your ideal study design is that you have people who are exposed and not exposed to the compound you're interested in that are identical in all other ways. now, obviously that doesn't happen. and so we thought a lot about this when we were designing this study. we realized we were really best off studying it in just the same community because everybody in that community was gonna be similar to each other, but the exposures across the community vard. narrator: to accurately determine the health effects of pesticide exposure, whyatt and her team use a large number of data-collection strategies including air monitoring and detailed questionnaires. from the time a mother is pregnant and continuing until the child is 11 years old, researchers collect indoor and outdoor air samples. they also conduct multiple interviews with both mother and child. andria reyes has been working on the study since its inception. woman: i'm part of a large research team that collects data for this research study, and we're the people who are in contact on a daily basis with the mother-and-child pairs. at each vi

but if you've been exposed and you have -- your neck was exposed and you actually saw the patient and you were treating the patient, your neck was exposed and then someone touches your neck and then rubs their eye, that means you can get it. that's within three feet. so, we need to make sure we keep those boundaries. i mean, i was on an airplane this morning and i got off the airplane and i -- you know, somebody recognized me in the airport. i went to shake their hand. they're like, nah, man, just fist bump. we're working with ebola. i'm like, it's like that? but that's the reality. we cannot let our irrational fears play into something that's going to make us have really bad decisions. and that's what's going go to happen. at same sometime, if anyone triaged this poor man the first time he came in with the 103 temperature, you're talking about anyone who triaged him the first time, they should be looking sharp and not getting on a plane, for instance. >> exactly. and everybody else that was sitting in that -- in that waiting room with him. if he was vomiting, nobody knew he had ebola

and the skin was in fact exposed even as we knew he had ebola. and so how are we going to make sure, te spite how we check in the records. i talked to the airline. and it is a possiblity that someone shows up earlier. >> just to clarify one thing. those days were before his were drawn and he was not yet diing oninosed in ebola. >> excuse me. congresswoman, were you saying otherwise in >> the lady will yield. and he presented with obaebola symptoms. and saying that he had been in west africa and the centers for disease control said they should wear the out fits. and i certainly hope if a paesht shows up and he's vomiting and has diarrhea. you don't see we don't have the ebola. >> those first couple of days, 28 and 29th. and on the 30 sd we learned hewas there. and there were varabilities. snshlgs and the hospital was trying to implement cv c proto be calls. >> how are we going to educate the people and the nurses. nurses are saying they have not been involved and trained properly and having the equipment. >> first, think ebola. and any time a pati

his neck was exposed.ng it off, too, he ended up with material on his arm and on his neck. so it is not just the limitat n limitations of the protective gear that they were recommending but also the guidelines for taking it on and off. >> if you do not take your personal protective equipment off properly it will be as if you never wore the personal protective equipment at all. >> and having somebody watching you, monitor you is critical. i mean, you are teaching that right now at the samaritans personnel. >> what i'm teaching is not only the prospect steps for taking on and putting off the personal equipment, but look, nurses and doctors are very patient driven. they focus on the patient. and if someone is not watching the nurse or doctor meaning if somebody is not watching out for the nurses or doctors they can get so focused on the patient that they forget about themselves. >> i understand you actually warned the cdc about their guidelines. what was their response? >> well, i warned them via e-mail and w

a significant public access after being exposed. this is during the period while they were falling ill to ebola. on october 10 ebola came to visit ohio. amber vinson traveled from dallas texas to cleveland while she was in cleveland she was at local businesses and of course she flew on a flight almost 300 people had contact with her while she was falling ill to ebola. fortunately ohio doesn't have a report at this time but on october 20, the ohio delegation on a bipartisan basis sent a letter to the cdc challenging their particles with respect to people who have been known to have been exposed to ebola. we all know the stories, trying on wedding dresses, flying, going on a cruise, bowling, riding on the subway. although some of these issues are personal responsibility they do go to the issue of protocols and if you look at the october 10 department of defense guidelines in paragraph number four it says a commander has authority which means they may come a day don't have to quarantine someone up to ten days if they are concerned abou

this individual was not exposed in that period of time. are, as far as we know, the only the bow he may have had contact with before he became isolated. in terms of the care in the hospital, from the 28th to october 8, the date he passed away, that is the period when there may have been additional contacts given that this individual was exposed to then. that is what is being investigated now. contact tracing period identified what we believe are the 48 that were exposed up to the time he was isolated. now we are doing a new investigation given the information last night of anyone whenay have been exposed what should have been effective isolation. in terms of the clinical status of the patient, i can say that our information is at least some time back, she was showing only mild system -- mild symptoms and low-grade fever. monitorill continue to very closely to ensure that she gets the best possible care. we will take two more questions on the phone. >> next question from donna young. >> i wanted to find out specifically with this patient, t

unfortunately, the nurses exposed were probably exposed to a large amount of body fluids. >> wow. >>lso, as you know, the incubation period is about 21 days. but in 12% of the patients, it may go all the way to, like, 42 days. we want people to know that. >> i wanted to ask you about that. what happens if they didn't quite get the beginning of the stage right and you're beyond 21 days? >> everything that cdc does or what happens in infectious disease, it's all about risk and benefit and statistics of what the virus will be doing and how it's been behaving in the past. it hasn't had the behavior of acting up after 21 days. that's why they pick up that number. can it happen? low risk. >> all right. dr. anderson, we're going to ask you to stand by as we go on with some of the questions that have kind of been rolled into our coverage here. i want to bring this back now. there are four patients being treated for the deadly ebola virus in the united states with dozens more who are under observation. how exactly did we get here? ebola was first recognized nearly 40 years ago in the central

most americans realize it is if you're exposed, you have 2 is 1 days. if you goon 2 is 1 days, you're virtually no risk of ebola if you go that far. it's conceivable, then, after 14 or 15 days, you, in fact, can still get ebola, is that correct? >> yes. >> so i want to go back to the restricting of travel by nonu.s. citizens, 150 folks a day into west africa. conditions as you talked about, exit screening, all folks are exit screened. it's perfectly conceivable that someone even after 14 days can exit screen. they are okay, no fever, and, in fact, get to the destination, perhaps to the united states, and it -- and have the worst, is that right? >> yes. >> if our job is to protect the american public, administration, as i understand it -- i looked at the legal language, does the president, does have the legal authority to impose a travel ban because of health reasons including ebola, is that not correct? >> i -- i don't have legal expertise to answer the question. >> i saw language earlier today, we could share that with you, but he does, from what we un

do we know how those nurses were infected or exposed? how they caught ebola for sure?> thanks to the whistleblowing efforts, we know the nurses did not hav optimal standards -- >> okay. so we know they weren't properly protected. >> ore trained. >> okay. dr. lori, you said we're putting additional protocols in place. guidance, right? when the most recent. >> the most recent has been in the last couple of days -- >> what about -- >> it was changed in response to the -- >> okay. you said airport screening, when were the new guidelines -- >> the funneling into live airports was last week. >> okay. i can tell you it's not working. all we have got to do is look at craig spencer. he was tested there. it's not working. he reported himself. and you see cases where -- again, we are not prepared still -- the whole -- part of this hearing is all about mr. roth's report. this is the inspector general's report, right? >> correct 1234689 >> didn't you just testify that in fact -- and it's in this, i think page 7 here, 200,000 respirators have gone beyond thir five-year manufacturing

, which they were, it is possible that other individuals were exposed. we know that this individual did provide care to the index patient on multiple occasions and that care included extensive contact. fourth, we will undertake a complete investigation of how this may have occurred. that's so important so we can understand it better and intervene to prevent this from happening in the future. i want to go into a little bit more detail first on what we are doing to promote safe and effective care and then on the investigation. in terms of safe and effective care, we had already begun several days ago to ramp up the education and training of health care workers at this facility. the care of ebola can be done safely, but it's hard to do it safely. it requires meticulous and scrupulous attention to inaffectiinif he can -- infection chrome and even a single, innocent, inadvertent slip can lead to infection. the number of workers who care for anyone with suspected ebola be kept to an absolute minimum. third, we recommend that the procedures that are undertaken

a significant public access after being exposed. this is during the period while they were falling ill to ebola. on october 10, ebola came to visit ohio. amber vinson traveled from dallas, texas, to cleveland. while she was in cleveland, she was at local businesses, and of course, she flew on a flight almost 300 people had contact with her while she was falling ill to ebola. fortunately, ohio doesn't have a report at this time, but on october 20, the ohio delegation on a bipartisan basis, sent a letter to the cdc challenging their protocols with respect to people who have been known to have been exposed to ebola. we all know the stories, trying on wedding dresses, flying, going on a cruise, bowling, riding on the subway. although some of these issues are personal responsibility, they do go to the issue of protocols, and if you look at the october 10 department of defense guidelines in paragraph four, it says a commander has authority, which means they may they don't have to -- quarantine someone up to ten days if they are concerned

it is impossible to do the disinfection if the skin is exposed because exposed skin would be killed by the chlorine and that one of the good for the person delivering the care -- that would not be good for the person delivering the care. we know the numbers in western africa are going up on ebola. we know the case rate is going to increase. we know that 10% of those cases are health-care workers. and we know that 56% of those health-care workers in western africa will succumb to the illness. that is a pretty dire warning for anyone who is involved in delivering health care. i would just submit -- dr. robinson, let me ask you, what kind of stockpile of this personal protective agreement you have available to the health-care workers online" patient could come in tonight and go to any hospital in this country and present themselves. are you going to be able to quickly deliver a stockpile of personal protective equipment like this? >> we know from talking to the manufacturers right there that there are no shortages right now and they're willing to deliver 24 hours or less. >> let me ask yo

burgess was talking about, was, in fact, exposed. even as we knew he had ebola. so how are we going to make sure, despite how we're going to check at the airports, i'm from chicago, i talked to our health director today, i know what we're doing, but there's still the chance that someone could present anywhere? how come the nurses in dallas weren't protected and how are we going to make sure everybody can be? >> so first just to clarify one thing. those first couple of days the 28th, 29th, 30th, were before his diagnosis was known. so he had suspected ebola, the test was being drawn and assessed, but he had not yet been diagnosed with ebola. and in our team's review -- >> is that -- excuse me one second. congresswoman, were you saying otherwise? can i yield? >> the gentlelady will yield but he presented with ebola symptoms, he had been to the emergency room just a couple of days earlier, saying he had been from africa, and i believe the cdc protocols that were given to the dallas hospital said that people should be wearing that protective covering, even before the

risen would be harmed if he were forced in court to expose his source.

times skin was exposed. another possibility is you're supposed to wear one or sometimes two pairs of gloves. we were told they sometimes were wearing three or four. which may sound like more is better but experts say that's problem because you have more dirty stuff to take off than when you started out. >> i thought that part was fascinating. we'll talk to sanjay about that who had to put on a lot of this personal protective equipment. here's the next question, do we know as we're trying and everyone else is trying to determine the timeline, how close was she to, you know, eric thomas duncan the ebola patient who came over from liberia, who died last wednesday at that hospital. at what point in his treatment, i mean was she really in the thick of it during those days in dallas? >> reporter: brooke, it sounds like she was in the thick of it, she had frequent contact with him between september 28th and september 30th. those dates seem to be significant for two reasons. one that was at the very beginning. he wa

we've got exposed people.hould have been taking serial blood samples on nina pham and the other exposed. we have 70 people, serial blood samples. you can find this virus in the bloodstream much quicker than 21 days but we haven't been bothered to pay for the test. >> dr. alexander van tulleken, dr. william schaffner, sanjay gupta, thank you very much. there'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 innovativ

>> yes. >> that is why you can't have been exposed. impossible to do the disinfection if you will after taking care of an ebola patient, being in an evil awarded is impossible to do the disinfection if there is skin exposed because exposed skin would be killed by the chlorine and that would not be good for the person delivering care. i am so concerned, we know the numbers are going up on ebola and the case rate will increase, we know 10% of those cases are health care workers and we know that 50% of those health care workers in west africa will succumb to the illness so that is a dire warning for anyone involved in delivering health care. let me ask you what kind of stockpile of this personal protective equipment do you have available to the health care workers on the front line? no travel restrictions a new patient could come in tonight and go to any hospital in this country and protect themselves, will you be able to quickly deliver a stockpile? >> we know from talking to manufacturers there are no shortages and we're willing to deli

go to the hospital you potentially expose more people. where you can say i worked at the gas station, i think i've seen that guy who is sick come in, we don't have any symptoms in place. this is one of the criticisms we've offered of the cdc. at the moment it's reasonable to say if you're concerned you have symptoms, speak to your health care provider. >> i'll shake your hand and come in within three feet of you. thank you so much for that dr. van tuleken. alisyn to you. >> thanks so much, mikial. more details on the breaking news coming up. >>> plus -- >> she should be worried about high school and hanging out with her friends. instead, wait until you meet this extraordinary 15-year-old, deciding to spend her time making other kids' lives better and guess what? you can help her do it. it's "the good stuff." >> we need it. (coffee being poured into a cup.) ♪ save your coffee from the artificial stuff. switch to truvia. great tasting, zero-calorie sweetness from the stevia leaf. ♪searching with devotion ♪for a snack that isn't lame ♪but th

it has exposed, as you know, from the reporting here at msnbc, it has exposed how vulnerable we are,how vulnerable the cdc is to this epidemic, potentially >>well, we also saw when you look at the reports post 9/11 what went wrong that lead us to have 9/11. it was a lack of communication. it was a lack of coordination among agencies. obviously this is one of the thing it's designed to prevent. it is interesting when you look at the perspective that some of the heaviest critics on the republican side of what they have said are too many czars that have been appointed by this president were among those who have been calling for a czar including john mccain but we also saw florida senator bill nelson, a democrat yesterday calling for a czar. i think there was a growing consensus there needed to be some sort of person to oversee all of this. >> thank you very much, chris. >>> the national institute of health gave an update on the condition of the first texas nurse doeged, nina pham, who was transported to the center last night. the federal agency is in charge of medical research and respo

control anywhere. >> so we have to make sure that we monitor healthcare workers, because they are exposed to people who have ebola. the questions have been raised what about these people coming in from africa where the countries are the epidemic is taking place. you have been asked why don't we just restrict the travel either directly or indirectly from anybody coming in from those countries. i would like to put up on the screen, a map to show the passenger flows from those countries. that nonshows if you are looking at those particular countries they can go to any country in europe, they can go to turkey, egypt, saudi arabia, china, india, they can to go to other countries in africa. and then from those other countries come to the wrights. so i suppose we can set up a whole apparatus to make sure that somebody didn't really travel from nigeria, or cameroon, or sin gal, or sierra leone to make sure they didn't get here from any of those countries. that could be their emphasis, but it seems to me what you are saying ising that we want to monitor people before they leave those countries. to

nobody does not mean will be exposed. the gentleman a o flew her first was not health care provider. >> we have different categories of risk and i would like to turn over to my joint staff colleague to explain the risk categories and mitigation strategies for each one of them. you for the question. we put in place will involve testing of personnel twice a day when they temperature . their will be taken so that they can if they ted effectively are exposed. the timeline you discussed is what will take place in each country. >> general, as you note from york, his new occurred at 11 days. monitoring period once out place only of the affected area. >> no sir. the 21 day timeline will start once they are back in the united states. >> i am highly skeptical and need to be se revised. the american public is concerned that people who are exposed to too much contact with the american public. thank you mr. chairman. >> i would like to make sure that you are clear in what mr. re saying and what turner was asking. if someone the doctor

he's home exposing his family and people in his house. he comes back exposing people in the ambulance, although they had some protection on. and finally gets diagnosed in the hospital. so that was step one. then, once he got to the icu, he was -- i had thought until just the other day that everything was going really well. it's a very good hospital. they know how to run an icu, and he most likely got very good care in the icu. but meanwhile, his family and friends where he was staying have a court order against them. they're not allowed to leave, the place is not decontaminated and they're sitting there in this contaminated apartment for four days. that was another mistake. that's not the hospital's problem, but it's a system problem. okay? and now, what we have is the nurse gets infected, and i agree with the other guest here that we may never know really how she was infected. it could end up being a mystery. >> and that's, of course, so troubling for those health care workers that are right now at the hospital in dallas caring for fam w

people who were exposed and didn't realize they were exposed so whatever the official numbers are, theybe small. >> woodruff: why did the military tell you that these troops needed to be quiet about this, not talk about it? >> well, the military hadn't given us a clear answer for that. the various participants have said that their local commands or visiting officers in one case a general told them not to disclose it. but what happened with these incidence is they're all classified secret in real time and they sort of got lost it seems in the system and not shared. and so as this was going on, it's the habit of secrecy that we've sort of seen. you see it all gmilitary. what we don't know is why the military has done a lot of analysis on these and has a number of reports assembled on these, has not declassified the documents since the war or did not declassified the documents late in the war. and that's a puzzle we can't answer. we have filed multiple fitting information act requests. we had those requests denied. we've had very limited disclosure of some heavily redacted documents. we'd

so even if you've been exposed, if you're not sick, you're not shedding the virus.an't make other people sick. >> sreenivasan: okay, so one of the things we've been hearing consistently is that there is this travel that's happening outside of countries, outside of west africa, why not-- there's a bunch of questions we had on facebook-- why do they continue to let people travel back and north? sthnt there be restrictions until at least the situation is under control in africa? how do you control it? >> first off, months ago we recommended americans restrict nonessential travel. but paradoxally, if we were to isolate the from others, that's actually going to increase risk to the rest of the world. you have to think it through for a minute top to get there you have to fly. to fly, you have to have airlines going and coming back. if people there feel they're isolated from the rest of the world, they'll leave more. both within countries and between countries if we try to seal borders we're going to do more harm than good. we're going to spread the disease more than we st

been exposed. >> did she call the cdc or texas health care facility?pparently she did told call -- according on her uncle she called the texas health facility, and they called the cdc. >> let me jump in here. that hospital in texas and the cdc told us from the very beginning that they were working with each other to stop this dead in its tracks. when you get a call from someone who is feared that they've been exposed, and you are stopping something dead in its tracks, you stop it. >> phil, i think the scary thing for me personally is that we were told that every hospital could take care of this and obviously now that's probably not true. >> this is the kind of illness that really those of us who don't have it, you can't see it. there's nothing you can do except trust in the public health authority to control it. it's not like deciding not to drive on new year's eve because a lot of people are drunk. it's not -- it's nothing -- >> thank you so much. >> thank you. >>> rescue operations underway in the high himalayan mountains where dozens are dead and ev

the questions now, was anyone on those flights exposed to ebola? and do officials now have this under control? gabe gutierrez is outside the hospital in atlanta, and craig melvin outside the hospital in dallas. we start in atlanta. gabe, the patient is on the way to atlanta. how are they preparing? >> reporter: hey there. we're expecting that patient in a little over two hours here at emory university hospital. about a two-hour flight from dallas love field to the atlanta area. the patient is, we're told, expected to arrive at the airport, different than the previous patients who have come to emory hospital. this airport is about 15 minutes or so from the hospital. the patient will then be transported here to emory university hospital. emory, as you know, has been very busy over the last couple months and they have a lot of experience in this. they're one of four isolation units. the one here at emory is one of four throughout the country. and they've treated three ebola patients so far. however, all of them had been flown from west africa so this

latest incident happened near brian and seal yesterday, blocks from where investigators say a man exposedimself to a 14-year-old girl on monday. both happened blocks away from the school, an all-girls private school. palo alto police say yesterday someone drove up alongside a 10-year-old girl walking her dog, and the driver asked the girl an inappropriate question through an open window and exposed himself. the girl ran home, and her parents called police. in both cases the suspect described as white man, late 20s or 30s with brown hair. monday's incident the suspect reportedly driving a newer blue pick uptruck. yesterday's suspect driving an old, white volvo four-door sedan. though the vehicles are different, they think there's a chance it was the same man. they've added more officers in the area and asking neighbors to keep an eye out for anyone acting suspicion. >>> new this morning, a stanford professor won the nobel prize in chemistry, william moerner. he and his colleagues figured out how to enhance what you see with a microscope. giving you the ability to identify a single molecule

they say he didn't reveal he had, in fact, been exposed to an ebola patient, a woman he helped a few days prior. i want to put this issue of this whole problem, this problem of beating the ebola outbreak. he's the guy we turn to often. thanks for joining us. dr. fauci. >> good to be here. >> it sounds like liberia is going to prosecute mr. duncan for not revealing having contact with the woman that later died. what's our role in the united states for handling someone like mr. duncan? >> well, handling him is what actually happened. there were obviously missteps but when we identified someone that was here and we said several times inevitably we were going to have someone who got on a plane without symptoms which would get them through the screening process that this individual got through when he left liberia. once he got here, our role and ca ca ca cape capability. you prevent an outbreak some of from the standpoint of what we would do is exactly what we did obviously without some of the rough points that occurred during that process. >> yeah. i mean i guess in some ways maybe i'm a

particular patient, i think we could have run a very tight -- we know people on the many are not exposed because we know unless you are symptomatic, unless you have fever, malaise, body ache, you're not contaminating other people and that's a big concern. we did a great job after we missed this, we isolated him, cdc isolated him and gave him all of the support and then going after other people to inspect. so identify, inspect them and improve their care. >> unlike the flu, because we're looking at sars and stuff like that, when you have the symptoms, they know you have the disease. in this case, you have the disease, he doesn't have the symptoms. he passes through the fever, no fever, and yet he gets here and then, marc, it develops. how worried should we be of somebody who potentially could have the disease but not have the symptoms unlike other contagious diseases? >> that's a great point. when it comes to the plane flights, there's been a lot of talk about shutting down plane flights to west africa. i'm personally not for that because i think that it will put the country's over there

they said the nurse's next were exposed.ten to one more thing this nurse in dallas said. >> i'll be honest. i throw a fit. i just couldn't believe it. i just flat out asked several infectious disease nurses and asked the cdc, why would i wear two pairs of gloves, three pairs of booties and plastic suit covering my entire body and leave my neck hanging out this much so that something can potentially go close to my mouth or nose. >> that was kind of the point you were making. here's my question. i know that sanjay has been talking to a federal official who says we know both nurses are not at this dallas hospital and one of the reasons as explained is there are real fears that these nurses will walk out. do you think they should or that they would? >> i'm sorry, the nurses on staff would walk out? >> that's one of the fears, correct. >> right. it's a concern that the hospital did not appear to be up to date. i believe the vast majority of hospitals across the nation have not prepared their staffs to be up to date if a patient s

this individual was not exposed to that time. those 48 as for everything we know, are the only people he may have had contact with before he became isolated. in terms of the care in hospital from the 28th to october 8, that is the time when there may have been additional contacts given the fact this individual was clearly exposed that. that is what is being investigated now. the first contact identified what we still believe is all 48 who were exposed up to the time he was isolated. now we are doing a new investigation, given a diagnosis late last night of anyone else who may have been exposed once he was on what should have been effective isolation. statuss of the clinical of the patient, our information is at least as of sometime back, she was showing only mild symptoms and low-grade fever. our team lead did interview her will continue to monitor her closely to make sure she is the best possible care. we will take two more questions on the phone. i wanted to find out specifically with this new kind of gonehave around this -- wh

exposed? we've heard stories of family members raising money for him to get here. >> i honestly don't have a clue, chris. we do know he applied for a visa on september 2nd, and quit his job and saved up money -- >> i see, so he had planned to come here. that answers the question. he planned to come here before he was exposed. so that wasn't his motive, necessarily. thank you, dr. nancy snyderman. >> any time, chris. >>> this opens up a problem with trust and authority in this country. right now it's getting dicey. a democrat from california and nurse practitioner herself. and the lieutenant governor of maryland. congresswoman, let me ask you about this thing here. the president, i don't know why he said it, that it was unlikely, two weeks ago that we'd had an aids person -- an ebola person coming here from west africa. who told him it was safe to say unlikely? it's not great to be knocked down in your claims by reality. it's not a good thing. >> i certainly don't know who told him. but what i

and hair exposed. that is the thing that now in our setting of care we want to make sure that that is no longer the case. that you have essentially everything covered. when he says he does not know. yes, that is true. we don't know. but we know they were in a situation where there was clearly an identifiable potential for how they got infected >> schieffer: that is the part as a layman that bothers me of the all this time has passed and they what he says they don't have a clue. >> well, again -- schieffer: that is my word. there is no definite. you can't say that she definitely got infected here. she went from a less stringent to a more stringent protocol. she was not only on the original protocol as soon as they found out that this person was positive by the lab test, then they switched over to a much more stringent protocol. he is right. you don't know if she is infected here or in the more stringent protocol. but common sense will tell you that it's much more likely that you get infected with skin e

he exposes himself in broad day light. the latest incident happened right here at pete's coffee. >> there was a white male in a white bmw exposing himself. >> when two women in their 20s took action. they ran out of the coffee house to try to get a license plate and the flasher drove off. >> victims described he was wearing a button down shirt. >> the white bmw had paper license plates giving the victims no we to trace him. flashing incident happened one day after a young woman riding a beacon miller avenue in palo alto was flagged down buy a man asking for directions in a white bmw. when she got close he exposed himself. here's the sketch, police and the victim came up with. >> i think they are giving the guy what he wants. attention. >> reporter: this case is getting a lot of attention. earlier this week, two juveniles reported being victims of, indecent ex-pope sure. the sketch provided by one of those young victims is very different from the one released thursday. and the suspect car is also different. >> described as

the window that's the vulnerable window is someone who exposed and then winds up with no symptoms for a period of time that could be as many as 21 days and then does get on the plane being asymptomatic. there's really not much that you can do except rely on that screening of symptoms and fever. and every once in a while it is conceivable, as has happened by the reality of the duncan case, that someone will slip through during the asymptomatic period. >> i want to talk a little bit about what i think seems to be the biggest concern for a lot of people and this idea of who are contacts. in dallas, for example, everyone who's deemed a contact we know that a health official is coming in twice a day taking their temperature, checking for fever. so, a few questions around that. first of all, can you be contagious without having a fever? >> if you look at the kinetics of studies, and this is a very important question, the answer to that is, no. you never say 100% but it's essentially 100%. and the reason is you don't get the ability to isolate virus until the person develops symptoms. so, yo

it is impossible to do the disinfection if the skin is exposed because exposed skin would be killed by the chlorine and that one of the good for the person delivering the care -- that would not be good for the person delivering the care. we know the numbers in western africa are going up on ebola. we know the case rate is going to increase. we know that 10% of those cases are health-care workers. and we know that 56% of those health-care workers in western africa will succumb to the illness. that is a pretty dire warning for anyone who is involved in delivering health care. i would just submit -- dr. robinson, let me ask you, what kind of stockpile of this personal protective agreement you have available to the health-care workers online" patient could come in tonight and go to any hospital in this country and present themselves. are you going to be able to quickly deliver a stockpile of personal protective equipment like this? >> we know from talking to the manufacturers right there that there are no shortages right now and they're willing to deliver 24 hours or less. >> let me ask yo

they would expose whatever scandal, use whatever scandalous means possible to expose someone, an adultererto out a homo sexual from the can closet. there are tabloid newspapers all over the world. what is it in the u.k. that makes it so much worse than just about anywhere else? >> it's to do with geography and railway lines, which is that you've got a very small country here and something like 60 million people stuffed into it and ever since the industrial revolution when we built the railway network, you have been able to reach all of these 60 million people with an overnight train from london or glasgow and so you can reach them and sell them newspapers. now, that's extremely big c competitive market compared to most other countries. compare it to the united states, put a newspaper on a train at midnight in new york and have it westwards, by 5:00 o'clock, it's in the middle of anothnor. you don't have that national market from the electronic revolution. once you've got all of these national newspapers competing for all of those readers, it means that they become much more ruthless in the

varga in regard to the two nurses that were exposed. my understanding is one of the nurses, first nurse, nurse -- ms. pham was exposed in the emergency room, is that correct? >> i'm sorry, could you repeat the question, please? >> the first nurse was exposed in the emergency room, is that correct? >> no, that would not be correct. nina was one of our icu nurses, came in contact with mr. duncan when mr. duncan was transferred from the emergency department up to the e.d. >> that was some time from september 28th to the 30th, is that correct? >> that's correct. >> and the second nurse, ms. vincent, was she also an icu nurse? >> that's correct. >> so they were exposed after the point we would've already started recognizing that ebola was being questioned. is that correct? >> no, that's not correct. the nurses in the icu when they had contact with mr. duncan were in personal protective equipment according to the cdc guidelines. nina -- >> dr. varga. i'm going to stop you there. they were already using universal precautions but also had -- we

before pulling his blue pickup truck beside her and exposing himself. then yesterday just a half block away, a man with a similar description exposed himself to a 10-year-old girl. this time he was driving a while volvo. >> they may escalate into something that's much more horrific down the line as far as crime is concerned. so we don't want any of that. we don't want him contacting near kids. we want him in jail where he belongs. >> reporter: police say nothing is more important than tracking the culprit down. now, police have extra officers on duty patrolling this neighborhood. we've seen police cars drive by several times. they've got both uniformed and ununiformed officers out on the street. again, they very much want to catch this guy. what's more troubling, is this is national walk to school day. something that here in palo alto is observed all week. so there are a lot of kids out every day, walking, and biking to school. reporting live in palo alto, jodi hernandez, nbc bay area news. >>> a nudge on the shoulder, that's what prosecutors say led to

patients who may have been exposed were one day kept in strict isolation units. the next day they were ordered to be transferred out of strict isolation and into areas where other patients, even those with low-grade fevers who could potentially be contagious. >> so we have a lot to discuss here, but first i want to read you something from texas health presbyterian hospital responding to these allegations. spokesman says "we take compliance very seriously. we have numerous measures in place to provide a safe working environment, including mandatory annual training and a 24-7 hotline and other mechanisms that allow for anonymous reporting." so back with me now, cnn chief medical correspondent dr. sanjay gupta in atlanta and also joining me here in new york cnn medical analyst dr. alexander van tulleken. i know you were taking notes and writing fast and fewer yisly here. let's hit on the very basics that one thing she said is the nurses who are still treating ebola patients because we have two nurses there, still don't have the right protective equipment. >> this is

the men you see here are accused of exposing themselves on metro trains. in fact, it has happened four times so far. and police want to find them before they strike again. we are live in washington with the latest. jay. >> allison, we'd like to show your viewers where thesiness dens took place, which stops. one on the green line, three at the red line. glennmon at the top. rhode island island avenue and the last place here at the gallery place chinatown. >> the way to get around metro can be a frantic one but four men visually made miserable for four women. >> it's really offensive. and as a woman you shouldn't have to be subjected to that. >> authorities say in the last several weeks these men have exposed themselves to female passengers aboard a train. three cases on the red line and the green line from august to october. >> it is punishing because there are so many people around all the time. >> police say these crimes have occurred on trains. in some cases the men expose themselves just before a stop and then flee when doors open. >> they're flashing a

everyone exposed to mr. duncan, that was 48 people, and all of them have now gone through the highest risk period. there are already two-thirds of the way through their monitoring period. we're hopeful we will not see any cases for those individuals. for the nurse in the hospital, one individual was exposed to her and that monitoring is continuing. and as you mentioned, for the others who were provided care to the index patient, there are 76 who potentially may have been exposed and all of them will be monitored as well. >> when you say monitored, these 76 people, what does that mean? >> every day, someone takes their temperature and they take their temperature and they are informed to immediately come in if they have any symptoms whatsoever, even minor symptoms, so we can catch it early if they have ebola. that means we'll have some false alarms, we'll have people come in who have no significant health problem but that's okay. we want to get them in immediately, isolated, so if it turns out that they have e

because they were exposed. no, if someone were to come down with ebola. >> what is the likelihood of exposure to the specimen that this person could have the symptoms leading to -- >> it depends on how the specimen was treated. many laboratories will do something like alcohol that inactivates the virus and then it would be pretty safe. so the risk would be very low. >> because we're hearing there's been no symptoms detected in -- this was 21 days ago when he was -- we're dealing with. >> well, in that case, i wouldn't expect to see anything happen. but in a laboratory situation like that, where you're testing clinical specimens, generally, you try to inactivate the sample so there's no live virus and it's usually low-risk. >> the debate over travel, ej, the travel ban is raging as a debate. republicans seem to want it. many democrats are against it. here's what the president said last night. listen. >> i don't have a philosophical objection necessarily to a travel ban if that is the thing that is going to keep