. >> dr. gavin skinner, who helped nigeria's health care workers in their fight, let's talk about this situation. you've heard about the concerns when this nurse was kept in. she's now been allowed to go. you know a lot of people will look at that and say look, it's inconvenient, it's uncomfortable maybe unpleasant maybe a little humiliating and embarrassing but really in the larger public health question wouldn't it just be better to keep these folks isolated? what's the problem with that? >> i think people need to understand that we've been years. many, many outbreaks and amongst the health professionals we practice what's called control movement and set up p to p networks. you and i talk with each other every day. how are you feeling? how am i feeling? we take our temperature throughout the day. we talk and communicate, within our professional network we're always communicating and looking out for each other. there's that buddy system even when we're not in west africa. >> we have seen the people

the question is dr. gavinave officials here, including the cdc and hospitals around the country, how much have they learned from dallas? >> we've heard the cdc director say there were glitches in protocols but we haven't seen the protocols and it wasn't defined what those glitches were. we haven't taken a lot of lessons learned away from dallas. but we have stuck with our basic principles of public health preparedness for highly infectious diseases such as ebola and as you heard from new york, the preparedness from hospitals and especially bellevue had been going through for many weeks now. they're saying if the fans will be functional and effective to provide the patient care for an ebola patient, but also got to remember that again, bellevue is going to wake up in the morning and go oh, my gosh, i've got an ebola patient and they're going to realize how much waste is generated each day just by one patient. and they have the processes in place to dispose of safe ly all that waste. >> i'm glad you mentioned th

that already have a containment unit and the management systems in place. >> elizabeth, hearing dr. gavinlk about this, we are talking about a long-term story, aren't we? something we are going to be hearing about for weeks and months to comesome that basically guaranteed at this point? >> oh, i think we certainly looking at a long-term story, brian. you know, this epidemic this outbreak is not going anywhere in west africa, it is here for a while. if it is in west africa for a while that means we here in the united states continue to be at risk, as we have seen with the case of mr. duncan and the health care worker who he has now infected. so, we need to do some long, hard thinking about systems in place in this country for a long time. the government in the united states doesn't like to say one hospital's better than another, but, you know, we as patients know some hospitals are better at some things than others, maybe it's time -- i have heard experts say to me and earlier, maybe it's time to say, look, we ought to be greating possible ebola patients to certain places, that there's som

. >> we're joined now by dr. gavin macgregor-skinner. infectious disease expert with the elizabeth r. griffin foundation. doctor, i also just want to note some of your other history, because i think it's very interesting. you recently returned from nigeria, where you were treating withnts on the ground ebola. previously you had worked in preventing and controlling pandemic influenza outbreaks. you also worked in helping 2004nt disease after the tsunami. you have an extensive background here in dealing with these outbreaks. so i'd like to get your thoughts, off the bat, about latest headlines we've heard out of the ebola .utbreak the glass officials have narrowed down to ten the list of who might be infected with ebola. we see the death toll worldwide is now over 3300. epidemic ining this the right way? >> that's a really good question. u.s. healthin the care system wonderful trained andth care staff, both paid voluntary. not just including doctors and the auxiliary staff, administration staff. what we really have at the is a type of appr

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

. >> for more on the response to the ebola outbreak, i spoke every time ago with dr. gavinkinner from the department of public health science at penn state hershey. they will be screening passengers. is that enough? >> it gives us another level of protection. about 150 people from guinea, leone arrivesierra every day. we will take your temperature and ask questions. where have you traveled from, how are you feeling, who do of contact with, where are you going? and a third critical function, advice of what to do if they develop a fever. >> is that adequate? should more information be given? >> what they need to do, if they have left the airport and develop a fever, what do they do next? we want them to stay home. what is coming in winter? flu season, and we do not want patience with fever and body aches and fatigues sitting next to people like a woman who is pregnant or a child, and possibly risking spreading ebola. >> you were in nigeria, where the outbreak was successfully contained. you were part of the effort. how did they do it? >> the nigerian government had a plan, a

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. gavin skinner is an expert, who helped train the nigerian public. i'm struck with a couple of things that are happening. one thing it seems to be so much more frightening. we understood that eventually some cases would come from africa. but in this case, so quickly a health care worker becomes the object of transmission within days. is this cause for greater alarm than we have seen before? >> no, it calls for vigilance and training. we trained hospital workers following a very regimented standard of approaches and again the cdc has this. but what we're seeing now is when we say that all hospitals in the u.s. need to be prepared we don't have the resources to do that. so let's regionalize, and focus down and make that training more intensive and provide the resources they need. >> the information given by the cdc, you pointed a point in the website where there seems to be a disconnect. they're showing a picture of people wearing complete garb, permanent head coverings yet they show another illustration that doesn't show any of these things. why is th

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

. >> for more on the ebola controversy i'm joined by 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 ta

joining us is dr. gavin mcgreg gomcgregor 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 been giving advice down 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, yo you putn 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 work

. >> dr. gavinnner here that is giving us a lot to think about and a lot that is not being done at the moment. thank 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!

in washington, dr. gavinctious disease expert, joined me on reliable sources last week and get his take later in the hour 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 foc

. >> dr. gavin, you know, i think people are rightfully or wrong fly people are concerned about the unknown, it's just that we deal with a lot of diseases that we get -- we deal with the flu and chicken pox and all those things. but this is something that is unknown and newly introduced to america and i think people are concerned about that and it does raise a question as i spoke with dr. gupta about this about self-quarantining workers who have worked closely with ebola patients once they return not only to america but to other places where there is no outbreak. >> now, again, i just want to back to that, don. cdc has guidance. conditional release and control movement. those within us that deal with ebola patients know what that guidance is. the problem sanjay identified is so hard to find these paper-based documents and the one paragraph that refers to the guidance so it's not easily found and it's not common knowledge but in the profession you know it's there. >> i do have confidence in the new y

. >> tomorrow on washington journal, dr. gavin mack gregor skinner looks at the u.s.'s response to ebola. and how the u.s. trucking industry is addressing highway safety issues. plus your comments, facebook comments and tweets, all on washington journal live at 7:00 a.m. eastern on cspan. >>> with live coverage of the u.s. house on cspan and the senate on cspan 2, here on cspan 3, with compliment that coverage by showing you the most relevant constitutional hearings and public -- cspan 3 is the home to american history tv, with programs that tell our nation's story, including the six part series, the civil war's 160th anniversary. american artifacts, touring mew steams and historic sites to discover what artifacts reveal about america's past. history bookshelf, with america's best known history writers, and looking at the policies and legacies of our nation's commanders in chief. and top college professors devilling into america's past. and our new series educational films from the 1930s through the '70s. cspan 3 created by the cable tv industry achkd funded by your lo

. >> dr. gavin macgregor-skinner is a special disease at the elizabeth r. griffin foundation. thank you so much for your insight today. >> it's a pleasure. >> on the next "wall street journal," david wasserman of the cook political report with the latest on the 2014 house races and predictions for seat changes. then a round table discussion on public opinion and politics with sters.can poll we will take your calls an you can join the conversation on facebook and twitter. "wall street journal" live at 7:00 eastern on c-span. city tour takes book tv and american history on the road, traveling to cities to learn about their history and literary life. this week we partnered with comcast. about a largeook animal that in ancient times and american history we would have called a beast, the mountain lion, in what is really a garden in colorado. this is a seemingly natural place, but in many ways it has been altered by humankind. when you get this wild animal coming into this artificial landscape, you can actually cause changes in the behavior of that animal. a mountain lion's favorite

host: we are joined now by 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 em

. >>> tomorrow on washington journal 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 ch

. >> on the next washington journal dr. gavin macgregor-skinner on the response to ebola virus. an update on key mid-term election. transportation reporter on what the government and trucking industry are doing to improve highway safety. washington journal begins live at 7:00 a.m. eastern on c-span. >> this weekend on the c-span networks on saturday night at 9:00 eastern the founder and former chair of microsoft gill gates on the ebola virus outbreak in west africa and sunday evening at 8:00 on q and a director of national museum of african art. saturday night at 10:00, heather cobs richardson on the history of the republican parent live sunday at noon on book tv's in depth, legal affairs editor and in charge of reuters. and saturday at 5:00 p.m. eastern on american history tv on c-span 3, former fbi agents on catching the una bomber suspect and on sunday afternoon on american artifacts the 100th anniversary of the panama canal. find our situation schedule at c-span organize. call us at 202-626-3400, e-mail us at comments@c-span.org. join the c-span conversation, like us on face

on the next washington journal, infectious disease expert 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, o

what's absurd, says infectious waste expert dr. gavin says how uninformed louisiana's governor is on the danger of incinerated ebola waste and how that's adding to hysteria. >> if he's concerned you do a simple test on the waste and show there's no virus in there. we know that's a waste of money and resources because that virus is dead. has zero risk to the environment, to people, to anyone being infectious. >> reporter: despite the lack of risk, the waste management company has sent out a statement saying it will not ship the ebola ashes to a louisiana landfill. apparently to avoid a legal fight with the state's attorney general. there is, though, a real problem in the u.s. dealing with ebola waste and it's happening where it would be generated. hospitals need to be equipped with these. it is a supersized pressure steam device called an autoclave. think of it as a huge, high temperature pressure cooker for hospital garbage capable of killing any germ or virus. >> it's a specialized waste and it requires on-site incineration or placed in

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

and now it's even more unlikely given this one negative test. >> as you know, gavin, dr., the physician with doctors without boarders back, he's got ebola, at bellevue hospital right now. he came back with ebola. he's got it. do we have any idea how he got snit >> no, we haven't. i'm sure people have interviewed him, but we haven't heard at all how he might have gotten ebola. again, the two nurses from dallas, we're not sure, as well. we have to reverse the paradigm and look at the lessons learned. let's look at the lessons learned from dallas and lessons learned from west africa. we have many people in west africa now. the systems we train on, the management, the supervision, the protocols are exactly the same in u.s. hospitals as what we use in africa. exactly the same. and it's -- where were those gaps? >> those protocols were not in existence in dallas, though. >> well, i don't know. >> they had some of the skin on the neck that wasn't covered in dallas and those nurses came down with ebola after treating mr. duncan. >> that comes back to our management, supervision a

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. sanjay gupta and also joining me, gavin mcgregor. i was astounded to hear the number.eds total that can be function gnat at any given time. is that really true? >> we're talking about very specific biocontainment units that could protect people against a wide variety of infectious diseases, including things that are airborne, keep in mind. this is not airborne. so i visited the -- emory, i took care of two patients. they have a much more sophisticated system, they say, than probably you really need to take care of ebola. i hesitate a little bit saying that because things haven't gone so well in dallas. does that sort of indicate that only these four centers can take care of patients with ebola or that things didn't go well in dallas? and we should implement what we know how to do better so that all these other hospitals where patients may show up over the weeks, months and years to come can take care of ebola patients. i think it's hard to send them just to these four places. >> one of the things i worry about -- and i'm sure if this is something on your radar, gavin.

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