dr. james leduc described as the communication strategy. and someone is going to have to be thinking about that. another thing that i think we need to be thinking about this, very soon there is going to be a need to compare therapeutic modalities to include drugs, others, and then it will go to something that no one has talked about in general terms. that is patient care. if you looked at a ebola patient post-mortem, they are full of an antigen. and generally the case is do not have much of an immune response, so you are left with a difficult situation, and my thoughts would have been that management of fluids and electrolytes would probably not make a great deal of difference, but if you look at the cases we have in this country, it apparently has. we have had very low case mortality here compared to west africa. that should be formally looked at. the other thing that is on the menu for prison modalities' is coagulation, evidence of this is present in every place that has been tested. so i think we can figure that is one of the problems. t

dr. james leduc? >> i go back to the analogous analogies with the sars outbreak, and at that time both cdc and who led an aggressive effort to make sure that the virus was available to the international scientific community for analysis. that went very well. i was at cdc then and spent a lot of time packinghouse strains of sars to share with others. so that worked very well. i do not know what the problems are in that, but i suspect it starts with the countries to have ownership of the material. but it is more complex than that, and i really do not have any answers.. >> okay. i will move to the next question. >> medical school. thank you all for your work and presentations. i wanted to also thank dr. daniel bausch for bringing us back to the reality of the fact that it is in west africa and the bulk of the diseases in west africa have spend a good time back-and-forth in liberia. and i can tell you that about ten of our health team members died of ebola because of lack of personal protective equipment.