anyone with fever should be asked if they have been in west africa, specific guinea, sera leon or west africa. and if so, they need to be tested. we have done webinars, reached out to hospitals, medical associations and many others, so that we can ensure that the available information is up-to-date and useful. right now, the bottom line of what we're talking about today is that we're stepping up protection for people coming into this country and for americans related to travel. we will continuously look at ways to increase the safety of americans. we do that at many different levels. we do that in dallas where officials there are working intensively to monitor every person who might have had contact with the index patient to ensure if they do develop fever they are immediately isolated and the chain of transmission can be broken. we do that in the health care system so that patients will be rapidly diagnoses and if found have ebola rapidly and effectively isolated. we do that at the source, understanding that until this outbreak is over in west africa, whatever we do can't get the risk

traveling to west africa to treat ebola patients. sadly, tragically even, this ebola outbreak in west africa has occurred in countries that have little to no modern medical infrastructure. and that is the reason that we have seen this ebola outbreak spiral so quickly, in a way that has claimed so many lives. so we want to make sure that whatever policies are put in place in this country to protect the american public do not serve as a disincentive to doctors and nurses from this country volunteering to travel to west after coto tre-- africa to trea ebola patients. first, it reflects a commitment from a doctor or a nurse to travel to west africa, reflect as generosity of spirit and a concern for common humanity that is worthy of praise. it also reflect as commitment to the ideal that stopping the ebola outbreak in west africa is the only way we can eliminate the risk to the american people from the ebola virus. and i guess this is the last thing i want to say about this, jim, is you will hear from the cdc later today some additional i

we have many people in west africa now. train on, the management, the supervision, the protocols are exactly the same in u.s. hospitals as what we use in africa. exactly the same. and it's -- where were those gaps? >> those protocols were not in existence in dallas, though. >> well, i don't know. >> they had some of the skin on the neck that wasn't covered in dallas and those nurses came down with ebola after treating mr. duncan. >> that comes back to our management, supervision and that's what is critical. the cdc puts out the guidelines as paper based documents. what the next critical step is how to make that happen. how to implement. but again, organizations are out in west africa. they're putting those in place. >> i've heard, elizabeth, and you know more about this than i do, some of the nurses, health care workers, some of the physicians at bellevue hospital are worried right now about this ebola patient. they're concerned. they don't necessarily have the training you need. i asked dr. fouci if this doctor should have

the best way to stop this epidemic is to help people fro in west africa. we need to treat them return in respect. >> president obama agreed with dr. anthony fouchi. the president underscored the steps we take must be guided by the best medical science as informed from our best medical health experts, and measures should be crafted so as not to discourage health workers from serving in west africa. governor cuomo's administration said that healthcare workers can be monitored at home. >> during that 21 days healthcare workers would check in on them twice a day. >> and u.s. ambassador to the united nations touched down in guinea in a five-day fact-finding mission on the ebola crisis. >> we need to be part of the solution and not runaway with something. it will come to us. >> the "world health organization" said it estimates there have been more than 10,000 cases since the outbreaks' beginning earlier this year. >> thousands are already dead of ebola in west africa. many thousands more will likely be dead before it's over. how to respond in the united states t

this is an unprecedented outbreak in west africa. we're surging with response from the whole of government in the u.s. and globally. this will be a long-hard fight but we believe we can contain the outbreak in west africa. as of today the only patients in ebola u.s. are in hospitals. and it is important to put in perspective what the risks are. ebola is scary. it's a deadly disease, but we know how to stop t and we're stopping it in west africa community by community. dallas is doing an excellent job of tracing contacts to stop it there, and healthcare workers throughout the u.s. need to think ebola in people who have fever and have returned from any of these three countries in the past 21 days. two more questions, and then we're going to stop. >> cdc set out strict guidelines from ebola patients. can you expand on those guidelines, and will the cdc be involved. >> the way ebola works is if you're exposed but not sick you have no ability to pass it on to others. as you begin to get sick, you have a fever you may be able to pass it to

was he' perhaps recently in west africa? >> my understanding, and this is kind of recent information but we'll get definitive information the next few hours, there is someone who does not have either definite contact with ebolafinis being assessed. you know what we expect? as more people are concerned, people will be assessed, there will be rumors and concerns in potential cases, and that's as it should be. we should just keep it in perspective. right now there's only one paetsch whoemt's ever been diagnosed with t.b. -- i'm sorry, ebola -- in the u.s. and that individual tragically died today. we're tracing the 48 people, ten with definite and 38 with possible contact. number of them as of today has had fever or symptoms suggestive of ebola. but we recognize we're not out of that 21-waiting day period and we're actually at the peak incident period of 8 to 10 days. so it's certainly a time when we're anxious and carefully assessing. >> may i follow up briefly. was he one of the people you've been monitoring? >> we'd have to

the problem in west africa is that they've lost all trust in their government. that's been the problem. they won't allow contact. it drives the epidemic underground. here i would very much hope that people would come forward. of course there is the issue of confidentiality, whether they would want to have it made public. >> dr. landon, speaking of contact tracing we've now found out that in the interim time between leaving the hospital and returning much sicker mr. duncan, the patient, had a wide range of contacts, including with children, with family members, with people that he came across while he was traveling, can you realiz really ever be sure of everyone someone comes in contact with when doing something like this, trying to put together a history . >> as dr. bosh mention earlier, ebola is helpful in this respect. you really can only get it having direct bodily fluids. we all have a pretty good idea whose bodily fluids we've come in contact with in contrast with measles it could be anyone up to hundreds of feet away or someone who rides in an elevator a f

that's dealing with the community of west africa. i believe that predeparture, there are temperatures being taken from any of the countries before they board the flight. >> they get tested when they get on the plane, but what i'm talking about is doing something 21 days before, so you have two contact points where you have measurements on. it's not foolproof, but having two contact points in west africa. >> your response, mr. torbay? >> one thing that we worry about 21 days. >> the minimum requirement is six weeks, and if we require an additional 21 days, that's nine weeks, and it's extremely difficult for any hospital to allow them to take off nine weeks before they come back. again, we can not completely wrap ourselves in a bubble here. people will go from guinea to sierra leone and take a flight to europe and wait a couple of days and come here, and there's not of we can do to stop it. so from both ends. >> with all-due respect, there are only a couple of flights out o of -- . >> thank you for the good points. when you were re-aut

in west africa. that nurse is casey hick ox who will be transported to maine where they will be determined by state laws. she is the center over growing controversy over whether they go too far. you will hear from a friend of hers in a few minutes. all this as new york city's first ebola victim remains in man at that time an. he is in serious, but stable condition. over the weekend that doctor, craig spencer received a blood plasma donation from an ebola survivor herself. >> i feel privileged i was able to give him that transfusion and praying that he is recovering and doing better. >> doctors are caring for a 5-year-old child with what they call ebola-like symptoms. here is video of the child being transferred. this is not an ebola case though that child is being tested. in washington state this hour, a moment of silence will be held at the high school outside seattle where a student opened fire killing two and wounding four others. that second student died as a result of her injuries. jia soriano.

that's why we continue to surge the cdc response in west africa and the whole of government west response in africa and in fact, the international response where we're seeing hundreds of health care workers, hundreds of millions of dollars and intensive effort deployed in the three countries most heavily affected. and finally, as we say in health care, above all, do no harm. we have to ensure that whatever we do doesn't unintentionally increase the risk that we will be at risk. just to remind us of what happened a decade ago in the sars outbreak. the sars outbreak cost the world more than $40 million, but it wasn't to control the outbreak. those were costs from unnecessary and ineffective travel restrictions and trade changes that could have been avoided. what we want to do is ensure that we don't undermine our ability to stop the the outbreak at the source and unintentionally increase our risk here. so to outline some of the new measures being taken and review some of the measures that have been taken i'll turn it over now to deputy secretary mallorcas. >> thank you very much, dr. friede

have not been involved and that trained properly. >> he said this should be on the outbreak in west africa>> there's a lot of fear of ebola and i will tell you as a director of cdc, one of the things that i hear about ebola is that it could spread more widely in africa. could become a threat to our health care system. >> there will be more cases of ebola. tens of thousands people come to the state fair where an action disinfectant has been given. the state fair of texas has been running for three weeks. when the first case was reported, people were concerned but they certainly weren't panicking. that it has shaking people's confidence in the way the authorities have responded. >> i cannot believe they allow that woman to get on a plane. that is unforgivable. >> i am skeptical of what they say. >> there is a lot of skepticism and misinformation in the media. >> this is where ebola in america started. alert, more suitable hospitals will take on the treatment. >> the bbc is in dallas tonight and she joined me from outside .f the hospital what more can you tell us about the nurse? >> the famil

but in west africa. >> in west africa. that's interesting to note.of them -- doctors without borders, it's only been one out of 700. that's a very low risk. we had some missteps in dallas that makes us concerned. yes, we need to keep a guarded risk for these people and make sure their protocols are able to be followed, that we do enhance protective equipment as needed but we can't sit there and overreact. and there's practically a zero risk for that. can we touch a bowling ball, go on the subway -- there's a very low risk for the public. >> doctor, thank you for coming in. i appreciate it. >>> more breaking news as we are getting chilling video from isis showing this hostage, john cantlie. but the most striking thing about the video isn't who's in it but where he is. that's ahead. how much money do you have in your pocket right now? i have $40, $21. could something that small make an impact on something as big as your retirement? i don't think so. well if you start putting that towards your retirement every week and let it grow over time, for twenty

we have to get help in, and we have to solve the problem in west africa. in terms of your question -- >> you think what they're doing now is sufficient? >> not yet. >> allegedly lied on his form. >> i want to get to that point regarding what david brought up already, which is you know what, i have to tell you personally as a physician with over ten years experience in the er, i don't believe all of the patients that come in. of course he lied on the form and he is not going to say when he gets to the er i may have ebola. he may not say that. >> why wouldn't he -- >> it is up to the doctors, because people don't want to admit stuff like that. doctors with training in er medicine should ask those questions, and i think anybody that's been to liberia recently, and david said this, if you have been there or guinea or sierra leone, and you come in with muscle aches and fatigue, you may have malaria. it is unlikely you have ebola, but we don't want to miss ebola now because it is an emerging infection. we want to get it, isolate it. the cdc did a great job with

it's not just a west africa issue. we need to work together as one team to tackle this and put an end to this outbreak. once we do so many to continue the investment in rebuilding the whole care system in west africa as well as preparedness and other countries. we need to make sure that this outbreak does not reoccur. the u.s. has and is playing a pivotal role. i am proud to say that the u.s. has led the way and continues to answer the call and other countries are following the lead. >> mr. turner asked a great question and the chairman tried to get some clarification of the military folks. what was your reaction -- we have health care workers in healthcare workers in the back and the american people working to read what do you feel as an appropriate way to address this and should the american people be concerned? we have people going over to africa to help out. >> i would like to clarify one thing. there is no symptoms or does the transmission that's the first thing. unless the patient develops symptoms the patient ca

traveling to west africa to treat ebola patients. sadly, tragically even, this ebola outbreak in west africa has occurred in countries that have little to no modern medical infrastructure. and that is the reason that we have seen this ebola outbreak spiral so quickly. in a way that has claimed so many lives. so we want to make sure that whatever policies are put in place in this country to protect the american public do not serve as a disincentive to doctors and nurses from this country volunteering to travel to west africa to treat ebola patients. the first is that it is, you know, it reflects a commitment from a doctor or nurse to travel to west africa reflects a generosity of spirit and a concern for common humanity that is worthy of praise. it also reflects a commitment to the ideal that stopping the ebola outbreak in west africa is the only way we can entirely eliminate the risk to the american people from the ebola virus. and what you will -- and i guess this is the last thing i want to say about this, jim. you will hear from t

and west africa. if i come back now and say i've been in contact with ebola patients, i'll be locked in my house for 21 days. when i'm in the u.s. i am visiting u.s. hospitals everyday helping them get prepared for ebola. you take me out for three weeks, who will replace me and help u.s. hospitals get ready? those gaps can't be filled. >> new york's governor did come out and he said that he understands the hardship that would be placed on doctors but he has a responsibility to his citizens. he even said, you know, if you're not being paid by your employer in the united states, the government will reimburse you. if you're afraid you're going to be fire wed eel talk to your employer. does that make you feel any better? >> no, not at all. the decisions politicians are making throughout the country are not based on scientific evidence, they're completely irrational. we're looking for --s where the ebola team? s where the ebola team that representatives of all the community, private sector, public zektor,

and the focus should be on west africa. what we are setting up here right now with this post-arrival in the u.s. approach is we are going to set up these hospitals, all of this equipment, everything here in the united states and wait for those folks to arrive. and i believe we should be doing the opposite, but we should also be doing something else that matters predeparture. we know we are about to 1.4 million people and not for cut a slit did with ebola. we have to be on the ground there. instead of the restriction here in the united states, there should be a 21 day preapproval. they need to present themselves and report and person until they get on that plane. we can take the temperature in a blood sample is necessary. so 21 days later when they appear to travel, we test them again. now we've got to contact points on a person before they fly to the u.s. and we can also do the post-arrival check as well. we are not taking this seriously enough. we are not. we need to help our brothers and sisters in west africa absolutely.

. -- in west africa. and especially given the fact that we are potentially looking at an explosion of infection that is exponential in a very short period of time in the next two months it seems to me there is enormous urgency in the latter not to diminish at all the need to address the former. we have some good news today. ms. pham has been declared a ebola free. but dealing with the first part to protect, it wasn't thanks to the protective gear and the guidelines that were in place at her hospital. while the cdc was giving us assurances of how hard it was to contract the disease we are pretty confident we have things in place and so forth. two of the health care workers including ms. nina pham came down with it. doctor lurie, do you think that perhaps the cdc missteped? >> they said some missteps have been made that they've taken a quick look at the experience and -- >> doctor lurie, i'm asking a public information health question on how to deal with event when i was the head of my county. never reassur

from west africa. the conditions as you talked about, exit, screening, all there are exit screens, so it is perfectly conceivable that someone after 14 days can exit screen, they are ok, no fever, and in fact get to their destination, perhaps in the united states, and have the worst, is that right question mark >> -- is that right? >> yes. >> the fundamental job, to protect the american public, the president does have the legal banority to impose a travel because of health reasons, including ebola. is that not correct? >> i do not have the legal expertise is a question. >> i selling which earlier today. we can share that with you. he does, from what we understand, and not only an executive order that former president bush issued when he was present, but also the legal standing as well. if you have the authority, and it is my understanding again that a number of african west africa,und around these three nations, in fact have imposed a travel ban from those three countries into their country. is that no

who has a fever and signs of infection needs to be asked where you have been and if they are in west africa isolated and assessed and cared for. >> we have to make sure we monitor health care workers. they are exposed to people with ebola, and what about the people coming in from africa and countries where the ebola episemiic is taking place. why don't we restrict the travel directly or indirectly from anybody coming in from those countries. i would like to put up on the screen a map to show passenger flows from those countries. that map shoes if you hold it up here. if you are looking at particular countries in africa, they can go to europe, turkey and saudi arabia, and china and india and go to other countries in africa and from those other countries come in the united states, i suppose we could set up a whole bureaucratic apparatus to make sure someone didn't travel from any jerria or cameroon or sierra leon to make sure they didn't get here from those countries. that could be our emphasis, but what you are saying, we want to monitor people before they leave the countries to see if they

it's not that it jumps from west africa to dallas. it overwhelms west africa and gets into india. you see that congressman had that chart of travel. and it begins to happen that way. and you get into a situation where the numbers are so large. they are very, very effective and they are incredibly time consuming. incredibly labor intensive and require the infrastructure of isolation words that that fails you because you simply have too many patients. if you want this to not become a global epidemic. if you want this not to become a problem where it's popping up in every city and airport, the thing to focus on is west africa. >> that is exactly, exactly correct. thank you. >> the texas school that rejected students from nigeria because of ebola ahead. ♪ i thought it'd be bigger. ♪ ♪ (dad) there's nothing i can't reach in my subaru. (vo) introducing the all-new subaru outback. love. it's what makes a subaru,a subaru. >>> new york giants are scheduled to play dallas in dallas. >> are you worried because they had that breakout of ebola in dallas. are you worried about your team going i

to thank our military for being in west africa. i agree with those who recognize that we do not have enough resources there to actually do all that we can and all that is needed to be done, but i have commendations for the effort and indeednd those who are doing something. i think i would have more confidence and work they've in the cdc in our health everyday,als, because as i understand it, our protocols are under review. that whatever has been established, that is for right now, but with every incident we are learning new approaches, new techniques, and we are putting those into play. sure that i have as much gloom and doom, because we have had crises before, we found a way then and we will find a way to stay ahead of this one. dr., let me ask you -- notwithstanding the advances we ,ave made in medical science infectious disease continues to cause millions of deaths every year. throughout the world. we know that the primary vaccination,been developing vaccines. -- are there other strategies or other approaches that are being used

military coming back from west africa. four states thus far, new york, new jersey, illinois and maine ordered health care workers treating ebola patients in west africa must be quarantined upon arrival even if, this is the important part, even if they are showing no symptoms. doctors without borders nurse kaci hickox appears to be the first to fall under that mandate. she says if you initially read her dallas morning news piece and now heard the interviews on cnn she says her human rights have been violated under quarantine. she was forced into it after arriving from a very long journey overseas at newark airport this past friday. >> everyone keeps asking how are you feeling physically and, of course, i feel fine physically. but i don't think most people understand what it's like to be alone in a tent. don't you know there's nothing wrong with you and decisions are being made that don't make sense and that show no compassion. >> she's now headed to her home state of maine where she will be under quarantine at her home for

people out there, in west africa, they don't use toilet paper. ry easy there to transmit this virus in seek kre secretions. >> so dr. siegel, gretchen was asking, with planes from africa landing in new york, how concerned should nyc residents be worried about riding a train? >> i wouldn't say zero but it's remote. >> all of those drop lets could be part of direct contact. when you go into a room to examine a patient? you wear masks, gowns, cover your shoes. now, the concentration of this virus is higher in blood and higher in diarrhea and vomit. but it's not zero in droplets. whether it's going to mutate and become a respiratory, we hope not. >> it's not spread through the air. >> that's right. we know that. but if somebody coughs or sneeze or handshake, one of the mystery is, how did that camera crew from nbc get this kind of disease? i doubt that he was cleaning up vomit or drawing up blood? a handshake? you may have a crack in your hand that becomes exposed to blood and also the mucosa of your eyes or mouth is all part of the fact that these dr

into west africa? >> there are flights into west africa. >> how many? >> that i don't have offhand. >> anybody on the panel know how many? how many coming back into the united states? >> there are no commercial flights coming directly into the united states from those three areas. >> what about europe? >> there's hundreds of flights coming from there. >> people traveling from west africa to europe to here? >> that's generally how they would get here. >> 94% screening? how many flights are required daily every other day or weekly to get the supplies and personnel to the affected areas? >> the quantity of supplies is quite large. we would have to get back to you in terms of numbers. there's huge quantities needed but it's not just supplies but also personnel who need to move back and forth. >> if you could get back to me with that number, i would appreciate it. dr. frieden, nigeria, are you aware if nigeria has a travel band with countries affected by the outbreak right now? >> i believe that's not the case. >> they do not. dr. frieden, one of the issues

when they leave west africa. as soon as they deplane here in new york, at john f. kennedy airport, they will be questioned. they will be asked about how they felt. have they been sick in the last several days, been around anyone else who could have been sick, and then their temperature is tested through a no-touch thermometer. of course, let's be honest here. are passengers going to be absolutely truthful what they're going to say or just want to get into the country? these up to the passenger. we assume they're telling the truth. we don't know. if the temperature is elevated they'll be taken to a quarantined area where they well be observed and tested further. it is true, symptoms of ebola, even if someone is infected, may not show during the screening when they leave west africa and may still not be showing when they arrive in the united states. such was the case with thomas duncan who arrived in dallas from liberia and died in a dallas hospital. >> ashley webster, thank you. don't miss webster on our sister ne

she has no symptoms and in quarantine because she treated patients in west africa.aci hickox has tested negative twice, but officials have told her to stay in her home. overnight with her boyfriend at her side, hickox told reporters she will not let herself rights violated. >> it is not my intention to put anyone at risk in the community. we have been in negotiations all day with the state of maine and tried to resolve this amicably. they will not allow me to leave my house and have any interaction with the public even though i am completely healthy and symptom free. i am frustrated by this fact and i have been told that the attorney general's intention is to file legal action against me and if this does occur, then i will challenge those legal actions. i'm fighting for something much more than myself. there are so many aid workers coming back. doctors without borders estimated 20 american aid workers coming back within the next month. it scares me to think how they will be treated and how they feel. when we let stigma win, we all lose. >> there are other cases wher

battling enin -- ebola in west africa. dr. and your group and many others are doing one of the only things that will truly ensure the world will be free of ebola. we need to support you as much as we can, do it foerszfully, and convince the rest of the world to do the same. again, i say this is our watch. and two, my fellow committee members, it is not a time for us to move to common ground. we have no choice but to move to higher ground, and so with that, mr. chairman, i look forward to the testimony today, and with that i yield back. >> i thank the member. with that we go to our panel of witnesses. the honorable [ inaudible ] is the assistant secretary of defense for special operations and low-intensity conflict. major general is the deputy director in affairs in africa. the honorable john ross -- sorry, i apologize. the honorable john ross, the inspector general for homeland security. the assistant secretary for preparednessen -- preparedness and response. and the senior vice president of international operations at the int

friedman, it strikes me that controlling the outbreak in west africa is really one of the real of to keeping americans safe. the reports indicate we may be losing ground in liberia. what would enhance the international community's ability to gain some ground in africa in terms of actions and resources? that itwe're finding is is moving quickly and there is a real risk it will spread to other parts of africa. therefore, the key ingredient to progress there is speed. the quicker we surge in a response, the quicker we blunt the number of cases and the risk ,o other parts of the world including the u.s., decreases. angress has provided agreement to use money from the department of defense. received $30e million for the first 11 weeks of this fiscal year, which we appreciate. has an unprecedented number of people in the field right now in west africa and texas. how many people do you have doing airport screenings? >> i would have to get back to you with the exact numbers. we are overseeing screenings to make sure they are done correctly and to screen individuals here -- >> make sure you ge

and despite fears in west africa u.s. ambassador to the u.n. samantha power is traveling to the epicenter, guinea, liberia and sierra leone, a move to show u.s. support and to draw attention for the need for more international help. good for her. >>> this just in, the final u.s. and british combat troops have just officially ended their operations in afghanistan. those forces are now packing up to leave the country after transferring a massive military base in helmand province to the afghan army. both u.s. and british flags were lowered then folded up for the last time today. we should note american and british forces will still remain in afghanistan in a noncombat role. >>> also, iraqi security forces battling to keep isis militants in check say they've now regained control of an area near baghdad. jurf al sakhar is a mixed town. allied commanders say u.s.-led forces conducted more than 20 air strikes against isis on friday and saturday and say u.s. warplanes destroyed an isis artillery site near kobani and kurdish forces continue to battle is

from west africa. the conditions as you talked about, exit, screening, all there are exit screens, so it is perfectly conceivable that someone after 14 days can exit screen, they are ok, no fever, and in fact get to their destination, perhaps in the united states, and have the worst, is that right question mark >> -- is that right? >> yes. >> the fundamental job, to protect the american public, the president does have the legal banority to impose a travel because of health reasons, including ebola. is that not correct? >> i do not have the legal expertise is a question. >> i selling which earlier today. we can share that with you. he does, from what we understand, and not only an executive order that former president bush issued when he was present, but also the legal standing as well. if you have the authority, and it is my understanding again that a number of african west africa,und around these three nations, in fact have imposed a travel ban from those three countries into their country. is that no

ambassador to several countries in west africa.he was ambassador to nigeria during the first outbreak of ebola and the congo. thank you so much. >> thank you. >> for being with us. we can talk all day about what we could and should've done sooner. but we are here now. what should the u.s. and the world be doing? what would be most helpful? >> well, i think the main thing is to ensure that civil aviation authorities around the world, including bringing in the international group, so you have coordinated procedures around the world. a lot of the traffic from -- flight traffic from west africa is not direct traffic. really only three direct flights. people coming through europe, amsterdam, brussels, london, a number of other places. are we coordinated enough? are the procedures standard enough that we are checking people the same way through all of those transit points before they get to our port of entry? the other area that has been really bothering me and a lesson learned from nigeria is nigeria's also checking the ports and harbor

it's not that it jumps from west africa to dallas. it overwhelms west africa and gets into india. you see that congressman had that chart of travel. and it begins to happen that way. and you get into a situation where the numbers are so large. they are very, very effective and they are incredibly time consuming. incredibly labor intensive and require the infrastructure of isolation words that that fails you because you simply have too many patients. if you want this to not become a global epidemic. if you want this not to become a problem where it's popping up in every city and airport, the thing to focus on is west africa. >> that is exactly, exactly correct. thank you. >> the texas school that rejected students from nigeria because of ebola ahead. ♪ i thought it'd be bigger. ♪ ♪ (dad) there's nothing i can't reach in my subaru. (vo) introducing the all-new subaru outback. love. it's what makes a subaru,a subaru. >>> new york giants are scheduled to play dallas in dallas. >> are you worried because they had that breakout of ebola in dallas. are you worried about your team going i

we deployed this team back to west africa in early august. they're now the strategic and operational backbone of america's response. they've increased the number of ebola treatment units and burial teams. they've expanded the pipeline of personnel and equipment and supplies. they've launched a campaign in country. the bottom line is that they're doing what it takes to make sure that medical personnel and health care workers from all countries have what they need to get the job done. it's starting to have an impact. based on the conversations i had today with them, they're starting to see some progress in liberia. and the infrastructure is beginning to be built out thanks to the incredible work and dedication of folks from the united states who are leading the way in helping liberia, guinea, and sierra leone. it's critical we maintain that leadership. the truth is that we're going to have to stay vigilant here at home until we stop the epidemic at its source. and for that, we're going to need to make sure that our doctors and our health care p

but in many parts of west africa, contact tracing is breaking down. these slums are a big reason why. in many parts of west africa, streets have no names, people have no addresses. there may not be maps. that means some contacts never get found. here's why that's such a problem. a missed contact can spread ebola to other contacts, and they'll be missed to. that's why the cdc says even one missed contact can keep the outbreak going. by now in west africa, there are entire chains of tran transmission that are invisible. the cdc has designed special software to keep track of these cases and contacts, and they're trying to implement it in west africa, but even that hasn't gone smoothly. all of this is starting to add up, and it has the world health organization really concerned. anncr: now you can merge the physical freedom of the car, with the virtual freedom of wi-fi. chevrolet, the first and only car company to bring built-in 4g lte wi-fi to cars, trucks and crossovers. hi mom. you made it! anncr: it's the new independence. ♪ want to change the world?

ought to be doing more to deal with the crisis there in west africa?that, --the for i do before i do that, as i just said epidemics bring out the worst in us. here's a case were epidemics can bring out the best in us, where it can bring us together. we should be a democrat, republican -- it should not be a democrat/republican issue or a cuba/american issue. it is global for all humankind. what america needs to do is really ramp up the response in west africa. reserveto be training a war core of experienced doctors and nurses, putting them into the region, supporting them, treating them with respect, and we need to be providing money and more than anything, we need to mobilize international community, at least the u.s. has troops there. there are a lot of countries that don't. i really astounded at the delay and the lack of attention that is been given to what is really one of the worst crises i have seen since the aids epidemic. doctors without borders is really suffering now. they are saying because of this controversy, over the quarantining of health

we remain convinced we can contain the outbreak in west africa. if we fail to do that then it would be a very different situation because it could spread to other parts of africa and could be a longer-term risk to us here. as of today the only patients with ebola in the u.s. are in hospitals. the only risk is among people who returned the last 21 days. it is important to put into perspective what the risks are. ebola is scary it is a deadly disease. we know how to stop it and we are stopping it in west africa community by community prayed dallas is doing an excellent job of tracing contact to stop it there. health-care workers throughout the u.s. need to think ebola in people who have fever and have returned from each or any of these countries in the past 21 days. two more questions and then we're going to stop. >> earlier the cdc sent out guidelines for handling human remains. can you expand on those guidelines? if the cdc will be playing a role with the dallas victim. >> as in africa, we are concerned that handling individuals who have passed awa

beyond that the real story at this point is over in west africa. i cannot emphasize that enough, del. >> robert ray in atlanta. let's take a brief listen to the testimony happening right now. these are members of congress giving their opening statements. take a listen just for a moment. >> -- by isolating patients, the u.s. healthcare system can prevent isolated cases from becoming broader outbreaks. and that's why i'm glad dr. frieden is with us, and dr. varga will be with us by video, because it would be an understatement to say that the response to the first u.s.-based patient with ebola has been mismanaged, causing risks to scores of additional people. i know both of these gentlemen will be transparent and forthright in helping me to understand how we can improve our response, when yet another person shows up at the emergency room with these kind of symptoms. i appreciate the steps taken by cdc and customs to begin airport screenings, and as some call for cutting off all travel as the chairman said this won't be reasonable -- >> dr. sparro as w

>> into any -- >> into west africa? >> there are flights into west africa. >> how many? >> that i don't have offhand. >> anybody on the panel know how many? how many coming back into the united states? >> there are no commercial flights coming directly into the united states from those three areas. >> and what about europe? >> there's hundreds of flights coming from europe. >> okay. so people traveling from west africa to europe to here? >> that's generally how they would get here. >> and 94% screening. how many flights are required daily, every other day or weekly to get the supplies and personnel to the affected areas? >> the quantity of supplies is quite large. we would have to get back to you in terms of the numbers, but there's huge quantities needed. not just supplies, also personnel who need to move back and forth. >> if you could get back to me with that number, i'd appreciate it. now, dr. frieden, nigeria. are you aware nigeria has a travel ban? >> i believe that is not the case. >> they do not? okay. dr. frieden, one of the issues that had been brought up regul

a tense standoff with a nurse after treating patients in west africa in the state of maine. kaci hickox refusing to follow a quarantine. we will tell you what she said overnight. >>> new information that high profile terrorists targeted by u.s. air strikes in syria have survived and could be plotting against america. >>> and the san francisco giants, world series champions! you see it happen right there. one of the greatest pitching performances on the history of earth and in the history of earth and world series. a lot of champagne there. >> you are tired. >> you can't play these games at night. welcome to "early start." i'm john berman. >> i'm christine romans. let's begin with the nurse who volunteered to fight ebola in africa now fighting a quarantine order in her home state of maine. is kaci hickox battling for civil rights or endangering the public? hickox has no ebola symptoms. she has tested negative for the virus twice, but maine officials want her to remain isolated in her home. she will seek a court order to make sure it happens. she said she will not be violated

government agencies that have responded to the outbreak in west africa. i want to talk about all of these. some of these agencies are focused on vaccine development and we have other speakers to cover that topic but i will talk about usaid, cdc and the department of defense. usaid is the lead government agency in charge of coordinating all the different u.s. government agencies involved in responding with africa. they have a disaster assistance response team which has been on the ground since early august. 20 to 30 people and they coordinate all of the resources provided by the others. that includes the cdc which has on the order of 120 or 130 station across west africa right now the largest deployment of their staff for an international health response. it's the first time the u.s. government through the office of foreign disaster assistance has declared a disaster that is a public health disaster so there are a lot of first involved in the response to this. as you likely have heard the military is becoming involved in the ebola response. president obama