dr. alexander garza, doctor. thank you for your guidance. >> isis is making big advances in the province surrounding baghdad. up next, we will hear why the white house says, well, it's not worried. people with type 2 diabetes

dr. alexander garza, associate dean there at the chicago public school of health. >> thank you. >> thank you. we will continue right after this. nancial tomorrows a reality for over 19 million people. [ mom ] with life insurance, we're not just insuring our lives... we're helping protect his. [ female announcer ] everyone has a moment when tomorrow becomes real. transamerica. transform tomorrow. transamerica. an unprecedented program arting busithat partners businesses with universities across the state.

dr. alexander garza, former assistant secretary for health affairs and chief medical officer of the departmentmeland security. dr. garza, thanks for joining me. first, are the drills at hospitals enough to prepare them for ebola? >> well, it's a good first step. we have been dealing with ebola for most of the year. it's only become much more important here recently with the case diagnosed in dallas. and i think it was really a wake-up call for the rest of country we need to take this disease seriously and be on alert for it. so i think the u.s. hospitals are doing the best they can to be prepared for something that is very unusual. >> do you think the screenings at the airports will be effective, or is there something else that they should be doing instead? >> well, the screening at the airports are, i think designed for a couple things. one is to catch any potential cases that may have gotten past the screening in the airports from western africa. but i think they provided another thing, which is another level of comfort for the american people that the u.s. government is taking this seriousl

dr. alexander garza. dr., it's good to have you on our program. >> thank you. >> as a medical professional, when you encounter an unknown, what is the policy? because ebola hadn't come to the united states before it came to dallas. and you could argue as well that people just didn't know how to handle it or even what it was. what do you believe? >> well i think it is a combination of things. first off the initial handling of mr. duncan, clearly they missed him as a case of ebola. i think that's been pretty well established. but your next question of how do you take care of patients like this that have never presented to your facility before is a very fair question. and i think it's hard to fault institutions that were not given a proper training, a proper equipment and really just did not have the right set up to take care of a highly infectious patient such as mr. duncan. >> we have the new enhanced security checks now at the major international airport likes jfk coming into the country. if i am someone w

dr. alexander garza, dr. macgregor-skinner and juliette kayyem. the emergency management who seemed confident but reaching a lot of people with who he came in contact with. he could have come in contact with thousands of people. >> he could have, but, again, he's conscious and talking to authorities and he's really giving a lot of information of where he has traveled to and where he's been and light of parallels between new york city and what we experienced in lagos in nigeria. it's a megacity of 21 million people and when patrick sawyer arrived, that patient, again, we expanded this huge net of contact tracing in the nigerian government visited over 26,000 homes and families and talked to so many people and, again, there wasle 894 people from the 20 cases to do that contact tracing. what new york is doing is correct, it's right, it's the principles we use every day to fight ebola and find and detect early to ensure no one else gets this terrible disease. >> to dr. garza. let's talk about the flights that dr. spencer took. how much do we know abou

dr. alexander garza, former assistant secretary for health affairs at the department of homeland securityks for joining us. >> thank you. >>> they are the dealing with ebola on the front lines. the cleaning crews responsible for cleaning residences and hospitals. coming up, how they're dealing with the new demand. and more on the other major story we're following, the grim discovery in charlottesville, virginia. why this may closing the book on the search for the missing uva student, hannah graham. helps you find a whole range andof coverages.ur price" tool no one else gives you options like that. [voice echoing] no one at all! no one at all! no one. wake up! [gasp] oh! you okay, buddy? i just had a dream that progressive had this thing called... the "name your price" tool... it isn't a dream, is it? nope. sorry! you know that thing freaks me out. he can hear you. he didn't mean that, kevin. kevin: yes, he did! keeping our competitors up at night. now, that's progressive. use steam to give you both crisp vegetables and juicy chicken... and you pour the sauce. healthy choice café steamers.

dr. alexander garza speaking with me earlier. the u.s.rmy's 101st airborne division has officially taken over the u.s. mission to fight ebola in liberia. the change of command took place saturday in monrovia. the liberian and u.s. governments were represented along with various u.s. agencies assisting in the battle against the virus. the division is charged with building field hospitals to provide 1,700 additional beds plus several testing laboratories. >>> coming up here, a u.s. mayor talks about the horrifying school shooting that has devastated his town. hear from him and the students who fled for their lives as the shots began. >>> also, vigils across canada for the victims of two attacks in one week. we ask a security official what changes need to be made to keep soldiers from becoming targets. shh! taste better in our savory broth. vegetables!? no...soup! oh! soup! loaded with vegetables. packed with taste. >>> fired inside the cafeteria during lunch killing one student and injuring four others. he was a student there. two of fryber

dr. alexander garza and juliet kayyem, thanks to both of you. when we come right back, how coalition prisons in iraq have become a breeding ground for isis brutality. and why some people fear things could get much, much worse. >>> plus, nbc's dr. nancy snyderman says sorry for violating quarantine. but does a public figure have a responsibility to take it seriously? ♪ man: [ laughs ] those look like baby steps now. but they were some pretty good moves. and the best move of all? having the right partner at my side. it's so much better that way. [ male announcer ] have the right partner at your side. consider an aarp medicare supplement insurance plan, insured by unitedhealthcare insurance company. go long. then you'll know how uncomfortable it can be. [ crickets chirping ] but did you know that the lack of saliva can also lead to tooth decay and bad breath? [ exhales deeply ] [ male announcer ] well there is biotene. specially formulated with moisturizers and lubricants, biotene can provide soothing relief and it helps keep your mouth healthy, to

dr. alexander garza, associate dean at the university college of public health and former chief medical officer the department of homeland security. thank you all for being here. let me start with you, dr. red lander. when you look at the reaction here, this is a good headline, the fact they do not believe at this point this patient has ebola, at least not yet. but you heard from the man on the plane sitting right next to him saying it was really uncoordinated. the response to this. they let us get off, let us get our bags and then said wait don't leave the airport yet for hours. what do you make of it? >> what i make is that we're still somewhat confused about the actual protocols that need to happen. this particular gentleman had the two principle triggers that would lead us to suspect this might be a case of ebola. so he had both the country of origin that he traveled through -- actually, quite recently. and second of all, he was symptomatic. in my view, this is a case that should have been kept in the hospital, gotten the appropriate blood test, and then cleared. and i don't know, we don't

dr. alexander garza dean at st. louis university college of public health and social justice. alexander, are the new measures enough. or taking temperatures and filling out questionnaires will that help anything? >> so i don't think it is really a question of is it enough? i think really the question is are we doing as much as we can. certainly with the addition of the screening from the incoming passengers from the affected country, is another layer of security that the united states government can provide to assure the public and also to look out for any more signs of ebola that could potentially slip through the cracks of the screening that happens overseas. >> van jones, you know it will start at jfk and expand to four major airports. newark, chicago, washington, dulles. and atlanta. why not do all the airports as soon as possible? >> well in some ways, got about 90% of the people from west africa go to the airports. it is probably the most efficient way to do it. i do want to point out though, this is probably more security theater at the end of the day than it is actual

dr. alexander garza, st. louis university college of public health and social justice.important to ask you the first question about this. this is going to be, submitted by daniel varga, chief clinical officer, senior executive vice president at texas health resources. he says, apologize, he says unfortunately in our initial treatment of mr. duncan despite our best intentions and highly skilled medical team, we made mistakes. we did not correctly diagnose his symptoms as those of ebola. we are deeply sorry. also, he says, the hospital followed all cdc and texas department of state an health services recommendations in an effort to ensure the safety of all patients, hospital staff, volunteers, nurses, physicians, and visitors. protective equipment included, included water, impermable gowns, surgical masks, eye protection and gloves. since the patient was having diarrhea, shoe covers were added shortly there after. what do you make of that? >> it is one thing to apologize for human error, nurses understand that. we are all human. we make mistakes. but it is unforgivable th

dr. alexander garza, doctor.hank you for your guidance. >> isis is making big advances in the province surrounding baghdad. up next, we will hear why the white house says, well, it's not worried. people with type 2 diabetes come from all walks of life. if you have high blood sugar, ask your doctor about farxiga. it's a different kind of medicine that works by removing some sugar from your body. along with diet and exercise, farxiga helps lower blood sugar in adults with type 2 diabetes. with one pill a day, farxiga helps lower your a1c. and, although it's not a weight-loss or blood-pressure drug, farxiga may help you lose weight and may even lower blood pressure when used with certain diabetes medicines. do not take if allergic to farxiga or its ingredients. symptoms of a serious allergic reaction include rash, swelling or difficulty breathing or swallowing. if you have any of these symptoms, stop taking farxiga and seek medical help right away. do not take farxiga if you have severe kidney problems, are on dialy

dr. alexander garza is a dean at the university of public college health and former chief medical officer at the department of homeland security. i'm also joined live here by dr. amar, a professor and infectious disease expert at new york university. i'd like to start with you, dr. garza, if i may. that's a chilling analogy, that it's the isis of infectious agents. does that mean it's that deadly or that dangerous or just that it needs to be treated with the same kind of strategy? >> i think it's a little bit of both, ashleigh. so if you think about ebola as an agent that spreads throughout and kills innocent people, it's directly like isis, right? it infects people and kills people. and so the response, if we're calling this a national security issue, needs to be equivalent to if this was a form of terrorism, meaning we'd have to attack the problem overseas, like we do with terrorism and leak the president is doing sending the military but we also have to protect the homeland, screening passengers and doing all of those other efforts to protect the american public. >> and doctor, if i co

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. alexander garza, thank you for coming on. >> absolutely. >>> the nurse kaci hickox said she will take legal action if need be. >> if the restrictions placed on me by the state of maine are not lifted by thursday morning, lee go to court to fight for my freedom. >> if that happens, would she have a case? can the government legally quarantine someone who doesn't have any symptoms of ebola? we'll talk to a lawyer, ahead. >>> plus, remember the scandal in colombia ahead of the president's visit there? now the man who investigated that incident is off the job reportedly because he visited a prostitute. how he was caught. that's next. ♪ [ female announcer ] we love our smartphones. and now telcos using hp big data solutions are feeling the love, too. by offering things like on-the-spot data upgrades -- an idea that reduced overcharge complaints by 98%. no matter how fast your business needs to adapt, if hp big data solutions can keep wireless customers smiling, imagine what they can do for yours. make it matter. ♪ imagine what they can do i thought it'd be bigger. ♪ ♪ (dad) there's nothing

dr. alexander garza of the st. louis university college of public health and social justice. he's the chief medical officer in the department of homeland security. doctor, of what level of concern is the fact that ron klain doesn't have a medical background? are you worried about that? >> i don't know if i'm so much worried about it. it's certainly an interesting choice, michael. and so he brings to the table a wealth of policy and political know-how. i think he knows how to work the bureaucratic challenges. the challenge that he has is that public health is an interaction with the federal government and state government and if he's going to be working on the mission in west africa as well, it's going to bring in the international component as well. you have to be comfortable operating in all of those spaces and have to have some degree of credibility in a lot of those spaces and you have to be able to build coalitions and coordinate those issues between all of those different moving functions. so i think that's what separates the issues of whether you're a good manager or wh

dr. alexander garza, thanks to both of you. >> thank you. >>> with two lone wolf terror attacks in ottawa and new york city this week, are we seeing the rise of a new type of terror threat? we ask an ex-jihadist and a terror expert when we come back. (receptionist) gunderman group. gunderman group is growing. getting in a groove. growth is gratifying. goal is to grow. gotta get greater growth. i just talked to ups. they got expert advise, special discounts, new technologies. like smart pick ups. they'll only show up when you print a label and it's automatic. we save time and money. time? money? time and money. awesome. awesome! awesome! awesome! awesome! (all) awesome! i love logistics. wouldn't it be great if hiring plumbers, carpenters shopping online is as easy as it gets. and even piano tuners were just as simple? thanks to angie's list, now it is. we've made hiring anyone from a handyman to a dog walker as simple as a few clicks. buy their services directly at angieslist.com no more calling around. no more hassles. start shopping from a list of top-rated providers today. angie's list

dr. alexander garza, former executive secretary of health affairs and chief medical officer in the departmentf homeland security. ann toomie, interesting, we have been listening to the nurses. we have heard from the family of amber vinson, who is saying, you know -- initially they didn't think they would be expezzed to this. but as time went on they started to worry about it especially their skin. being exposed here. as you listened throughout this evening, what do health care professionals need here. will it be handle differently, ann toomie at the national institutes of health. >> it is a great question. there is some clear lessons to be learned from all of this. the lessons are there has to be clear defined protocols and procedures. and they have to be developed -- at the hospitals, but also with the, the front line care givers. that are actually going to be affected by them. and training, education, can't be taken for granted. it seems to me the two nurses did not get that. they were put into a situation. it was just expected that the normal routine of isolation procedures should kick in.

dr. alexander garza. r first question is from a viewer who asks, there are several strains of the ebola virus. can mutations cause them to spread differently? dr. rodriguez, you want to take that one? >> well, mutations affect viruses in many difshferent way. a mutation can as easily make a virus less dangerous as it can a little bit more dangerous. so, we do know that there are many different types of strains of viruses, and some actually are much more dangerous than others. this one is -- has a morality of 50%. there's another type that has mortality of 90%. the answer to the question is yes, and we don't exactly know how that is going to be affected by mutations. >> and kathy also asks, is there proof that ebola is not airborne? and i think that is a question so many people want to know because it's spreading seemingly so rapidly. what do you say? >> well, it's important to understand a disease can spread rapidly even if it's not airborne. and in liberia, that's essentially what you're dealing with, a s

dr. alexander garza, former chief medical officer for the department of homeland security. dr. garza, welcome. >> good afternoon, how are you? >> i'm okay. i'm hoping i'll be better once i talk to you and we can fill in blanks. it's assuring reading this from doctors without borders. i know they are best of the best, just talking to doctors they've taken incredible precautions, especially africa. but let me quote one more thing from request doctors without borders. "as long as a return staff member does not experience any symptoms, normal life can proceed. family, friends, and neighbors can be assured that a returned staff person who does not present symptoms is not contagious and does not put them at risk." so quarantine is neither warranted more to recommended when a person is not displaying ebola-like symptom which is, doc, brings me to the situation we have here in new york city with dr. spencer. so given the fact that obviously things can happen, should that change? should that be a mandatory quarantine for any of these doctors who are coming back over here? >> well, i thi

dr. alexander garza, associate dean there at the chicago public school of health. >> thank you. >> thankontinue right after this. nancial tomorrows a reality for over 19 million people. [ mom ] with life insurance, we're not just insuring our lives... we're helping protect his. [ female announcer ] everyone has a moment when tomorrow becomes real. transamerica. transform tomorrow. transamerica. an unprecedented program arting busithat 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 >>> welcome back to cnn's breaking news. in dallas, a second patient has fall en victim to ebola is hospitalized and in isolation in dallas said to be in fairly good condition. presented in a low-grade fever and found to be carrying the ebola virus, and we are waiting to c

dr. alexander garza. he's the associate dean for st. louis university's college of public health. >> doctor, for those who actually do manage to survive ebola, what are the complications? >> so a majority of them won't have lingering complications. but there are going to be a percentage of patients that will have some inflammatory reactions type of diseases. not diseases but conditions after they've suffered from ebola. so things like arthralgias, or pain in the joints. you can have problems with inflammation in your eyes. and there's even been cases reported where people have reported becoming blind in the after effects of ebola. >> and you say the prognosis isn't the same for everybody. do we know why it's different for different patients? >> nobody really knows why right now. and this seems to -- this matches a lot with other infectious diseases. there's other viruses and bacteria that can cause the same sort of immune response that can cause these chronic conditions. and it's really difficult to tell who is going to fall victim to t

dr. alexander garza, associate dean at st.ity college of public health and social justice. mark omeara. the dallas prosecutor k considering filing charges? has he broke laws in texas? >> assault, requires criminal intent. they would have to show he knew he was infected but came over here with that team of intent. i think they're trying to show they're doing their job. like liberia doing theirs with their charges. no criminal intent for aggravated assault. there is criminal negligence standard. you don't get to that unless you can prove he knew or was completely reckless about knowing he was in contact with an ebola patient. no charges. >> sound like mark is saying intent here, dr. garza. key is intent. did thomas eric duncan knowingly go out and try to infkt peopect or try to get himself help and do the right thing here? >> right. i think that is the question you need to be asking. two questions. one is the legal question. one is the moral question. so, i am not an attorney, so i can't speak much on the legal aspects. but ther

dr. alexander garza, dr. amesh adalja. you have many times and we look forward to it again. >>> i think you got that one right, chris, good work. >>> the ottawa gunman was on canada's radar as a potential threat, this much we know because his passport was revoked. yettings, he was able to carry out a deadly attack. we're taking a closer look this morning at exactly how officials track terror suspects and how many they're tracking in the u.s. nineteen years ago, we thought, "wow, how is there no way to tell the good from the bad?" so we gave people the power of the review. and now angie's list is revolutionizing local service again. you can easily buy and schedule services from top-rated providers. conveniently stay up to date on progress. and effortlessly turn your photos into finished projects with our snapfix app. visit angieslist.com today. ♪ a single ember that escapes from a wildfire can travel more than a mile. that single ember can ignite and destroy your home or even your community you can't control where that embe

dr. alexander garza, he served as chief medical officer for the department of homeland security and is assistant dean for st. louis hospital public health. >> and we have dr. yoe self mccormick, he helped investigate the first ebola epidemic in central africa. dr. mccormick, let me start with you. the push from the white house to send in s.w.a.t. teams when a hospital is dealing with a case of ebola. good idea? >> well i think it will be helpful. but i don't think it's going to cover every hospital in the country. and so i think they're going to have to have a strategy for how they're going to address this. because we can't choose where ebola patients are going to appear. >> why don't you think it will apply to all hospitals. i thoughted idea was, if the hospital has to deal with a case he they get a team. >> but how dot hospitals prepare their staff. when you get a patient, and you get a s.w.a.t. team, they'll help. but you want a staff that's already trained, that's got some concept of what they're going to do, before the s.w.a.t. team ever gets there. that's where my concern is. >> even thoug

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dr. alexander garza is associate dean at the st. justice. also with me, dr. mark rut. he is chief of the division of infectious diseases at the university of nebraska medical center, where a journalist is being treated. plus, seema yaz minute, staff writer "the dallas morning news." she's a former cdc disease detective. dr. yasmin, do you think that the fear factor is unnecessarily driving up both the cost of protecting the u.s. against ebola but also the general fear. a lot of people believe that if somebody is near you, that they're contagious. >> there's so many misconceptions about ebola, deb, and understandably, it is a very scary disease, and we're seeing it in west africa, where so many thousands of people have died, very painful and horrific deaths. so we understand that. but it's really important to keep a perspective on this. we keep hearing about dallas, where i am right now. it's being called ground zero for ebola. it really isn't. ground zero is west africa. so any of our fear, anxiety, and concern has to remain focused