Early last friday. And trusted white house adviser in charge of u. S. response to ebola. Ron klains resume mainly consists of being former chief of staff to Vice President joe biden. With more n this, chief economist for the heritage foundation, dr. Scott gottlieb, now with the American Enterprise institute, and paul howard, a scholar at the manhattan institute. Welcome all. Im going to start with you and ron klain, longtime political operative, democratic aide, worked for gore, biden, janet reno, you name it, represented fannie mae as a lobbyist. Is he the right guy to coordinate our efforts. Probably not. We need a competency czar, someone who knows how to run things and makes things work in washington. But this is really the pattern of almost all the highlevel appointees in almost every department of the obama administration, they are people who are political in nature who share the president s ideology and the president has the right to do that, to put people in charge who share his beliefs. But theyre not people who know how to manage anything. Thats one of the things you are seeing it. Gerri thats the missing link, dr. Scott, steve says we need a competent cdc person, what do you say . In terms of someone whos a czar, he needs to understand how the fda work, the cdc and starts to coordinate across the different entities. Th doing a admirable job, there were missteps that had grave consequences for the Health Care Workers in dallas. Weve seen them adapt and change in techniques. What we needed was a little more humility. They were dogmatic in terms of gerri listen, i think we had so much competence in western medicine, im shocked that now were willing to make change whatsoever. But paul to you, heres what i read in the New York Times about the choice of ron klain, from somebody whos an operative. If anyone can get the way this is being reported and discussed under control, in a short time, hes the one. Ron klain is the one. Which is to say, the only thing we care about, how does it look . Pr at the end of the day, and thats what matters about how the whole ebola effort is coordinateed . To scotts point, you got to recognize that things are going to get inside the border. You cant keep sars out and h1n1. Issuing the calm expertise and not posing it as a political problem. Putting someone whose a political operative is not going to calm peoples fears. Gerri dr. Scott, what is the next step . You were happy to see were going to make changes to protocols. You said there are fears we may need to have professionals in every metropolitan city trained to take care of this. Distribute the cases, a lot of hospitals might get care treating ebola. Outbreaks get more frequent. Gerrr how many . If the epidemic continues and spreads to other parts of the world, we could be seeing outbreaks that are sizable here. This is two and three months down the road. Gerri what do you mean . 50 cases in a city, 100 cases in a city. Gerri really . If it spreads to nigeria and indian and latin america, thats the nightmare scenario, what people are worried about. Gerri . Gerri yes. Scott is right about that, and i pray he is wrong. Even 50 cases i think would cause a real panic, and i think this is a financial show and an economics show. Health implications but what ic that would mean for shutting down our economy in a lot of ways, people wouldnt fly, they wouldnt get on airplanes. Gerri they wouldnt go to the grocery store, are you kidding me . People would shut down entirely. So fortunate control the epidemic in africa and snuff this out. Were not getting control of it. Thats the problem. Gerri i have to get back to the issue of the borders. Republicans and even democrats say you have to shut down flights from west africa where passengers end up coming to the country, do you agree . Im sympathetic to you because there is no drugs, no vaccine and having said that, if you do close the borders, close the flights coming in from the countries, youre not reducing the risk to zero. Someone can fly to france and fly from paris to new york and get around the ban. There are many ways to get around the ban in a global economy. Gerri dr. Scott, do you agree . I think its inevitable theyre going to close the flights down. Gerri yeah . Its going to further destabilize the west african economies. You look at liberia. Gerri at the end of the day, some of the african economies are on the borders of the effective countries have closed down borders to the countries. Its done right in west africa . Right, people can take flights to other locations in africa. Theyre still going to come here. Thats the immediate risk theres a few more cases in the next month or next six weeks. The real risk is look out three, four months down the road. This epidemic goes out of west africa as people move out of region and this is the time of year people migrate for agricultural jobs, goes to nigeria and india. Very vulnerable, latin america has a lot of trade with the nations. Thats the risk, you have the Health Systems in complete disarray, it will spread like wildfire. Gerri you guys are scaring me to death. Steve, to you, do you think we should tell west african air travelers to go home . What should we do . Im not an expert on this, i would say this, that we do have ways of detecting when people get off an airplane, theyre doing this in china. If youre coming in from west africa, one of the countries where there has been ebola contamination, you test people. If they have a fever and could have ebola, you dont let them off the plane. Gerri only so useful at the end of the day. You do the best you can. But ill tell you this, im not any more confident today than yesterday because we have ebola czar that somehow this problem is going to go away, were going to see a more competent reaction to it. Gerri couple more questions before we have to wrap. I could spend the whole day talking to you guys, i think. This scare, and the stress on the system exposing cracks and fissures in our Health Care System that we didnt know existed, paul. Its been decades since 9 11. Project bioshield, barta, a number of pieces of legislations, were supposed to create this pandemic, allhazard preparedness. This is a minuscule outbreak and the government is tripping over itself, thats whats scary. Gerri good point. One of the issues is invasive style of Critical Care in this country, our Health Care Workers are at greater risk than if theyre in africa where they dont do the same things. Gerri like what . Even simple things like daily blood draws, bed changes, were very invasive in style of Critical Care, thats going to expose Health Care Workers to more risk. Gerri, i hope nobody buys into the line that nancy pelosi is saying that the reason were seeing this tripup is a funding crisis. My goodness, we spend hundreds of billions on the Health Care System. Does anybody think spending billions more is going to lead to gerri i got to tell you, was it the nih, the control room will correct me, that spent 25 million on bonuses since 2007. Yep. Gerri its notes about the money, its about the intent and the planning. And dr. Steves point, looking three, four months down the road and getting ducks in order. You guys are great. Id love to keep you the whole hour. I cant. Still a lot more including your voice, your voice is important to us, we want you to facebook me or tweet me, you can send me an email by going to gerriwillis. Com. At the bottom of the hour, ill read your tweets and emails. Nurses unions across the country fired up over the shoddy practices at texas Presbyterian Hospital from the wrong protective gear to lack of isolation for Thomas Duncan. One Union President speaks to us next. We took our cameras to the crossroads of the world, times square, to hear what people had to say about ebola, including this nurse from new york. Are you concerned . Are you worried about this . Im very worried about it, i have a son, and im telling my son all the time, wash your hands, wash your hands, dont touch anything, wash your hands. When i have to open a door or something, i litally use my sleeve to cover my hand and open the door, and as soon as i get home wash with hot water two times with soap. People are so uninformed and the cdc is one step behind, they know things after the fact. Theres delayed information, people are confused. People are confused. This is a a a a a so ally bank really has no hidden fees on savings accounts . Thats right. 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Tell us your thoughts on the handling of the two nurses weve been talking about so much, the two women from dallas and how their cases were handled. What do you think of it . Very unfortunate the nurses were infected. Weve learned a lot over the last two weeks, we understand the use of protective equipment was not adequate and have been talking with the cdc, there was a call with over 6,000 nurses yesterday to talk about the need for additional clarity and to make sure that the recommendations for the personal protective equipment are adequate. This is moving to full body protection from head to toe so there is no exposed area for the care of any patient that has been tested and is positive for ebola. Gerri long hearing on capitol hill with tom frieden from the cdc, and one of the Congress Persons there, im not sure if a man or woman, showed a picture of frieden in west africa dressed in the full gear but had head completely covered. Not a square inch of him was exposed. Whereas what we know about the nurses, it was a different story in the beginning. Why the disconnect . The original recommendations for when a nurse or Health Care Worker encounters a patient, this would be initial diagnosis is for very basic protective measures, and so i think where the gap has occurred is identifying then when do you move to the higher level of protective equipment . And there is that information on the cdc website. But i think what we have asked for and identified, that needs to be escalated sooner. And i think that was probably the biggest gap that we saw at the texas hospital, and again the delays, i think, that allowed nurses to be exposed were very unfortunate, and really have been corrected now, and i think as were spreading information to hospitals across that the full suits with everything from head covering to shoe covering jumpsuits that cover front and back and the double gloving and taping them to the suits are extremely important. Weve actually done very well for over two decades of preventing the transmission of infectiius diseases. Gerri its not just what people are wearing, but how they put it on and take it off. Anddmy question for you is, i know the complaints early on were the cdc is showing a link to go to but what we really need is somebody to talk to us about this, show us how were suuposed to take it off, which is the critical point. Do you feel like youre going to get the hands on treatment instead of this vague description of what youre supposed to be doing . In addition to that, thoe thats not just the cdcs responsibility. What weve been advocating as well as other Organization Says that we practice the buddy system, there is a handson demonstration as well as practice with the equipment. The four major facilities that have biocontainment facilities train the staff. It cant be from a video or lecture, you have to practice with it. Thats a very important part of the education. Gerri do you feel that the cdc has changed what theyre doing . Changing protocols. Upping the ante. Are they doing enough at this point . Theyre responding to requests that have come from the American Nurses association saying what have you learned from the gaps in texas . Its important to learn. Thats part of organizational approach to improving safety and make sure we learn from gaps that have occurred. Yes, i think theyre being very responsive to addressing our concerns. Were saying please rapidly disseminate that information. Gerri i want to show our viewers, nurses are much more likely to have exposure to patients during the process, its amazing to me, i was looking at the statistics. The nurses are hands on, front of the line here, 44 happen to nurses, 12 for doctors, 4 for nurses aides, accidental exposures to blood and body fluids. Before you go, pam, thank you thank you for what you guys do. Thank you very much. Gerri and later in the show, a look at how the hazmat suits are put together, and next, as passengers and crews from more flights are monitored for exposure. Flight attendants are calling for more protections for what could be a very dangerous profession. Stay with us. [ female announcer ] you get sick, you cant breathe through your nose. Suddenly youre a mouth breather. A mouth breather how do you sleep like that . You dry up, your cold feels even worse. Well, put on a breathe right strip and shut your mouth. Cold medicines open your nose over time, but add a breathe right strip, and pow it instantly opens your nose up to 38 more so you can breathe and do the one thing you want to do. Sleep. Add breathe right to your cold medicine. Shut your mouth and sleep right. Breathe right. Ghave a nice flight r bag right here. Add breathe right to your cold medicine. Traveling can feel like one big mystery. Youre never quite sure what is coming your way. 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The reality is coming into contact with the ebola virus is highly unlikely, but as long as theres any risk, we have to take this very seriously and have to act expeditiously to have procedures and equipment in place to respond in the event we encounter this on board the aircraft. Gerri do you have any medical training . We have training, we are aviation First Responders and charged with the safety, health and security of the passengers in our care, and our medical training is about immediate actions and its about calling for health care assistance, and whether thats on board the aircraft or calling to the ground to get assistance to respond to any medical issue on board. But were not health care provideers and not trained to be Health Care Providers. Gerri right, i understand the cdc is talking about having some of you wear protective clothing. Is that an answer . Phould you do that as Health Care Professionals do . We absolutely should be. The reality is if we come in contact with the ebola virus on board the aircraft. Its most likely Flight Attendants, my flying partners are the ones who are going to be in contact with that person, and we need to have protective gear on board the aircraft. That is one of the things our union is calling for is universal precaution kits for each member of the crew and two additional for medical or Health Care Providers who may step forward to assist us. Gerri what would that consist of . Medical, nonallergenic gloves, face mask, apron, equipment that would dry up small amount of a liquid spill and contain that. Sanitation wipes, and a surgical mask. Gerri sara, i ask myself every time i fly, how clean are the planes . Are they scrubbed down frequently or no . This is a concern for us. It used to be airlines employed cleannrs and a standardized process and concern by the cleaners who were employed by the airlines about keeping the aircraft clean. I think we had a higher standard of cleanliness at that time. This is al