dr. faucire no doubt already seeing and will continue to see what we call "imported cases." it is correct that there is a very, very extensive outbreak of zika virus in south america, particularly in the northeastern section of brazil, as well as in the caribbean. so, we will see, because people travel to that region and come back to the united states and we have already seen about 50 cases that have come back into the continental united states or territorial united states. that is not surprising. we will see even more of that. the critical question is, will there be local transmission within the united states? by local transition what we mean is that if i'm in south america or the caribbean and i get been by mosquito and go back let's say to the southeastern part of the country, florida or texas or what have you, and a mosquito bites me and them by somebody else, and then you get a chain of transmission, that is called "local transmission" of the virus. that is the thing we are concerned about

dr. fauci: what we almost certainly will see, people -- we are already seeing that -- are people who are in the united states and traveled to the involved region, got bitten by a mosquito that infected them, and then returned to the united states and developed the symptoms of zika infection. we have seen that in hawaii. we've seen cases now that have been in the united states, for example, in illinois, in texas and in other states. i expect we are going to continue to see that. the critical issue that is of obvious concern is that will this infection get established in the united states where it spreads within united states? laura: what is going to be the most effective way to stop the virus from spreading? dr. fauci: the most effective way now, which is what we are concentrating on, is addressing the mosquitoes. there are a couple of ways of doing that. you can have protection against mosquito, mosquito protection, namely making sure as best as possible you stay indoors with air conditioning.

i didn't feel safe there. >> reporter: dr. fauci says we're not likely to see the same widespread zika virus outbreak here in the u.s. as in brazil. we can better control mosquitoes, but, scott, there are a lot of unknowns, and the health care community is watching this very carefully. >> pelley: dr. jon lapook. doctor, thanks very much. donaldr trump is a master of stealing the show, but this time he's aiming to run away with it. tonight as seven republicans debate in des moines, he is holding a simultaneous event billed as a veterans benefit. it's a high-stakes gamble in his neck-and-neck race with ted cruz just four days before the caucuses. >> reporter: in south carolina last night, donald trump played up his counter-programming move against the fox debate. >> from here where do i go? >> iowa. what am i going to do there? who the hell knows. we're going to... you know what we're going to do? we're going to raise a lot of money for the vets. that's what we're going to do. >> reporter: fox news scrambled to pull trump back on the

dr. anthony fauci, head of the infectious diseases branch of pandemic. >> you have multiple down fris in south america and the caribbean, so by anybody's definition, that would be considered a pandemic. >> reporter: there's concern the virus will eventually be found in mosquitoes in the u.s. >> if you have this much zika in south america and in the caribbean, sooner or later we're going to see a local transmission. >> reporter: fauci says controlling mosquitoes that could carry zika is key, and the advantage: >> most of the united states goes through a real winter, and that's very, very important in containing mosquitoes-borne viruses. >> reporter: 35-year-old ana palazzo is pregnant with twins. two months ago she cut short a trip to brazil and returned to new york. >> i want my babies to be safe, i didn't feel safe there. >> reporter: dr. fauci says we're not likely to see the same widespread zika virus outbreak here in the u.s. as in brazil. we can better control mosquitoes, but, scott, there are a lot of unknowns, and the health care community is watching this very carefully. >> pelle

dr. anthony fauci. dr. fauci, thanks very much for joining us.t now there are reports that we could be as far as what ten years away from a vaccine to combat this virus? is that right? >> well, it's usually takes a few years in order to get a vaccine that goes to the full process of being tested and approved. but we're accelerating the early part of that and we're putting together a protocol right now, literally as we speak, where we'll have a product that hopefully we will get into what's called early phase one testing to determine if it's safe and if it induces a response that you would predict would be protective. and we are likely going to get into that phase one trial within the calendar year of 2016. so we're moving very quickly on that. to get ultimately an approved safe and effective vaccine will likely take several years. i don't think it's going to be ten years. that's a bit long wolf. i think it's more like three to five years. >> what can the world do right now to stop the rapid spread of this disease? >> good question and there's a g

dr. anthony fauci. thank you for joining us.et with president obama and briefed him on the zika outbreak. how concerned are you and health officials about this virus? >> we certainly are taking it very seriously. this is something that clearly is an ongoing pandemic in the making in south america and in the caribbean. there has been this association both temporally and geographically with mothers so we need to get on and study very, very carefully but also we need to have preparation, which we are starting now in a very aggressive way for things like better diagnostics, working on a vaccine, screening for therapeutics and also talking about understanding better the natural history of this particular issue because it really is brand new. remember, zika was a fundamentally inconsequential virus until it swept into an area, namely the western hem fear and the americas where we've not had this before so we are putting what a call a full-court press in multiple departments, the cdc, nih and other agencies of government are being invo

i didn't feel safe there. >> reporter: dr. fauci says we're not likely to see the same widespread zika virus outbreak here in the u.s. as in brazil. we can better control mosquitoes, but, scott, there are a lot of unknowns, and the health care community is watching this very carefully. >> pelley: dr. jon lapook. doctor, thanks very much. donald trump is a master of stealing the show, but this time he's aiming to run away with it. tonight as seven republicans debate in des moines, he is holding a simultaneous event billed as a veterans benefit. it's a high-stakes gamble in his neck-and-neck race with ted cruz just four days before the caucuses. here's major garrett. >> reporter: in south carolina last night, donald trump played up his counter-programming move against the fox debate. >> from here, where do i go? on to iowa. what am i going to do there? who the hell knows. we're going to... you know what we're going to raise a lot of money for the vets. >> reporter: fox news scrambled to pull trump back on the stage, using bill o'reill

dr. anthony fauci, thank you. dr.ll began. for "morning joe" in iowa. >> the hairstyles are horrific. foshs ♪jake reese, "day to feel alive"♪ ♪jake reese, "day to feel alive"♪ ♪ ♪ those who define sophistication stand out. those who dare to redefine it stand apart. the all-new lexus rx and rx hybrid. never has luxury been this expressive. this is the pursuit of perfection. every auto insurance policy has a number. but not every insurance company understands the life behind it. ♪ those who have served our nation have earned the very best service in return. ♪ usaa. we know what it means to serve. get an auto insurance quote and see why 92% of our members plan to stay for life. . >>> on the show today barack obama will be coming by here, mika. as will mitt romney, bill richardson and a cast of millions at java joe's. here in des moines, iowa, it is literally an epicenter of the political world this morning. >> this is turning out to be the place to be. >> this is where it all began. >> it is. java joe's. they weren't goi

dr. fauci and dr. gupta, thanks for the real information today. all right. following a lot of news this morning. let's get right to it. >>> isn't that better than this debate that's going on? >> everyone on this stage is stupid, fat and ugly. >> i kind of miss donald trump. he was a little teddy bear to me. >> look at all the cameras. like the academy awards. this is like the academy awards. >> i'm supporting another candidate for president. that doesn't mean we can't work together when it comes to helping our veterans. >> everybody's friends here except ted cruz. but it's a falseness. >> you changed your position on immigration. >> so did you. >> and you -- >> so did you, marco. >> i get more votes, less votes? nobody knows. who the hell knows. >> hillary clinton cannot be the president of these united states. >> let me tell you who's not qualified to be president of the united states. hillary rodham clinton is not qualified to be president of the united states. >> it's for our vets and you're going to like it, because we raised over $5 million i

dr. anthony fauci is here with us.t's talk about the level of concern and level of threat and then talk about the response. >> so we no doubt are already seeing and will continue to see what we call imported cases. because it is correct that there is a very very extensive outbreak of zika virus in south america, particularly in the north eastern section of brazil, as well as in the caribbean. so we will see because people travel to that region and come back to the united states and we've already seen about 50 cases that have come back into either the continental united states or territorial united states. that's not surprising. we're going to see even more of that. the critical question is will there be local transmission within the united states. and by local transmission what we mean is if i'm in south america or the caribbean and i get bitten with a mosquito and go back to let's say the southeastern part of the country, florida or texas orwha. and the mosquito bites me and then bites somebody else, that's called loc

dr. anthony fauci, head of institutes of health. >> we haven't started on the zika, very soon, within weeks to a month because of the seriousness of the matter in brazil. >> he met with president obama as zika became a household words and the virus was traveling fast. dr. gavin mcgregor skinner is director of immune response and an expert in infectious diseases. >> the w.h.o. says it is spreading explosively. that kind of language, while accurate, can insight sort of a panic among population he. >> that's a really good point, we need the keep this real. it shows though that the surveillance systems, the diagnosic systems, shows that the system is working, it caught us by surprise. >> it's very difficult to quickly test large populations for virus. >> there's only five laboratories in u.s. one at cdc atlanta and four state department labs that can currently diagnose zika virus out of a blood sample. we need to have that scaled, not only in u.s., but in central america, south america and the caribbean countries as well. >> is that possible, since they are poor countries and we only have five

dr. anthony fauci from the national institutes of health. thank you for joining us this morning. you're calling this a pandemic in progress. >> indeed, it is because the outbreak in south america caribbean certainly is expanding at an alarming way and the association and, again, geographically with this birth defect when the virus infects pregnant women although the evidence for that not definitive. it's highly suggestive that there is this association with micro microcephaly and have you two things, a brand-new pandemic in progress and evolving in the western hemisphere. at the same time that you're seeing these disturbing sequela in pregnancy of infants born with this very, very difficult disability. yeah. >> spreading in the u.s. as well. ten states right now, how severe is the threat to pregnant women here? >> well, we're going to see people who visit the areas, the regions in south america and in the caribbean who will come back to the united states and be ill having been bitten by mosquitoes in the region. that's a big difference than virus locally in the united states. so,

dr. anthony fauci/director, national institute of allergy & infectious disease - we do not believe there will be a major outbreak of zika in the united states.)) ((denise valdez)) there have been cases diagnosed in the u-s... but the cdc says almost all of them are among people who traveled abroad. health offficials are urging pregnant women not to travel to the affected regions unless absolutely necessary. as for a vaccine... clinical trials will start at the end of the year but vaccines will not be widely available for several years./// ((dave courvoisier)) > today marks a day of remembrance for nasa... 30 years ago today the space shuttle challenger exploded over the skies of florida. 73 seconds after lift off the spacecraft broke into pieces. nasa determined a faulty o-ring on the rocket booster caused the disaster.. one school teacher on board. nasa also commemorated two more tragedies today... the apollo- one fire in 1967... and the space shuttle columbia that broke apart on re-entry in 2003. a wreath- laying took place at arlington national cemeter to honor each crew. ((dave courv

dr. anthony fauci runs the national ?lergy and infectious diseases. >> the critical question is will there be local transmission within the united states? and by "local transmission" what we mean is if i'm in south america or the caribbean and i get bitten with the mosquito and go back, let's say to the southeastern part of the country-- florida or texas or what have you-- and a mosquito bites me and then bites somebody else, and then you get a chain of transmission, that's called local transmission of the virus. that's the thing that one is concerned about. but we feel, given the history of what we have seen with other similar viruses like dengue, that although it is likely we will see these mini little outbreaks, we feel that it is unlikely-- not impossible-- but unlikely that we'll see an extensive, explosive outbreak in the united states the way we're seeing in south america. and, again, you don't want to be cavalier about it. it's not a guarantee, but history with these types of virus tells us it's unlikely we'll see

gooch, dr. fauci. >> thank you. >> reporter: we have 4,000 cases of babies born with suspected defects in brazil. could this affect the u.s.? >> we do not believe there will be a major outbreak of zika in the united states. we don't want to be cavalier about it and take it very seriously. but as zika acts like the other types of viruses that are mosquito experience with, we will see mini outbreaks in florida and texas that can be well-controlled with mosquito vector control. hopefully, we will not see anything worse than that but we have to be very vigilant. we don't expect a major outbreak in the united states, despite the fact that there is considerable problems in south america, particularly in brazil with a widespread outbreak of zika. >> reporter: what is the emergency response that is necessary at this moment? >> right now, the urgent response is vector control, namely, to make sure that the mosquito's vecket tor are controlled and try to eliminate them with insecticides. what we spoke to presid