Proactive to help set the rules of the role and tram road for global trading. That starts in the asia pacific where there are multiple waddles about how it is conducted and its important that we have that is about ensuring that there is a strong trading system the likes our interests and i would say that theres a strong importance and there is a key part of our rebalancing strategy and we are a specific power in the way in which the u. S. Will be embedded economically and will have broad benefits as well. You mentioned that this is a path that they take. Describe exactly what protections we are talking about remap. And senator obama was running for president , that men that we had to take labor and Environmental Issues and pulling them into the center and having strong obligations and making them subject to the same kind of settlements and access for all the others. And that is exactly what we are doing not just through canada and mexico but establishing that as the standard for this region and for the Global Economy. I know you talked about at your home and the aflcio to the they are happy. We have a lot of contact back and forth and theyve had a lot of input into the agreement with labor chapters and other elements of the chapter, the rules of origin, etc. I wont go words in their mouth where they stand in the agreement, but we certainly have work to ensure that this agreement raises labor standards. And we are working to ensure that there is the strongest fabric and that everything we are doing to do this is to help drive production and manufacturing in the night dates. And when you look at all the factors that we have in the United States and its a great market, we have strong rule of law, skilled workforce, we have abundant sources of Affordable Energy and when you layer on top of that, the center of the web of agreements that will give us unfettered access to more than two thirds of the Global Economy and that makes the u. S. The production platform of choice were investors want to serve the u. S. Market and to ship all over the world and thats going to help with job creation, good jobs, good manufacturing here. Theres a lot with the transatlantic and its equally important, and if you can do this with the pacific and atlantic, were talking about more than two thirds of the World Economy and picking people up bilaterally. You have a new European Commission and he gave a little bit of this last week and this includes the investor state mechanism at the hands of the new trade commissioner. Including a political course and i think it took a lot of people by surprise. My question is if the Commission Decides not to include the dispute settlement in this talk, is it a dealbreaker for the United States . Smackers well, we welcome the point of the commission and we see it as an opportunity to have a fresh start in the negotiations. In regards to mr. Protections generally, neither of them wont do anything to constrain the ability to regulate in the Public Interest and that is why we have worked for negotiation to raise the standard on this. To make it clear that they can regulate the Public Interest. Its a political debate to get around. That is correct. Am i think its very important government can regulate and that we have safeguards to ensure that these procedures are used appropriately and we can make it fully transparent so that labor unions and Civil Society organizations participate in that they can submit this. That is not what most people think. They think that this is a sort of something to trample on democracy. I think thats why we need to make it clear what it is and what it is them. And that applies to a number of things. Theres a lot of mythology with what were trying to negotiate and were not trying to negotiate. Its important that we be proactive and that europeans are proactive. None of us want to compromise the ability of our government to regulate. And all of us think that Investment Protection fundamentally gives investors the same rights that we give foreign direct investors in the United States. And that is a High Standard investment that is all about. We asked if you agreed that we would have the highest standards of any agreement negotiated in this area. And is that worth having . Im not going to negotiate here. And its hard to imagine a High Standard agreement. This is intended to be an agreement that is a model for the rest of the world and its hard to imagine those that didnt have this as well. That means raising the standard in europe has 1400 agreements that have this in the u. S. Has about 40. The most active users are european countries. I believe that that originates with a lot of these. And so i think its important that we look at the accusations out there and we take them very seriously that the United States and europe recognize that we get it and we dont want to compromise the ability of governments to regulate. And it doesnt have the impact on investors because we know that they are back at home as well and those are key part of it. In terms of your expectations , what kind of deadlines are we talking about. And could you get a specific deal by january or february . Two we think the substance is here and weve just come out of this and i think all 12 of us see the final agreement has is being crystallized and we can see where this is heading and we are closing of issues, were making progress on the Market Access and we have a way to go and were focused on getting it done. Youve had a lot of this in terms of dialogue with the europeans, does having this commission draw a line under some of the difficulties that you have had over the last year . We worked well and we had a good partner. This gives us an opportunity to start fresh and to lay out a work plan for the coming months. Thank you for allowing me to machine gun your questions. [laughter] on the next washington journal, Georgia Mission university looks at the lameduck session and it begins in january. And then the American Legion executive director verna jones discusses Veterans Issues including employment and access to health care. Washington journal is live at 7 00 a. M. Eastern on cspan. Doctor Anthony Fauci spoke about the Ebola Outbreak in west africa. This is 15 minutes. [applause] thank you. Welcome, doctor, the first question is where are we. Theres a declining slope just in the curve are we up or down . We are still going, if you look at the latest report there are about 13,000 and about 5000 plus and so maybe a little bit more. So if you look at liberia, which has been one of the centers, the cases are going down and you can monitor this. One of the concerns we have about getting complacent about that is that can go in waves so that as it goes down in the city, you can start to see upscaling and then the sierra leone which was a bit behind shows that we could have an uptick. So mainly it is going down and we have to be careful before we say we are on the right track. Can a project where could go . And you look at latin america, how likely do you think that is two. Reason we have this extraordinarily devastating situation today is what i refer to as the perfect storm. People dont realize that there have been, since 1976 when it was first recognized, that there have been about 24 outbreaks most have been in remote areas in which you could actually contain it. This is the first time that weve had an academic epidemic more than the others combined. Contact tracing and Health Care Structure that allows you to identify somebody and isolate them and keep them out of society. The only way you can spread it is by coming into the direct contact with the fluid of someones body. So to answer your question if we have the Health Care System where you can at least do contact tracing, it is her very unwise that there could be an outbreak in that country and the perfect storm is that they had everything going against them, they had porous borders as it wrapped itself around and they are archrival interrelations where we go across the board, custom to distrust of authority, thats how you have the outbreak and although potentially could have this in developed countries among nigeria would do a very good job of stopping the outbreak there, they had cases, but they want secondary and tertiary spread. And so we are hoping that the best way to protect the rest of the world is to suppress the epidemic in west africa. You treated a patient yourself. Can you describe what you did . Its interesting to learn. Well, people that die and do poorly with ebola, essentially lose an incredible amount of fluid through diarrhea or vomiting. Very rarely when you look at the Motion Picture depictions of this disease, bloody eyes and bleeding, that occurs in a very small percentage of people, most die from hypovolemia shock and that means that you cant get enough fluid into them and these are the things with this system is going, they get completely out of whack and thats how you have a very high mortality. Depending upon the strain of where you are, it can be as high as 90 working go down as low as 40. But its very curious of the patients we have taken care of here in the United States, we have tertiary care, intensive care capabilities that the only person who has died is thomas duncan, who came in very sick into the dallas hospital and the seven patients did very well because we gave them tertiary care in u. S. Medicine and replenishment of fluids and monitoring of electrolytes and things like that. So if you cant get Adequate Health care it can reduce it . Yes, it will reduce it and it will be very much diminished. Okay, so that has been the last question and so how how Many Health Care workers we need in africa and then can you talk about the dispute of how we should regulate this in this country and how we should regulate that whole flow of things. Lets just talk about the first point and that is that we need hospital beds, as you know, the United States has stepped to the plate and we have up to now and that includes those as we take care people there. So you give them an incentive to go and youre on your own and that is not what we are talking about. The rest is we have a lot of volunteers and the department of defense is committed to setting up 17100 bed hospitals and there are many more coming and we need hundreds if not thousands of Health Care Workers and that is coming, i hope that that is already contributing to the downtick that we are seeing in liberia and if that is the case it will go up. The issue with this conflict is that its taken out of proportion that if you look at the situation of how ebola is transmitted, its only to either by direct contact with bodily fluids of someone ill, not just feeling bad but ill. So if you dont come into contact youre not going to get infected. Weve been taking care of these people since 1976 and we know thats how its transmitted and the issue of what was just mentioned about quarantining, not only people that are traveling from west africa, but Health Care Workers who donated their and their time, if you have a blanket, just where people cant do things for 21 days, we feel that that would be a disincentive, but that doesnt mean that the people who are promoting that are doing anything wrong. I believe that they are trying to protect their insurgencies. Its just that as a Health Person i would say that you look at the data and it tells you what the risk is. And if someone comes back rather than putting everyone in one bucket, either your warranty and are you can do what you want, i think that both of those are extreme. What the cdc recommendations are is that you match the stratification of someone being infected versus the stratification of how you monitor them and the degree to which you restrict them. So if someone is at a high risk and comes back if they are symptomatic right away you get isolated and treated and even if you dont have symptoms and you are at high risk, you dont travel and you dont get on the subway and thats already in the guidelines and i dont think people appreciate that. But then there are other people who are at summer and some that are at low risk. So the guidelines say dont put everyone in the same bucket. If someone is coming back and all of a sudden they day you cannot come out an apartment or the facility for 21 days because if that happens, we are concerned that Health Care Workers who are donating their time when they come back and have no reason why they should be quarantined, that will be a disincentive for them to go and i know because these are my colleagues. The fact is they would say that im going to take out a month of my life to go there and then when i come back if i have symptoms i definitely dont want to be in society, but i want to protect myself in society. But if i am well with no symptoms, i want to get back to doing the thing that i do. And i think that is a thing that i would say theres a controversy about it. Because i think they are acting in good faith and i dont think its based upon what we know about the scientific data. The fear in the public attention that seems gigantic compared to the fatalities, how would you prepare this . In my 30 year prayer, the hiv crisis in the beginning, that was interesting with the other side of the coin because there was an emergence of a phenomenal historic pandemic that towards anything else and it was not a lot of attention paid to it and it was fear in society that was unreal is a and they had this in the same school or going into an area where a key waiter is waiting on you. That was one level and then there was the attack right after 9 11 until after the 9 11 attack on the World Trade Center and the pentagon, people were very spooked and then you had this right here in our own city and everyone was at a rate of touching their mail and thinking they were going to die of anthrax. But this one has a special flavor because if you look at ebola and you look at the New York Times and they said people extrapolate what they see in west africa with what they think might happen here. I think what were seeing is a catastrophic crisis in west africa and an epidemic of fear here. I dont criticize it. But i think that you have to evaluate your relative risk based on Scientific Evidence and i think that to this day two people have got infected while they are here. And those people, two of them were making themselves in harms way by taking care of a patient in a hospital. And i dont know, but taking a look at what happened with the fear that it generated. So how do you communicate this . You know, david, you have to, through all of the crises that ive been through, you have to respect the fear people come he cant say why, you have to explain to them and you have to do it over and over that if you look at the Scientific Evidence of how its transmitted, you have to give an example and. And i think the best examples is that the two nurses, and i had the privilege of taking care of one of them, nina pham was a patient of mine last week, some of you know we discharge her and shes doing well, those two people got infected from mr. Duncan when he was desperately ill in a dallas hospital and they were taking care of him when he got infected. He had contacted and had contact with many family members while he was at and none of those family members have gotten ebola. So what that tells you if you look at the Scientific Evidence that the way that you get it is by direct intimate contact with the body fluids of someone who is truly sick. Not someone well with no fever, not ill. The risk is that essentially zero because its not transmitted that way. As you mentioned, why does this keep going on . What we do . Should there be the ability to take care of this . This is going to get under control predominately via health care measures meaning that we have the kind of acceleration that hopefully other countries will do and hopefully it gets under control before we have the need to use a vaccine. But right now we are rapidly on the fast track, we started it and it was here and by november to produce the right response and then we are going to go on a much larger trial in west africa to see if it works. You dont want to give a vaccine to anybody if it doesnt work very and in so what about the next outbreak and that is something that we really need to look at it as a global community. This is a concept that is called the Global Health security agenda in which you have a network of being able to monitor the outbreaks of this and to have a system that you can track it stop it at its source and also you have to look at the Health Care Infrastructure of countries and those are the countries in which outbreaks occur. So you have to include the Global Health security agenda and you have to convince the world that this attention is as important as anything else they do it the country. With that, thank you very much. Congress returns to capitol hill this week, but that house and senate on wednesday well be back. They are scheduled to debate which will allow current and former president s to restrict access from their time in the white house. House republicans will hold leadership elections and then the democrats have scheduled theirs for november 18 very orientation this week will be held for new members. Senate votes expected and Childcare Development block grants. And watch the house live on cspan and the senate o