and we have already had some shipments that are helping us with the ppe.are doing their jobs and we are hoping to get this under control. >> not to focus on the too graphic but we did hear some of the details about some of the symptoms and they are quite awful. they frighten people but beyond that, sort of the local superstitions and traditions make it difficult to treat. >> initially, in sierra leone, there was some resistance to the idea the ebola was real. messages have been getting out. i believe people recognize this is a real threat. there is a lot more cooperation from the villagers that we have noticed over the past few weeks, and so that's an important step towards getting this epidemic under control. >> are there concerns, though, of people who have come forward who are sick? i mean this is -- this is a sort of disease that people regard as pretty much a fatal sentence? >> well, in this case, the cause fatality rate as we call it is about 60%. so, it's definitely not a death sentence automatically, and if the patients can be brought to treatment

facilities in places like pakistan and bangladesh where you have places running rusty metal without any ppe without any management tools for handling the hazardous materials. we tried to vet this and think we found a very suitable location. i would venture to say this is the new convention for international recycling standards for ships. this was a new shipyard that came online in 2011 and was designed specifically for recycling ships and the goal was to recycle into the highest international standards. those standards were set in 2009 in development with the hong kong convention under the interventional maritime association. it sets out a number of protocols that include how ships are managed while they're in service. a prejudice or portion of that is the [inaudible] hazardous materials and you have to renew that over a series of years. before you take a vessel out of service you have to do a final inventory for hazardous materials and you're looking at structure and waste that's generated throughout the vessel itself. so 14001 has a standard for environmental systems management. there is

i think the ppe planning programming budgeting and ajit ajit -- executions of some of those are coming in already. >> thank you. thank you mr. chairman. >> thank you very much mr. lamborn. >> mr. matkovsky i'm glad to hear that the va is going to use i think the $450 million of carryover for fee basis. i know i was calling for that two weeks ago so you are going to use 300 so that takes care the money side of it. on the upside what problems do we have to look for? for instance if someone goes in and out of private care from the va system like the potential of news and records what are the medical issues that we have to be cognizant of when they go back and forth using fee basis? i think we have to use fee basis. don't get me wrong. >> i think we have to watch that carefully. one of the things we have learned in our audit is we need to ensure there is sufficient nonva corp. karen cordish and staff and facilities. you can't -- we have to coordinate that care. part of that coordination is the transfer of medical records out. the other part of it is the transfer of medical records in. with

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