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tv   Face the Nation  CBS  October 12, 2014 8:30am-9:01am PDT

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>> schieffer: i am bob schieffer, and today on "face the nation", overnight news, a second case of ebola confirmed in dallas. word this morning that a healthcare worker who treated thomas duncan has been diagnosed with ebola. we will get details from the head of the centers for disease control, dr. tom frieden, house homeland security chairman michael mccaul, and we will have a report from liberia where u.s. troops are in place to help fight the deadly disease. we will go to iraq where the latest on the war with isis, we will talk to former secretary of defense leon panetta, whose withering criticism of the president's strategy has stunned official washington. >> plus an all-star panel, including peggy noonan of the wall street journal, david
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ignatius of the washington post, david rohde of reuters and susan page of usa today. >> 60 years of news because this is "face the captioning sponsored by cbs >> and good morning, again, we want to go first to atlanta and the cdc director dr. tom frieden for the latest on this new case of ebola, which was confirmed in dallasing over might. >> doctor, thank you so much. the authorities at the hospital are saying that the person who is, has now been diagnosed as having ebola was a healthcare worker, they don't give the gender, and was exposed to duncan, the man who died down there on his second visit to the hospital. obviously, he was showing symptoms by then. but that the worker had been considered at that point in a low risk situation and they say he was following cdc protocols, in other words, wearing the gown, wearing the gloves and all of that. doesn't this make this even more
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serious than we thought it >> we are deeply concerned about this new development with a preliminary positive in healthcare worker who cared for the index patient in dallas on multiple occasions after his diagnosis. i think the fact that we don't know of a breach in protocol is concerning, because clearly there was a breach in protocol. we have the ability to prevent the spread of ebola by caring safely for patients. the fact is that the individual who became ill was as per protocol self monitoring, immediately when they developed symptoms they isolated themselves, they were promptly isolated at the hospital, so that any further spread from that individual was stopped and fundamentally at this point, there are four things we are doing. first is to make sure that that individual is cared for safely
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and actively. second, we are identifying that individual's contacts and our cdc team lead for this investigation on the ground in dallas interviewed that individual in detail. third, we now consider all of the healthcare workers who cared for the index patient potentially to have been exposed and we will be rostering those individuals and determining which require active follow-up in addition to their self monitoring and, fourth, we will conduct a full investigation of what happens before health workers go in, what happens when they are there, and what happens in taking out -- taking off their protective equipment. because infections only occur when there is a breach in protocol. >> schieffer: all right. let me just make sure i understand what you are saying here. are you saying that somehow or another by accident or otherwise that one of the protocols was violated or not followed? and
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that is how this happened, not because there are other ways that you can get this disease? is that basically what you are saying, doctor? >> that is correct. we know from many years of experience it is possible to care for patients with ebola safely without risk to healthcare workers but we also know that it is hard, that even a single breach can result in contamination and one of the areas that we look at closely are things like how you take off the gear that might be infected or contaminated. another we will be looking at closely in the investigation is the interventions that were done to try desperately to keep the index patient alive, this included dialysis and intubation. these are two procedures which can result in the spread of infectious material. >> schieffer: and how many of these workers are you now
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monitoring, doctor? >> we are now looking at all individuals who cared for the index patient and who, we will be determining how many of those may potentially have had contact that would have resulted in a breakdown of protocol and possible con familiar haitian. >> schieffer: but i mean, approximately, is that two dozen people? is that ten people? how many people are you monitoring down there at that hospital? >> i can't give you an exact number. these are late-breaking developments. we got the preliminary positive test last night, less than 12 hours ago, late last night and our team is intensively working with the hospital on both understanding what happened, identifying other healthcare workers who may be at risk and also making sure that protocols are followed in the care of this individual. >> schieffer: doctor, let me ask you this, and i am asking just because i would be
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interested to know. it seems that the authorities are being very secret if the, as if they were dealing with top secret information or something like that. i just wonder, there must be a reason for that. i don't think we are being secret if the at all. within two hours of the index patient being diagnosed we had a press conference. late last night we heard of this patient's preliminary positives and we are speaking to the press now. we want to give more rather than less information. >> schieffer: i understand. >> we also want to make sure it is accurate. >> schieffer: i don't mean this as criticism, but i mean the fact that you can't even tell if it is a man or a woman. there must be a reason that you are withholding that information. >> you know,, we really try to protect individual patient confidentiality, so sometimes that may seem excessive, but if you were sick or a family member were stick you would really want the information coming from the individual or family.
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there may be coworkers who would be able to identify who the individual is if they knew the gender, so, you know, we would rather err on the side of safety and the side of respecting and protecting patients. >> schieffer: doctor, thank you very much and we certainly appreciate your taking your time to talk with us this morning. thank you. >> thank you very much. >> schieffer: officials at that hospital in dallas have also announced they are shutting down the emergency room there until further notice. >> we have put the emergency department at presbyterian on diversion until further notice because of limitations in staff capacity, that means ambulances are not currently bringing patients to our emergency department. >> schieffer: they are, there are also reports as i alluded to in the interview with dr. frieden that the healthcare worker, the identity of that person is that she is a female nurse. we are going to go to the chairman of the house homeland
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security committee, michael mccaul who is in austin this morning. mr. chairman, you heard hearings down there. let me ask you about that first. have you been able to confirm, is this a female nurse who was infected? >> we have confirmation that it was a nurse at dallas presbyterian, i don't know the gender of the nurse, probably most likely female, but, you know, this really raises the issue of protocols and proper protocols and procedures, remember mr. duncan when he was first admitted said he came from liberia had a 103-degree temperature and then was released on to the streets, which also causes a threat to other people out in the community, and so we believe that the hearing brought out with cdc and homeland security officials and state officials they need to start following better protocols and very sad to hear about the nurse being exposed as well because as i understand, the nurse was
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wearing the protective gear and there must have been some breach of that protocol. >> schieffer: well, it sounds as if, like, for example, that this may have happened whe whens nurse was taking off the gloves. >> right. >> schieffer: that they wear or something of that nature, but clearly, it does underline the sensitivity. our dr. jon lapook is going to be with us later in the broadcast has been talking to officials at the cdc and he tells us they are now considering sending ebola patients to just one of the four december nateed facilities, emory, at emory in atlanta, at nih in montana and in nebraska. do you think that is a wise step there, if they should do that? is that necessary? >> well, i think that may be wise because they have the expertise to deal with this very horrific virus and we had five cases, mr. duncan passed away,
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unfortunately, and now we have a new case and so i do think that is important and also it is important we eliminate the source, threat at the source and the source really is in africa, where it is spreading like a wildfire. we have now over 8,000 cases of ebola spreading throughout africa and west africa, 4,000 deaths, and i think we need -- there is a lot of talk about banning flights i think we need to target more the individuals themselves and look at the idea of potentially temporarily suspending the 13,000 visas that would be coming out of this region, allowing healthcare workers to go in, because they have to contain the threat, but then when it comes to the sort of the original population out of west africa, leaving -- i think until this gets under control that is a measure that policy makers ought to be looking at. >> schieffer: well, we have as you well know started screening at five airports now in this country. >> right. >> schieffer: where most of the passengers from those three
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west african countries come from. do you think that is going to help? >> well, i think it will help a great deal. we do screen at the point of origin, and then the point of entry within the united states and the top five airports where they would potentially come through. they are secondarily screened automatically, as they come from the country of origin and coast guard medical officer in do an evaluation, including a temperature analysis. now, this is a virus that incubates for 21 days, so it still least the possibility somebody could still get through that process. >> schieffer: mr. chairman, we are going to have a lot more on ebola in the second half of our broadcast and want to thank you for joining us this morning and also have a report from liberia, by the way, but we want to turn now to the other big story, the war against isis. cbs news correspondent elizabeth palm search in baghdad this morning with the latest on that. >> we will have more on ebola in our second half hour, including a report are liberia, but we want to turn now to the other
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big story, the war against isis. cbs news correspondent elizabeth palmer is in baghdad with the latest on that. .. >> "i see is now on the attack in a kind of half circle around baghdad from the north around the west, and down to the south. at the closest point, their fighters are in an outer suburb called an abu ghraib which is about eight miles from the perimeter of baghdad international airport. there are now 12 teams of american military advisors on the ground with the iraqi force whose are charged with protecting the capital and american is, america is also carrying out air strikes nearby, mainly to the west and to the south. now, nobody expect a major assault on the city my time soon, but it is likely isis will keep up the pressure with a bombing campaign by slipping through the many army and police checkpoints in the city and even civilian security checks that have been set up in all public places including in mosques, in
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fact, yesterday more than 30 people were killed in three separate bomb attacks. now, outside the city, "i see is in control of some major sections of highway and also key towns. the iraqis security forces fighting them are holding their own, but only just, there certainly have been no major victories in the past few days. >> schieffer: all right. elizabeth palmer reporting from baghdad this morning, thanks, liz and joining us how, former secretary of de15, the former cia director leon panetta, his new book is just out, it is called worthy fights, a memoir of leadership in war and peace, mr. secretary we are glad to have you. >> nice to be here, bob. >> schieffer: you just heard elizabeth, do you think baghdad is actually in danger of coming under attack now? >> i don't think we can take anything for ganted with isis. they are moving against kobani, on the syrian turkish border and moving in anbar province as we
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have seen. this is a well-trained, a well armed and frankly they are well commanded in terms of their ability to conduct war and i think we just have to be very aware that they represent a significant threat. >> schieffer: we have now been conducting air strikes for what nine weeks and yet as you say, they continue to advance in some ways they seem stronger rather than weaker. is this strategy working? >> this is a strategy that is going to demand a lot of patience. i think the president is taking the right steps. we have got troops to try to help the iraqis get their act together in terms of their security force. we are conducting these air trikes. we are trying to train and arm the rebels in syria. we have built a coalition force. but all of this requires great leadership on the part of the united states. we will have to keep this together and be very patient, we are going to have to be very
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determined. these air strikes can help to a degree. i think they have helped kind of stifle some of the momentum, in isis but to make these air strikes work, you have got to have information on targets and you have got to be able to pinpoint where the enemy is located and that is something frankly that is going to take time. >> schieffer: basically what you are saying is we have to have some kind of people on the ground here. >> you have got to have boots on the ground, maybe doesn't have to be american boots on the ground but you have got to have people on the ground who can identify targets and who can help us develop the kind of effective air strikes that are going to be needed if they are going to be able to undermine, destroy this vicious enemy we are dealing with. >> schieffer: the president's national security advisor susan rice was on television this morning and she said if i understand it there has been no recommendation from military commanders that the united states would come, would put combat troops in iraq. does that sound right to you? >> well, the one thing i know
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about our military commanders is they are going to be looking at every possibility of how we effectively deal with isis. and i don't know what recommendations they have made or not made. but i will say this. i think the president of the united states has to be open to whatever recommendations are made in order to ensure that we are effective in going after isis. >> schieffer: he said flatly this morning we are not going to get involved in a ground war in iraq. we are not going to put troops in there. should she be ruling that out? >> i always felt that the president of the united states ought to keep every option available in dealing with this kind of enemy. it doesn't mean that we need to invade, it doesn't mean we have to, you know, as susan rice said have combat troops on the ground but i think you want to protect every possible option, because we are dealing with a very resilient enemy and the only way you deal with a resilient enemy is with flexibility,
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adaptability and the kind of determination that we are going to need if we are ever going to win this war. >> schieffer: we will take a break here and come back and talk some more about this in just a minute.
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>> schieffer: back now the with leon panetta, mr. panetta, in your book you talked about how the dysfunction that is now set in in washington, you have all talked, also talked about how control has been so centralized in the white house that cabinet officers, including the secretary of defense sometimes were told not to deal with congress, for example, that all of those things would be handled in the white house. what has gone wrong here in this administration? i mean, for one thing they can't seem to catch a break here, and is it their fault this is it just what has happened? or what is the problem? >> bob, there are, having been in this town close to 50 years, you know, i have seen washington at its best and washington at
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its worse and right now i think it is washington at its worse because of the gridlock and the stalemate that is involved in this town. a lot of things have contributed to it. but i worry about that and that's really one of the reasons that in the book i try to identify my concerns, because we are looking, regardless of what happens at this election, probably two and a half more years of stal stalemate, if that happens, at a time when we are facing the kind of crises we are facing abroad, at a time when we are facing major issues in this country, there is a certain sense that both parties have kind of given up ongoing after those issues and dealing with them. and this country cannot tolerate another two and a half years of stalemate. the president can't tolerate it. if he wants to be able to get the things done that he wants done, and i respect him for what he wants to get done, he has got to get into the ring, everybody has got to get in and fight to make sure that we do the right thing for the country. >> schieffer: well, what do you think, there are some suggestions that he might be considering some major staff
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changes after the election. do you think that would be a good idea to just kind of clean house and start over? other presidents have done this in the second term. >> i always think it is a good idea to bring new life into the white house. the problem with the white house is, as you mentioned, is isolation. you isolate the president from a broad range of views and i understand this has developed over the years, more concentration of power in the staff of the white house, and as a result, the president doesn't get 0 exposed to a broad range of views he needs order to make the decisions so bringing new life in, bringing new views in would be very helpful to giving the president that greater exposure to a lot of different options that he is going to have to consider if he is going to get things done. >> schieffer: you say in the back that sometimes he doesn't seem to show the passion that one needs to show, that he approaches things as a law professor. >> you know, look, go mind presidents who have the quality
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of a law rfer in looking at the issues and determining just exactly, you know, what nears to be done, but presidents need to also have the heart of a warrior, that's the way you get things done, is you engage in the fight, and in this town, as difficult as it is, and it is difficult, i mean you have got tea party members in congress who basically want to shut the government down and tear it down, he still has to have the ability to engage and to try to work with people who want to get things done in order to make sure that we just don't stalemate as a country. this country is strong, it is powerful, i think we could have a great future, but if all we do is operate by crisis after crisis after crisis then we are going to weaken this country. >> schieffer: wall street journal reported friday that the president is now regular options for closing down guantanamo and doing it by executive order.
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that would be doing it without congress's approval. good idea, bad idea right now?. i think the president was right to want to close guantanamo. i respected that, and frankly we took steps to try to do that, congress put a barriers to that. but this is a big step and if it is going to be done right i think the president has to engage with the congress in trying to provide the kind of transition that is necessary to make it work right. we are in another war. we are going to be getting enemy combatants and we we have to tk about how we are going to deal with all of that and the only way to deal with that is working together on what is a major issue that is going to have to be confronted. >> schieffer: leon panetta, always a pleasure to have you. >> thank you, bob. >> schieffer: and we will be back in a moment and have some personal thoughts. >> >> this portion of "face the nation" is sponsored by, banking, loyalty, analytics,
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>> schieffer: -- i have lost count how many weeks but it was another awful week two, cases of ebola, one fatal have now been confirmed on u.s. soil, and isis is on the move in northern iraq and syria. american warplanes were in the air again but it was hard to judge their impact and now the united states and its ally turkey are at odds on how to confront the terrorists. >> the stock market had a bad week and china finally passed the united states as the world's largest economy. not surprising, then, that a chinese company bought the waldorf astoria hotel, the iconic new york landmark where henry kissinger entertained chinese officials when the two countries first resumed talking
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back in the seventies. now the chinese own it. i guess this is just another example of the interlocking global economy, but with russia billionaires buying up new york's luxury apartments and now this somehow it makes me a little sad. i have got to believe it is not what rogers and hart had in mind when they wrote that great old song that says we will have manhattan, the bronx and staten island too, it is lovely going through the zoo, no, they would be surprised by all of this, but it is a great song, and we still own the zoo. back in a minute. some stations are leaving us
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now but for most of you we will be right back with lots more "face the nation" including an update on the new case of ebola in dallas and have our panel, so stay with us. >> ,,,,,,,,,,
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