Tackle the epidemic at its source. Health workers are going into the hot zone. They are heroes. They are american heroes. And we have to incentivize that and find ways to do that on it while ensuring that the American People feel safe. If you treat ebola patients in west africa, should you be automatically put into quarantine for three weeks when you get back, whether or not youre sick . Im toure. As we come on the air today, that is the debate consuming an anxious, though largely misinformed nation. The latest, at least five states are now imposing these quarantines aimed at returning Health Care Workers. New jersey has the least, nurse kaci hickox, tested negative for ebola and has become the face of this quarantine debate. Now the state is allowing for home quarantines, not forcing workers into these tents. Im very happy shes released from the hospital. I understand she was uncomfortable. And no one likes to be in a hospital. But were not going to take any ricks with the Public Health of new jersey. The same protocol is now in place in new york. Critics say dr. Craig spencer should have been in quarantine before developing symptoms here at his home in upper manhattan. But medical experts disagree. Connecticut and illinois also have similar home quarantine policies. Virginia joined that list today as well. And florida is now running what they are calling 21damy monitoring periods, including twice daily temperature checks. Even some of the 4,000 american troops returning from west africa are now under this enhanced monitoring. They will not be granted leave for three weeks. The goal is to isolate possible imported cases of ebola, minimize the spread here at home. But the white house says, those policies are grounded in fear, not in science. If you dont have stomymptoms, are not contagious and a risk to the public. Thats crucial to remember. You cannot spread ebola before you show symptoms. The Obama Administration is working on new guidelines for returning Health Care Workers to limit the impact on volunteers who are fighting on the front lines. The only way that we can entirely eliminate that risk is to stop this Ebola Outbreak in its tracks in west africa. And in order to succeed in sfoping this outbreak in west africa, we need doctors and nurses traveling to west africa to treat ebola patients. Lets start first with nbc sarah doloff for the latest on dr. Craig spencer who has ebola, and nurse kaci hickox, who does not. Sarah . Reporter good after, toure. We want to talk first about kaci hickox who was released from the hospital around 1 20 this afternoon. Shes currently en route to maine where shes going to finish out the rest of that quarantine period. As you mentioned, shes really become the face of the debate about these medical workers being forcibly quarantined after returning from ebolastricken countries in africa to the u. S. Now, she has described her experience after returning at the airport, saying she was questioned for hours and later kept in in climatecontrolled tent at the hospital, all of this despite testing negative for ebola. Shes calling for humane and respectful treatment of these returning Health Care Workers. Numerous groups joining her in her call for that, saying this quarantine unfairly sigma tieses Health Care Workers and also will prevent other volunteers from going to assist with that outbreak in africa. Now, speaking of those Health Care Workers on the front lines, dr. Craig spencer is at bellevue here behind me where he is in serious but stable condition. He tested positive for ebola shortly after returning to the u. S. From volunteering in guinea. Now, were told he tolerated a mras th plasma transfusion very well, from nancy ebola patient Nancy Writebol who says she is happy to give it and shes praying for spencer. Were also waiting on the test results from a 5yearold boy inside the hospital. He had a lowgrade fever. Were told that he had been recently in one of those three ebolastricken countries in africa. And so theyre running tests on him. Theyre expecting those this afternoon, possibly early evening, but once again a lowgrade fever had been to one of those africanstricken countries. Enough cause for concern, toure, so they decided to test him just to be sure. Back to you. Sarah doloff, thank you for that report. Medical organizations are speaking out against these mandatory quarantines. Especially the broadreaching ones for health care professionals. One of those is s. H. E. A. , society for health care each democratolo epidemiology. They believe it will make fewer volunteers to go to west africa. Welcome back to the show, doctor. Can you expound on your view or why or why not these quarantines of returning Health Care Workers will not work . Do you think it will discourage Health Care Workers from wanting to go to these stricken countries . Yes, thank you. I believe and s. H. E. A. Believe it needs to be on ebola science evidence, how its transmitted. We have strong evidence ebola is not transmitted by those who have no symptoms. No symptoms, no transmission. Youve said that clearly on this show. It needs to be repeated. Viewers need to tell their friends, no symptoms, no transmission. In that case, mandatory quarantine, removing people from society, keeping them in their own homes, really is not justified. This whole question of voluntary versus mandatory, i dont think were not saying we ought not to be monitoring these individuals. That monitoring should be mandatory. Twice Daily Symptom and fever checks, contact with local Public Health officials every day. If they lose contact with local Public Health, then maybe a reason for quarantine. But a mandatory quarantine of healthy Health Care Workers who provided help for ebola cases, its just not justified. Doctor, this is ari out in dallas where a lot of folks are still concerned about this issue. Its certainly instructed to have the medical and Scientific Community explain to the country why some of this does look like overreaction. Yet, i wonder if theres a potential mistake being made here as if there is an objective or single objective policy solution. Could you walk us through how any medically related policy like this, that seeks to contain, is going to have to deal with an error rate or in the law what they would talk about being overinclusive. Sometimes when the risk is high, you do want to draw the lines wider and get people who might be presymptomatic, because youre so concerned about the nature of the spread, cue waoul walk us through the certainty level of that . Right. So, i think it is a balance, but it has to take into account about what we know how a virus spret spreads. There are viruss that can be transmitted before symptom onset. The thing about ebola, if theres anything good about ebola, you dont transmit it when you dont have symptoms. Not only that, but when youre early on in the symptomatic period, transmission by casual Community Contact does not occur. You mentioned dallas. And i think if theres something we can learn among many things from dallas, its that Community Risk for ebola right now in the u. S. Is pretty much zero. If we can learn anything about mr. Duncans tragedy, two Health Care Workers acquired ebola but he had 20 close Community Contacts, including family and friends, zero transmissions. Despite the fact he was sent home with a fever. So he actually had symptoms early in the course of disease. So, i think we need to apply what we know about ebola transmission and we have carefully conducted ep deem logic studies from prior outbreaks that tell us transmission occurs from very sick individuals who have ebola virus infection. Not from people with no symptoms or very early in the disease process. And i think if we apply those lessons, that helps to guide our Public Policy. Right. Doctor, the idea of quarantining folks returning home as a way to reassure the public, that as youre indicating clearly, if you dont have symptoms, you are not contagious, theres no Public Health threat there, this would be a way to reassure the panicky public. But doesnt actually overreaction from public officials, doesnt that furthered three hysteria among the public . Yes. I agree with you. I totally understand the impulse to respond to the fear of ebola or the idea of ebola in our Public Policy and our protocols. But theres no end to that. If you decide to be overly stringent or overreact, the public feels that, yes, their fears are justified. Then you can go further. Theres really no end to it. So i agree that we need to temper this impulse to sort of overreact in order as a response to unfounded fear. One of the constituencies raising objection to the quarantine are those that focus on hiv. Theres about 100 at bellevue, coalition of doctors, researchers, activists, saying this is a mistake and reminds them of mistakes in the 1980s when there was initial panicky public reaction to hiv. When you have a novel Infectious Disease like this where people are scared of it and learning about it. How do you ensure we dont panic and take overly reactive precautions. I think its very difficult. I dont mean to imply any of these decisions are easy because this is uncharitied water for the u. S. To have ebola patients on u. S. Soil. I completely understand some of the reaction thats occurred. Just as with hiv, what we need to do is educate, educate, educate about how the virus is transmitted and who is and isnt at risk. The other parallel is we need to make sure not to stigmatize anyone. In this case, stigmatizing those who are brave enough to go and provide care for ebola virus disease patients either here in the u. S. Or in west africa. And i didnt answer part of the first question that was asked. Will this have a negative impact on this volunteerism, people stepping forward to provide, you know, during this urgent need. And im afraid that it will. And we need to avoid that inasmuch as possible. Doctor, thank you very much for that. Later, where i come down on this heated debate. Thats at the end of the show. Next, an update to the breaking news we brought you here on the School Shooting in washington state. Fresh concerns about isiss growing arsenal of weapons. The new threat to america and coalition forces. The cycle rolls on. Its monday, october 27th. 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And turning now to the war on terror and a troubling new development regarding isis, you probably saw this this morning on the front page of the new york times, isis released images that they claim shows them downing an iraqi chopper using surfacetoair missiles. The group is also publishing a guide to show their followers how to use surfacetoair missiles as u. S. And Coalition Strikes continue throughout iraq and syria. Should we be worried they could shoot us down . Lets talk to evan coleman at the table. Thanks for being with us. Thank you. So, with these surfacetoair missiles, if this video is, in fact, accurate, how much more difficult does that make our task there . Look, good news bad news. The good news is that they didnt just get these missiles. These folks, insurgents, isis insurgents, have had these missiles since 2005. There was a video of iraqi insurgents firing these missiles as planes landing at Baghdad International airport, helicopters flying by. The bad news is that there are more of these missiles out there because they have lewded the stores so there are more of these things floating around. They are closer to targets they can hit. A helicopter here or there is not going to change the entire momentum of the conflict. If someone was to sit outside of Baghdad International airport on an approach path and started shooting at these aircraft, as they did back in 2005 and they hit a dhl aircraft on the way down, thats more dramatic and thats and we have to look out for. You talk about the momentum of the conflict. A lot of us have been talking about the battle for kobani. Some talk about the battle for baghdad coming soon. Do you think these are the key battles or Something Else . Kobani makes good headlines and makes good nightly news broadcast. But really the issue there is about us trying to stop another massacre of civilians. Its not important in items of the overall conflict. The major battles were looking for, number one, the battle for baghdad. Were seeing isis encircling baghdad. We know at some point theyll make a move on the capital and well have to see how serious that is. A lot of people dont think they have the ability to hold baghdad but what damage can they do in the meantime . Should iraqi forces turn this battle around, the really big battles, the battles for mosul, one of iraqs largest cities, a place isis has taken over and held for months. It is the its a major center of society and civilization in northern iraq. And its that battle, if it even happens, will determine the future of isis and whether or not isis can be defeated inside of iraq. Lets know the crisis began when isis took mosul and started this vast swath across northern iraq. Far off that battlefield we still see reports of lone wolf attacks and intelligence Agencies Concerned about more. If your view, what is isiss reaction to these often isolated or separate lone wolf incidents . Look, they love this. They are rallied by this. As far as they are concerned, this is free. They havent done anything other than this but put videos on the internet and you have crazy people following their lead. Isis is not very discriminating in that regard. Al qaeda is much more discriminating when it comes to recruits. Al qaeda doesnt want to be associated with crazy lunatics. Not just individuals rallied by isis, but major nadal hassan, the individual behind the ft. Hood massacre. Hes told his jailers that now that hes seen the publicity surrounding isis, he wants to declare himself to be a citizen of the isis state. He wants to be declare himself to be a citizen of the islamic state. Those are the kind of people rallied by isis. Sure, isis loves the publicity and they love they can get these kind of people to do their bidding. What do we do about that . Counterterrorism strategies very often revolve around disrupting networks and stopping combined operations. In this case, these are just people who are inspired by something. How do we stop lone wolfs like that . Unfortunately, the best way of stopping these folks really comes down to the families. Weve seen in the past where family members, mothers, fathers, sons, cousins, theyve noticed something is wrong with their relative. The person watches beheading videos and suicide bombings all day long. They talk about wanting to go to syria or trying to get access to their passport. Niece are things family members need to Pay Attention to. We saw the case in colorado where two young girls three young girls traveled all the way to turkey by the time they got stopped and turned back. It shouldnt be the point where theyre in turkey where the parents realize something is wrong. It really is the responsibility of parents to keep an eye on their kids to watch what their kids are chatting about on the internet. If your son or daughter is having a conversation about an isis jihadist over in syria, theres nothing innocent about that. Thats something you have to Pay Attention to. I know it sounds strange to say that, but there are people out there who seem to think, its not a big deal. Its a phase. Its a phase, its a fad. Its not a phase. Its not a fad. Not everyone who watches beheading videos or suicide bombing videos becomes a jihadist and goes to syria or iraq. But bottom line, if you think something is wrong, its time to have a serious discussion. These are the warning signs. Say something. If you see a family member, if theyre beyond rational thought, doing something thats a threat, not just to you but other people in this country, its your responsibility to let people know about it, to inform authorities. Family and community have to step