the border where you think

people would be influenced. the pricesshop where are cheaper. haverns out it doesn't that much of an impact. it has impact on the families. it does not have a huge impact in terms of prices. people argue that they will hire fewer people grade that is not generally what happens. if everybody has to raise the minimum wage, everybody adjusts. because of competition they will not be able to raise their prices. point getting to a larger that has plagued the american economy for some time.

business has learned to be really profitable and produce a lot of goods. this is done with fewer workers through automation. that does drive down prices. the problem is it drives down wages. fasterriven wages down than prices. if what you are worried about most is low prices, we could have everything made it in low-wage countries overseas. they would get shipped back here. it doesn't do you any good if a pair sneakers is cheap and you don't have a job. the goal here should be prioritizing and making sure that people have work. number two, make sure it pays well.

if people have good jobs and get paid a decent wage, businesses are the ones who have to compete. they are still going to have to keep prices down relatively low. they are going to have to compete against other businesses if they raise their prices too much. someone will come and offer a better deal. helps consumers know what prices are there. there has never been greater competition out there. that is on is all of the backs of workers. week was a report this that showed corporate balance sheets in america are as strong as they have been in history. of the reason why the stock market is doing great.

if companies don't have room to pay workers more. they are just not doing it. a greater share has been going to the corporate balance sheet and less to workers. you that people tell companies can afford to provide workers arrays. the reason they're not giving raises is because they don't have to. is still market somewhat soft and people are afraid that if they leave a job they may not find some in. as the complainant rate comes down, -- unemployment rate comes the market will take care of some of us. a minimum wage that is higher example ithe last

will give is costco. i assume there are some people who shop at cosco. they have the best prices around. the starting salary for a cash is $11.50.erator even before the affordable care act, they gave everybody health care. they have been growing just as fast as people who don't pay the minimum wage and don't provide health care benefits. their stock has done great read the difference is they are spreading more of the profits to their workers. that is good for the economy. cosco,u walk into everybody is cheerful because they are getting a fair deal. company cares about them.

-- i ameneral manager. the general manager. one of the questions i have is about the health care costs. we are seeing a double-digit increase every year. is going to goat down? >> you are going to have to talk to henry. the question is whether you are shopping effectively enough. year, andut that this over the past four years, premiums have gone up at the slowest rate in 50 years. have slowedpremiums down significantly.

it is having an effect on businesses and families and the federal debt. , mostf the federal debt decadedebt over the last has come from health-care costs going up so high. that has gobbled up a bigger share of the federal budget. up muchcosts are going more slowly than expected, we nextstaved money over the 10 years. the issue now is what can we do areake sure that you

shopping and seeing more competition. what we are trying to do is make sure that there is more competition driving down costs when it comes to businesses trying to buy health care for employees but also people who don't get health care on the job and buy it on their own. that is part of what the affordable care act is all about. is also known as obamacare. sayingle everybody was that as an insult. i'm feeling pretty good about it. i suspect five years from now they won't call it obamacare anymore. that's ok.

part of what we did was we set up the marketplaces, these exchanges where individuals can go online and shop. the website was really bad for the first three months. it's now in really good shape. we have signed up 10 million people to get health care coverage. we are giving tax credits to help lower the costs. a network for up businesses to be able to shop for health insurance. happened, i talked about this yesterday, right now on average across america, this minute be true in every single would be $1800s

higher per family then they turned out to be. you think about that. that's money that is in your pocket that would be going to you paying for your health care premiums. that is like a tax cut. that is good news. we have to make sure that every takes advantage. are you in charge of buying health care? what i'm going to do is make sure that you talk to some of our health care market people. i'll bet we can get you a better deal. we will see if we can save you a little money. [applause] the young lady right here in the jacket.

good afternoon. i'm in the eighth grade in kentucky. what are some actions we can take to put people to work? >> that is a great question. the rural economy has actually done extremely well compared to the rest of the economy over the last couple of years. is we ofreason for it the best farmers in the world. we are the most productive agricultural system of the world. are really good at we produce a lot. the weather has been pretty decent.

i just spoke with my friend. the farm over on the illinois side, he said the best crops in a while. that is the good news. is a we havehelped increased our agricultural exports, sending our products overseas at a record pace. i should introduce our secretary of commerce. [applause] one of her most important jobs is going around the world and try to open up new markets for agricultural goods. keep making sure that if we have the best crops and the best products at the lowest price that we can get

into these markets. theirof countries protect markets and their farmers from competition by closing their markets. even though they are selling .tuff to us my general attitude is i'm a big believer in trade but it has to be two ways. if we're going to buy your cars or your tv sets or whatever you are selling, you've got to be able to buy american wheat and corn and beans. that is part of the reason why we have seen record exports. that helps the agricultural economy. diversify the rural notomy so as -- that it is dependent on agriculture. investing in a biofuels and clean energy.

we are at the threshold of being able to create new energy of crops but things we throw away like the corn stocks instead of the corn. biofuels,e invest in that can make a big difference in the rural economy. that is another area were we can make progress. should justonomy like here in princeton, we have to make sure that we are offering up opportunities for manufacturing to come back in and look at some of these rural sites. you know the people were card and the quality of life is high.

international investors don't know about some of these rural communities. have a program called select usa. we help towns and mayors and and localirman chambers of commerce invite from japan and singapore to come invest in the united states. you want an economy that has a soch of different components that if you have a bad crop one year, the whole economy does not just collapse. make a big difference. we have got to invest in to make sure that

young people in rural america have the skills for today's jobs. includes community colleges which are a crown jewel. they can be so powerful. can get some technical training, they are ready for that job. that has attracted investors. that is one of the most important things people are looking for. the other thing we talked about was infrastructure. ruralf the problem is communities are more isolated. it is more important that our airports have and broadband connections in order to make sure that they can

access international markets. that is a great question. >> hello. thank you for coming. it is your wedding anniversary today? happy anniversary to you. [applause] >> thank you. thank you. 22 years she has been putting up with me. a friend of mine just get married. bride it takes about 10 years to train a man properly. you've got to be patient. he will screw up a bunch.

eventually we learn. it takes us a little bit longer. we are not a smart. michelle has been very patient with me. the young lady right here. >> i am from indiana state university. [applause] i had a question. we've been hearing a lot about the war on coal. what are your feelings about that? >> some of that is hype. and politics. that is the nature of our politics these days. there is a real issue involved. less unless less of our power is coming from coal. lot people think that is because of environmental regulations.

the truth of the matter is there is some regulation that has had what it hascause said to the power plant operators is you've got to be more efficient. you can send as much pollution into the air. you have to figure out smart coal technology that captures the pollution being sent up. some of that technology is developing, but it is not there yet. that powerason plants are using less coal is because natural gas is so cheap. the real war on coal is natural gas. technologies, we are now extracting at a rate that is unbelievable. there is a 100 year supply of natural gas underground here in

america. we are now the number one natural gas reducer in the world. producing more oil than we import for the first time in almost two decades. [applause] realize.le don't in number one oil producer the world is indebted states of america. we are producing more oil than ever and producing more natural gas. producing so much natural gas that when new power plants get built, it is cheaper for --m to run on national natural gas. in theuses some hardship communities the traditionally relied on coal. there are two things we need to do. we have been hugely supportive. we have put a lot of money into

developing these new technologies to make sure we can burn coal cleaner than we have. the second thing we need to do is make sure that some of the new opportunities in clean and other natural gas energy related industries, that they located in places that used to have coal. the trend lines are going to be inevitable. because if you burn coal in a dirty way, that's going to cause more and more pollution, including pollution that causes climate change, you're going to see more and more restrictions on the use of coal not just here in the united states but around the world which means we have to get out in front of

that to make sure we have the technologies to use coal cheaply and we got to be able to send those technologies to other countries that are still burning coal. because there are going to be countries like china, india, and others that still use coal for years to come. they're poor and they're building a lot of power plants quickly. they don't have as much natural gas as us. they're going to be interested in figuring out how can they use their coal supplies and how can they import our coal. but if we're doing a good job giving them technologies that allow them to burn it clean then it's a win-win for us. not only are we able to sell coal to them but also selling the technology to help them burn in the cleanest way possible. we've been making those investments and we got to keep on making those investments in order for us to get ahead of the curve. great question. all right. gentleman back there in the tie. there aren't that many ties in here so there you go.

>> thank you. hi, mr. president. my name is ed yudel with the fabricators and manufacturers association one of the founding partners of manufacturing day. thank you for your support. >> thank you. >> i'd like to ask you about r&d. u.s. manufacturers do more r&d than any country in the world. it makes us productive and innovative. would you talk about policies and ideas to continue to support r&d activities to promote and accelerate manufacturing? >> the -- when we think about manufacturing, you know, we always think about the traditional, you know, guy with the hard hats, the glasses, the sparks flying, and noisy. these days you go into a manufacturing plant like this one, first of all, it's clean. it's quiet.

so much of it is running on computers and automation and new systems. so if we're going to stay competitive in manufacturing, we've got some terrific advantages. energy, by the way, is one of our biggest advantages. because we have some of the cheapest energy in the world that is part of the reason why companies want to relocate here in the united states. we also have to stay ahead of the curve in the new technologies for the new kinds of manufacturing. every budget i've submitted has called for an increase in our r&d budget, research and development budget. we've specifically been interested in putting more money into research and development in manufacturing. so, in fact, today i announced the fifth -- the proposal for the fifth manufacturing hub that we're creating, we want to actually create about 50 more of

them after this -- and what it's doing is linking manufacturers with universities and researchers to start developing some of the new technologies that we know are going to be key to the future. for example, we already created a manufacturing hub around 3-d printing. everybody know what 3-d printing is? it's actually pretty interesting. basically, the idea is that using software you can manufacture just about anything from a remote location just by -- you send the program to some site and then the machine builds whatever it is that you designed off a computer from scratch. and we know that over time this is going to be more and more incorporated in the

manufacturing process. what we want to make sure is all that stuff is done right here in the united states of america. so we created a hub for that. today i'm announcing a hundred million dollar competition to create a new hub around phototonics -- i had to ask penny to make sure i pronounce it right -- but business basically, the science and technology around light, which is used to transmit data and information. everything from -- and also is used in the manufacturing process for everything from lasers to some of the stuff the department of defense is doing. what these hubs allow us to do is instead of having a slower process where somebody in some lab coat somewhere figures something out, and then writes a report on it and then maybe

five years later some manufacturing says, huh, i wonder if i can tinchinger around with that and use that in my manufacturing process, you have a system where the businesses and the researchers are working on it at the same time, which speeds up the discovery process and means we're moving from discovery to application a lot faster. now, germany has about 60 of these manufacturing hubs and so far i've been able to create five of them or four of them. this is going to be the fifth. and as i said, i want us to make sure we're doing a lot more than that. so that's just one example of why our investments in manufacturing, research and development is going to be so critically important. it allows us to keep our lead.

america has always been the top innovator in the world. that's the reason why our economy historically has done so well, because we invent stuff faster and better than anybody else. if we lose that lead, you know, we're going to be in trouble. can i just say one last thing about -- because i appreciate you working on this national manufacturer's day. for the young people here and anybody who is listening, the reason we set up this national manufacturing day is because too many young people do not understand the opportunities that exist in manufacturing. because so many plants were shut down and so much offshoring was taking place, i think a lot of people just kind of gave up on the idea of working in manufacturing. the problem is, for a lot of young people manufacturing offers great opportunities. i was in wisconsin.

somebody told me an amazing statistic, which is the average age of a skilled tool and die operator in wisconsin is 59 years old. these folks are making 25, 30 bucks an hour. benefits. you are solidly middle class if you have one of these jobs and the work force is getting older and older in the area and young people aren't coming in to replace them. so the idea behind national manufacturing day, we got 50,000 young people going into factories all across the country and learning about -- look at all the jobs you can get in manufacturing. engineering jobs but also jobs on the line, technical jobs. all of them require some skills.

all of them require some higher level learning. but not all of them require a four-year degree. you can make a good living. so that's part of what we're trying to encourage, getting young people to reorient. we're actually also talking to high schools saying to them, try to encourage young people to think about manufacturing as a career option because not everybody wants to sit behind a desk pushing paper all day long. different people have different aptitude and interests and talents. if we can set up a situation where high schools are starting to connect to manufacturing then a lot of young people can start getting apprenticeships early, realize how interesting some of that work is, then they have a better idea if they do end up going to college it's a little more focused around the things

that they're actually going to need in order to succeed in manufacturing. so thank you for participating in that. it's really important. all right. we've got how much more time? i just want to make sure i'm not -- we'll make it two. make it two. that young lady right there. yes, you. yes. all right. hold on. let's make sure we got the microphone here. >> hi. my name is jay cooper a secondary english education student at usi. thank you for coming here today. it is such an honor to hear you speak. being in the job force in the next couple of years i'm worried about equal pay as a woman. you talked a little bit about that. how can we get there? what can we do to get equal pay for women? >> well, it's a great question. here are the statistics, first of all. women on average make 77 cents for every dollar a man makes.

now, what folks will tell you sometimes is you can't really compare the situation because a lot of women by choice and working less, when they have kids, decide to stay home and so it's not the same thing. but here's the problem. it turns out that actually in a lot of companies sometimes it's still the case that women are getting paid less than men for doing the exact same job. so one of the first bills i signed was called the lilly ledbetter bill. lilly, who is a friend of mine, she was doing a job for 25 years. and about 20 years into it just happened to find out that for that whole time she had been getting paid less for doing the exact same job as a man had been doing. when she tried to sue to get her

back pay, the court said, well, it's too late now because the statute of limitation has run out. she said, well i just found out. that doesn't matter. so we changed that law. that was the first thing that we did. what we've also done is through executive action what i said is any federal contractor who does business with the federal government, you've got to allow people to compare their salaries so they can get information about whether they're getting paid fairly or not. there is a fair pay bill that's before congress, but so far it's been blocked by the house republicans. it hasn't come up for a vote. we need to keep putting pressure on them to get this done. this is just a matter of basic fairness. i don't think my daughter should be treated any different than

somebody else's son if they're doing a good job. they should get paid the same. it's also a matter of economics, as i said before. more and more women are the key bread winner in the family. if they're getting paid less that whole family suffers. so this is something we have to take care of. i do want to mention, though, going back to the first argument, people saying that women make different choices when they have children, well, part of the reason they have to make different choices is we don't have a good child care system. it's because we don't have a good family leave policy. child gets sick, you need to take care of a sick child, you can get unpaid leave under the family medical leave act. but what if you can't afford to give up that paycheck? or you got an ailing parent.

they have to go to the doctor one day. they don't drive. you need to drive. you need a day off. if you take the day off, now you can't pay your rent. so there are family friendly policies that we could put in place and some states are doing so improving child care especially early childhood education by the way. we know every dollar we invest in that makes our kids do better in school the whole way. [applause] it also -- so it's good for our education system but also just good for parents. somebody mentioned my wedding anniversary. i can tell you the toughest time when we were married was when our kids were still small and i was working and michelle was working and sometimes i'd be out of town and the babysitter

doesn't show up. and suddenly michelle is having to scramble and i promise you when i get home, it's rough. but we were actually in a pretty -- you know, we were professionals. we were both lawyers. we were in a better position to get help than most families. but it was still hard. so the more we do on early childhood education, high quality daycare, making it affordable for families, family leave, those family friendly policies, that will help make sure the women are able to take care of their families and pursue their professional careers and bring home the kind of paycheck that they deserve. we need to do both. it's not a choice between one or the other.

we have to do all those things. all right. i got time for one more question. the gentleman right here in the blue. >> mr. president, i would like to thank you also for visiting. my name is randy perry. i do have a small manufacturing company in rural america, but how do you speak to us small manufacturers that want to raise the minimum wage >> right >> but we have to compete. >> well, as i said before, the first thing we need to do is to make sure that the economy as a whole is strong, because remember what i said when the economy is strong as a whole, there's more demand for workers. that gives workers more leverage to get pay raises. the same is true for business. when demand is high, for whatever product you're producing, then you can afford to charge a little bit more. and, well, the truth of the

matter is, is that for a lot of small businesses, there's going to be more pressure than large businesses when it comes to wages because you just don't have as much margin for error. but overall our economy is going to do better and small businesses do better when there's greater demand out there for products and services and there's greater demand for products and services if people have money in their pockets. and one of the biggest problems we have in our economy right now, and this includes one of the biggest problems for small businesses, is that when a bigger and bigger share goes to folks at the top, a lot of that money they just don't spend. you know, i had lunch with bill gates the other day. bill gates has got a lot of money.

and he's doing great things with it, by the way, doing great, charitable work. but the truth of the matter is that bill gates gets an extra million dollars, it's not like he is going to spend more money on food or going to buy an extra car or buy a new refrigerator. because he's already got everything he needs. but if somebody who is a low wage worker gets a raise, first thing they're going to do is spend it. maybe on a new back pac for the kids or finally trade in that old beater for a new car. and that drives the economy. it picks it up. it boosts it. and when that happens, then more

demand exists for services and goods and that means that all businesses are going to do better including small businesses. and that then gives you higher profits which then allows you to pay your workers a little bit more. you get in this virtuous cycle. this is part of the argument that i've been having with my good friends in the republican party for quite sometime. you know, if you look at the policies we've been pursuing, investing in research and development, rebuilding our infrastructure, making sure that college is more affordable, improving child care, fair pay legislation, increase the minimum wage, i can point to evidence that shows that that's going to put more money in the pockets of middle class families. that's going to increase growth

at a faster pace. and the economy as a whole is going to do better. and their main response typically to me is two things. one is they'll say we got to get rid of regulations. except the problem is for example the last big crisis we had was precisely because we didn't have enough regulations on wall street and folks were selling a bunch of junk on the market and doing reckless things that ended up costing everybody something. and then the second argument that they make is we need more tax cuts for folks like me who make a pretty good living. folks at the top. and i've got to tell you, you know, there's no evidence that's going to help middle class families. there's no evidence for this trickle down theory that somehow another tax cut for folks already making out like bandits over the last 20 years is going to somehow improve the prospects for

ordinary families. it just doesn't exist. they keep on repeating it. but they don't show that that's actually going to help the economy. that's not going to help you. not going to help you. it's not going to help your business. you know, i made a speech yesterday in northwestern. i just said, just look at the facts. since i've been president, unemployment has gone down from 10% down to now 5.9. the deficit has been cut by more than half. our energy production is higher than it's ever been. our health care costs are slowing. more people have insurance. high school drop out rates have gone down. college attendance rate has gone up. graduation has gone up. our production of clean energy is doubled. solar energy has gone up ten fold.

wind energy has gone up threefold. exports more than ever in history. corporate balance sheets are doing great. stock market all-time highs. housing market, beginning to recover. there's almost no economic measure by which the economy as a whole isn't doing significantly better than it was when i came into office. [applause] those are just facts. i mean, you can look them up. i'm not making it up. that's one thing about making president if i stand here and say this, all these folks are filming me so they'll go and check. that's the truth.

but what is also true is that wages and income have continued to be flat even though the economy has grown and businesses are making more money. that tells me the one thing that people are still concerned and the one thing that if we could change would really give more confidence to the economy and boost it, is if wages and income start going up a little bit. if all the productivity and profits if we start sharing that a little more with more folks and ordinary families start feeling like they got a little cushion that would be good for everybody. that's the one thing that really we haven't seen as much improvement on as we need. what everybody should be asking is how do we increase wages? how do we increase income?

because if we do that things are going to be better. they're pretty much just a handful of ways to do it. number one make the economy grow faster so the labor market gets tighter. number two, pursue policies like the higher minimum wage or making sure that, you know, families are able to get child care. driving down health care costs. the kinds of things that affect people's pocket books those are the things i've been pursuing since i've been president. those are the things i'll continue to pursue as long as i have this great privilege of being president. thank you so much everybody. god bless you. [applause]

[inaudible]

tonight, a debate in montana. this is the only televised debate for the election. this is a look at some of the campaign ads running during the race. i could tell you about my montana roots. i think it is more important to tell you where i stand. i worked to balance the budget the right way. we need to keep our promises to our veterans. my opponent wants to cut education and medicare and give more tax breaks to corporations and billionaires. i am john lewis. i approve this message. john lewis enters the fifth

grade. he is a ground force commander. lewis graduates high school. i approve this message. >> this is my family. that's more like it. what you see is what you get. don't havepponent, i my own super pac trying to buy me a seat in congress. i do have a plan for cutting congresses pay and getting rid of the goldplated pension. we need to keep our problem -- promises. i approve this message may congress work for montana. ryan zink he is awarded to 2005, he is here in

the dean of special warfare. 2010, -- one is ready to lead in congress. i approve this message. the live debate between candidates. 8:00 eastern. leaders spoke after the prime minister that said we should not russian tour again. of canada'stesy

public affairs channel. it is about 20 minutes. >> statements by ministers. [applause] mr. speaker. in recent months, the has beenonal community you that elicits indignation and concern with the rise of this islamic state. stretching an area. it intends to launch terrorist jihad.

they are urging supporters to attack disbelieving canadians in any manner. valley that we should not feel secure in our homes. it would be easy to minimize statements like that, saying they are being made by fanatics. is acting on those words. it has conducted a campaign of unspeakable atrocity against the most innocent of people. it is tortured and beheaded children. it has sold women into slavery. it has slaughtered minorities and captured prisoners and innocent civilians.

the brinkil stood in of committing large-scale genocide. that is what our allies under the leadership of president obama consider. we joined in. i announce that members of the canadian army would advise and assist security forces in iraq battling the terrorists. we started with the canadian air force. we are prepared to do more. we are bringing forward a

motion asking this house to confirm its confidence in a decision to join our allies as partners. we will launch airstrikes ofinst canada, at the behest of iraqi authorities and other allies and partners, will continue to provide assistance as part of other combat roles in this fight terrorism. >> to our surveillance aircraft and the necessary air crews and personnel. in addition, we are extending noncombatment in a role of the up to 69 members of the canadian army, advising and assisting security forces in

iraq. there this this >> no ground combat mission which has explicitly ruled out in the resolution. there will, however, be no ground combat mission which is explicitly ruled out in the resolution. for a period of up to six months. let me be clear on the objectives of this intervention: we intend to significantly degrade the capabilities of isil, specifically its ability to engage in military movements of scale or to operate basis in the open. the decision will stop the spread of isil in the region and will significantly reduce its ability to conduct terrorist -- acts of terrorism beyond the region. to be clear, this intervention

will not make it possible to eliminate this terrorist group nor to automatically guarantee that another same of government or. government will take its place in iraq or syria. but again to be clear, while isil will not be eliminated, the risks presented from the territory in which it operates will be significantly reduced to those of other similar ungoverned spaces in the broader region. there are, mr. speaker, two other matters on which i wish to elaborate: first, the resolution confirmed the government of canada's intention to strike isil and it's ally. but we will only attack isil where canada has the clear

support of the government of that country. at present, this is only true in iraq. if it were to become the case in syria, then we will participate in airstrikes against isil to that country, also. the government of canada has not hidden its distate of the actions of the assad regime but what we are doing is participating in a count are terrorism operation against. we are not conducting war on any government in the region. >> that the government is seized with the necessity of prolocee preventing a prolonged quagmire. the action that we have announce

will be equally to avoid a situation that was clearly headed to a wider, protracted and much more dangerous conflict. let me also say that the military measures we are taking do not in any way preclude humanitarian action. there is no either or here horrified by the human suffering, we are already providing emergency shelters and emergency medical assistants to thousands of civilians in iraq by supporting humanitarian organizations present on the ground as well as providing assistance government of iraq. >> to the regions of the countries that have been impacted by the humanitarian catastrophe in syria.

let me assure canadians that the government will be seized with the broader terrorist threat againstcapped. we have strengthened laws in this country to deal with the issue of scald foreign fighters. we have broadened reason for revoking passports for people who are participating in terrorist activities and we have taken steps to remove citizenship from people with dual citizenship. to present, their return to canada or two if that is not possible to be able to charge and proskuchlt mr. speaker, to return to the matter before us today, i urge all members to consider and to support the motion we have presented. i do this, mr. speaker, in

recognizing that in a democracy, especially one approaching an election, there is rarely political upside in supporting any kind of military action and little risk in opposing it. now, but to guarantee regional and security of canadian disinterest intervention if necessary. there is none better than the fact that the mission has been launched by president obama, the leader who had withdrawn american troops and proudly ended the war in iraq. of course, mr. speaker, one could say that while the next is evidently necessary, we don't have to be the ones doing it because others will. but mr. speaker, throughout our history, that has never been the canadian way to do only -- [applause.].

>> -- never been the canadian way to do only the easiest and most praise worthy of action and to leave the tough things for other. indeed, mr. speaker, colleagues, we should be under no illusion f canada wants to keep its voice in the world, and we should. being a free rider means you are not taken seriously [applause.]

the threat isil is real, serious and explicitly directed, in part, at our country. left unchecked, this terrorist threat can only grow and grow quickly. as the government, we know our ultimate responsibility is to protect canadians and defend our citizenship from those who would do harm to us or our families. we also know that our country, like its allies, shares the obligation, the burden that falls upon all free positipulat, to rise up, to meet threats. >> we canadians do not stand on the sidelines. we do our part. on monday, the house will debate this motion presented calling for an air campaign against the islamic state.

our support for the brave men and women of the canadian armed forces who are now and always ready and willing to answer the call of their country [applause.] the leader of the opposition [applause.]

. >> thank you, mr. speaker. mr. speaker, first of all, i would like to thank the prime minister for coming to the house of commons today to make this important announcement. in a democracy like ours, it should go without saying because the prime minister will be determining the fate of many young men and women, counselori counseloringous young men and women who will risk their lives. >> than sending young canadian women and men to fight and risk making the ultimate sacrifice in a foreign war. the prime minister is asking for the support of this parliament. it's asking for canadian support, but the prime minister has refused to answer their questions. let me quote the prime primary. mr. speaker, you can understand i neither have the will nor the desire to get in to detailed discussions of military operations here neither the will

nor the desire here or with parliament and it was just not about the details. the prime minister hasn't outlined a broad strat iejic blueprint for the max. he can't answer basic questions about the breadth or cost of canada's military employment. when do they arrive in iraq and how many? no answer. what contribution have our american allies requested? no answer. how much will this mission cost? what are the rules of engagement? what is our exit strategy? no answer. no answer. no answer. these are not hypothetical questions. canada has just completed its involvement in afghanistan. what at the beginning was also supposed to be a short term and restricted mission turned into a theatre of operations where our military person he will were

deployed for the longest time in our history. 12 years. $30,000,000,000 over 40,000 veterans of that war. 160 dead, thousands of injured, and thousands of others who now suffer from post-traumatic stress. it's that mission acom -- is that mission accomplished? like in this case, at the begin of the afghan mission only included a few dozen soldiers and 2 fine days ago, the conservatives insisted that canadiens were engaging for a few months. with only a few dozen soldiers. again, the mp had its doubts. canadians had their doubts. the only ally of the prime minister was the liberal party which unreservedly supported the admission that -- the next that without a doubt was going to lead us to where we are today.

>> the prime minister's plan was the liberal party even though there wasn't a shadow of a doubt that that would lead us exactly when are we are today. >> about now, the canadian troops are committed. conservatives are telling us the next will be expanded: airstrikes, refueling capabilities, aerial surveillance and now, the prime primary is specifically opening the door to bombing in syria from mission creep to mission leap. the united states has been in this conflict for over 10 years. they have been fighting isis under one name or another for over 10 while isih has renamed itself several times since 2004, ghaid iraq, mujadeen council, the islamic state, the islamic in iraq and amount lsham, syria, this is literally the same en surge event group that u.s. forces have been battling for

over a decade. even the foreign affairs minister in a moment of rare candor for this government addnated there are no quick fixes in iraq. he called the fight against isis and groups like it a struggle of a generation. >> may well prove to be an understatement. in one of the prime minister's true answers about this mission, he said canada would interact until isiss no longer has the capability to launch attacks in iraq, syria or anywhere else. now, he claims it will be only six months t can't be both. the defeat has the insurgency of iraq is a goal that the united states has been trying without success to achieve since the wrong-headed invasion of 2003: all of the horrors unfolding before our eyes are the result of that failed mission. remember back in 2003, it was this prime minister at the time

leader of the opinion jury to went to the americans to berate the canadian government for not getting involved in what she considered a just and noble cause. they a the touch that his immigration minister during the debate in this house just a few days ago actually dusted off the kinard of weapons of mass destruction to try to justify this war. the prime primary insists that this mission in iraq will not be allowed to become a quagmire. but isn't that precisely what our american allies have been facing in iraq for the last 10 years? will canada be a decade from now be mired in a war we wisely didn't enter a decade ago? do we have a plan for the thousands or tens of thousands that we have the sacred responsibility to fully support in years after?

we must hope that the debates that will be held monday will bring answers and that unlike the emergency debate, the ministers responsible will be there and that they will be able to informed canadians. democrats feel these questions haven't been answered. a few examples, the case for canada to go to war in iraq has not been made. the coverage to say no. the toronto star editorial, the prime minister's primary fails to make the case for combat role in iraq. there are dozens of editorials and opinions like that across our country. it military intervention is not the only tool at canada's disposal and iraq is not the only place where horrendous violence has been committed. in congo, 15 years of kill, 5

million dead. but the prime minister has never considered military intervention in congo. in darfur, hundreds of thousands of people dead, millions who have fled, but the prime minister has never considered a military intervention in darfur. why? why is military action supposedly our only choice in iraq when it's not even considered elsewhere. why does the prime minister think that will he can accomplish through military force what has not been able to be accomplished since 2003? isis has thrived in iraq and syria because those countries lack stable, well functioning governments capable of maintaining peace and security within their own borders. canada's first contribution should be every diplomatic humanitarian and financial resource at our disposal to respond to the overwhelm can human tragedy on the ground and strengthen political institnuingsz both of those

countries. the well deserved credibility canada earned by rejecting the i will-advised invasion of iraq, we are in a position to take on that task it will not end with another western-led invasion in that region. it will end by helping the people of iraq and syria to build the political institution capability they need to impose 3s these threats, themselves. canada, for our part, should not rush into this war. canada, for our part should not rush into this war.

scan thank you, mr. speaker. >> in a white house briefing on the administration's response to the ebola epidemic, officials say the u.s. has a health infrastructure in place to deal with it at home and in africa. among those taping part, health and human services secretary, sylvia burwell and anthony fouchey at the national institute of health. this is 45 minutes. >> thank you. we have been working for many months to insure that the united states is protected. cdc sent out our first guidance to state and local officials on july 28th, and it's been followed with six additional sets of guidance and the latest

was issued yesterday. in addition, we have enhanced surveillance and laboratory testing capacity in states to make sure that they are able to detectcases. then in regular and repeat contact with state officials and health departments, including do. ing guidance and tools for department did to conduct public health invest gainses. we are continuing to gravedance for flight crews, emergency medical service units at airports and customs and border patrol officers about recoporti iltravelers to the cdc. and we are continuing to work with hospitals and healthcare workers around the country to prepare most effectively both in terms of detecting symptoms and then responding appropriately. as we saw just a few months ago almost, almost two months ago, in carolina's medical center in charlotte north carolina and 59 mount sinai in new york, hospitals and healthcare steps reacted and took appropriate

steps. fortunately n those cases, the cases were not positive. we saw emory ability to handle the first cases followed bite nebraska medical center's ability to do the same. in dallas, the public ut health system is handle, the case with the protocol that we know control this disease. we recognize the concerns that even a single case of ebola creates on our shores. but we have the public health system and the public health providers in place to contain the spread of this disease. we have taken a number of precautions to prevent the spread. we have instituted exit screening procedures in west africa to prevent those who have been expose today ebola or sick with ebola from traveling. the department of home land security is in the process of advising all travelers returning to the u.s. fromcapped countries with ebola outbreak ins west

africa to monitor their health for 21 days and to immediately seek medical help if any symptoms do develop. the centers for disease control stands ready as it has in dallas to deploy expert teams when needed. our scientists at the food and drug administration and the national institute of health are working tire leslie to develop new treatments for ebola. we remained focused on working with our partners on the ground to stop the epidemic at its source and continuing to take the necessary precautions across the united states government to prevent the epidemic from spreading further. i would like to now turn to dr. tony fouchey, the director of the, at the nih to tau talk as about epidemiology. >> thank you very much, secretary burwell. i would like to provide some basic but important facts about

ebola's and its transmissions although ebola is a serious disease with a high fatality rate, it is not easily transmitted. specifically, the ebola virus is not easily spread like a cold or influenza. you must come into direct contact with the bodily fluids of a sick person or through expose user to object that have been contaminated with infected bodily flooutdz. he bowl a is not a respiratory disease like the flu. so it is not transmitted through the air. this is important. individuals who are not symptomatic are not contagious. in order for the virus transmitted, one must have contact with one who has who is infected or has died from the

disease. based upon experience, almost two dozen outbreaks in central africa since the virus was first isolated in 1976. the key limits to the prevention of outbreaks when ebola rises in a community is to first identify cases isolate them on conditions that protect the healthcare workers and perform contact tracing. people in direct contact with a sick ebola patient should be monitored for symptoms for at least 21 days. if no symptoms arise, the individual is cleared if symptoms arise, the person is appropriately isolated and cared for this formula has worked very well over many years. the signatures in west africa has been very difficult, largely due to the lack of an adequate healthcare infrastructure to deem with the outbreak. so i want to reiterate what the

secretary she had: our healthcare infrastructure in the united states is well equipped to stop ebola in its tracks. as the secretary said? >> in addition to managing the issues associated with containing the situation in dallas as it exists today and addressing the very dire situation as it exists in africa today, we are working very aggressively and energetically to develop and test a vaccine, to prevent ebola, and therapeutics to treat it. and i would like to introduce dr. roz shaw, the administrator of usa id. . >> thank you, dr. fouchey. i would like to take a moment to describe the effort in west africa which has been noted includes a major effort to control the disease, includes specific actions to deal with

the secondary impacts of the crisis in several west african countries including making food, water and government support more available and the effort to build out an international coalition as lisa previously discussed. our response in west africa started in the spring and accelerated dramatically over the summer. this civilian response included the largest ever assistance response team from u.s. aid, the largest more than 100 person centers for disease control came ability deployed to linebiera, sierra leone and guinea and countries throughout theegeon and partnering with the department of defense to double the laboratory capacity in west africa to ensure that cases could be identified and positively confirmed. since that time, we have helped deliver more than 120,000 sets of personal protective

equipment, build out units and technical support for screenings throughout the region and increase thes basic capacity can i ty of what has been a weak existing healthcare infrastructure to deal with this disease. as the president noted in his comments at the centers for disease control, our strategy now is clear, first, we are investing in a strong incidents command system at the national and local levels throughout the region to identify cases and trace contacts. second, we are building out ebola treatment units so that enough bed capacity exists for as many positively identified patients as possible to receive isolation and treatment. we are on path to put in place the who plan of more than 2800 beds in leipbiera according to their timeline and just in the last 10 days have seen significant new ebola treatment capability come online including the largest ebola treatment in

linebiera, the new island clinic which we helped build and staff. third, we are engaging in an extensive community care strategy that includes ten to 20-bed community care center units that are placed throughout rural communities, in particular to help isolate patients in those communities and support the distribution of hygiene and protective equipment kits so families can protect their patients and their families. we distributed more than 9,000 of those kits with uniceft and worth health organization and have set to have 10,000 be distributed through liberia in a recent basis. we have been successful to gos identify, reach and, in a safe and dignified manner, deal with bodies of patients who are deceased from ebola. we now have more than 50 safe burial teams with full

protective equipment and careful protocols in place, and we are noting that more than three-quarters of all bodies in lineria of positively identified patients are now being cleared save within the 24-hour period. this is critically important because that is an important existing mode of transmission. i further note that the scale-up of centers for disease control and u.s. aid efforts through june and august was quite significant, but the complexity of building out ebola treatment units and providing the logistic support in terms of protective equipment and medicine required that significant additional resources brought by the department of defense and announced by president obama. so, i am pleased to introduce general david rodriguez, the commander of africa xhaningd command to describe those specific efforts. thank you. >> thanks, administrator. a we deploy america's sons and daughters to support the comprehensive united states

government effort led by the united states agency for international development, we will do everything in our power to address and mitigate any potential risks to our service members, civilian employees, and their families. as director of shaw or administrator shaw mentioned, the areas that we are focusing on are command and control, and that is to help support and coordinate the efforts of both u usaid and the international community. we are also working training, training the people who man and manage the ebola treatment units. we are supporting the engineering efforts to build out the ebola treatment units. and we are also doing an effort in the area of logistics, which this is a tremendous logistics effort as the admin straig straight pointed out. for our soldiers, we will provide them the best equipment and training. we are assessing risk based upon the service members' location and activities in execution of

their operations. we are implementing procedures to reduce or eliminate the risk of transmission as service members go about their daily missions including the use of personal protective equipment, high skwleen protocols and monitoring. prior to redeploying service members back home, we will screen and identify known faced an elevated risk of exposures when we take all necessary steps to minimize any potential transmission in accordance with the international standards that our medical professionals have given us. in the ends, our equipment. >> train, procedures and most of all, the discipline of our leaders and our force will help us to ensure our team accomplishes its mission without posing a risk to our nation and our fellow citizens. thank you >> thanks very much, general rodriguez. first, i want to thank our folks with me at the podium but most importantly, the dedicated military development professionals who are work so

hard on this problem. i think with that, we are happy to take your questions. >> are you talking about giving back to these ebola countries? why not do more acting ukraining of people who have a fever? have you been in contact with people? >> been demonsome countries and other circumstances. on the face t would seem a reasonable thing to do. >> i think this goes directly to what dr. fouchey talked about and what secretary burwell talked about, we are taking steps to address the source, the people coming from the source countries. >> we think those are the most effective steps we can take. the temperature testing, the questioning, the testing for fever, and making sure that people who are stomatic, as dr. fouchey said and dr. tom freeman talked about this, you cannot

get ebola froern direct contact of bodily fluids of somebody who is at that time symptomatic. the most effective way to go about controlling this is to prevent those individuals from getting on a plane in the first place. i think it's imports to remember that since these meyers have been in place, dozens of people have been stopped from get okay flights in the region. >> we now know people have gotten on planes anyway. why not have the u.s. customs and immigration people ask them clearly to do it? >> i think what we have seen is we have had, in an individual in texas, who did come to this country and later became symptomatic and that person is being isolated and dealt with and significant contact trace something being done. your question about passive versus more active screening, i think is an understandable one but as secretary burwell indicated, we have taken a number of steps to ensure that

customs and border control individuals -- teams are trained to identify a symptomatic individual and where they do present people who may be symptomatic. they have instructions about what to do and how to handle that. >> that's all of which is to say that we are constantly going to evaluate what may be the most effective measures we can take. secretary johnson is constantly evaluating that with his team and in consultation with the medical professionals. right now, the most effective measures, we think, are focusing at the source countries and taking the steps with the very concerted training meyers we have taken with the cdc folks here on the receivingn end. >> talk in broad terms about procedures here in dallas or breaking down in this point. i am just wondering specifically

lessoned learn what weapon we have here, you can tell us what the u.s. knows about the latest islamic state video we have seen with the british hostage. >> on that latter issue let me just address that and then ask secretary bur well and dr. fouchey to address the medical measures in texas within the constraints that i am sure you understand they would be operating in. we are aware and have seen and are evaluating the newest video. if it in fact proves to be authentic, it is another dmojstration of the brutality of isil and our hearts go out to the british aid worker who we believe is in that video. and to the remaining hostans and their families. this is again yet another just very clear example of the brutality of this group and why the president has articulated and is moving out that

comprehensive way to degrade and destroy isil. let me now turn to my colleagues on the latter part of your question. >> with regard to the efforts that the cdc is pursuing and that we have been pursuing, as i mentioned, we have had the efforts in charlotte we saw and we saw where we work in mount sinai. we have a case here, howard and the question there. and so the systems are in place. we continue to communicate. we continue to give good instruction. i think it is important to reflect on whatever lessons we learn, we build and incorporate. as i said, we issued the 77th one of these health alert network notices to make sure if there are any lessons learned as we go forward, we will do not incorporate those. >> some of these failures, how you may be changing or modifying. what we know are the critical steps that we have said

throughout the process. >> that's about identification. identification at the point at which there actually is a temperature and as dr. fouchey said when something can be done. what we are doing is making sure hospitals, health workers across the country know that when they see that, what steps to take, how to isolate and what to do immediately when they see those steps. and we will continue to do that and make sure that we are responding to the questions that we are getting from the community. >> secretary, the potential case at howard university, is there any new information about that? and to dr. fouchey, if it doesn't spread like the flu or cold, why is it spreading so quickly? and are you confident we won't see an outbreak in the u.s.? >> with regard to the nigeria case, haven't seen the results of the test yet. i think that's the most definitive and important thing. you see people taking cautions. symptoms are malariaiaial but they could be this. it gets to the earlier question, we believe that's the right

thing to do. cdc gets contacted. we make a determination and work with the community and the health center in this case to do the test. when we get that definitive as you know, we make public as quickly as pos whaibl we know about that. >> it also features being, i am led to believe. are you being informed of all of the suspected cases? >> let me answer the question first. you are saying if it's only transmitted a certain way? >> right. >> why is there such an outbreak? if one goes to linebiera or sierra leo own or guinea, you will see the conditions that make it very, very clear that coming into contact with bodily fluid, the most efficient way of transmission is unfortunately the very thing that holds families together. someone gets sick. they take care of them.

they touch them. if they are not aware of the fact that you can't come in to personal contact without having the proper protective equipment. funerals are another way as well as preparing the bodies and the customs, the long-range tradition that have gone with the funeral. so the mechanism of transmission, which we have all said, direct contact with body fluid amply explains what is going on right now in the west african countries. >> you are convinced no significant outbreak in the u.s. -- >> the reason i say that, as i said, let me briefly reiterate it, the reason there was an outbreak now is because the healthcare infra struckstuer and system those countries is inadequate and uncapable of actually handling the kind of identification, isolation, rapid treatment, protection of the people who are coming into contact and contact tracing. >> that's something that we have very, very well established here so we have a case now and it is

entirely conceivable there may be another case. but the reason that we feel confident is that our structure, our ability to do those things, would preclude an outbreak. >> let me just say the question here of are we being notified of this cases? this goes, i think, directly to what dr. fouchey said. we have an infrastructure that is in place. we have a public health alert system through which cdc has distributed information from an established laboratory -- elaborate network for testing. when there are symptomatic individuals who present themselves in medical facilities, those precautions that are immediately taken, those tests are undertaken through a network of laboratories that cdc has validiated and has provided a clear guidance to so we have the structure in place when we identify potential cases to resolve those and if there are

actually confirmed ebola cases as we have seen one of in texas, we take the immediate steps, isolate them, provide the treatment, under take the contact tracing and our infrastructure works to make sure we are aware of those cases and take those steps. >> secretary burwell said we had a case at howard but did not say we had another potential case. i'm sorry. did not say we had another potential case at shady grove and the hospital already put out a release. there are only two. are there more than those two in the washington area? >> right now? >> right now. >> you have indicated and you've talked about the potential indicates at howard. we will see the resolution of that as secretary burwell discussed. >> and the poi tencial case at shady grove? >> those reports as they come in, they will be addressed. those tests will be undertaken. the public health infrastructure is reacting and is taking the

steps necessary to isolate that individual. i think perhaps dr. fouchey will want to address it for secretary burwell. every hospital in this country has the capability to isolate a patient, take the measureses, put them in a place to insure that any suspected case is immediately isolated and the follow-up stuff that had been missed are immediately taken. >> lisa, so to what degree have you debated internally? and are you ever going to be prepared to recommend to the president what someone second today, a travel ban for the three countries for any passengers who may seek to come to the united states either directly or indirectly? general, if you could tell us: how do you think you're deployed assets are as far as catching up with what you intend to do? and do you think it's time at some point to have military medical people actually involved in the direct care as opposed to setting up the infrastructure and which will be taken?

>> i know the travel ban is an issue that has been raised. take note of dr. freedin's comments in this regard to say that in fact right now, we believe those types of steps actually impede the response. they impede and slow down the ability of the united states and other international prerz to actually get expertise and capabilities and equipment in to the affected areas and as we have said, and stressed from this podium and others, the most effective thing we can do is to control the epidemic at its source we want to make sure we are getting the expertise and getting the providers into the affected region and not impeding that. >> many americans might say, half a ban, not getting there but exiting. are you considering that actively? >> let me respond to that. as i mentioned.

as the measures are being taken to screen individuals who are departing from the affected countries -- and we have spoken to that. cdc professionals actually have provided the i have assistance and the training and the advice to airport officials in guinea and sierra leone and as a result much those meyers and those screening, a step that has been under certataken, many, many pe dozens of people have been stopped from traveling. we see those steps being effectivive. >> sir, perhaps the speed with which we are moving out is really focused on the ebola treatment units. >> will tep take us several weeks, we are working with the armed forces of linebiera and contractors and a logistics chain of efforts to get the building materials there as fast as we can but it will take us several weeks to do that. we will get the -- we are also doing some of the ones in some fairly isolated areas that are hard to support and get the equipment out there. so those will take us the

longest. we are not anticipating that military personnel will be treating the people. again, that will be a decision made in the future if that gets to that point. the international community said not right now. >> that's not what we need. >> you have people capable of doing that? >> yes, we do. right now, as you say, medical professionals, there are three labs that are operating out there donal by military medical professionals right now. >> that's doing a great job in folk tusking on treating the patients. >> have you considered a waiting period between issuing a visa and travel. >> as josh said, i think we are going to move around a little bit. >> help me understand the stuff you talked about in terms of preparedness here in this country. conversations with hospitals kwoshingsd nation, local authorities seem dissidents to people, i think, in the country who look at basically the first

case or one of the first cases and see the whole thing broke down. on every step of the way, there were break downs, as the person lied on the form. it broke down when the hospital turned away. it broke down when the materials that were in his apartment hadn't been thrown away. it broke down. i mean it feels like to americans like you guys are up here talking about we have this great and perfect system that's going to be able to, you know, contain this virus because we have done all of this preparation, and yet it doesn't look like it's working. so how should the regular or the average person have confidence whether it's the case in howard or some case somewhere else at the moment somebody got their temperature taken and they didn't get caught. square the distance between your confid events and the things

that don't seem to be working. >> let me respond to that and i think the american people should be confident for all of the reasons the public health infrastructure we have here is so expert, is so extensive and is considerable and, as dr. fouchey has discussed and dr. shaw, the situation in sierra leone and guinea could not be more opinion sitting here today in the ability -- the ability of officials there to immediately isolate an individual case. what you are seeing in texas is the isolation of that patient, the contact tracing that is being done meticulously by cdc and local health professionals. the other thing i would say to your question is: it is true. we have a case in texas. the howard case that has been mentioned is a potential case.

i will defer to the medical professionals at howard to give the definitive view on that bur i think it's very important to remember: this outbreak began in march of this year, and since that time and since the screening meyers we have discussed from this podium began over the summer, there have been tens of thousands of individuals who have come to this country from the affected region. we have now seen one case and asd fouchey mentioned, it is entirely possible we will see another case. however, i would point you and others to at a time fact that we have now seen tens of thousands of people in the time since march to the current -- to the current day and we now have this isolated case in texas, but we have a public health infrastructure and medical professionals throughout this country who are capable of dealing with cases if they

present themselves and as dr. friedman said, we are very confident that we can stop this and other countries. >> can you explain within that public health infrastructure what the lines are authority are? once you have a confirmed case, for example, in dallas, does does the cdc, the nih, is there a federal authority? is it up to the local health department? who is in charge at that point? >> with regard to one of the things, when any test is done, it is reported to cdc. so we have a network. we want the tests to be able to go quickly. part of the preparedness we gret is we create a capability all around the country for the tests to occur so that they can occur quickly. we want that to happen so they are not all just coming to cdc. however, when when that test occurs, cdc is alerted and to the results of the test. with regard to who controls the patience, i think is the question. >> that's done at the local level and we support in that 10

people were on the ground from cdc, i think you know, in terms of supporting the local health departments in doing the contact tracing and any other issues that they have, whether they are issues of the testing, whether there are issues of the contract tracing. we stand ready to do that. while the local health officials -- because this is a local issue. >> that's a big part of how you are doing to do the con to do t tracing. they make the decisions on the ground we are there hand-in-hand in support, had 10 people on the ground and work hand in glove with them. >> gauze some people in dallas are concerned about the contact route being isolated in a highly congested apartment, coo that promoted it be repeated that the group are isolated that's the best place to keep them in an

environment where it may be a high deposition did i apartment? >> that gets to the earlier question with regard to how local officials are handling their situation specifically. i think dr. fouchey has gone over the way and the protocol. when you have not had a high-risk expose you're, what needs to happen in basic temperature taking two times a day on a regular basis, high himse risk expose you're concentrates different needs. ho you a local -- how local officials choose to implement that, we work in conjunction, give -- we have given the guidance out in terms of what we do. those are decisions made at the local level. >> i have to do the josh move around thing i think is on the rule. >> whend fouchey comes back up, we will take this question. >> a quick follow-up. was nobody concerned there would be breakdowns in dallas? are you confident there are not going to be similar breakdowns? >> when i spoke to the fact that

we continue to work on our education and continue to work with locals and put out more and more information, we put out more information and updated information when there is anything we can see we can do a better job on communicating, we will do that we are going to learn every time and every step, but i think what we are confident about is these processes work. if you look what happened in nigeria in tinel's of the cases in nigh year i can't. we -- nigeria. cdc was a part of supporting the country of nigeria to put in place the things in needed to put in place. it's about detect, isolation, treat the patient, do the contact tracing. those are the steps. the cases of them having moved through. something dr. fouchey mentioned. we believe as we take these

steps and wir in the middle of that in dallas in terms of the contact tracing and making sure that the people that should be, you know, taking the temperatures are doing that. so that's how we -- and why we believe that this is going to work let me go to fouchey. >> the point that you were making, there were things that did not go the way they should have in dallas. there are a lot of things going right. if you look, the person is in isolation, being properly taken care of and the fundamental core basis of preventing an outbreak, contact trace something now going on. >> that's the important thing. that's going on very efficiently. the cdc sets down very clear guideline protocols about how to do that. >> that's being done it was rocky to the perception but the fact is the reason i said there wouldn't be an outbreak is

because of what's going on right now. even though there were missed steps, there were good things that happened, also. >> with regard to the vaccine, i don't care who asked the question of the vaccine, obviously, we would hope that vaccine could be a part of the response even though public health is stim the core of getting this under control. vaccine is historically is important. we have vaccines, a couple of candidates. the one that's most advanced is the one we announced, the first person in a phase i trial received a vaccine on september the 2nd at the nih in bethesda, that's the first phase of a multi-phase trial to develop the vaccine. it's called phase i because it's primary end point is safety. if we dhaerm its safe and it looks good so far and also that it induces a response that you would predict would be protective, which we'll know probably by the end of november, the beginning of december, when you get through that phase, and

the next phase is the phase ii, which is many, many more people conducted in the environment where you could profits efficacy and that would be west africa. the next thing sometime likely in the first quarter of 2015 will begin a trial to determine over all long-range safety and xwok when it works or not. >> dr. fouchey, for you, if i could. i understand the purpose of this briefing is to reassure the american public as a medical professional and as a doctor, what concerns you most about this outbreak and this particular disease? now that it's in the united states? >> now that it's in the united states, the concern is i don't ever like to see people get sick and people suffer and die but as a medical professional who has witnessed and experienced a

whole 38 years since 1976, i never say i am not concerned because that is have pretty as taking something likely. the system in place with our healthcare infrastructure would make it extraordinarily unliled we would have an outbreak. if you look at nigeria, as the secretary mention the, is a classic example of that. the reason we are having this situation in the west african countries is because they don't have the system to be able to contain it if they had the is it we would not see all of the suffering and dying in west africa. >> if that's the case, one case in the united states as we know it is. >> right. >> why are we having news c conferences and also afraid if there is no chance of an outbreak? what is there about this disease

that's frightening you and us? >> okaytion. so we are having the press conference because we need to get information out because there is a lot of fear and the reason there is a lot of fear is that there are many things wluf out braipingz, the unknown, the cataclysmic nature of it, mainly, it's acute. it kills in a high percentage, and it kills quickly. >>, in and of itself almost intuitively makes people frightened. the other thing that makes people frightened: can this happen to me without my even knowing it, without my having any behavioral change at all? and that's the can thing that we have to keep over and over again emphasizing. we respect your concern we understand your concern but the evidence base tells us that that is not going to happen. we have to say that a lot. we have to say it today and i will have to say it tonight on t.v. and tom frieden will say it tomorrow on t.v. we will try as best as we can to continue to get the message out.

one follow-up, the responsibility for the breakdown that did happen in texas, the hospital, the cdc that didn't send out clear enough guidelines guidelines any beginning. you say you are taking step action seconding out clear guidelines, being more communicative. what specifically is being done? >> he thinks as with most things, it is about making sure. i think dr. fouchey in his response to the question, we cannot over communicate about this issue. one because of the question that was supposedposed with regard to how people feel. this is an execution game in terms of what's happening on the ground and that's why it is so imports to have the united states military because there is no one that can help with execution. it is the same in the united states. steps that we have to take about

execution, execution, execution, and that is why we need to communicate and communicate again and communicate with clarity. if there was anything -- that's why there are 100 different documents that have been put up on the cdc website because we put up the documents. if there is a question and for some reason people don't feel it's clear or have an additional question, we answer their question, but we are trying to disi am nature that information more broadly. what we want to do is because this is about communication and execution is continue to do that and do it as much and as quickly as we can. thank you. >> a question for the general. thank you. >> next, your calls and comments live on washington journal. then united nations general assembly.

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