How can gaza be rebuilt and whos going to pay for it . And lady in waiting. Marylands first lady, mom, advocate and judge. But as the next president ial season heats up will we hear more from the governors wife . Tell me something about the governor that i dont know. I dont know if you would want me to do that. [ laughter ] america tonights adam may with katy omalley, the governors wife. And good evening, thanks for joining us, im joie chen. It is a crisis living up to the worst fears of Health Workers. Increasing indications that the Ebola Outbreak is beginning to cross borders. Issuing alerts for airports and hospitals to be on the lookout for people with ebola symptoms. So far ebola has centered on liberia sierra leone guinea and now a nigerian nurse has died, and in saudi arabia a plan may have died of ebola after returning from sierra leone. An an infected priest. And two hospital workers have arrived here. In new york city, a sickened it. America tonights sarah hoye. Its since been a full day of care for nancy writebol, at atlantas emory are hospital. Her colleague dr. Kent brantly is also receiving treatment. Both traveled 5,000 miles from liberia where they were infected. Both were given an experimental antibody serum which seems to be working. But the serum isnt widely available. Especially for patients in west africa where the disease has already killed hundreds. This is first time that they have been used in humans. The availability of it, the amount of it, the number of treatment courses there are are severely limited. So it really is nothing to compare it with since this is the first time that they have been given to humans. Reporter this morning at the department of state the president took a moment during economic and political talks with visiting African Leaders to address the outlook. On behalf of all of us here today, our thoughts and prayers are with those who have been affected by the Ebola Outbreak especially those who have lost loved once. The World Health Organization said there have been more than 100 cases this week alone. A nigerian nurse infected with ebola has died becoming the countrys second confirmed fatality. At special concern, the location, the city of lagos is the countrys largest. Extremely necessary, to assist us in tracking the contacts, among to manage those cases. Reporter the nurse had been involved in the treatment of patrick sawyer, a lye weran and u. S. Citizen who died of ebola last month in lagos. Authorities are monitoring the 70 people known have come in contact with patrick sawyer. Four of whom have already tested positive for ebola. Meanwhile on wednesday a man suspected to have contracted ebola died in saudi arabia. If confirmed, this would be the first ebola related Death Outside of africa. And this spanish priest who worked in africa and tested positive for ebola is returning to spain for treatment. Mt. Sinai hospital in new york announced that the male patient with fever and are symptoms tested negative for ebola. World Health Organization in geneva, to determine what to do with the outbreak, while ministers discussed what might happen if ebola spreads against the continent. These Health Workers are overstretched and because they are overstretched they do occasionally forget to go through the normal routines that we encourage them to do in handling ebola infected cases. So some of them are errors that arise because of being overworked. Others are because of the infrastructure challenges that theyre working in. That promote transmission or hospital transmission of infection. Reporter this Ebola Outbreak is already on record as the deadliest ever. More than 900 deaths so far in a region with weak health systems. The virus seems to be spreading because of fear. People are moving away from doctors rather than taking doctors advice. The virus is very fearful but very treatable as well. If you have the training and you can help how can you not. We are joined by america tonights sarah hoye. We were concerned about spreading outside the four countries in africa. Are there safeguards in place at ports of entry in this country . Yes there are. There are quarantine stations at pretty much every major point of entry. The cdc has told workers listen, an Ebola Outbreak in the United States is not in the cards. You have agents who are looking to flag sick travelers. You also have quarantines in place if someone were to show one ebola. Things here in the United States are very different than they would be in west africa. America tonights sarah hoye, thank you so much. Katherine jacobsen works with george mason hospital, you have a connection with Mercy Hospital there in sierra leone and you are hearing from folks on the scene about their concerns and their fears about whats happening about the outbreak. At this point in time, most People Living if guinea, sierra leone and liberia have some connection with patients. They may not have seen cases themselves but they know its around them. We have not had cases in the city where my lab works but we have had cases nearby in the rural areas and a few times over is the epicenter for sierra leone outbreak. And folks there are telling you about the sprez of the spread of the disease. We think about it in specific ways but you think funerals may be the biggest concern about the spread of the disease. What happens is people come from across the country to pay respects to their loved ones or their friends. People may come in being exposed them. Do you have a sense that this is coming closer to them, that it is inevitable . There is a bit of a sense that its not under control yet and it is an expanding epidemic and every day were hearing of more case he and this far into an outbreak we of course would like to see there being zero new cases a day. And instead it does seem that every day were hearing about more cases possibly more countries as weve seen this week with nigeria. You are an epidemiologist so you are obviously concerned with the numbers. The numbers were getting now about a thousand so far who have died. Right. That may not represent the whole picture. Right. We assume that not everybody who has ebola is seeking care at a hospital. Many are being cared for at home. Which means they are not tested for virus, and if they are not tested for the virus theyre not showing up in the census. We are definitely missing some cases. Were not getting the whole picture, but one of the pictures we are getting is the effort to contain it. Thats bilateral we talk about the concern for the arrival of the patients in the United States. Were seeing medical workers in full space suit gear. Is that an appropriate message to send about whats happening with this outbreak . I think message we are seeing here in the u. S. Is a little inaccurate because when we saw our patients arrive in atlanta, we saw that the people with them were wearing the hazmat suits with the self contained breathing units. Thats really not necessary. The virus is only spread by direct contact with body fluids. Its not spread through the paper so theres no risk to people in the u. S. Catching ebola because we have some patients here who have it. On the other hand in west africa clearly we do not have enough supplies yet to protect health care workers, we would not have been seeing enough cases if there were enough supplies. The protective equipment should be very protective but the more patients that you see the more encounters you have and exposures that you have the greater the risk that there could be a breach of safety at some point. And a reason for concern there. Follow on that. Appreciate you being with us katherine jacobson, Mercy Hospital in sierra leone, he also works with George Washington university stateside. Although the water is safe to drink in toledo, the problems are not over for the millions of take their water from lake erie. America tonights Lori Jane Gliha says the problem is bigger than just lake erie. At wade smiths home no one takes clean Running Water for granted. His family of five was among nearly a half Million People who couldnt use the tap water over the weekend when toxins from a blue green algae bloom contaminated the water supply. You couldnt drink the water, couldnt do laundry, couldnt do dishes. City officials warned that contact with the water could cause liver problems vomiting and die re. His kids skipped bath time. Our neighbors have a popped. Worse Case Scenario we could have thrown them in with a bar of soap. Lake erie is still at risk. What is the long term impact . Fish could die, off the bottom, we could potentially kill the lake. Of the great lakes, lake erie is the smallest by volume and shall owest, its surrounded by four states and canada. This is part of what weve been calling algae . Its all algae growing. Yes. Some of these pieces of algae have the toxin in it. They would have the toxic in it. Reporter but when it comes to eries financial health, they deep. This is intake for the entire city of toledo. All the water that people drink comes from right there. 73 million gallons of water filter through this intake every day in order to provide Drinking Water to people like the smiths. This is the algae that was here the other day but the other day, when you did it, how was it . Solid green. The wind has turned it up and its much better for us. Algae needs off phosphorous. A plant nutrient. We are giving them man made candy to them. We are giving it to them. They are growing and multiplying. Excessive algae growth forms mats or blooms. In the 60s lake erie was declared dead, algae cut off air to fish. In 2011 lake erie was hit by the large s algal bloom on record. Individual farms and land owners with phosphorous runoff and leaky septic systems. Climate change made it worse. Is it going to continue to get worse . The treatment at the water facility is a ban bandaid. The lake is not as healthy as it should be. Frank from the Water Company says things are dangerous. Caught off guard going forward. The fertilizing practices for our agricultural business and our farmers they need to sort of are adjust the type of Fertilizer Use less phosphorous less nitrogen. How many tomato plants do you think you have in here . Half of the greenhouse has about 500 tomato plants in there. Wade smith happens to be one of the farmers and he feels the blame coming his day. I dont want anyone to be a scapegoat. There are multiple players amongst the industries that play a role in the health of the lake. Fingerpointing and scapegoating are not going to help. He uses phosphorous or as farmers call them nutrients. What would this tomato business look like . This tomato business would not be possible without it. I have about 120 but overall i farm 1500 acres. Without it his plants wouldnt grow as tall or as full. Costs would carry over to the consumer. I would not be in business. That was pure and simple. We cannot farm without having nutrients for our crops. He would like to see more are research before changing his farming business. What would you do if regulations said you would have to use less nutrients on your farm . Like anybody else you learn to try oadapt but what we hope for is we get this Research Done so if there are regulations its based on science. Farmers across the state are working with Ohio State University to learn about phosphorous runoff. They have used more technology efficiently. Do you think farmers are part of the blame . Anybody who says they are not part of the problem are putting blinders on. Wade smith is trying to be conservative. We test them every two weeks. He can utilize exactly what he needs. No more, no less. Smith says he wants to help preserve the lake and is willing to listen to new farming ideas but he says patience is key. The process must are fair. We cant must be fair. Tomorrow. This is a generational change, it is a mindset change and we need to just make sounds discussions and understand the potential for unintended consequences if we pick the wrong one and if we act too soon we can do more harm than good coming out of the gate. America tonights Lori Jane Gliha is. It seems lori jane that the farmers want to be part of the solution. They credit invested a Million Dollars to look at the runoff to see how the phosphorous gets into the waterways and the goal is then to help the farmers to develop better tools so they can better manage their fertilizer and theyre interested in being a part of that. But for homeowners or people who use water in that area it looks like theres going to be more trouble ahead. What are they being told to do, how do they prepare for that . Keeping the water safe is an interesting process. There are chemicals that are put in it that can kill the toxin. It basically attaches to the toxin and you can pull that out of the water. What happened was there was too much toxin for the chemicals to counteract. The point is you cannot boil your water as youve heard. The problem is boiling is for something alive. When the algae releases the toxin its already dead. It basically evaporates the water. Its are greater concentrated and more dangerous at that point. Thats why they told people not to boil. Right. Lori jane gliha, thanks for that problem. So how widespread are the problems and how lax are the regulations . Christy meyer is with the ohio environmental council. Christy, there seems to be a great deal of regulation when we talk about runoff. Thank you for inviting me. Actually under the clean water act only the largest of the largest farms are regulated. And many farms in ohio, and were talking about livestock here, particularly, many of those Livestock Farms fall right underneath that threshold to be regulated. So largely there is very little regulation. And when you think about, if you just think about livestock farm sewerage is regulated. Human sewage is regulated, manure is not, considered a commodity. We need to level the playing field. As we heard prior, industrys regulated, waste Water Treatment plants are regulated. We need to put in some regulation that says these best Management Practices are the ones you need to strive for. We know they work. There has been a ton of research that has been done over the years. You make reference to manure and the absence of regulations on that but that points to the fact that its not just ohio. There is farmland all over the country with afarm animals and manure crisis. Where else do we see that kind of a problem . Thats a great question. So harmful algal blooms is not just an ohio problem. Weve seen it in saginaw bay, green bay, chest piqu chesapeake bay. We need to put our farmers on a nutrient diet. Christy meyer, thank you very much. When we return, looking ahead, the guns silenced in gaza. How the rebuild and who will pay. Later in the program. Fear or fury, a detroit homeowner says he shot only in self defense but hes on trial for murder. AlJazeera America presents a break through Television Event borderland. Are you tellin me its ok to just open the border, and let em all run in . The teams live through the hardships that forced mira, omar and claudette into the desert. Running away is not the answer. Is a chance at a better life worth leaving loved ones behind . Did omar get a chance to tell you goodbye before he left . Which side of the fence are you on . Sometimes immigration is the only alternative people have. Borderland only on Al Jazeera America deepak chopra, from improving your health i had an intuition, that human beings could heal themselves. To solving conflict. The best way to get rid of your enemy, is is to increase their happiness and living a more mindful life. The number one cause of hostility in the world is lack of respect every saturday join us for exclusive, revealing, and surprising talks with the most interesting people of our time. Talk to al jazeera only on Al Jazeera America rare but welcome signs in gaza, second day of calm with the agreed upon 72 hour ceasefire holding. Many gazans ventured out in search of food and supplies. Israel offering to extend its ceasefire, in gaza, a senior hamas official are indicated there was no Long Term Agreement for peace. Palestinian delegations relaying each sides demand in efforts to end the conflict. Relief agencies are preparing for a massive recovery effort. But what will it take to get gaza fully back on its feet, azmat khan has the story. Around gaza city there are small signs of a return to normalcy. But all around, greater signs that everything is not nearly normal. There needs to be remediation, food, water, shelter. Some of that relief began make its relief made its way in the strip yesterday. But supplies already hard to come by, the challenges now seem almost insurmountable. Along with socalled military targets, israeli strikes in the past couple of weeks also took out key Critical Infrastructure that will cost impoverished gaza billions of dollars to repair or replace. Homes in ruins. Seen here through eyes of survivors themselves. 144 schools damaged, according to the u. N. And health care infrastructure, hospitals, clinics, ambulances, on the verge of collapse. Last week, gazas only power plant was hit leaving people with only a few hours of electricity each day if theyre lucky. Local Authorities Say it will take at least a year to get the plant running again. Israeli tanks also took out sewage lines, waste Water Treatment plants, like this major one, near gaza city, sending waste into agricultural land. The waste water crisis has left 13,000 tons of solid waste rotting in the streets. Shelling also destroyed water infrastructure. 55 wells gone along with pipelines and reservoi