dr. gavin mcgregor skinner. he's an expert on ebola and recently returned from nigeria where he was treating patients. thank you for being here. did you take some of the same precautions you're hearing lenny talk about? >> i agree with lenny 100%. everything i said is exactly what we do on the ground. the other thing we do in our training with our doctors and nurses is not to raise your arms above your shoulders and touch your face. it's a human behavior challenge. it's difficult to do but something we put into our training. >> what sorts of advice would you give to journalists who are maybe preparing to go to these countries in africa to cover this? >> that's a great question. when i worked at cdc as a disease detective and i went to do outbreak investigations, journalists ach caoften came ou me to see the conditions in the field. i would say right now with the public health people, the cdc people, the dod people and all the other doctors and nurses we have from the u.s. on the ground let's form a team through

dr. gavin mcgregor skinner, an infectious disease expert.k to you both about what we just hearted from this press conference from the head of the cdc. right before the break, elizabeth, you were saying there are still big questions we don't have answers to about what breaches in protocol could have caused this new person to have been infected with ebola and now that person is isolated at the hospital in dallas. >> right. it seemed clear from what dr. freiden was saying is that there was some kind of a breach of some kind and that it needs to be determined what that breach was. one thing that he mentioned and i don't have his ex-wording but said something to the effect, mo sr. not better. if the guidelines say under certain conditions, for example, double glove, you don't want to triple glove or quadruple glove. more is not necessarily better. presumably, one of the reasons is you have to take all of this off and once it's become infected, that's an issue if you have more. i think that there are various things they are going to be looking the

dr. gavin mcgregor skinner brought this to our attention last week.helping get his health care workers ready. there seem to be so many ironies, about ebola, nigeria so densely populated. this was a place that was supposed to go bad and yet it had not. how did that happen? >> joie, when we heard ebola had reached lagos, a a mega city, all my comrades and i were nervous. risk assessments, risk assessments, they defined the how. their communications plan, they communicated.openly and honestly with all nigerians, using a website, a 1-800 ebola web site, but they used smx text messaging, text blasting, where they sent messages to everyone's cell phones to wash their hands often and report to an emergency station if they felt they had ebola. >> what i hear is mostly these new guidelines a may not be all that new but also they're really just focused on creating greater consistency. >> you're absolutely right. let's go back to history. we've been dealing with ebola and other highly infectious diseases since 1976. so we've dealt with ebola now for 38 years. we

dr. gavin mcgregor skinner, who has designed disaster preparedness programs for the u.s. government and the united nations. doctor, you heard the powerful words from the president but it seems most americans don't care. a new poll says 80% of americans support quarantines for people coming back in west africa. the attitude is better safe than sorry. why do you think they're wrong? >> i think it's important to make the american people aware what i did when i came back from west africa after treating ebola patients, that is to follow the cdc guidelines which calls for movement. that is not quarantine. that is controlled movement. don't take public transport, but it doesn't tell me to stay home locked in a room. it tells me if i don't have symptoms i don't have ebola and i'm no risk to anyone. >> as i mentioned, governors of six states have enacted mandatory quarantine for 9 who is coming from an ebola hot zone, is that an honor code? >> it is not just an honor code, it is a p to p code, we are taking our temperature twice a day, i also when i came back reported to the local

dr. gavin mcgregor-skinner here that is giving us a lot to think about and a lot that is not being done atthank you. and dr. elizabeth cohen, our senior medical correspondent, thank you as well. >> and it is time to start a travel ban to reprevent the spread of ebola here in the united states. more on this after our news break. program that partners businesses with universities across the state. for better access to talent, cutting edge research, and state of the art facilities. and you pay no taxes for ten years. from biotech in brooklyn, to next gen energy in binghamton, to manufacturing in buffalo... startup-ny has new businesses popping up across the state. see how startup-ny can help your business grow at startup.ny.gov having a perfectly nice day, when out of nowhere a pick-up truck slams into your brand new car. one second it wasn't there and the next second... boom! you've had your first accident. now you have to make your first claim. so you talk to your insurance company and... boom! you're blindsided for a second time. they won't give you enough money to replace your brand new c

dr. gavin mcgregor skinner, infectious disease expert, joined me on reliable sources last week and get his about the media coverage of this. let start, ed, by telling us what did we learn this morning at the first local press conference that took place? >> the significant headlines of what we know so far is this is a health care worker who was not considered to be one of the high-risk people that was being monitored. this was someone in the lower risk category, but this was someone who came into contact with thomas eric duncan, not during his initial visit that first emergency room visit where he was turned away and returned three days later. so, it was after he had come back to the hospital. and we are told, and this is the disturbing part of all of this, is that this health care worker had been using protective gear, the gowns, the masks, the facial mask, the gloves and everything, and despite all of that, has still become infected. also this morning here, brian, a great deal of attention focused around the apartment complex where she lives just a few miles away from here at the hospital

dr. gavin mcgregor-skinner discusses the u.s. response to ebola. then political reporter james hellmann looks at the 2014 elections and key governors races around the country. and bloomberg news examines how the u.s. trucking industry is addressing highway safety issues. plus your phone calls, facebook comments, and tweets. all on washington journal, live saturday at 7:00 a.m. eastern on c-span. >>> this weekend on the c-span networks, tonight at 10:00 eastern on c-span, a conversation with retired u.s. supreme court justice john paul stevens. on saturday night at 9:00 eastern the founder and former chair of microsoft, bill gates on the ebola virus outbreak in west africa. and sunday evening at 8:00 on q&a the director of the myth sewnian's national museum of african art and tonight at 8:00 on c-span2 authors john yoo and bruce fein talk about war and 9 constitution. saturday night at 10:00 author heather cox richardson on the history of the republican party and live sunday at noon on book tv's in-depth legal affairs editor in charge at reuters and

dr. gavin mcgregor skinner discusses the u.s. response to we bowl of. ebola. focusing on incumbents with tough reelection bids. the u.s.nment and trucking industry are addressing the issue of highway safety. we will take your calls he can join the conversation on facebook and twitter. washington journal, live at 7 a.m. eastern on c-span. >> this weekend, on saturday night at 9:00, the founder and former chair of microsoft bill gates on the ebola virus outbreak in west africa. evening, the director of the smithsonian's national museum of african art. that is set at a night at 10:00. history of the republican party and live sunday at noon on book tv's ind-depth, the supreme court biographer. saturday at 5 p.m. eastern on american history tv on c-span 3, former fbi agents on catching the uniabomber suspect. it would hundred anniversary of the panama canal on sunday. let us know what you think about the programs you are watching. or you canmail us send us a tweet on twitter. like us conversation, on facebook, follow us on twitter. >> the 2015 student cam competiti

dr. gavin mcgregor-skinner. he is an expert. to note some of your other history. i think it is interesting. he recently returned from nigeria or you were treating patients on the ground with ebola. you worked in preventive controlling. prevented in helping disease after the tsunami. you have an extensive background in dealing with these outbreaks. on theit your thoughts latest headlines. the dallas officials have narrowed down to 10 the number of people who might be infected with ebola or have been exposed to the spread of the disease. the death toll worldwide is over 3300. are we handling this in the right way? guest: that is a good question. wonderful health care staff. this does not just include doctors and nurses. we have them in place. n approach. is a we put the cdc in the center. we have all the health care systems whether it be the hospitals or urgent care or travel clinics in this hub and spoke. we have not created a functioning network. that is what we need to create. we need to be able to share experiences. we have emory hospital in the -- atlanta. they

dr. gavin mcgreg gor mcgregor skinner.i will point out you were with us on our set just a couple of nights ago and at that time you talked about some of your very serious concerns about the mismanagement of information, wrong protocols being given. you've been down at the cdc. you've there. do you see things changing? >> at the moment, they haven't and i want to point out why. we don't have a national communication plan for ebola and we need one. if you go to google, you you put in ebola, and you're taken to the cdc, website, it's full of pdf documents. also the ppe guidance there is not based on a risk assessment we do constantly in west africa and for u.s. hospitals. based on the symptoms, the likelihood of the outcome of the disease, based on the hazards and based on what we need to protect. and we need to protect u.s. health care workers and that risk assessment for ebola is complete coverage of the body no part of the body exposed. >> you have said to me that really the front line health care workers you're talking to

dr. emanuel and gavin mcgregor skinner. gentlemen, thank you very much for joining us. dr.brought with us some information. i want you to show it to our viewers. this is from the cdc, instructions put forward on how health care workers should protect themselves from ebola. you have some problems with this. >> yes, wolf. the cdc, ebola website for health care workers, that's all health care and hospital staff within the u.s., has a guide how to put on the pp and take it off. it doesn't match what we're seeing on tv from emery, dallas, or even what people are wearing in west africa. >> what does that mean? >> you saw the people, even in boston today, people had a head covering on, wearing special shoes, boots on their feet. what we're seeing from the cdc website, they just got a gown on and the head is exposed. >> do you think that's a problem, dr. emanuel? >> we know it's bodily contact with fluids and fluids with spray around. as you mentioned in your last segment, fluids can spray around. so having full protection is important. we also need to be aware that it's very possi

dr. alexander garza with us and gavin mcgregor skinner. juliet kayyem and dr. debbie, talk to us about this virus. you said the temperature depends on -- the fever depends upon your immune system. >> some have a low fever. some don't have fevers right away and some have high. so your body, your immune system is what creates the fever. there's a period you don't know if the patient is contagious or not. it depends. it could be there before it reaches high levels -- >> i want to talk to juliet kayyem. coordinating with hhs, also ron klain, a new ebola czar and also you heard the head of the cdc speaking at the press conference, the question all of this training they have been having here. they feel that they are prepared for it. new york city prepared it is prepared. they're activating its emergency operations system in brooklyn. all of these the right moves? >> absolutely. i think, you know, over the last couple of months, some of the sort of communications errors that have come out of the government are that they overpromised and underdelivered and saying it wo

dr. sanjay gupta. gavin mcgregor-skinner from penn state university.me here in "the situation room," erin tolbert, an emergency room nurse practitioner. sanjay, i'm curious, one of the nurses who is there in the hospital, nina pham, her condition went from good when she was in dallas to now being fair. she's at nih in bethesda, maryland. what does that tell you? >> i don't know that i would read too much of that. when a patient is transfer, the condition is slightly downgraded because the hospital wants to create these assessments themselves and it requires them evaluating themselves, maybe looking at lab values and different things. having said there, she did get off the plane and we saw her late last night, she walked to the ambulance. that's obviously a good sign. but also she is starting to enter now what would be considered the more concerning phase of the disease. so she has ebola. there are different phases of the disease. we know she is going to be getting into one of the more serious phases and will be monitored and cared for very, very closel

dr. yaz min, a former cdc disease detective who writes for the "dallas morning news," gavin mcgregor-skinner public health preparedness and our correspondent, elizabeth cohen. that little 5-year-old boy tested negative and the statement released by the new york city department of health said the test is negative. but out of an abundance of caution, further ebola tests are required to ensure the patient is clear. the patient will be tested for common respiratory viruses. the patient will be in isolation until all test results have returned. is it possible, even though this initial test was negative, he still might be positive down the road? is that what they're suggesting in this statement? >> it's possible but highly unlikely. i have spoken to some pediatricians. they said with this clinical history, it sounds like so many other illnesses that 5-year-olds get. he's vomiting, it could be any other conditions. it's unlikely to ebola. and now it's even more unlikely given this one negative test. >> as you know, gavin, dr. craig spencer, the physician with doctors without boarders back, he's got

dr. jesse goodman of georgetown university and the former chief scientist for the u.s. food and drug administration. also joining us, professor gavin mcgregor skinner and assistant professor of public preparedness at the university and the reverend jesse jackson, the president of the rainbow/push coalition. he met with the family of thomas duncan, the first patient diagnosed with ebola in the united states who passed away, unfortunately, this morning. dr. skinner, i am sure the doctors at this hospital in dallas did everything they could to save mr. dunk can's life, bu did they have the experience and the preparedness to deal with an ebola case? >> we've never had cases of, bowla until recently in the united states and we've had patients back to the nebraska medical center. we know that even though we had plans and we had plans written on paper, we've never implemented those plans and we didn't know where the gaps and the needs were and where the challenges were. >> emory university in atlanta. >> they've gone through it and learned a lot of lessons. there was over 100 hospital staff involved in just looking after one ebola patient. for us to say t