Skip to main content

tv   Face the Nation  CBS  October 5, 2014 8:30am-9:01am PDT

8:30 am
and today on "face the nation", ebola and what to do about it. a patient with a first case of ebola confirmed in the united states is taken a turn for the worse in a dallas hospital. he is in critical condition, officials are working to contain the virus and calm fears, but is there a plan? we will go to dallas and we will talk with dr. anthony the top infectious disease doctor at the national institutes of health. we will hear from the new house majority leader kevin mccarthy and democratic congressman elijah cummings. we will turn to israeli prime minister benjamin netanyahu for the latest on the war on isis and with less than a month until election day, we will have new results of the cbs news new york times battleground tracker
8:31 am
survey. 60 years of news because this is "face the captioning sponsored by cbs and good morning, again, well, here is the latest on the ebola situation. the death toll from the disease in west africa stands at nearly 3,500, the threat of it spreading here has raised fears and calls for more government action, but what to do? we begin thi this morning in dallas where thomas duncan is now in critical condition with ebola. he is the man who was first sent home from the hospital even though he told emergency workers he had recently traveled from liberia. >> manuel go or questions is in dallas this morning. manuel. >> well, bob he has been in an isolation unit in texas health presbyterian hospital for almost a week .. doctors say he has slipped from serious to critical condition. health officials here have been trying to reassure the public they can stop this virus from spreading after a series of
8:32 am
missteps, as you mentioned he was released initially by the hospital after a first visit to the er he complained of a fever and abdominal pain but was not tested for ebola. that may have put other people at risk. four family members he shared an apartment with have now been taken to an undisclosed location, but there is criticism they were not immediately quarantined. the apartment has now been decontaminated but officials were also criticized for waiting three days to make that happen. now health workers have fanned out across the city, they are monitoring 50 people who may have had contact with duncan, they say only nine of those are believed to have had close contact and so far none have shown symptoms. bob. >> schieffer: is there anymore of explanation, manuel, as to how they let this slip through after he told them he had come from west africa? >> at first the hospital said there was a flaw in the way electronic records interacted between a nurse who knew duncan had been in west africa and the
8:33 am
doctor who treated him. now they are saying there was no flaw and the team did have access to that medical information about his travel history, but they have yet to fully explain why he was released. >> schieffer: all right. well, thank you so much, manuel. and joining us here in washington, dr. anthony falchi who heads up the allergy and infectious diseases institute at the national institute of health. doctor, thank you so much for coming, can you say at this point that this situation in dallas has been contained? >> i believe so. right now, the way you classically prevent an outbreaka index person under isolation and care, mr. duncan is in that situation. and then you do what you just heard here is that you do what is called contact tracing. people who have come into direct contact with the patient are observed for a period of 21 days. if they develop symptoms they
8:34 am
are put in isolation and if they have ebola, they are treated. and when you put that umbrella over the people who have been the contacts, that is how traditionally over the years in africa outbreaks have been controlled. >> well, is it likely that any of these people, i think there are nine people that had the closest contact, are they likely to come down with ebola? >> well, it depends on what you mean by likely. is it conceivable they will? absolutely i would not be surprised if one of the people who came into direct contact with mr. duncan, when he was ill, will get ebola. you can't say, you can't put a number on it, it is impossible to do that, but there certainly is a risk so i don't think the american public should be surprised if you hear that one of them actually does come down with ebola. >> schieffer: republican senator rand paul who is also an ophthalmologist, a medical doctor, says that we are underestimating in his works the trance missability of this
8:35 am
disease .. >> i don't think there is data to tell us that is a correct statement, with all due respect. we have had experience since 1976 with how ebola is transmitted and it is clear it is transmitted by direct contact with body fluids, blood, diarrhea, vomit or what have you, and there is no indication that there is another insidious way it is transmitted we are missing because of the experience we have had so we really have to go with the evidence based. there is always hypothesis and surmise but no scientific evidence. >> schieffer: he went so far he is worried about sending 3,000 army troops over there, can you imagine how easy it is for a disease to spread on a ship, that they may come back and they might, you know, spread it among themselves and the rest of the country. >> no. i'm sorry but that is really not a concern. first of all, the troops that are going over there are going to be fundamentally for logistic services, command, control, engineering, setting up the hospitals.
8:36 am
they are well-trained. they will not be in direct risk of, in the sense of contact with individuals. and even if they are, the protocols are in place to prevent spread from there, so i don't, and the army does not have any real concern that those three to 4,000 troops are going to be in danger. >> schieffer: we have seen already that human error can play a role here. is human error the main thing to be worried about right now? >> well, human error occurs. we have seen the misstep in dallas. it has now been corrected. certainly no one is perfect and there will always be some missteps but what we need to do is have layers of capability to overcome that, and if you look at what is happening in dallas right now, things are going well, particularly with the contact tracing. >tracing. >> schieffer: it didn't go very well in the beginning. >> i think not and anyone who denies that is not being realistic, there was a mistake there in the beginning. hopefully this will be lesson learned so emergency room and clinic docs throughout the
8:37 am
country when they have someone come in and have symptoms compatible with ebola, they ask them have you been 0 to west africa and if they have you trigger the protocol. >> schieffer: you say we have run out of this experimental drug cause z map that was used to treat two americans who had ebola, is there going to be more of that and where are we on vaccine? >> well there will be more z map, unfortunately it is difficult to produce .. a lot is being produced right now. it should be ready in a month and a half to two months, we are not going to get it tomorrow or the next week. a vaccine to prevent ebola, we have started a vaccine early phase one trial in the nih, in bethesda, maryland on september the second, 20 volunteers who, we should have data as to whether or not it is safe very soon, probably by the end of this calendar year and then we will go into a larger trial in west africa. >> doctor, what we are coming up on flu season. >> correct. >> schieffer: people will show up with flu symptoms i am sure
8:38 am
some of them are going to think they have come down with ebola. >> right. >> schieffer: what can you say to the american people right now as we preach flu season? >> i think people have to be -- and it is understandable the fears we respect it and understand it so really we take a look at evidence. if you are in massachusetts now and you get a cold, there is almost no chance you have ebola because there is no link between an ebola case. you have to look at it in a rational way. the rational way is you get a case of ebola, it is isolated and you do the contact tracing. i have heard people say, well, should by afraid of getting on an airplane in san francisco? it has nothing to do with ebola, so you really have to be rational and have the evidence be the major thing that gets you in your decisions and your concern. >> schieffer: and probably not a bad idea to get a flu shot. >> that's exactly right. it is not a bad idea to get a flu shot. good point, bob. >> schieffer: thank you so much. we want to go to new york and cbs news chief medical
8:39 am
correspondent john l jon lapook, thank you for being here this morning. are you satisfied that the government has the right protocols in place here? to prevent the spread of this disease? >> i think the protocols are right, but the big question is, is, there is a big difference sometimes between theory and practice and unfortunately, with the first patient who ended up having ebola having come into a hospital emergency room in dallas with them full bhing that, it undermines the public's confidence, but i think that, with that said this is not africa, there is 40 years of experience with a couple of dozen previous ebola outbreaks in africa and they have all been successfully handled. so i think people should view this and say this is not the type of magical thinking. this is the time to believe in science. there is experience. i mean, i spoke to dr. frieden this morning, the head of the cdc, we know how to stop this in its track which is to isolate people who come down to it and
8:40 am
figure out who their contacts are, watch them closely. >> schieffer: all right. let's go over quickly what are the symptoms and how is ebola transmitted? >> all right. well, the symptoms are really flu like so it can be headache, fever, aches and pains, nausea, vomiting, diarrhea and legionnaire disease you can have some bleeding problems, it is very similar to flu-like symptoms which is why i agree with the medical advice, get the flu vaccine to help get rid of any confusion, and avoid direct contact with fluids, that is so important, i was on twitter and social media, it is the same misconception over and over again about how it is spread. it is spread through direct contact with body fluids, meaning vomit, diarrhea, you know, stool, blood, sputum, even semen so if you do not come in direct contact with that, then the odds of you having ebola are
8:41 am
extraordinarily low. >> schieffer:. >> i think one of the problems people have they are talking about theory, what happens if someone. >> schieffer:. >> sneezes in your face, when is the last time someone sneezed in your face, yes if there is fluid that goes into your nose, eyes, a broken piece of skin you can get it but across the room there is no evidence it gets so aerosol lized the way flu does. if this spread like the flu there would be millions and millions ofzsl you so much, doctor. and joining us now, the new house majority leader, kevin mccarthy. he took cantor's place and the number two in the republican leadership in the house and i want to ask you a little bit about that but first i want to ask you about this whole ebola thing. are you satisfied the administration is doing all it can to keep this thing from spreading? >> well, we are working on wit the administration. we provided more punning in the continuing resolution, but actually it speeds up the process we are talkingq@ that vaccine, we are working on how to treat it but we cannot ignore africa.
8:42 am
and we have money to go forward with those troops but we want to make sure there is a plan out there that the safety for the troops but the logistics to make sure we can move forward, and one thing i have learned from watching what happened in texas and the human error, every city should deal with their medical emergency roots and their emergency individuals being prepared at least, we don't want it to come here, we want to make sure we are prepared if something does happen. >> schieffer: you know, some of the republican side have come up with some rather drastic suggestions, bobby jindal the governor of louisiana says flights from ebola stricken countries should be stopped. you heard me quote ryan paul just a while ago. he is worried about all of these soldiers coming back, that the united states is sending to west africa. what is your reaction to those kinds of suggestions? >> i think it is right to ask the questions. now i am not a medical experts and i want to listen to the
8:43 am
medical experts but i don't want to ignore the challenge so i want to make sure to look that this cannot spread. we know that africa does not have the same medical treatments as we do. so we can't ignore it and let this spread around the world. it is not just our problem, the it is world's problems. if someone traveled from liberia and went to another nation in europe and met somebody and that person came to america, so how could we possibly stop all of that? i don't know that the plan does that so we have to go to the core of the problem, solve it there and invest in a vaccine and a treatment so we cure it once and for all. >> schieffer: what do you see as congress's role? you talked about some of the things you have done already. >> i see as making sure the accountability they have a strategy and plan and it will work for the safety of the american public. secondly to make sure the funding is there to carry it out and that's one thing i saw congress acted ahead of time not only to speed up, but most importantly let's not have bureaucracy and red tape slow down the fda from any experimental drug that can happen and can cure in africa
8:44 am
and can test it. >> schieffer: let me ask you a little bit about the war with isis. we will have prime minister benjamin netanyahu, i interviewed him earlier this week. he sees isis taking the threat to israel. do you think w we ought to exted ground combat troops if that becomes necessary into northern iraq and syria if that is what it takes to get these people in. >> well, first of all, i don't think we should ever sit back and tell our enemies what we will and will not do. if we need special forces there, if sat what the generals say we need to do it, if we engage in a conflict we know this is a threat to america, we should make it so one-sided it gefer over very. >> very quickly so have everything on the table to make sure we win this, and this is a big crisis and this was not an intelligence failure. this was a lack of action neuroon the administration. you know, fallujah and ramadi
8:45 am
fell ten months ago, former cia director and secretary of defense leon panetta talks about those actions at the that the administration knew of this and did not take. so options are more limited today maybe we could have handled this differently but i think special forces and others are probably going to have to be on the ground because after those missiles hit and they get out of those hum sprees and repaint their trucks, we have to know where they are, and are the hits being successful? >> schieffer: should we go directly after assad's forces, the dictator of syria? >> we have the best trained military in the world. i would listen to them and give them whatever resources they need to make sure our troops are safe, but actually carry this mission out as fast and lo lopsd as possible. >> and do whatever is necessary including if that includes direct attacks on assad. >> i would lay out the mission to see what generals say and evaluate from there. >> schieffer: all right. should the house, should the congress vote on this, take a
8:46 am
vote either endorsing or take some other action on this? >> well, the current actions we are taking now the president has the legal authority do. if he want to expand this, it has to come back to the house and the house, the minute the president asks for authorization we will debate it and take it up no matter what time he want to call that, if he does. >> schieffer: do you think it would pass the house right now? >> a guess. >> i see the threat before us, okaying at the chambers we will sea what people debate. i can pick and choose what goes forward but would never second-guess the house. let's have the debate and let the american people actually see what is the goal, though. the president has to lay out a strategy. i don't see that for the american public what is the goal? what is our foreign doctrine? what is our foreign policy? >> schieffer: what is the policy of kevin mccarthy? how will the house be different with you as the majority leader than it was with eric cantor? >> look, i continue from a small town of bakersfield, california, i grew up with democrats, i started my first business when i was 19.
8:47 am
i learned a valuable lesson as a small business owner. you are the first one to work, last one to leave and last one to be paid. that entrepreneur spirit has to start america working again and we need to open this house back up. but most importantly as i travel, i have been to a 100 districts before this election, the number one thing i hear from the public, can washington work again? you just see all of these failures by the administration from the role out of the healthcare website to the debacle of veteran affairs and benghazi, the secret service can't even protect the white house today and we have in the senate harry reid who has held up 387 bills that have passed the house and he won't let them vote on it. >> schieffer: we will have to end there. thank you so much. thanks for having me. i hope to have you back and be back in a minute to talk to israeli prime minister benjamin
8:48 am
>> schieffer: we want to turn now to the week's other big story, the war in northern iraq
8:49 am
and syria. i sat down with israeli prime minister benjamin netanyahu, after his address to the united nations last week in that speech he called isis and hamas branches of the same poisonous tree. >> so i asked if isis now pose as threat to israel. >> absolutely, i mean isis has got to be defeated because it is doing what all of these militant islamists are trying to do, they all want to first dominate their part of the middle east and go on from there. their twisted idea of world domination. the difference between isis and hamas and isis and iran and so on is they all agree that the world should be an islamist hill but they all want, each of them wants to be king of the hill. that's what they are really fighting about. essentially they want to accumulate enough power to then carry out their mad am biggss to
8:50 am
that is the danger with isis, it is creating a statement and has 2 million petro dollars a day and weapons it has taken over from the iraqi army and so on it is dangerous, no question. but if you think isis is dangerous, and should be defeated as i do, and i .. completely support president obama's efforts, leadership in this regard. then think how much more dangerous iran is. iran doesn't have 2 million petro dollars a day, it has 100 million petro dollars a day and it has got -- it is working on obtaining nuclear weapons. and that would be, i think, a pivot of history. i think it would endanger the future of our current civilization so that should be defeated, defeated and prevented. >> schieffer: on this battle with isis, do you foresee israel becoming more directly involved in the battle against isis? >> we are already supporting and helping in every way we are asked to do, but these are
8:51 am
things that, you know, we don't discuss necessarily on tv, not even on "face the nation". >> schieffer: a lot of back and forth about what should we do about assad and can they defeat isis without taking down assad. what is your sense of that? >> i think that -- >> schieffer: should we attack syrian forces? >> i think right now, the real issue is isis. isis has taken over supplies in syria, it has got basically uses syria as a safe haven and as a launching ground for attacks and i think wisely a decision has been made that isis tarts in syria and iraq are equally targetable. as far as assad is concerned, i think that certainly don't have to prop them up and you don't have to make kind of a deal with them anymore than you have to
8:52 am
cut a deal with iran. they are going to fight isis anyway. you don't have to reward them and reward iran with a nuclear deal anymore than you have to reward assad with bringing back the chemical weapons because he is fighting these guys as iran is fighting them anyway. so i would say -- i wouldn't say what to do -- i wouldn't prop up assad up but i would in any way, and i wouldn't give him immunity but focus the effort on isis on one side and preventing iran from getting atomic bombs on the other side. >> schieffer: more of that interview later in the broadcast, including the prime minister's answer when i ask him to describe his relationship with president obama. our commentary is next. this portion of "face the nation" is sponsored by bp, proud to be america's largest energy investor.
8:53 am
8:54 am
8:55 am
>> schieffer: maybe i am just so used to all the bad news lately i am making more of this than i should but wasn't that a little good news last week from of all places afghanistan? i am serious. i read in the paper that ash i don't have da any was sworn in as the new afghan president and before the ceremony was done he appointed abdullah, abdullah his chief rival in the recent election to be the government's chief executive officer. that has taken us a strong signal he intends to give the political opposition a real role in governing the country, the thing we hoped for but never got in iraq and unless i read this part wrong and let's not say it too loud, this may be the result of work by u.s. diplomats who helped the two sides to negotiate the power sharing agreement after the long and bitter election process. so a little shout out here to that beleaguered american crew.
8:56 am
and here is the part i am still not sure i believe but appears to be so. the afghans are also signing an agreement that allows us to keep a small force of u.s. military people in the country as we draw down our forces. that is the kind of arrangement critics say we should have insisted on' before we left ira, and had we had such a thing, maybe the country would not be in the state it is. no one believes afghanistan is anywhere near where it needs to be, corruption is rampant, the economy is a mess and terrorism is still a deadly force, but folding into the other events of last week, that is some progress. back in a minute. >> rd
8:57 am
8:58 am
8:59 am
♪(themstan! ! !om cheers) hey guys! stan the man! hey, how's it goin stan? can i get $55 on pump three? you got it, stan! gas stations. just that. where nobody knows your name. the chevrolet cruze eco. with an epa estimated 42 miles per gallon highway. it's the new efficient.
9:00 am
the captioning on this program is provided as an independent service of the national captioning institute, inc., which is solely responsible for he accurate and complete transcription of the program content. cbs, its parent and affiliated companies, and their respective agents and divisions are not esponsible for the accuracy or completeness of any transcription or for any errors in transcription.] [captioning made possible by cbs sports, a division of cbs roadcasting, inc.] james: week five in the nfl. there's andrew luck warming up, this g up big numbers year. 1,300 yards and 13 touchdowns so far. touchdowns and 5200 yards. bill: today, he