we have heard similar messages from the governor, congressman ray hall. why should we believe that you will be successful as a new person in washington where members of your own party have >> thank you for that question. that commercial. it got some attention from people including the president. coal is still 40% of electricity in the country and more than 90% here in west virginia. i have been endorsed by kia -- .oal miners they know i have a plan to save their jobs.

i have challenged the president to invest into retrofitting our coal-fired power plant. that is one reason cold miners have endorsed me. they have also endorsed me because they know i will stand andor wealth, safety, pensions. voted to cut mine inspectors and the dangerous budget she continues to vote for. coal miners endorsed me because they know i will stand up for the epa just as i did a couple of months ago. that is how i am going to make a difference. response? >> my opponent has supported the president that is putting west

virginia's out of jobs. that is what she would do in washington. she gave money to his inauguration. we needma says secretary tenet to continue the president's agenda on welfare and guns and certainly coal. she went to washington to try to talk to the epa and the explanation is we have a failure to communicate. i will stand strong on my record of defending west virginia coal. they stop us at every point. the only way to change it is to elect the senator who stood for miners in the mine safety act and knows this is out to destroy us and our jobs.

killingalk about job regulations. in 2000 west virginia was 49 in per capita income. has an there been economic stagnation? why should they believe it is different from your time in the congress? account for his policies, which riddled our economy. 7000 coal mining jobs. that is 28,000 west virginia and

who is 1000 coal miners have lost their jobs. we have a health-care bill that is moving us to a part-time economy. salaries are going down. our expendable dollars are going down. on healthnding more care because of the policies my opponent supports that president obama supports. i cannot pretend everything is rosy. last years have devastated west virginia. it disturbs me. we want to washington that works for us.

as the congresswoman tells us what she will do, what has she done for the last 14 years? me coal miners have endorsed because they know i will end up for them. she talks to them and says she has heard their safety by voting against the coal safety act, that she has voted to cut funding to the black lung benefits, $1 million hurting how than 2000 coal miners. about atrios coal. when they filed for bankruptcy, coal miners rally. i tried to fight for their benefit and pensions.

where was she? she was going behind their backs and taking text from the executive that were trying to cut their pensions. i will stand for the coal miners. congresswoman capito has not set miners. >> icoal think it is a myth pushing forward into the media. i am alarmed at the increase we have seen. i joined to convince the president. the president was going to cut the program. i join my fellow colleagues to do that.

>> the question is for you. it says, on the financial service is committee she helps bankers get rich. it goes on to say she gave her tip emma andde they made more than 100 houston dollars. what precisely do they do to enrich herself and her has been? corrupt?mplying she is ask i am saying she has rope in the trust of west virginians. trust theout the people deserve to have in their officials.

it was supposed to protect consumers and the same time. the charleston gazette had the headline where it says whether they are large or small, she tends to side with banks. banks, sheiding with is not siding with west virginia's. is your go to person? i will be or go to person. -- be your go to person. i will fight for the kind of future you want for your children. husbandhe and her personally benefit from her position in congress? .> yes, she made money

congress has access to individual information. is people were losing their homes and the congresswoman was making money. >> these kinds of personal attacks from the unfounded, untrue, undocumented, and unable to have any kind of factual basis. the person she is using after factual basis as i was not at the supposedly and i did not have insider information. this is a desperate attack by desperate candidate who wants to

shift the conversation away from jobs, education, health care, energy. i'm not surprised because i understand she will do anything and say anything to get elected. i've built 18 years of trust with west virginians. they know me and they know my family. i don't appreciate my family being attacked. that is not a west virginia value. the personal attacks are despicable and i would like to ask the secretary tonight if she would stop with the nasty personal attacks and let's talk about the issues. >> first off, what is she talking about a meeting? i never mentioned a meeting. there is no mention of a meeting. i am not sure what she's talking about, that i think she just confirmed the congress has access the west virginians don't have. the center for public integrity called you wall street's secret weapon. sure, you want to stop the personal ads. i believe you are the one who begun the personal ads back in july.

>> your opponent has criticized you of being too cozy with the banks and financial industry. you say you voted against the bank bailout twice. you voted against the pay for performance act of 2009 that was aimed at controlling the excessive bonuses that bankers received while they were getting taxpayer bailout money. why should financial companies that made poor decisions and were saved by the taxpayers be able to reward bad behavior? >> when the big banks came knocking, i voted no twice. i was the only member of the west virginia delegation that voted no twice. i've been fighting this. i also voted to tax any bonus that may possibly come forward

at 90%. the bill you are talking about and the statements i made at the time was a very broad-based bill. not just executives getting bonus, but somebody in a local office that might be administrative person. i did not think that was fair. they had no bearings and wall street debacle. i will defend the west virginia community banks and west virginia credit unions. we need to have a full financial system in the state that does not include big banks. it includes the ability to get a car, get a mortgage, go to school. i have looked out for our community banks and credit unions and west virginia and i will stand by that. >> congresswoman capito said she voted twice against the bailouts. she is correct about that.

they kept coming and they kept coming and they knocked again and not only did she open the door, she left the door wide open and voted twice to give our taxpayer dollars to those ceo's in the form of those bonuses. that is the distinction. i gave back $3 million and gave it back to the taxpayers. the congresswoman is giving money to the ceo's. let's talk about west virginia. west virginia's are suffering. they deserve a pay raise, too. why don't we increase minimum wage? >> you have argued for expanded unemployment benefits. economic experts agree that extending unemployment insurance would be a boon for the economy

generating economic growth and increase consumer spending. if that is true, why not extend jobless benefits for even longer to even more people? what is the economic principle behind your argument? >> when you talk about unemployed west virginians, i think about the workers in the northern panhandle who lost their jobs, the company was over across the river. i think about our unemployed. i am worried about coal miners who have received those notices. they lost their jobs out of no-fault of their own. they need a little help while they are trying to look for other jobs. it is an economic boost.

it would bring $20 million to the economy of west virginia. congresswoman capito has blocked that. we have 16,000 west virginians who could use the unemployment extended insurance while they are looking for jobs. let's hope create jobs. let's create good paying jobs. we have all the possibilities to do that. whether energy resources that we have and the research and technology and our manufacturing know-how. that is why i'm earning to help support and for the high-tech manufacturing that we have in our community and technical colleges to work. >> when i think about unemployed workers, i think about the over 7000 coal miners out of a job. i think about the rail workers, electricians. this is directly attributable to

the policies of president obama, harry reid, who are supporting my opponent. she may say the president is not on the ballot. guess what the president said the other day. every single one of my policies is on the ballot. who is his representative on the ballot? west virginians out of work know that and they will vote like that in november. >> president obama called for a higher minimum wage and you said, i believe congress should debate whether the minimum wage should be raised again. in 2013, you voted against raising the minimum wage to

$10.10. >> i don't think we have had a direct vote. i did vote in 2007 to raise the minimum wage. it is not meant to be a wage to raise your families. i believe we need to look at the ramifications of raising the minimum wage. the state of west virginia took it upon themselves to do a gradual raising of the minimum wage. i think studies show that if you raise the minimum wage, it could cost half a million jobs. i did say i believe we should debate this on the house floor and i think i would look favorably upon raising the minimum wage. >> up on the farm, we are taught that actions speak louder than

words. you'll see a lot of this tonight. her vote says something different in washington. i will vote for an increase in minimum wage to $10.10 an hour because west virginians deserve that. she wants to give bonuses to our taxpayer dollars to ceo's on wall street. i want to give minimum wage increases to our working families. congresswoman says yes, we should have a debate. certainly, we should have a debate. what is congress doing right now? another vacation. congress is on a six-week

vacation. to campaign? i don't know. certainly, we deserve the debate and we deserve congress to get to work. >> let's move onto foreign policy. president obama has ordered u.s. military campaign against the islamic state. you said in an interview with me, i am not forbids on the ground. i'm not for boots on the ground. can you define your line in the sand at which point you would support sending troops from west virginia across the country into harm's way? >> i do support whatever efforts

it takes to keep america safe by using the fewest number of americans. i am not ready to put boots on the ground because i don't believe we have exhausted all of our resources and all of our options. as a wife who has sent a husband to war, i know that when we talk about boots on the ground, our national security, the men and women who serve in uniform. we can have all the technology in the world. our men and women in uniform are the bases of our national security. we have already had our first fatality in this war on isis with corporal jordan spears. his aircraft lost power.

that is a tragic reminder that airstrikes or boots on the ground, it is still -- our men and women in uniform we must be standing up and debating. you're asking me for a definite line in the sand. that is not an easy answer. there should be a debate taking place in congress. once i hear all the information, i will be able to make that definite line in the sand answer. >> visuals of isis beheading two americans and threatening to behead another and british journalists and aid workers, or it is just jarring to all of us. i think that because of the president week policies in iraq, we find ourselves in a position

where this terrorist group has been fomenting, raising money, raising membership. i find it frightening in terms of what could happen on our homeland. that has to be what you think about. there is nothing more valuable for us as americans than our servicemen and women and i appreciate her husband's service to our country. i take these decisions very seriously. i did vote to have the president train the syrian rebels because i feel like we need a coalition of people that will stop the terrorist group from further growth. >> let's move onto health care. the house has voted over four dozen times to revamp, repeal, or tweak that law. today, there are about 140,000 additional west virginians who have health care through

medicaid and 20,000 have insurance through the exchange. would you vote again to repeal aca? >> i would vote to repeal and replace. aca has some very good things about it. making sure people don't get caught without insurance for pre-existing conditions. i believe keeping our students on until they're 26. i think that is a good thing. we need to keep what is good, replace it with what will work. get rid of the business mandate. make sure businesses do not have a 30% increase in their premiums.

the president said, if you like your health care plan, you can keep it. that did not work out so well. it was sold as a bill of goods. we are hearing about people losing their physicians, deductibles have gone up. i wish we had worked together. i wish we had worked in a bipartisan way. >> your response? >> here she goes again. she says one thing and votes another way. she says she is for all of these things, but yet she has voted to repeal it. i won't vote to repeal it. i know what it is like to go

without health care. i got her had open-heart surgery when she was a week old. many folks prayed for her and those prayers were answered. she is a healthy, happy 12-year-old. when my husband and i started our small business, we wanted to buy insurance. i remember the day i came home and he said, i talked to the insurance companies. he said, they will cover me and you, but they will not cover delaney because of her pre-existing condition. i was devastated. what parent takes something that their child cannot have? i will never go back to the day when insurance companies can deny coverage for someone with a pre-existing condition. for her to sit here and say that she is for that, too, she has voted to take that away. >> social security, we know the problems social security faces. you said you favored raising the

cap on income taxable for social security to make the program solvent. 2014 report says if you raised the payroll cap to do and $40,000, it would help, but she would not eliminate the actuarial imbalance. do you support more than doubling the cap on the taxable income? what specific measures do you support? >> i am supportive of raising the cap to 240,000. not quite that far yet. we can raise minimum wage. if you have more people getting paid, they will pay into social security. i will look at the people of west virginia and i will look into your eyes and this is what

i tell you i won't do. i will not privatize your social security. i won't take it and put in the hands of those on wall street so they can gamble it away. imagine what would've happened had that been done like congresswoman capito wanted to do before the financial crisis. she will sit here and tell you she has never wanted to privatize social security and she does not want to do it now. most recently as 2011, she voted to keep the option on the table for privatizing social security. actions speak louder than words. votes speak louder than words, too. she would take social security and she would privatize it. i will protect it and i will help to strengthen it. >> i think this is an attack to

scare seniors in terms of social security. i've been in office for 14 years and i have opposed privatizing social security on down the line. congressman hoyer, when he wrote to president bush in 2004, he said republicans are against privatizing like cumbersome and shelley moore capito. i think we should bust the cap on the social security taxes. we have to find solutions. if we don't, i have younger children. there will be no social security. we have to lay down the arms and work together and solve a difficult problem. in 2037, social security is going bust. for those workers now, it it will be a difficult future if we don't have the promises made or

the promises kept. >> let me segue into medicare. the republican-controlled house passed a paul ryan budget. that plan had a number of reforms to entitlement spending. he also called for overhauling medicare to allow americans who turned 65 to choose between right insurance plans or staying untraditional medicare. do you support a partial privatization of medicare? >> i support reforming medicare and keeping medicare for future generations. i've been facing this in my own family in terms of trying to

help senior care with my parents. the wrong way to go is the way the president has gone. obamacare, that my opponent has supported, a $700 billion cut to medicare. thousands of west virginia and have lost their medicare advantage options. our home health care system is being cut. that, to me, is inexcusable. that is what secretary tennant has supported. the budget you are talking about gives the options for seniors to stay in traditional medicare. if that is what you like, you can stay in traditional medicare. if you want to look at another option, this is not for anybody 55 or older, it is for the younger generations. our children and grandchildren, there will be no medicare if we don't lay down the arms. stop the name-calling and the

scare tactics. there is not enough of working people to support the baby boomer generation. >> there is no one more serious about cutting the budget than i am. i've given money back to the taxpayers of west virginia. i will not balance a budget off the backs of seniors. budgets are about priorities. her priority is wall street. she talks about medicare and she talks a good game, but those dangerous budgets she voted for four times cut and make medicare a voucher program. you are on your own when it comes to buying insurance with insurance companies. don't take my word for it.

take the alliance for retired americans. this is the record, the lifetime score they give for the congresswoman. she talks about being on the side of seniors. she has a lifetime score of 18%. right there is the proof. >> the state court ruled the commission blatantly ignored the law. the actions of the commission as well the state's chief election official -- you -- is both disturbing and unconscionable. why should west virginians have faith in your leadership? >> i want to make clear that i have stepped up.

our office has absorbed the cost of reprinting the ballots. this was a decision from the five-member bipartisan group of the state election commission. we looked at the evidence. we looked at the evidence out before us. we questioned, we asked questions. we made a decision based on the evidence that we had. the supreme court said we did not get it right. so we got back to work. we corrected the problem. i have been a good steward of the money for the people of west virginia. i have cut my budget and i have

given $3 million back to the taxpayers. i've cut fees for businesses. i have made it easier for our military members to be able to vote when they are deployed. i have gone after election fraud when we have seen it. >> when you're asking for a promotion, the first thing people want to know, how have you done in your last job was to mark the supreme court told the secretary of state that she got it wrong. it was obvious it was for political reasons. now she is saying the ballots will be reprinted.

i am astounded at the explanation. we made a mistake. we are reprinting the ballots. it is october. if you talk about using the office -- let's talk about putting social security numbers on your website. a conference call number on your website. let's talk about reprinting ballots. this is not the first time we've had to reprint the ballots. your job is the chief elections officer and you are getting it wrong. >> congresswoman capito throwing out a whole lot of numbers and hoping that some of them stick. the number you need to remember is $3 million. she talks about the conference

call. she is purposefully misleading you as citizens. it was from the board of physical therapy. i have a letter here and i will give it to you. it is a letter from at&t and it says the conference call was their fault. they are paying the bill. the people of west virginia never paid it. >> i will hang onto it. this would go to congresswoman capito. in january 2011, there was a mass shooting in tucson that killed six people and wounded 14 others. the gunman used a gun with a high-capacity magazine. the nra opposes any restrictions. can you make an argument for why

an individual has the right to buy a high-capacity magazine? >> west virginia is a second amendment state and i'm a believer in the second amendment. i know gabrielle giffords. she is a remarkable individual. i know she is working hard every day. best wishes to her and to her husband. the main problem is the mental health system. we saw that at newtown, we saw that in arizona. the mental health system has failed us tremendously. that is why worked with my members of congress to get a mental health system to make sure those who should not have access to firearms, that should be disallowed from ever having

access to any kind of firearm. we need to make sure that is coordinated with all of the different background checks and other things. we have seen that the virginia tech shooting. that guy was in the mental health system as well. we cannot keep going like that. congressman murphy and i have worked hard to make sure we are coordinating the mental health system to make sure these types of incidences don't happen again. >> if you're a law-abiding citizen, you should be able to purchase a weapon. we want to keep guns out of the hands of terrorists, criminals, and those who have been deemed mentally incompetent. i grew up on a farm surrounded by guns with my brothers going hunting. i do not need the nra. many west virginians will agree

that they do not need an outside group to tell them how they stand with guns. i represent the second amendment. i am strong in saying that west virginians have a right to have their guns. i myself have a concealed weapons permit and i have guns of my own. >> gun control legislation that expands background checks for sales at gun shows and the internet. you said you had questions about the bill. you've been out on the campaign trail and you've talked to a lot of people. do you support or oppose the bill? >> west virginians should be

making the choice of what they want to happen in west virginia. >> i oppose the bill. i've opposed it all the way through. i think the secretary has had a change of heart recently. >> let me move on. [no audio] >> west virginia lags in availability of highs been internet. does the federal government have a role in expanding internet? what would you do to secure broadband? >> that is an interesting question. internet is so important for the rural parts of ours eight and for job creation as well.

we have this opportunity, and we need to continue to work on the lines and continue to finish the whole mile all the way through. when you talk about job creation you are right. week the economist said our job creation is going to come through small businesses here in west virginia. i am a small business owner. fees in thei cut secretary of state's office. compare that to the congresswoman. legislation to raise swipe fees. every time you have a credit card or a debit card, there is a charge associated with it.

customer paying or the business. . have talked to businesses these are some of the words i hear. it is terrible. it is killing us. it is our worst enemy. those are coming from small businesses. the congresswoman championed this increased. she sided with wall street and wells fargo. i will side with small creation. and job >> i am going to answer the question. i don't know how we got from internet to swipe fees. that was a predebate talking point. we need broadband. i am deeply disappointed. all trillion dollar stimulus did not result in job creation. we saw what happened.

we bought routers no one was using. it was unusable. county,as in hampshire they don't have hardly any connectivity. how are you going to draw people into this area for job creation if you don't have connectivity? this is something we have to have. this is one of my passions for the next several years. >> you and your opponent have spoken out repeatedly against regulations. they are trying to reduce carbon emissions and get others to follow suit. a recent report concluded that icecaps are melting. -- heavy rains are

intensifying. do you believe the scientists are wrong? don't were correct, have an obligation to do something about it? >> weaving a balance between the and the environment is difficult. effort, not one power plant in the state meet the parameters set out by the president. what are we supposed to do? let's have technologies that are and affordable. the president says we need to lead on this.

at theust taking a walk expense of the men and women in the coal fields. 7000 jobs and more to come. this is a travesty. we have got to stop this. >> do think the scientists are wrong? >> i don't necessarily think the climate is changing. we need to find a balance in changing this. without hurting the heartland of this country. >> i have listened to the scientists. i know there is a consensus and i don't disagree with them. at the same time, we do not need to choose between clean air and clean coal. i know that we have the technology that can meet the demand and that is why had challenged the president and the epa. we have a lab in morgantown that can develop carbon capture storage. i've challenge the president to use the $8 million in the

department of energy and guaranteed loans that instead of using them as loans, take the money directly and have this technology that will save our jobs and have technology used around the world that will make coal were competitive. that is why the united mine workers endorse me. >> we have about three minutes left. last year, the supreme court struck down the section of the federal defense of marriage act. we have had all of these court decisions, one just yesterday. it is paving the way for same-sex marriages in west virginia. i think both of you oppose same-sex marriage. do you support or oppose same-sex marriage? >> i have thought about this.

i have prayed about this. i think about how do i want to be treated? i tried to live by the golden rule. how do i want to be treated? i want to be treated equally and fairly. under the law, people should be treated equally and fairly. does the church go against this doctrine? not at all. we as west virginians know about fairness and freedom. >> is that a support? >> is support for equality and the law being equal under the law. >> my voting record and my personal belief is that marriage is between a man and a woman. i believe the decision that has been made is saying the states

will make their own decisions. i will abide with what the state of west virginia decides in this matter. >> thank you both very well. it was a spirited discussion. good luck on the campaign trail. we have reached the end of our debate this evening. to the candidates, we want to thank them for their participation. the election date is coming up. >> this debate and others are .vailable at www.c-span.org here is a look at some of the ads in the date. >> with obamacare we are losing our choice of doctors. a higher premium. that inhibits our choice. >> she supports guaranteeing for all pre-existing conditions and that it be portable from job to

job. >> this administration has put a big damper on our way of life and our love of freedom. >> i support this message. >> our daughter had open-heart surgery to save her life. while friends and family prayed with us, the insurance company called it a pre-existing condition. there is a lot i will do to make it better for west virginia's, but i won't go back to letting insurance companies deny coverage to our children. >> we are seeing politics at its worst. my opponent is attacking my familyl integrity and my with ads. i am disappointed but not surprised because she has shown from the start she will say and do anything. misleading voters to get

election is not the way to do it. i am going to fight just as hard for my family as i have for west virginians. >> what do we know about congresswoman kathy jo -- capito? she supports bankers, and they have given her more than $2 million. she gave her husband a wall street rancor, insider tips, and they made more than 100 allison dollars. she keeps getting richer, and west virginians pay the price. >> the pentagon holds a briefing on the military response to the ebola outbreak. updatesdirector gives on the ebola patient in texas. then the north carolina senate debate between kay hagan and the republican challenger.

that is followed by the colorado governors debate between john hickenlooper and the republican challenger. on the next washington journal, a look at the congressional race in the midterm election. explain the odds of a gop controlled senate and the u.s. house. continues in new brunswick, new jersey, where we speak with the rutgers university president. you can join the conversation on facebook and twitter. council holds a discussion about online voting technology, its potential use, and the security implications.

that security concerns of its implementation. campaign coverage continues with a week full of debates. on wednesday night at 7:00, live .overage and between the u.s. representative bustos and bobby schilling. then live coverage of the illinois governors debate with pat quinn and republican bruce rounder -- rauner. then the debate between scott walker and mary burke. then live coverage of the iowa senate debate.

eastern, the.m. michigan governors debate between the incumbent governor rick snyder and democrat mark schauer. >> the pentagon held a briefing today on the military's response to the ebola outbreak. gives anodriguez update on the 4000 military personnel on the ground in the u.s. mission. this is 20 minutes. >> i am proud to welcome general david rodriguez. he is here to give you an update on u.s. contributions to the in westagainst ebola

africa. i will turn it over to you. i will moderate. >> good morning. i am glad to have the opportunity to talk to you about the government effort to help contain the outbreak of ebola in west africa. president considers mobilizing resources to enable success of the effort. with theed this president, who underscored american leadership in containing the epidemic at its source. the military focus is on training,logistics, and support. we stood up headquarters in command in liberia, regional coordination of u.s. military

support to the u.s. and international relief efforts. finally, we placed two additional mobile medical labs into operation last week, significantly increasing the capacity for rapidly diagnosing ebola. we also enable health-care workers to safely provide direct medical care to patients. this is very important and i want you to help us to tell our families and the american public the health and safety of the teams supporting this mission is our priority. by providing pre-deployment training and adhering to strict medical protocols while deployed and carrying out carefully planned reintegration efforts, i have confidence we can ensure our service members' safety and the safety of their families and the american people. as we deploy america's sons and daughters in this effort, we will do everything in our power to mitigate the risk to our service members. that includes employees,

contractors and their families. preventing the spread of ebola is the core of our effort. this applies to our own support efforts and our own people. the professionals of doctors without borders have a record of safe operation in their fight against the spread of ebola. we have looked at their procedures and consulted with the centers of disease control, the world health organization and others to develop our protocols based on known risks prudent planning. we are taking the following steps. we are implementing procedures to reduce or eliminate the risk of transmission to service members as they go through their daily missions while deployed, including use of personal hygiene equipment. let me assure you that, by providing the pre-deployment training, adhering to strict medical protocols, and carefully planned reintegration measures, i am confident we can ensure our servicemembers' safety and the safety of the american people. our equipment, training, and procedures will help to ensure

that our team accomplish and the mission without putting our mission and fellow citizens at risk. stopping the spread of this disease is the core mission. we are focused in all of our efforts to accomplish this by supporting the international effort and by keeping our own people as safe as we can. with that, i will take your questions. thank you. >> there have been some questions about whether the response to the overall crisis has been too slow. do the troops you have now -- are they enough to get the job done? or do you think, in order to move things along more rapidly, do you think you will need more troops there? do you have a cost estimate?

>> first of all, one of the challenges is continuing to gain situational understanding over time because of some of the isolated places that is creating problems. we are supporting the usaid efforts to do that. right now, the leadership has approved up to almost 4000 people. admiral kirby talked to you about that. we have a lot of flexibility to put people in there as they are needed. the speed with which these things are done, it is not just one challenge. part of it is the ability of the host nation to absorb it. as you can imagine, their infrastructure and their

capacity to house people, to feed people, is limited. so it will have to come in in a very carefully orchestrated -- based on the demand out front. at the same time, they are increasing their situational understanding of their situation at the same time. so these mobile labs are very important. as you can imagine, some people have malaria and some people have the flu and it is important to understand who you have to treat and who you don't. we already have two of more those in, and they are already having impact and we have more on the way to better adjust. that is not what we expected when we got the first mission. i think we have the right flex ability and the ability to adjust as needed. >> cost? >> the cost estimates right now are probably around $750 million for our efforts. that is in a six-month period. again, the challenge with doing that is that, those labs for

example, they were not in the initial plan. so it will have to be a free-flowing, flexible on all of that. >> nbc. journal, will any u.s. military personnel be involved in the direct treatment of any ebola patients or in the training of health care givers? will they be, and you come intoh contact with any ebola patient? rex the mobile labs are different. majority of the force. the mobile labs are testing people and some of them will have the ebola virus. those are trained at the highest level of something like nuclear and biological and chemical so they are trained at a high level. the one from walter reed has been operating for many years and the two that we deployed me

those standards. >> do you have any numbers of those who will be involved in the lab operations and what kind willotections or protocol they observe and if any u.s. personnel should contract people, what is the protocol there, what happens? rex first on the numbers in the labs, they are between a3 three and a four person team. we will deploy several others. it will add one lab and three or four additional people. those people are trained to the highest level of operating in a biological, chemical arena. they will be the primary ones that come in contact with anybody. does contract ebola and becomes a symptomatic, they

will be handled just like you have seen on the recent ones aircraft back on the that was specially designed to bring them back and they will go back to one of the centers that is especially designed to handle the ebola patients. >> they will be returned to the u.s.. >> they will. >> will u.s. armed forces personnel be working side-by-side with liberian troops as they build the emergency treatment units? i thought we had been told they would be separate from the liberian forces if there is a risk of contamination and working closely with the partnered nation's troops. do you have enough of the personal protective equipment that you need or is there a shortage of that and have you start -- stop filed any of the -- stockpiled any of the treatment that was given to the missionaries that had been proven in case troops are

exposed to the virus? rex we have people that will be working with and observing the -- whether it is contractors to make sure they are meeting the standards and oversight all the people who are doing that are tested and meet all the medical protocols to ensure they do not have the disease and the continual daily checks are also part of it. on the last point point, the virus, we do not have that stockpiled. you have to get the expert opinion of the cdc, but that is still to be determined whether it is effective or not and they will be able to tell if that is effective or not. we have sufficient adjective equipment for ourselves and we will continue to make sure that is the way throughout the process. >> military times. can you tell us a little bit about where these three or 4000

medical servicemembers will be housed? and can you tell us about what kind of personal protective gear and what kind of hygiene protocols and monitoring will be done on a daily basis? >> for the majority of the people, they will be in places like the minister of defense or some of the military posts that are out there, some will be at the airfield and at the locations where people will be flown in. we will have trainers that are in a training facility. most of these places that are in and around monrovia are in buildings. the people will either live in the ministry of defense areas or they will live in tent city type procedures where everything will be taking care of them, including their food and water and all of those things.

you have to watch all of that at these points. then the protocols that occur in the daily monitoring, malay, it -- mainly, it is built around the multiple washings with your hands and feet and everything else. when you go into one of these ebola treatment units, you will wash your hands and feet multiple times. you will have your temperature taken in and out. there is a checklist for each personnel on the virus or any other sickness that might be coming up. it is a self questionnaire and checklist. the personal protective gear, the majority of the people will the ploy -- deploy with personal protective gear that includes gloves and masks and things like that. they don't need the whole suit as such because they will not be in contact with any of the people. >> cbs. understanding your point about the ability of liberia to absorb all the stuff, you have the feeling that, if the american

embassy were under attack in liberia, it would not take weeks to get there. so what is it about this operation that makes it seem to be unrolling in a much slower pace than sending u.s. troops to protect americans first? >> the protect americans peace is a small number. we have five times that we have sent in to libya to protect the u.s. embassy in that situation. that infrastructure there, with all the ability to sustain themselves. the other challenge in liberia, as you can imagine, their whole nation is overwhelmed. their health facilities are overwhelmed. that is all broken down. we have to bring in everything

at the same time. again, right now, they aren't even located in all the locations they want to be. those are some of the challenges we are being faced with that -- we just want to overwhelm them, and thrust things in their that they can't absorb. the airfield is the same way. >> foreign policy. can you tell us how the decision was made to not have u.s. medical personnel treat ebola patients directly, and do you have concerns about manning these ebola treatment units on the ground? there have been calls from doctors without borders that more people are needed, not just more facilities. both are needed. >> i'm not sure how the decision was made. the bottom line is, that is the position of the leadership area.

it is the international community's role right now, that is where everyone is encouraging people to come forward to do that. that is where we stand until we move -- and continually adapt to what is going on on the ground. we are filling in demands that the international community needs us to do. that is for command and control. it is for engineering support. it is for logistics. those types of things. that is where we are focusing our efforts. that is what they have asked us to do. >> do you believe that there is a scenario that you can see that would push you past 3900, and on the question of security, do you think the concerns in congress about the security of u.s. troops there for this decontamination risk, in a situation where people are trying to get into an area that was off-limits -- do think those concerns are overblown?

>> i think we have -- service members wherever they go have the ability to defend and protect themselves. they will have that here. i think we will meet that standard, no matter where we go. we will do that here too. >> if the contaminated person is unarmed? >> we have the same rules of engagement everywhere we go. it is the approved rules of engagement. that is about protecting the self, self-defense. we want to make sure you understand that when people get infected, they are not capable of doing a mounted attack. the only one can get into you to -- the facilities are the sickest ones. they don't have the ability to move. they have had zero problems that i know of in the ebola treatment units right now, handling people at the gates.

it's a very small element. >> 4000? >> the 4000 -- it depends how everything goes. i can't answer that question. i don't for see more than that right now. things can change. it is a fast-changing situation. we are still gaining understanding throughout the whole region. i think that would be the driving factor. politico. can you give us the latest estimate about how long it is going to take to get all the treatment centers and do the work you need to do, up and running? can you give us a sense of how long american troops will be on this mission? >> the treatment centers, to get the ones we have been tasked to build -- probably until mid-november. they are working on an effort there to get more people to build some of those at different times. we will just have to see how it flexes out.

we will probably be able to continue to improve the speed with which we build them. after you get one done, the second set goes faster. that is the estimate to get all 17 done. what was the second question? >> how long will troops be doing this? >> the critical thing to this, based on cdc numbers is to get 70% of people infected into an infirmary. at that point, the curve will go down. it depends on how fast the curve goes down, and how the international community can pick up the requirements. we will stay as long as we're needed, but not longer. >> six months, a year? >> i do not.

i am sure it will be about a year. that is just a guess. we will have to play that by ear. it is all about the transmission rates, and when that curve starts going down. >> could you give us a sense about your cooperation with regional countries in west africa, and you think other countries, other than log. , are safe -- other than liberia, are safe? >> sierra leone and guinea are also threatened by this. we are working with the french and the u.k., who are also doing some things like putting a hospital up, like a 25 person hospital. most of those efforts are being run and controlled by the united nations and the international community. we coordinate and communicate with them. we do not direct them or anything. >> about the cost -- can you

tell us where the $750 million is coming from? is that coming out of the continuing resolution? do you anticipate the pentagon needing to request more money in 2015 for the response? >> you would have to ask the comptrollers for that. it is a reprogramming effort, i don't know what that is coming from. they were working got on the hill. osc policy is leading that effort. they could tell you where it exactly is coming from. >> thank you. i wanted to clarify one thing -- it is in fact service members who will be operating this testing labs in the field? >> correct. >> we have been told that service members are not going to come in contact with patients. now we are being told that is

changing. >> the labs are a separate specialty element of the force. that is probably where that has come from. as far as the general population, they won't be coming in contact. these labs are trained to a specially skilled level. it is the highest level. they can operate in a nuclear, biological, and chemical environment. they are specifically trained to do that. that is their primary skill set. we had one in their that has been operating for several years in the country that works on infectious diseases. we have both the navy and the army with medical labs in many countries doing just that, to monitor these things. >> how many do you expect will be running these labs? >> three or four per lab. it is a testing facility. they test it in a full, biological, suited up -- they meet the highest standards of operating in that environment. >> a clarification on that -- will they be in contact with individuals or just specimens?

withey come in contact individuals. a very high standard that these people have operated in all their lives. this is their primary skill. this is not medical guys just trained to do this. this is what they do for a living. >> and how many labs total with -- >> there are three labs, and a request for four more labs. we are working to generate that. the testing really focuses who you need to treat, and who don't need to treat. malaria shows up with similar symptoms. they have had a major impact, and the more the better for the effectiveness of the effort. >> right you expect one general to replace the other general.

>> the way that command-and-control is set for the component is that it has the ability to do small humanitarian things for a very short period of time. this is not a small effort. it is not a short period of time. we will get a headquarters from the united states out there to do that. general williams also has a significant job doing lots of other things everything will day that we need him working on in the rest of africa. that is the way the design structure of command and control is set up. >> when we get there? >> in the next three weeks. >> thanks, we appreciate you coming. >> cdc director and the texas health commissioner spoke with reporters today on the current ebola outbreak in the u.s..

this is 35 minutes. >> good morning. good afternoon. today is one week since the first nation was diagnosed. people begin to look back and think about it, what where right, what went wrong, implications for the future. i think we have to keep a couple of things in mind. this is going to be a long, hard fight. we can never forget that the enemy here is a virus. the ending -- enemy is ebola. it is a virus that does not spread to the air. we do know how to control it. we do know how to stop it. isolating patients, contact tracing, and breaking the chains of transmission.

i can say one weekend that there are real signs of progress. , not only in dallas, but also around the world. i will go through a few of them. in dallas, there are 10 definite and 30 of possible contacts being monitored. each and every one of them is having their temperature monitored. as of today, none of them are sick, none of them have a fever. we will continue to watch that closely in the coming days. the teams of the state and local level in dallas are doing a terrific job. they are dealing with what is an unprecedented situation. in parts of west africa, we are beginning to see some signs of progress as well. we have been talking about west africa, but the fact is, these are three different countries.

they have three different patterns of disease. even within each country, there are different patterns. in liberia, there are 15 districts. in those different districts, there are different patterns of disease. in sum, they have had buried two cases of ebola. -- have had very few cases of ebola. in others, they are just beginning to have a big increase in cases. i will mention one particular district, which is in a remote, rural area. in that district, that was a district that is bordering syria sierra leone and guinea. in what has been the epicenter of the outbreak, that district, that area, had at times the most

cases in all of iberia. over the past weeks, cases of plummeted. we are not sure of all of the reasons, but there were enough isolation areas. also, in those facilities, in that district, burial practices were being improved. we don't know that that decreases going to be maintained. we have seen waves of disease before. we do think that in that one community, it is real. even in west africa, even in a place that is the heart of the outbreak, we are seeing signs of progress. and though it has not been in the headlines, the outbreak in drc is still contained. the number of cases is relatively small. it has not spread beyond the remote, rural area. it is the kind of ebola outbreak that we have seen in the past. it looks like it is well on the way to being contained in a country that has dealt with ebola many times in the past. one other sign of progress that

has not been in the papers recently is a single case in uganda of a disease caused by the marburg virus. it is a lot like ebola, but there was no movie made about it. marburg as a similar fatality rate. it is spread in just about the way -- same way. it is controlled in the same way good one individual and you gone to -- uganda died. the cause of death was not immediately verified. we have done work in uganda to help them have a better laboratory network to find cases, have a response network with disease detectives and people who can follow up, and have an emergency operations center to track individual cases. as a result, we have identified context. those contacts include an individual who was the embalmer, the went back to kenya. that individual was trace and

track to kenya, was tested, does not have marburg. and the context within a patient's family were also tested. i mention this because oftentimes of public health what gets notices what happens. it is hard to see what does not happen. if we stop the outbreak and role there isl drc, progress. it gives us confidence that we will be able to control ebola in west africa. there is a lot that we are doing, based on what we have learned in the past week. for example, we have hospital awareness. we already work regularly with hospital associations. we have an intensive involvement in infection control, technical support. our calls from doctors have increased tenfold since the first case was diagnosed.

there is a lot of awareness. we are working to increase further. we are working closely with health departments, big city, state, and help the public associations. texas is a good example of a function health apartment. we want to make sure that the lessons that we learn from dallas are rapidly incorporated into the practice of health departments around the country. i know that people are eager for more information about travel. i want to address that for a couple of minutes. as the president said, we are looking at what we can do to increase the safety of americans, and, in the coming days, we will announce further measures to be taken. right now, i can get easily basic principles. we want to insure, and we will always be sure, that the health of americans is our top priority.

we want to ensure that anything we do works and is workable. we recognize that whatever we do until the disease is controlled in africa, we cannot get the risk to zero here. we may be able to reduce it and we will look at every opportunity to do so. we also don't want to do anything that will backfire. in medicine, one of our cardinal rules is, above all, do no harm. if we do something that impedes our ability to stop the outbreak in west africa, it could spread further there. we could have more countries like liberia. and the challenge would be much greater and then go on for a much longer time. we know how to stop ebola. that is what is happening in dallas today. that is what is beginning to occur in parts of west africa. the signs of progress are there. but it is going to be a long, hard fight. and we should always keep in mind that the enemy here is a virus.

and we, together, can stop that virus. i would now like to turn it over to the commissioner for the texas department of state health services. >> thank you, dr. frieden, and good afternoon to everyone. as he noted, one week ago today that a patient tested positive for ebola in dallas. even as we deal with the national and international issues related to ebola, we are dealing with this in dallas. here is a brief update about what is happening in texas. we are at a very sensitive time, when a contact could develop symptoms. we are monitoring with extreme vigilance. if a contact develops symptoms, we will tell you.

we will also immediately isolate that individual, test that individual, and increased monitoring as we roll out and confirm ebola. the contact investigation is going exactly as it should. it is in constant motion. we are posting contact numbers daily. they have not changed since sunday. but that is always a possibility as we pursue every possible contact. the bottom line is anyone who needs to be monitored will be. i'm also mindful that the rest of texas and the fact that this one case has on our hospitals. hospitals are on high alert right now, because they don't want to miss anyone who present with a travel history and symptoms of ebola. if we get requests for testing, we will evaluate that in consultation with the centers for disease control. we are capable to do that testing safely and timely. i also want you to recall that the people we are monitoring are real people. i cannot think of anything more unnerving for them right now than this as they wait. but we can and will contain the spread of this disease and protect the public by following

our core public health measures. that is what is going on right now in dallas as we fight against ebola. again, thank you dr. frieden, and thank you everyone for being a part of this conference today. >> thank you. we will not take questions, starting in the room. wait for the microphone. >> new york times. does the effort that have been started in the various countries explain the differences in cases in the district that you are mentioning? what explains the reduction in that area that had been a very hot area that now is not? >> there are big differences in the areas. some of them in urban areas, so it has an effect on the spread of the disease. urban areas are controlled activities.

for example, in the capital of guinea, they have done such a good job of contact tracing that until recently, and we will see if that holds, that virtually every one of the cases that has arisen has been able to be monitored. that allows them to stop transmission. also, we have seen changes in caregiving and burial practices. as people learn about ebola, they learn the risks and they change their behaviors. usaid, the agency for international development, has contracted for burial teams throughout liberia. they have been ramping up to improve the proportion of burials that are done safely and respond to calls for assistance with burying of bodies. we have also improved infection control in health-care settings, although there is still a long way to go there.

we do not know what the future will hold. there is no way to know in some ways what accounts for the progress and whether it will hold, but we are seeing some communities where we see progress. really, i would divide the communities in west africa into three types. there are communities that have very few or no cases of ebola. there, our focus is preparedness. such as what we have done in uganda. we have created an emergency operations center. we empower the county. we identify a way of testing for the virus. we train in contact tracing. we improve caregiving and funeral practices, so we can break the chains of transmission. and we try to keep those areas with lower events of ebola and having -- and prevent them from having widespread outbreaks. also, there are countries that do not have any ebola cases. and there, you want to make sure there is intensive preparation for the single possible case, so

you prevent it from spreading widely. and finally, there are those that have lots of cases. and there, we break the true train of transmission. we get to patients probably, and if they die, we make sure that no one is effective in the process of burying them. and we've learned a lot about how to work with committees most sensitively in that process, for example, providing divinities -- providing communities with the opportunity to observe as they are burying their dead. and we respect traditions, in terms of certain faiths want only people of certain faiths to touch the body of someone who has died. learning those lessons has been really important, and working with health-care workers so that they keep in mind the incredible importance of rigorous infection control. yes? >> cnbc. we have been hearing a lot about

experimental drugs on patients here in the u.s. can you give me guidance about how you're thinking about that and whether there is any centralize decision-making happening here in the u.s.? >> in terms of extremity drugs for patients with ebola, there is a lot of interest. right now, the two that we are looking at closely ,z-mapp, a combination of three different antibodies. it is promising. as far as we understand, there is none left in the world, and it takes time to make more. a second drug is also promising in animal models, although there may be challenges in using it in individual patients. and there are limited quantities of that as well. and the patient in texas is getting a third drug, which shows some promise in a test tube model of ebola.

really, it's up to the doctors, the patient, the companies -- nih's very involved in drug development. parts of the u.s. government have been very supportive of that within hhs and the department of defense. it is an individualized decision, but i would step back a bit and say that what we have learned about ebola is how important it is to get the patient's basic care right. so that we are treating their fluid and electrolyte balance well. that is critically important to survival. let's take the next question in the room. and then we will go to the phone. >> abc. the texas patient did receive an example drug. as he had any reaction that? and what other treatments has he received other than supportive care? >> the hospital released a statement that he is intubated he is on dialysis to support his kidney functions. and he is receiving experimental treatment. he remains in critical condition.

>> nbc news. there are members of congress urging the cdc to create new guidelines for screening for ebola at international airports. is this something you're working on? is this something you believe is needed, or is enough being done? >> we are working intensively on the screening process, as the president said, both in places of origin and on arrival to the u.s. and we are looking at at entire process to see what maybe done. i want to provide you with information about what is being done now in africa and here in the u.s. in west africa, in each of these three countries, cdc has had teams on the ground for several months training people within each country to take a questionnaire and take the temperature of every person getting on a plane to leave the country. and that is at the request of the governments of these countries. they absolutely understand that keeping travel going is vital to

their ability to stop the epidemic, and to their ability to continue functioning as societies. they are willing to go through any procedures to make sure it is safe. in fact, all three of the presidents directly asked me, tell us what more we can do for screening people so we can make sure that the airlines keep flying? because about half of the airlines have canceled and stopped flights since the outbreak started. over the past two months, the staff we trained who are using thermometers that are calibrated and approved by the fda for use and do not require touch and can be used from a few inches away, we have overseen the screening of about 36,000 people who have been boarding planes. most of those, three quarters of those, do not come to the u.s. only a small proportion come to the u.s. of those, about 77 had either fever, in the case of 74, or symptoms that made us take them off the line in the case of the other three.

that is roughly one in about 100 -- 500 travelers. as far as we know, none of those 77 people had ebola. many of them had malaria. that is a disease that is spread by mosquitoes. it cannot be spread from one person to another. it is extremely common in west africa and a major source of disease there. if you are finding fever in people from west africa, the most common single cause of that is going to be malaria. but we will absolutely look at every step that could tighten that process. screening at airports, of course, would not have found fever in the patient in dallas, because he did not have fever for four or five days after he arrived. but we will look at all the options. we are not today providing the steps that we plan to take, but i can assure you that we will be taking additional steps and making those public in the coming days once we can work out the details.

let's go to the phone for a couple of questions. we will come back to the room if we have time. >> thank you. we will begin the question and answer session. if you would like to ask a question, please press star one on your phone. the first question comes from cnn. you may ask your question. >> thank you for taking my question. i'm sure you're aware of the case in spain where a nurse has become infected. i'm curious -- i know we don't know all of the details of this case, maybe this is more for dr. lakey and those involved in the treatment. how's this given anyone any cause about the protocols in the u.s. and elsewhere? could you detail the precautions that are taken and recommended? >> dr. lakey, why don't you start and i will add a couple of comments at the end.

>> thank you. all of us saw that article and we are concerned about what is going on in spain right now. i looked at the protocols they are doing right now at presbyterian hospital, and they take this very seriously. they have a ward for this individual, where they are caring for him. they have policy and procedures that are mapped out. i would also say, as i went into the ward, i signed in. they have security there. they have the area where you gown, gloves, double gloves, put on the appropriate mask, and versatile protective equipment. and then you can see the individual and take care of the individual. and they have protocols when they are done to protect that individual, making sure that they take the equipment off appropriately and that they can shower before they come out of

the ward. they take this really seriously. they have done so since the beginning. they are following meticulous practices. having said that, again, the unfortunate news going on in spain, it can't help but make -- increase some of the anxiety going on right now. but again, i want to say that they are doing their work very safely right now. and we continue to watch that. dr. frieden? >> thank you. what i would emphasize is that everything we are seeing in africa and elsewhere suggest that the way ebola is spreading has not changed. where we have seen health care worker infections, we have no additional information beyond what is in the media reports

about what is happening in spain. there have also been recent infections in west africa that are very concerning. when we have seen problems, they have come in two different contexts. one, when it is a new situation and the health care team has not dealt with ebola before. and two, if the team is overburdened. if they are dealing with so many patients or have such a staff shortage, it's possible that even the best and most meticulous people may cut corners. that is why we have emphasized to global partners who are working in west africa that really four weeks or at most, six weeks is the maximum deployment time. then you need to rotate out and have another set of individuals there. i know of at least one infection that occurred in individual who is known to be very meticulous. we don't know how the infection occurred, but we do know that it occurred when he extended his stay past that six week time frame. and in the next two weeks that the individual wanted to provide

care, the infection occurred. ensuring that we have meticulous, careful, well drilled situation is very important. i have said and i repeat that we know how to stop ebola from spreading in hospitals. but that does not mean it is easy. it is hard. it means you need meticulous attention to detail. you need a team working together. you need to make sure that every aspect of the protocol is rigorously and meticulously followed. in some of the ebola units in africa, one of the keys to success is having someone in charge of the unit who is very, very experienced and who is roving at all times, identifying anything that might possibly be a risk. there are many things that have to be checked carefully, from the concentration of bleach that is used, to the procedures for putting on and taking off protective equipment, to what actually happens in the ebola treatment area. next question on the phone.

>> the next question comes from evan brown, fox's radio. >> dr. lakey and dr. frieden, thank you for doing this. there was an article in the newspaper today where they had interviewed some epidemiologists who worked on previous outbreaks of ebola. and they say that they cannot say with certainty that the virus would not mutate to other forms, including an airborne form, which would certainly change the dynamic of how it spreads. i would like you to take a moment to react to that, or at least give us your thoughts or opinions, or some technical explanation that the rest of us can understand. and i have a follow-up regarding that. >> ebola spreads by direct contact with someone who is sick, or with the body fluids of someone who is sick or has died from it. we do not see airborne transmission in the outbreak in africa. we don't see it elsewhere in what we have seen so far. the ebola virus itself has had a

great deal of genetic stability, so between the beginning of this outbreak and more recent isolates, the isolates our about 99.9% similar. even the recent discoveries, the changes in the virus are less than 5%. furthermore, most viruses don't change how they spread. to do that would require a very large genetic change. if we look at ebola as a class of viruses, the subspecies here is ebola zaire. there are about 80 different sub species and they differ among them, but all of the also spread by direct contact, not by airborne route. that is not to say that it is impossible that it could change or be selected out for airborne

transmission. that would absolutely be the worst-case scenario. and we would know that not so much from tracking genetic changes, but by looking at what is happening in africa. that is why we have teams of epidemiologists from cdc on the ground tracking that. one of the things we are doing at this point, i discussed earlier the heterogeneity, the differences within countries. we are now surging the cdc response to go out into the counties's most affected, the areas most affected, and provide intensive support there for the care of patients, for the tracking of the outbreak, and to see what has happened. everything we have seen until now does not suggest a change in how ebola spreads. >> if i may follow up. >> please.

>> transmission is the ultimate bogeyman for a lot of people. especially here in the united states. a lot of the cases we've seen in the u.s. with regard to people being brought in, or with this dallas patient, they have been able to access a major urban center hospital. for those who live in suburbs, and even further out where they only have access immediately to smaller, acute care type hospitals, what is the protocol for them? are they equipped to handle this? and if not, how does someone who shows up at a small hospital who could potentially be in ebola case, what is the protocol for getting them to a more adept facility? >> the first point is to suspect ebola and diagnose it promptly. that is quickly important. in terms of the physical arrangements for infection control, you don't need a fancy facility for that. you need a private room with a private bathroom. in terms of the protocols to be followed, we would work with the state and local health departments to support any hospital to do that. it would not be easy, but can be done and can be done safely. next question on the phone.

operator? >> our next question comes from bart jensen, usa today. >> hello, thanks for taking the call. senator schumer, among others, has called for greater screening of inbound travelers. he said after meeting with you that he suspects you are likely to follow his recommendations. i wonder, for lack of direct flights from these western african countries to the u.s., can you say how you choose the airport and the passengers? >> >> we are looking intensively at this and we anticipate announcing new measures in the coming days. what we can do, working with customs and border protection and with the department of homeland security, is identify people who arrived by indirect flights. >> thank you.

>> next question on the phone. >> hi, thank you for taking my call. this question is for dr. lakey. dr. lakey, what is your response to work on the ground. have there been any other cases in texas at this time? >> there have been no other cases. hospitals are on high alert. a lot of conversations have taken place with emergency managers across texas. i did one of those earlier today, where we had emergency managers on the phone talking about the current situation. there are calls with all the hospitals in the state of texas. we have over 1000 lines open talking about what is going on and making sure that we are prepared. we have one case. we have the case that is currently hospitalized at

presbyterian. we have individuals that are being monitored. the contact tracing continues to go forward. they are being buried vigilant -- very vigilant. they are chasing down numbers and making sure we are meticulous, and that every individual has been identified and as -- is being monitored we have the one case. thank you. >> is there any other contacts that you are monitoring who have tested positive? are you still waiting on those results? >> there is no other testing of any individual in texas right now. it would not be surprising if we have another patient from somewhere in africa or west africa that comes in. we have identified malaria on individuals, but there is no additional testing taking place in texas at this point. we could do that by quickly if we need to. we have that capability in our laboratory, but there is no

other testing to my knowledge, and i have checked berry carefully, no additional testing in texas as of right now. thank you. >> just to reiterate, 10 contacts with definite contact. 38 context with possible contacted none have fever. none have symptoms. all have been monitored in texas. what dr. lakey described, working with health departments and hospitals throughout texas, those are steps that we are taking nationally. as i mentioned, we will have a call with health officers from all 50 states. i will be asking dr. lakey to share some of the key lessons from his experience on that call. we always look to learn from experiences. we want to see what more we can do to ensure we are consistently improving our ability to respond. next question in the room. >> new york times. the 36,000 is over what time? >> two months.

will take two more questions from the phone. >> associated press. thank you for taking this. madrid officials have said they are seeking a court order to euthanize the dog of the nursing patient. can dogs transmit ebola to people? are there any other animals involved in the dallas patients case? >> there is one article in medical literature that discusses the presence of antibodies to ebola in dogs, whether that was an accurate text or whether that was relevant, we don't know. clearly, we want to look at all possibilities. we have not identified this as a means of transmission. we do know that in rural areas of africa, ebola can infect mammals.

that is how it spreads from probably bats to animals living in the forest and people hunting those animals. when the hunt animals and prepare them for serving, they may become infected from the blood that is involved in that process. we do not think this would be a means of transmission and i cannot comment on the specifics of spain. comment.k dr. lakey to >> thank you. we are not monitoring any animals at this time. i have no knowledge of animals being in the house. >> last question. >> the wall street journal. your line is open. >> i wanted to go back to travel screening, possibilities for a second. two of the ideas that have been brought up as likely or

reasonable are similar screening used in the effected countries. could wondered if you comment on what you think of the possibility of putting those in place in the u.s. and wanted to ask quickly if cdc has involvement in -- at this point in the investigation of the case of the nurse in spain. additional of the travel screening procedures, those are ones we're looking at carefully. in terms of spain i am not aware we have been consulted but we would be happy to do so. he for we close would you like to make last comments? >> thank you. i want to thank the cdc for their support here and the state of texas. we are working closely with the

city in the county. other state agencies and the federal government to make sure that we have one team as we do everything we can to ensure that other texans are not exposed to this disease. this is a very critical week. a lot of monitoring has to take lace and again, my message to health care providers in texas and across the nation is that you cannot diagnose this disease unless you think of this disease, you're not thinking about it unless you do the travel history and make sure everyone knows that information so we will continue to respond, we will continue to watch this very closely and we will continue to be transparent with the information that we have to make sure that if any individual develop symptoms that we tell you, we will care for those individuals compassionately, isolating them to my testing them, and monitoring them as we

need to and protect the public health in the state of texas. thank you. y and theyou dr. lake team. i know this is a challenging time and we feel fortunate to be working with you. bottom line here is that the fight against ebola in africa is going to be a long hard fight. the enemy is a virus. it is difficult virus to stop a we know how to control it. tried and true public health measures. isolation of patients, contact tracing, infection control, safe burial practices, these make the difference. we are seeing some signs of progress. excellent response in dallas, ongoing control in the drc. progress in parts of west africa. it is going to be a long hard fight and together we can contain and control ebola.

thank you very much. few of the a comments we received from our viewers. be an do not have to einstein to know that the only way you keep ebola from coming in the u.s. is to have president -- the president step in and demand no one from africa be allowed to come into this country for the next 10 years or more. until these -- this ebola is eradicated. i cannot comprehend how people are nonchalant about this ebola getting into the united states. i am so glad c-span put out this number for viewers to call and i hope all the people who feel as i do will call and stay their album ist how this being handled and demand the president take the action i have suggested. expect -- people expect? they would -- said he would never reach the united states ever. look what has happened and they

put 3000 other people over there, are you kidding me? they are smiling up there. we have this under control. it will never spread. was not supposed to get here either. blah, blah, blah. >> it has been revealed over the news this morning that our -- who came from west africa over here. his family members contracted the ebola virus from him. he could the -- it could be construed that that was a reckless disregard to the americans when this guy was

allowed to leave a place that was plagued with the ebola virus. they should have checked them out before boarding the plane. and coming here nobody checks him out and he goes into the dallas community and now as a result, there are people in quarantine. he is in the hospital and wondering if he is going to die. i have not checked to see if he is going to live or die. >> continue to let us know what you think about the programs you're watching. us or you can send us a tweet. join the c-span conversation. like us on foot -- facebook. follow us on twitter. up, debates from

around the country. first the north carolina senate thete between kay hagan and republican challenger. then the colorado governors debate. between john hickenlooper and his republican challenger. after that, the maryland governors debate between the tenant governor democrat anthony brown and larry hogan. and later in the race for west facing natalie, rippe tennant. >> wednesday, the atlantic council hosts a discussion about online voting technology, its potential use, and security concerns of implementation. you can see it live starting at 9 a.m. is turn past 9 a.m. eastern on c-span2. >> the pennsylvania governors debate between tom corbett and

democratic challenger tom wolfe. 7 p.m. eastern here on c-span. >> c-span's 2015 student cam competition is underway. this nationwide competition for middle and high school students will award 150 prizes totaling $100,000. create a five to seven minute documentary on the topic the three branches in you. videos need to include c-span programming, show varying points of view, and must be submitted by january 20, 2015. for moreudentcam.org information. grab a camera and get started today. >> the second debate between senate client -- candidates. thatg tom tellis in a race tilts to regret but is considered competitive.

this is a receipt of the north carolina broadcasters educational foundation. >> here is our moderator. >> good evening and thank you for joining us for the second debate by the north carolina broadcasters educational foundation. it is great to be here as your moderator and i want to get into this. kay hagan is serving as u.s. senator. welcome. >> thank you. >> and tom tellis, currently serving as the speaker of the house for north carolina's state legislature. welcome to you. rex good evening. >> the rules for tonight's debate, we will start with opening statements and candidates will respond to questions. along with input with me and my team. candidates will have an opportunity to ask each other

questions and we will have closing statements. the order of the opening and closing statements and which candidate gets the first statement was determined earlier. >> thanks for being here tonight. north carolinians need a commonsense voice that will stand up for the middle class, fight for the military, and protect the promises we have made for seniors. at the time when we need leaders, speaker tellis has built a reputation of dividing. he has gutted education, killed an equal pay bill, made college more, and said no to health care. he is campaigning on a promise to take that destructive agenda to washington.