dr. alexander van tulleken. i want to start with you, dr.tory quarantines that go into effect for those returning to new jersey and new york, what do you make of that? >> well, ana, you know, we as health care professionals and scientists we know the science behind it. and as the other doctor mentioned, the risk to the general public is very small. however, we are also not governors and mayors of large populations. so, their considerations are much broader than ours. and so with the input of the cdc and other health professionals, if their decision that for the best of california -- of new york and new york city is to impose that quarantine on returning health care workers, then i have no opposition to it. however, i do want to say that, like you mentioned, people are giving up their livelihoods to go and volunteer to serve on the front lines. when they come back and are quarantined for those 21 days, i urge the hospitals and their employers to do as much as they can to support them so that they don't lose health benefits or salary because t

dr. alexander van tulleken.orked with casey hickok, what are your thoughts on the new mandatory quarantine we're seeing in both new jersey and new york? >> the concern here, ana, is from public health experts are saying that these policies don't align with the science and politicians are responding to fear from some seconds section of the public but it's really causing more fear because people are now scared about health care workers returning. the science tells us if you don't have symptoms, you are not capable of transmitting the virus to anybody else. and what public health experts also worried about because they weren't notified about these policies, they're not prepared to provide quarantine appropriately to the many potentially hundreds of health care workers, u.s. military who will be returning to west africa and they really need to make sure if there is going to be quarantine they have the time and the facilities to be able to do it properly. at the moment we know that casey is in an unheated tent outsid

dr. alexander van tulleken here with me in new york. dr. van tulleken what is most poignant of what you just heard? >> the idea there were no protocols available or the protocols changed a lot and nurses were told it was up to but. >> confusing. >> medical staff really like training. these are people who have spent years at school and then have weekly trainings on all kinds of things. you're not dealing with a group of people who don't want new information and are dragging their heels, yet the information simply wasn't available to a group of people that would seem were growing more concerned by the day and the point that concerns me so much about this is if if you go to the cdc website now and print off the protocols today, there are still two different protocols and you can choose which one. >> which one do you follow? >> in the hospital level they're saying it's up to the nurses. that's absolutely wrong. even at the national level you go to the cdc they're advising two different ways of doing things. neither of which i think is adequate.

dr. van tulleken, stand by. sanjay, stand by as well.ng to get back to the story and get back to the briefing that's going on, but there's breaking news right now that we're following. the turkish parliament overwhelmingly has voted in favor of au authorize rising military force against isis fighters in syria and iraq. ben wedeman joinings us from baghdad. give us the information, ben, what have you learned? >> we understand the turkish parliament has voted as you said in overwhelming majority, almost 400 votes, to just over 90 in favor of turkish military intervention in syria. now the turks have long talked, wolf, about setting up some sort of buffer zone with -- along the border in northern syria. now obviously they would like to create a situation where all these kurdish refugees who flowed over the border almost 200,000, would be able to go back home and relieve some pressure on turkey itself which is already hosting a huge population of syrian refugees. it's somewhat problematic, however, because they could be going into areas that

dr. van tulleken and 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

dr. alex van tulleken. juliet is not a doctor but i elevated her to that. office of emergency management expected to open its center in brooklyn and immediate focus is to track down anyone who may have come in contact with dr. spencer. investigators are taking this seriously because they are concerned it appears he didn't self-quarantine. the doctor took an uber cab which we confirmed by the cab as well and bowling alley in williamsburg, brooklyn and also took the train and went to a restaurant and walked in the high line. so congressman rangel is saying he is very competitinfident. should he be as confident as the congressman is. >> he is in a very interesting position. i'm not sure he should be that confident, actually. he's one of the people in charge, one of the authorities. i think they should be feeling worried. and take every measure. >> very worried why? >> because we've got a case of ebola and out in the city potentially symptomatic. they should be working hard on it. the rest of us should get a good night's sleep. >> we don't want people to panic

dr. van tulleken said he would go on the subway, bowl in that bowling alley. i think it's an important message. we could potentially spread so much misinformation that fosters fear, we have to be careful not to do anything that is confusing or contradictory and there has been confusing messages. >> absolutely. i think you've been so clear about that, sanjay. these protocols, the detailed protocols this is not something that is poorly thought out. this is many pages of detailed guidance. they are the most expert organization in the world. they are not doing this casually. >> sanjay just alluded to it, dr. craig spencer is now at a hospital in new york city. it's making a lot of headlines in this town. just how dangerous now is it to be on the subway, at that bowling alley? we'll take you live to the hospital where not only he's being treated but now his fiancee is being quarantined as well. more on that in just a moment. tdd# 1-800-345-2550 [ male announcer ] your love for trading never stops, tdd# 1-800-345-2550 even on the go. tdd# 1-800-345-2550 open a schwa

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dr. van tulleken and i were talking about that in a break. ask away. >> i'm interested in this idea that the cdc's original guidance on 21 days was based on research done decades ago now and possibly on primate studies as well. what you've done has been presumably undertaken of your own volition, am i right? >> that is correct. >> and do you know how the cdc had reacted to it and if they are considering revising this period? >> i have not heard anything from cdc or for any of the feds for that matter so i'm not sure what the response and the reaction is. >> does that surprise you that you haven't heard anything? >> well, they're certainly busy fighting fires and i understand the manpower issues, but it does surprise me a bit, yes. >> and it's very interesting that we've heard so often the idea of the precautionary principle, this idea that we're based on the science and yet when you look at the science they're using, it's quite old. now they're very busy. they've had months to review what would be the best quarantine period and i think the as

dr. van tulleken, the question now, going forward, are they in a place where they can put this is genie back anyway bottle? how do you fix this situation, a patient from liberia to two more patients. is this continuing to grow? >> the number you're talking about could be zero. and it's a very interesting number because it tells you how many people a single case will infect. at the moment, the answer is two. if a single case infects two people, and those two people infect two people, you have a case in the u.s. i still think anyone listening to this program should not be concerned about ebola in the u.s. what they should be concerned about now is nurses not showing up to work. and whether or not the hospital itself can protect the staff. we've seen this in toronto. so what i'd say at the moment the cdc do not even after nina pham, we have not got a sense of people -- i'm sure people staying up all night, but we haven't got a sense what they're doing to try and solve this problem. i think now if i was one of the 70 people exposed working on thomas eric duncan, i'd want daily glove tests. i'd w

dr. van tulleken on our air yesterday as well. we know the cdc is trying to be more proactive, considering lowering the temperature threshold for what one would consider a sign of ebola. we know that this nurse who is the second nurse to be infected had a 99.5 degree fever but there was a 100.4 degree threshold at the time that says technically you have an ebola symptom. so how might this impact people who are self-monitoring now? >> reporter: right, so folks who are self-monitoring, which by the way includes me because i was in liberia within the past 21 days, if one of us was to get a temperature of even 100 degrees, technically a health authority would say eh, don't worry about it. you got to get up to 100.5 for us to worry about ebola. i think they're realizing having this cut and dry number, this cutoff may not make the most sense. if someone has been in west africa recently and they are inching up, they were let's say 97 and now they're 98 and now they're 99, they might be headed somewhere, so don't be so sort of small-heade

dr. van tulleken has an interesting point, why not keep him alive to study him. i think it's really important to point out that as americans we think that our doctors know everything. and scientists know everything and the cdc, that they know everything. but that's not the case with something like ebola. we don't know what risks this dog poses. we just don't know. there's so many questions. and so some authorities will you know sort of take the extreme and say let's just kill the dog. there's no sort of right or certain answer here. >> you know, it's not just the vigil that people are holding outside of the apartment trying to block authorities from getting in to euthanize the dog. there's an online petition, 86,000 signatures to spare the dog. what about the authorities' contention that if he is infected, the dog, that he is spreading it within the apartment and they would never be able to go back to the apartment. wouldn't the virus die in there? >> first of all, it does not seem to be a virus that survives well outside of the body and on skin, even on dog skin

dr. alexander van tulleken, dr. william schaffner, sanjay gupta, thank you very much.e's more to cover on this story. there are ebola checks at our airports and some are calling from travel bans from the disease hot zones. would it work? would something like that squash the spread? richard quest joins us after the break. woman: everyone in the nicu -- all the nurses wanted to watch him when he was there 118 days. everything that you thought was important to you changes in light of having a child that needs you every moment. i wouldn't trade him for the world. who matters most to you says the most about you. at massmutual we're owned by our policyowners, and they matter most to us. if you're caring for a child with special needs, our innovative special care program offers strategies that can help. the all new, head turning cadillac ats coupe. it's irresistible. ♪ >>> while there have been growing calls for the u.s. to institute a travel ban from the ebola hot zones, some commercial carriers, they've already dropped flights from west africa. that's raising concern among

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 people who are being observed. clearly she can self-report. i don't think it's delayed her care in any way. we have to worry about these other people. there's no question there's a period where they may possibly be infected as well. think it speaks to a broader problem, we're not seeing dedicated ebola teams who are well trained. that's a real problem, if she's got enough contaminated body fluids on her skin to get sick. she could move around the hospital. >> should these 70 people who came into contact with thomas duncan? quarantined? should they be under observation? what happens now? >> remember these people are are not infectious until they become ill. they should be under observation. think it should be active observat

dr. alexander van tulleken, a senior fellow at the national institute for humanitarian affairs. doctor, let me start with you. mr. duncan who sadly died yesterday. his family, his fiancÉ, have a lot of questions about his treatment. they want to know why he wasn't given the experimental drug sooner. he had to wait six days before doctors tried that on him. furthermore, he never got a blood transfusion as the american patient in nebraska did. what went wrong? >> i don't think, i think it would be premature to say anything went wrong in that case. what we know is that early treatment in ebola saves lives and if he had been admitted to hospital earlier, that might well have affected that prognosis. but everything else is experimental and it would be up to the physician's discretion whether or not they thought it would be useful. blood transfusions are not a risk-free procedure, he would have had a blood transfusion from someone who would have survived ebola. >> but dr. kent brantly is is your providing that. >> we have some sorry that the hospital did reach out to nancy writebol wh

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dr. alexander van tulleken suggested the only kind of gloves anyone should be wearing if they're dealingething, the purple gloves, if there's a breach in the gloves, you can see yourself through the gloves as opposed to the latex gloves where you can't spot a breach? >> a lot of people have allergic reactions to latex. but i want to say one thing about cdc has a hospital preparedness ebola checklist guidance on their website. on page three of that website, they say, use the buddy system for patient care and for putting on and taking off p.p.e. it's not just about the buddy system. it's about hospitals having the management, the implementation and the supervision systems in place and having an observer with a checklist. we don't do this in hospitals often at all. but for ebola, you need a person, an observer with a checklist to say, you just made a mistake, let's fix it right now and decrease the risk and that's not happening. >> that buddy system we were just talking about, so critical. speaking of the cdc, we're watching that live news conference, set to get under way at any moment. tha

dr. alexander van tulleken in, senior fellow at the institutes for international humanitarian affairs and dr. kent shepkowitz, deputy chief at memorial sloan-koettering cancer center, "daily beast" contributor. what starts with what matters most. from what we know, doc, should he be okay? >> in terms of his survivor from the disease? he's been exposed to a really dangerous disease, all the questions of whether or not he's been responsible. he's facing a really seriously -- we don't know how bad the prognosis is but potentially you know, 10, 15, 20% mortality for someone like him. he's going to be very worried. >> did he do the right thing here? >> absolutely. i think even though there's, the story is quickly becoming how he had fun in new york city, we know from years now, when ebola is contagious and when it's not contagious, and i hope that the lessons learned from dallas where we had a guy living much sicker than dr. spencer, living with family for days, exposing them, but not infecting them, i would hope that that observed, collectively observed fact would assuage some of the discomfo

dr. alexander van tulleken, cnn medical analyst and senior fellow at the institute for the internationals and lisa bowman, executive of airs for the new york nurse's union. we thought we would do a demonstration to highlight the differences. in the blue, producer miguel is dressed in the cdc-recommended personal protective gear. on his left is john. and john is wearing the w.h.o. guidelines. you can see there's a stark difference. alexander, highlight what are the biggest differences between the two. these are our representations, they're not accurate to a tee. >> and you've very sensibly not raindr robbed the hospital of the equipment they need. miguel's legs are exposed. much more of his neck is exposed. and the other thing is that the back of his gown is open. so it assumes that you can only get contamination from the front. if you get contamination from the back, if a patient is sick on your back, you have a real problem taking it off. in the contrast, john who is following the w.h.o. guidelines, is covered head to toe, his entire head is covered. >> no skin. >> no skin is exposed. a