And aerosol is when people are coughing with those droplets but not really contaminate the air that a brief so that is how i looked at it. Order what it teat dr. Fauci was talking if this was just transmissible or like influence though influenza. You had cases when people across the hall were getting a infected but nothing like that is happening with ebola. But i would say how we take steps with prepared this and has steps in place so there was something we could do with the airborne virus so we need to be ready for anything even though in this case it is nothing that any scientists anticipate. We will be back with our live town hall. [applause] teeeighteen the ebola virus arrived on the tray table or an arm rest on a plane or the inanimate object of what should people do tuesday uninfected . The question were always asked in some respects that if you take ebola and have blood or diarrhea or vomiting if the inanimate object it last 20 minutes or so. That directly definitively give you the minute by minute the chances of someone coming into contact in a public place is finishing below particularly with nobody around with ebola. My recommendation so washer hands a lot. And not worry about getting ebola from a coffee cup or a plate. And from all the contacts these are people that have much more opportunity for compact than someone on an airplane or a public space. From the perspective in maryland a number of people are quite sick with the flu and in doing something to protect themselves to get the vaccine you are reducing the spread of. So the fact that duncans Family Members did not contracted it is hard to get it . It is proved it is difficult to get it, as you come into contact with bodily fluids of the sick person. We say all these things and they are true and we are trying to dispel the myth. But dont interpret that as overconfidence. But what we need to do to suppress the epidemic in africa and someone comes with a suspicion of ebola or travel history, isolate them to make sure you protect the people are around. If they wind up having ebola and it is conceivable there will be other ebola patients to take care of them in a way to protect society and most of all projects the worker. One of the concerns is somebody could be infected and we dont know that there is a long incubation period someone could be a symptomatic to register a normal temperature boarding the Airline Flight and then obviously shows signs of days or weeks later. How do we watch for that or monitor that . And in that realm can you talk about the travel ban for people traveling here from west africa . We have heard many people propose a travel ban and i understand the appeal that somehow you can keep this out. But we have heard reasons why that could backfire. The most important those coming to the country how their tract and then dont get medical care when they feel sick. Then someone to spread the virus under the radar but i do think we need to ramp up the procedures that if they develop any problems to identified but if we dont have a travel ban to keep an eye on the travelers that in addition we should consider doing more to discourage nonessential travel to and from these countries. But probably we could do more to do the cdc guidelines. Dr. Fauci you talked about the travel ban. First of all, make sure everybody understands those that oppose a travel ban that is not a reasonable approach and well understand that. To say that is a stupid idea those who end good faith it just happens to be a disagreement if it will be where we want to go but having said that listening to any proposal of one of the reasons it feels like that capability to track more easily the u. S. The question with 36,000 people in west africa tried to get on the plane 77 were not allowed because they felt sick or had of fever. Of those 77 and of those had ebola. Nothing is 100 percent but that tells you that there is not major people trying to get into the country. We know there is of vaccine in trials. You have experience with fda i need to repeat the regulatory hurdles but where does the ebola vaccine stand now . I think first of all, it is important for the public to understand there is a tremendous publicprivate effort going on so even the two vaccines that are the furthest along and to be in the safety study just because it works in the animal model does not mean humans so it is extremely important before anything is used in a widespread manner to know it is safe and that it works and as dr. Fauci knows there was an example of the hiv vaccine that seemed to increase infections. You dont want any tragedies like that happening. The fda have all come forward to develop more manufacturing capacity and then get the answer as quickly as possible. I am sure there is nothing the fda wants to see more in the ebola virus right now and just like they were able to move through the age one and one vaccine they will do Everything Possible to get the data needed cynically will be back with our town hall broadcast live on wtop and wtop t. Com. [applause] while we have you here you are attending to the nearest you contracted ebola while caring for the patient in her care she is in the area at the clinical studies unit, she doing . She is in fair condition. She is comfortable per cushiest able. She is still up it knocked out. When you get an infection as serious as ebola it is very draining on you. But i can say i had a very long conversation with her last night and she is in good spirits. You hopeful for a full recovery . Title speculate when you deal with the disease such as ebola. But i fully intend to walk out of the hospital with her you have all been mentioned how important it is to fight it in west africa so what are we doing and how do we incentivized more doctors and personnel . Dr. Goodman . I am proud of the fact our country has made a tremendous offer of thousands of troops building 17 hospitals. That is the great thing to be proud of to help liberia to deal with this. We need to do everything we can to speed that up and also we need to see many other countries come forward even more than they have to make this happen. In terms of volunteers, i think organizations are starting to see many dedicated Health Care Workers volunteer. The cdc put on a tremendous trading program. Were seeing positive movement in that direction but just like the Health Care Workers here in this important they be saved there so the infrastructure of command and control it is also essential. The president is exactly right the rest of the world needs to match the commitment the United States has made. 1. The founder of Facebook Dave maurer than the nations of japan and china put together. We have sent a tremendous amount because we will never end the l break and the rest of the world needs to rise to the challenge. We have a question from a doctor in the audience reports from who and Glaxo Smithkline indicate the likelihood that the epidemic will be over before the vaccine to be licensed for efficacy this been a guy cannot comment on someone elses pronouncement i did not hear that but if that was said i would say right now i do think we can predict when the epidemic will be over it is still escalating as opposed to declining. So it is not very prudent to predict when it will end i think the best way is to make sure that we as a Global Community put in sufficient resources. Is their concern about the blood supply at all . Now here in america . In this country . I think at this point there are few cases that can be clearly identified and is not with blood donors i know the fda will keep an eye on this. How important in the medias role is . What can the media do better . And our area is has done a good job and a Critical Role to tell the facts there so many rumors how hard it is to be transmitted in a casual setting but the a break is a beer in west africa to work together. It is important not to give so much attention. I saw one person say the ebola virus but it is fueled by fear and it is important for the media not to mix the fear that transmit the facts to help people understand. We have had wonderful comments but a lot i think does happen is the 24 7 this save images over and over the same stories updated 10 times provide personally was asked to comment within 30 seconds of the event be reported in type could not possibly be informed enough to make a comment. So the media needs to stand back to look at the big picture to keep the message in mind. Actually the fact we have a candidate vaccines it is a rare disease affecting only a few hundred people at a time with an outbreak in africa but this is the area of bipartisan investment on the part of congress to prepare our country for an emergency it couldve been a natural threat. I think it is an opportunity to turn Public Health as a National Security issue and something both parties ought to work together. Now we have social media. The media can be an important source so in general it does a very good job but unfortunately my friend say that 24 new cycle you always look for a new angle for the breaking news. When the patient came she was listed in Good Condition that we evaluated her more conservative the into fair conditions the headline was patient deteriorates she was not deteriorating she was exactly the way she was. But yet the headline was different she was not deteriorating. And other social media example win another nurse was transported about protection it turned out there is unease in he did not need protection. She was in a tent and they had personal protection. A couple questions from the audience. We have a Critical Care paramedic who wants to know about a prehospital treatment and safe transport of suspected ebola patients. Should ems personnel be kept in mind with potential ebola cases as they dont have the biohazard suits and protective clothing. Is there something that should be done about that dr. Sharfstein . Absolutely the front line that includes the ems workers absolutely need full measure of support. Just as much as firefighters go into the burning building dealing with the threat all the time. And those emf leaders and people from the area of west africa and it is at the front of our mind the entire spectrum speeeight we will come more back more with our live broadcast on wtop and wtop day. Com. [applause] we are back with our town hall on ebola with dr. Fauci and dr. Goodman and dr. Sharfstein. A question whether or not with whole man security or the Defense Department and maybe were not as unprepared as it seems but if that is the case how we handle that . Give maryland where governor omalley with Emergency ManagementTeam Authority has work between the agencies going statewide with the ability to have a Public Information center between the different parts of the government and this is something that is the major priority the last few years. What if there is up of to do was arm . We do have the first real major push of value handle live always been concerned with the nine above an attack followed by the anthrax attack that launched of major will agency multi agency endeavor from fundamental basic research, clinical research, fda involvement involvement, homelands security prepared this preparedness. But there is a tremendous amount of coordination going on. Calling attention and response to the budget difficulties of the federal and state that over the years we have lost a tremendous amount of people in the front line like those that could trace the case is. I dont think it is a partisan matter but just with the tight budget that has been lost for those front line and others is. I hope that theyll look at it is a fact of what we need to endorse. Talk about the appointment of the ebola is our czar how effective can that be . And also address the fact we dont have a Surgeon General apparently in the United States. Whether or not that ebola situation and should be geared toward something the medical community or Surgeon General should oversee or under the purview of the drug czar . It is not a czar but the Ebola Response commitment he is highly experienced, highly talented managers chief of staff from Vice President by dint and will be coordinating among a multi agency endeavor. Each has their own responsibility then did dod, usaid and security and on with bill to all agencies right now coming to the white house with a whole man security advisor and susan rice they have really important day jobs to reduce like isis. To the second question we do have a Surgeon General and it is embarrassing that the narrow ideological political consideration that dr. Murphy is a very good doctor in keeping him from being confirmed. I dont think it is physical to be prepared but publichealth should not be up political component there should be Adequate Funding and people should not be held up for ideological reasons. Let me ask about politics the timing just before the election does that make things worse. [laughter] i did think were in a polarized environment the country has a lot of anxiety right now like isis it has been politically adversarial for many years and add to that each new ingredient when there is of unknown attached to it becomes part of the political debate. That is not all bad because it is important to be challenged. We need to answer these questions. But i do think that as i centcom this is an issue where both sides of any National Debate should not but is our countrys wellbeing to speak to the population and irresponsible and a knowledgeable way to work together. Just like you deal with a hurricane or any natural disaster. Dr. Goodman should we stockpiling gloves blood from the patients as it helps to recover . Let you are alluding to there is information from previous outbreaks some individuals the received blood from the recovered ebola patient may have recovered and the doctor has done it in his blood several times but the truth is we dont know yet if that works or helps people. That in the best model it does not help. So we need to rapidly mobilize studies and research to find out. And were doing that now. But that being said it is not like the experimental drug addict is important to answer the question now and it is reasonable to use it in individual cases. We cannot do things based on rethinks this should work sometimes it turns out not to work. We will come back with our town hall broadcast live on wtop t and wtop day. Com. [applause] we are back with our town hall on ebola with dr. Fauci and dr. Goodman and dr. Sharfstein. Following up from something earlier we mentioned in africa helping the hospital workers their standing in pools of infectious fluids without protective gear. How can that transmission declined if there is not enough skier gear . There is mixed issues. I cannot comment on Health Workers standing in infectious material. That may have been that i can tell you from a physician that i know over there they are pretty well protected but the problem is the overburden of too many patients but make sure you dont pick up things like how you spread the virus. It is tragic but they know enough if they are at risk to monitor and quarantine themselves but that is not how the virus is spread in west africa. It is spread because there are not enough facilities to take care of the people who are infected. So they go to their homes and their family takes care of them and the family gets infected. They died and they get buried without the proper approach so it is spread in the community not by the Health Care Worker that would likely quarantine himself but sped by the fact that Health Care Structure in these countries is and has been not optimum. That is the reason. Do they generally have more protection than we think . Look at the pictures they have the personal protective equipment but however what happens peopled mostly get infected because they dont know someone is infected or one of the things recognized is taking your personal protective equipment you are fatigued and accidents happen. We have another twitter question somebody wants to know what is the next aziz to be on our radar after ebola . Dr. Sharfstein . The image that is breezy exactly the reason to invest right now it is still an issue there will probably be a new one coming around the corner it is not the right way to think about it to go from crisis to crisis it is Biomedical Research and Public Health preparedness to allow us to feel we can handle things. Is this a drill for the other potential threats . It is always the drill and those of us involved try to learn as much as we can for the new challenge to be better prepared for any future challenge. It is probably always what we expected people preparing for avian flu and we got the 2009 pandemic instead. But we were pretty well prepared not perfect because we were working together with publicprivate partnerships and to have the platform to help citizens was the Counter Measure response. That is what we need to do. This is a really good time to put forth of fundamental principles it is very easy to get people enthusiastic about responding to something they are afraid of. Trust me it is very, very difficult to get people excited about something that is not here that might not ever come here. That is called preparedness. You cannot imagine how little enthusiasm about preparing in this country for ebola. We were interested at the nih and the cdc but the general public could not care less. Now that it is here everybody is excited about ebola that is the same thing that what about the next we are concerned about . It is not on anybodys mind and tell people get excited. What dont we know at this point we need to learn fast . Dr. Goodman at . Were still learning and we dont know what we dont know. We need to better understand transmission. Like the Health Care Setting what is the risk and how do we reduce those. That is one of the biggest. In terms of the longterm we need to understand how does the vaccine worked how can these candidates po