Transcripts For MSNBCW The Cycle 20141013 : vimarsana.com

MSNBCW The Cycle October 13, 2014

We start with nbcs Chris Jansing at the white house. This is an oval office meeting, right . Reporter yeah. The president will be in the oval office, toure. This will be a speakerphone meeting with Senior Administration officials. We already know he talked with hhs secretary Sylvia Burwell yesterday as well as getting an update from lisa monaco, his point person. A couple things, and hell want to know the latest on them. One is, what happened . That investigation is under way and cdc Officials Say theyve been scrambling to interview everybody who had a part in this patient care. And they still dont know exactly why this second ebola infection happened. So, obviously, thats critical for them to find out so they can stop it from happening again. The second thing he ordered were more cdc officials there. A doubling down, getting to the area, making sure hospitals know whats going on. One of the things theyre looking at very clearly is having sort of regional centers. There are four hospitals now who can handle this kind of situation. And the question is, is it really logical to have more hospitals, to have a great number of hospitals, who are prepared to deal with this rather than isolate a patient and get them to a unit that specifically deals with this. Another question theyre looking at, should there be a small number of people who deal with someone who has ebola because right now theyve been looking for volunteers. And, obviously, thats a situation you like to have. On the other hand, that increases the chances that somebody who is dealing with them, if its a smaller number, could possibly be at risk for the infection. So, those are the kind of things theyll be talking about on this call. We may just get some pik pictures from inside the oval office in a short time, toure. Chris jansing, thank you very much. Lets head to dallas, the epicenter of the crisis in america. Nbc sarah doloff is there for us. Tell us about the protocols nurses and doctors are supposed to be following. Reporter well, its a very meticulous process, toure, one that a cdc crew is inside the hospital actually observing right now to see if they can offer any other training or any other assistance to avoid any future infections. Now, right now, the key is locating this breach of protocol. And the investigation into it continues. Officials are interviewing anyone and everyone who may have had contact with duncan to see if they can find out if anyone else was exposed and to see if they can find out where this breach of protocol occurred. Now, this meticulous process, like i said, is so very important because people can be coming out of this isolation area with an infection, with bodily fluids. You know, something they cant even see. Itt could be very small. On their robes, on their face protecters. Cdc very specific guidelines. Youre looking at them. Your outer apron, your gloves. All of those things have to be followed very carefully. If so, the cdc says theres no risk of infection. Cleanup continuing 15 minutes from here as well at the nurses apartment. Its being decontaminated. And disposal of items from eric duncan thomas. Then have been incinerated. They were set to be sent to the landfill in louisiana and the louisiana said they would file a temporary restraining order and the landfill said they would no longer accept that waste. It is very important to note, guys, the cdc says the ebola virus is killed when it is burned. Still, Louisiana Attorney general says there are still too many unknowns when it comes to dealing with the ebola virus. Back to you. Sarah doloff in dallas, thank you for that report. Here with us at the table, columbia professor steven morris, with a stint at darpa, the d. O. D. , in addition to his work at usaids emerging pandemic threats program. Welcome to the show. Is it possible the American Medical Community is either underestimating the power of ebola or doesnt fully understand the power of ebola, hence, the spread were seeing . Yeah, i think weve never seen ebola before. Its been researched but weve never had cases come here before. So, many people just dont have the degree of practice with the protective measures and the personal protective equipment and how to do it. Because you dont have to do it so rigorously. Here any mistake can cost you your life. Professor, two weeks ago we never thought that Something Like this could happen. This is not something that was passed along on the streets or an airplane. This was in the hospital when they were all wearing protective gear. So you ask the question, are all the nurses and doctors well aware of the procedures and the protocol when it comes to ebola . Take a look at this poll. I found this interesting. It shows more than threequarters of nurses have not been properly informed on how to deal with ebola. Wow. Does that surprise you . Well, yes and no. With all the information thats recently come out from cdc, from all these other sources, targeted, not just as the general public, but at Health Care Providers and Health Care Workers, i would have expected a higher level of awareness. That surprised me. On the other hand, most people are not most Health Care Workers are not going to be dealing with this. They dont raealize, you know, what strict measures are needed and they may not even be thinking about ebola as a possibility. And you say most Health Care Workers and most americans will likely have no degree of risk whatsoever. And yet people keep hearing about it. People are afraid. We have to balance the fact that fear is understandable and potentially helpful here and yet for everything we know about the science, this is not something that is going to lead to any kind of largescale contagion unless it mutates. I want to get your thoughts on something in the new yorker. Fear is not a weakness. Its how people respond to danger. Unless its calibrated properly, fear quickly turns into panic. We need to stop acting as if the tragic unfolding in west africa could happen here. Ebola is difficult to contract. Humans dont generally alter their mode of transmission. The idea being as long as this is through fluids, its something most americans dont have to worry about. I agree with that. Ebola carries with it a lot of baggage and connotations because of hollywood and thoughts people have about it. In hollywood, of course, viruss are always mutating and becoming more transmissible. But in reality, i think hes quite right. I cant think of a single example where virus has changed its mode of transmission or route of transmission. That doesnt mean it couldnt happen, but i think its very, very remote. Well, thats definitely encouraging to hear. As you think about this disease and how to counteract it going forward, as toure mentioned, you worked at darpa, the super secret department of Defense Research arm, but youve also worked on disease countermeasures. Is there a better way for us to get ahead of this disease . Do we need to think differently about the protocols around this . No. Thats a very good question. I think it deserves a lot of le thinking about it. Were dealing with these cases on an individual basis in west africa where obviously, you know, the greatest number of tragedies are occurring. We see we have to deal with it again at a large scale. We simply dont have the people to do it. I do think we have to think of some better ways to do it. During the smallpox eradication program, the original idea was mass eradication. Bill fagge at cdc and heading the program in india thought, if we cant immunize 80 of the population, how are we get to get 100 of the population immunized . He thought another way to do it with this ring vaccination, vaccinating people just in contact with or near known smallpox cases. That succeeded in exterminating, eliminating the smallpox virus. We may not be able to do it with ebola, but i think we need to think of ways to scale this up that dont require so much individual attention. Before we start, you say we need two to three times the number of folks over there that we have that we dont have. That sounds scary. Steven morris, thank you for your time. Up next, what our tom brokaw calls a bigger threat to america than ebola. Later. Beyond hazing, a community shocked and divided over what allegedly happened in a High School Locker room. The latest fallout and spin on the cycle. 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You guys might actually have to talk. To each other . We do it all the time. I like it. Should we . No. Bank from almost anywhere with the citi mobile app. To learn more, visit citi. Com easierbanking while the media headlines are focused on ebola, isis continues to make gains in the middle east. Nbcs tom brokaw believes this is where our focus should be. My own judgment is that most hospitals are making a real effort now to tune up, if you will, their ers and everybodys aware of it. The bigger threat to america is isis, frankly, than ebola. We have a system in place. A few deaths. Its a big, big crisis in west africa. Its the reality of the global world in which we live. But eyes is out there and its not going away. Today the reports out of iraq that isis has taken over a military base in the anbar province. Now theyre just minutes outside of baghdad. A british official acknowledged today that air strikes alone wont be enough to stop isis. Meantime, the white house tells us that turkey has agreed to let the u. S. And our allies use a major base there to launch air strikes against isis targets in both syria and iraq. That base is 100 miles from the Syrian Border making air strikes easier for the allies. Lets be honest, despite three weeks of u. S. Led air strikes, isis continues its assault on the strategic town of kobani just across the border from turkey. What have we accomplished at this stage . Nbc News Pentagon correspondent Jim Miklaszewski is here to lay it out for us. What is this Defense Department news laying it out . U. S. D. O. D. And military and government officials stress again this is going to be a longterm fight. There are no easy, quick fixes and this battle with isis is going to be going on for years. The ability of the u. S. Military to use, were told, three air bases, including just outside of istanbul, will be a huge plus for the u. S. Military forces. Quite frankly, because they wont have to fly as far, less pilot fatigue and you dont have to refuel in air. Theyll make those air operations more efficient. Its not clear if theyll be more effective. As you know in kobani, the isis forces already inside of kobani have infiltrate the themselves, have melted into the buildings, the crowds, the people and theyre difficult, impossible to strike from the air. So, air strikes are not the be all, end all. It will eventually take ground forces, not u. S. Ground forces, according to the Obama Administration, but it will take years to put together an Effective Iraqi and Coalition Ground force to take on isis, which has pretty much established their own Islamic State there in iraq and syria, susan. Thanks, mick. Joining us now with more on the fight against isis is managing editor of Foreign Policy and author of the invisible front. Thanks for joining us today. Thanks for having me on. So, now we just heard jim talking about the news out of turkey. Obviously, a very important ally for the u. S. And the coalition in this fight. You know, at the same time, it doesnt seem like we are stepping up as much as potentially we could be to help kobani and fend off the attack on that town. So, how important is kobani really in this larger fight . Its important in some ways as a test for whether we will go alone or whether we have allies. We had u. S. Officials yesterday say the turks are willing to let us use their bases. Then turkish officials less than a day later said, no, theyre not. There is some confusion whether turkey will let us use the base or not. Kobani is on the turkish border. So far the turks have talked tough. They said theyll use tanks and Ground Troops but they havent done either. Its one town. The town matters. But it matters more because it will give us a sense of whether turkey is all talk or whether theyre actually willing to put their money and their military where the talk has been. Right. Thats exactly what i wanted to ask you, about why they are so hesitant here . The reality is, well need a lot more from turkey. Well need their boots on the ground if we actually want to defeat isis. What are they most hess tant about . Are they trying to figure out who their worst enemy is, isis or assad, or are they unsure about what other longterm strategy is with isis . I hate to say it, with all of the above, with one other option. Turks are worried about domestic politics in their own current. Theres undercurrents in their country for sympathy for isis and theyre worried about hitting that note of sympathy. A bigger one, as you indicate, for the turks they see assad as the bigger threat. Isis is a threat. They dont like isis being on their border. For them, the focus remains assad. They feel like helping us battle isis also ultimately help keeps sa sad in power, which they really, really dont to want see happen. And they dont want a ground war with isis, which everyone in america finds confounding except for the fact we dont want to do it either. Sort of one of those kind of situations. I also want to get your thoughts while we have you, on iran. Another big player with military and motivations. I want to read an analysis by an iran expert and international lawyer. She says calls for destruction of shia islam practiced by more than 90 of a iranians and irans system of governance adopted by the iranian state, despite this and uven like other countries in the region iran perceives this as the threat of is as broadly external and indirect. I link that to turkey in the only broader sense they see this as pragmatism. They dont like a group destroy shia islam but they also dont see it as a home threat. Its interesting. In some parts of iraq and syria isis controls, theyve gone around in a literal sense taken paint and christian houses written the words, for christian in arabic on the door and done the same on houses for shiites. Its something out of the Old Testament of marking this is the religion we hate. This is the one we want to destroy. Iran is pragmatic. They see isis as conquering part of syria, iraq, threatening turkey. They dont see hoards of isis tanks or trucks rolling over the border into iran. The question is, how much is iran working with u. S. To destroy isis . Susan rice says, we dont talk. We dont koortd nature. Iranian expert said, we talk, we coordinate. Thats a more important question, washington and too eh, do they Work Together . I want to talk about your book, heartbreaking story, two families that lost their sons in combat and one to suicide. Among young veterans we have over 500 killing themselves each year. Thats about 1. 5 a day. What can we do better for our young veterans who are returning from war to help keep them from turning to suicide . You know, one of the figures that is most stunning to me is that youve had since these wars started more than 2500 suicides. Which means weve lost more soldiers to suicide than in the war in afghanistan. Part of it is money, part of it is resources and part of it is culture. The military, its the definition of a hierarchy. When you have those at the very top say, i was depressed, i had ptsd, i saw horrific things and it changed me you yourself thought i suffered from ptsd and now realize you were suffering. Tell bus your own experiences. I lived in iraq and afghanistan for several years, primarily for the wall street journal, and saw combat, saw explosions, saw the deaths of people around me and close to me. And when i came back, i had changed. I hadnt realized i wasnt the same person i was when i left until friends began pointing out to me i had flashes of anger or i couldnt sleep, i had nightmares. Woke up at the smallest, lightest sound. Finally an army end said, you have ptsd. Not as a question. Oe just said is outright. He was correct. The same issues that have kept many soldiers from asking for help, a feeling so makes them week, less than they thought they were. And finally, accepting it was there. Accepting that i needed help and getting that help has been a lifechanger. Were so glad that you did, indeed,

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