dr. mccormick. dr. fisher, i want to speak with you. we understand you're going to be part of setting some new guidelines. in terms of the treatment and the protocol that we've been talking about nurses and health care workers essentially begging for. i want to talk to you about one of the things you say is really key. i've read some of your writing. you said the key is standardizing the protocol. that the standards that are there, are not followed. and there's no clear-cut protocol really. let's start with that. >> well i think to be honest, think there's been so much focus on the personal protective equipment. so the actual clothes that people wear and not enough focus on the processes that go along with wearing those clothes. specifically how do you take them off safely. >> we've watched dr. sanjay gupta do that and he said it was very difficult. you've talked about the fact there needs to be a buddy system. it's one of the systems that's worked very effectively in west africa. why is it not being done here in america? >> one of the

dr. mccormick, i appreciate your expertise. up next, more on the breaking news we told you about just moments ago. the president of the national nursing association, speaking about guidelines, quote, no protocols, dr. sanjay gupta has new information. he will join us after the break. >>> and welcome back, breaking when i'm working, things can get so hectic. so sometimes i need to find an easy way to express what's most important to me. like, with my crew, i use shorthand to talk to them and tell them what i need... and when i need to talk directly to my fans... but the most meaningful shorthand of all is the one i use when i'm about to drive: "#x." it's an easy way to tell everyone that i'm about to drive. and i do it every time before i get behind the wheel. use #x to pause the conversation before you drive. because no text is worth a life your customers, our financing. your aspirations, our analytics. your goals, our technology. introducing synchrony financial, bringing new meaning to the word partnership. banking. loyalty. an

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dr. joseph mccormick, very kind. about to get on a plane.by the way wrote book on the subject, level four virus hunters of cdc which he coauthored with his wife who is also a physician. >> my pleasure. >> the dow was up 200 points. at one point we were up 300. our next guest will tell us who already are in bull market territory but also the best ways to play them. david: new details surfacing about the suspected gunman in yesterday's shooting in ottawa. we have the latest from washington, d.c. coming up. your customers, our financing. your aspirations, our analytics. your goals, our technology. introducing synchrony financial, bringing new meaning to the word partnership. banking. loyalty. analytics. synchrony financial. enagage with us. and cialis for daily use helps you be ready anytime the moment is right. cialis is also the only daily ed tablet approved to treat symptoms of bph, like needing to go frequently. tell your doctor about all your medical conditions and medicines, and ask if your heart is healthy enough for sex. do not take cia

dr. mccormick who talked to another hospital in texas and some of the nurses there say they were just showneos about protocols. not actual hands-on training. which again, to your analogy, it is pretty stunning. >> yeah, michael phelps, if he could teach us how to swim with a video then by all means let's train with videos. but the reality is this, emory university was a complete success in a lot of ways but primarily because they not only trained and prepared for this event but they had somebody making sure everybody was doing what they needed to do. >> well, sean, i appreciate what you're doing. you're on the ground there at great risk. and i appreciate all your advice and help. thank you very much. >> well, thank you very much. >> we're going to have much more on the ebola crisis in the next hour of "ac360." we are live all through the next hour. our breaking news, nina pham, the first nurse diagnosed with ebola is on a flight right now to the national health institute in bethesda, maryland. we'll bring that to you soon as it happens. stick around, we'll be right back. with this runny nos

dr. joseph mccormick, he helped investigate the first ebola epidemic in central africa. dr. mccormick, let me start with you. someone is on a cruise ship, that is as we know a petry dish. w how do you feel about that? >> the whole issue of self-monitoring is very disappointing. those people who have been in contact with material specimens or with the patient should have been under active monitoring and certainly should have been under travel ban. >> dr. adalja, is it time for anyone from texas presbyterian to stop traveling? >> i really think that we don't really know what happened with this infection control lapse and this exposure may be much wider, because dr. friedan is thinking we may expect more health care workers to test positive. so i think everybody at texas health presbyterian has to assess their exposure risks to mr. duncan's body fluids and they should be self-monitoring and not moving around. >> if it's up to the person to think about their exposure and to decide on their own, that's why we're having all of these inconsistencies, isn't it? does there need to be

dr. joseph mccormick. he is the regional dean at the university of school of public health.ood morning to you. >> good many. how are you this morning? >> doing well. there's a lot of talk about whether or not this 21-day mandatory quarantine is needed. what do you think? >> well, i think that if it's going to be done, it should be done in a different way. i don't think that the way this nurse was treated is acceptable. . she represents the best of who we are. she should be treated like a hero and given every due respect and not treated clearly the way she was. i think there are alternatives to this. they could test her each day for the presence of ebola virus as well as some other measures that would give a very early sign of whether somebody is infected or not. and i think that that is another alternative to simply treating this person like they are threatening the entire health of the united states. surely the governors didn't intend this. why didn't they put together a team, a group of people who will greet these people and treat them with respect and give them the servic

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 though it's a good idea to send somebody, you may make the mistakes before they get there that wind up determining whether you have exposure. >> even if they

dr. mccormick, how can the cdc have these inconsistencies? >> well, i agree that this is an issue of training. look, we, we have pilots in training, flying and flying and flying. and i suspect that's not what happens with most of the hospitals when they're training their teams to address an issue like ebola. so i'm certain that this is not so much an issue of protocol, but an issue of training and the detail in which the training occurs. it's also may be an issue of observation. i noticed that in nebraska, they have someone who actually observes all of the staff, and makes certain that they, that they adhere to the protocols. >> another troubling development this morning, dr. van tulleken, the "associated press" got the medical records from the patient who died, thomas duncan. and found out that there were 70 staff members at the hospital, workers, who came into contact with him. >> yeah. >> what is happening this morning with those 70 people? >> well what you, what's very surprising is, that this, that this nurse was not on the list of peopl

dr. mccormick. no signs this thing could spread. liz: important to note that the u.s. markets held up very well. we're awaiting news how the test results came in. meantime we hand it to -- gerri: we begin tonight with breaking news. there is a possible new case of ebola in new york city. a 33-year-old doctors without borders physician was transferred to bellevue hospital with ebola-like symptoms, i mean symptoms. he is not diagnosed. police have blocked off a street in harlem after he was taken to the hospital. the doctor was treating ebola patients in guinea. that is in west africa and returned to new york only 10 days ago. with more on this, dr. mark jarrett, the chief quality officer at north shore long island jewish hospital. that is one of the hospitals that has been prepped and ready to take ebola patients if they are arrive, if and when. doctor, thanks for being with us by telephone. my question is for you tonight, how serious is this situation and is bellevue prepared for this? >> well, first of all, you know, it is not a confirmed case, but if it is confirmed

dr. joseph mccormick investigated the first ebola outbreak back in 1976. dr. ormick joins me via skype. he's the co-author of "level 4, virus hunters of the cdc." appropriate we're speaking with you, sir. thank you for joining me. >> my pleasure. >> let's talk about the news of the day. nina pham downgraded from good to fair. in your mine, what does this mean? is it because she's just evolving through the illness? is this a natural suspected progression? >> i suspect that it's a different medical system, slightly, a different care system. they may have evaluated her differently from the way they were evaluating here at presbyterian. i don't think there's a huge difference and i don't think it necessarily represents any deterioration in her condition. >> okay. let's get right to your experience in africa. i know you've sent us a few pictures, one of which shows a medical worker wearing protective gear in the congo from 1976. another one, typical patient in isolation from sierra leone. talk to me about what's changed since then in terms of protecting workers and

dr. joseph mccormick, a professor and dean at the texas school of health, formally, the world health organizationhe cdc. another caregiver infected with ebola at this hospital. clearly, protocols were not followed? >> exactly. no question about it. and the protocols were not followed from day one to today, that's very clear. >> well, that's shocking to hear that because this was a case, thomas eric duncan, once it was finally diagnosed. once after he was finally admitted to that hospital, the whole world was watching. >> exactly. >> the entire medical community in the united states, including the cdc was watching. you were saying while everyone was watching in plain view that the protocols were not followed? >> it's clear that they were not. i think elizabeth cohen is probably correct in the sense that there was a tremendous amount of complicencecy. when you look at what's going on in west africa, and we've got everything and nothing is going to happen in our hospital, and i think it's just not that easy. it just isn't. and without protocols, i mean -- i ran a program for 15 years in sierra leone

dr. joseph mccormick joins from us brownsville, texas. 's the regional dean at the university of texas school of public health. should dr. craig spencer, the doctor in new york, diagnosed with ebola do you think he should have been quarantined earlier, knowing that he came straight from the hot zone after treating patients? >> i suspect that he had should have, yes. i think that when you are exposed to the level of virus that we're seeing in west africa, you clearly have a risk that's higher than if you're exposed, say, to somebody in a hospital here in the u.s. so, yes, i suspect that would have been a good policy. >> so, do you think, let's pull the thread and take a step further do you think this should be a national policy? the cdc should then follow the lead of new york and new jersey here? >> i think for someone who has cared for patients in west africa, it would be very prudent to put them into, certainly, a very limited travel and contact with the public. whether it's a full quarantine, i suspect you may have to do a full quarantin