Youre absolutely right. This will sound familiar. Let me preface it by saying if you listen closely to what dr. Frieden said earlier today, he pointed out that the dallas hospital was using the correct cdc guidelines they had issued, but those guidelines were inadequate. Heres what theyre saying now. First of all, anybody who is going to be taking care of a patient with ebola has to be fully tlaned and has to have that training proven, some kind of competency training. There will be people on site who will observe people both putting on and taking off that garb just like the Doctors Without Borders. The most important point, something weve talked about a lot, there cant be any skin showing. No skin exposed when the garb is put on under these new guidelines. Seemingly a basic point with all that everybody has learned about ebola and how it is transmitted through bodily fluids that get on the skin. An important thing would be to cover the skin. Thats whats going to happen now. I honestly dont understand why their guidelines werent like this from the beginning. Again i go back to msf, Doctors Without Borders, who has been battling this for a long time. Every group i know of operating in high beer ya, guinea or sierra leone, theyre all using the standards set by Doctors Without Borders. The idea that the cdc and dr. Frieden was very vocal in saying, yeah, it would be fine to have your skin showing in certain cases depending on the level of the infection that the person had. He was trying to make a distinction. Look, if you dont have intensive contact with a patient, if the patient is not particularly sick at the time, you dont have to worry about it or you dont have to worry as much about it, i should say. If you have much more contact with the patient during the time theyre sick, you need to dress at a higher legal of protection. The problem is, anderson, i think youre alluding to this, its difficult to pinpoint when someone will be more at risk. Someone who is taking care of a patient who is starting to get nauseated, could they be at risk if that person was to have vomiting, that sort of thing . Its too loose. And the point is this, if youre taking care of a sick patient with ebola, you should have your skin covered. This whole sort of distinction they were trying to make made no sense. Surprisingly and i think this will be important, dr. Frieden has sort of conceded that. The guidelines that were existing up until this point were inadequate. I think they were, you and i talked about it, thats now going to be corrected. Sanjay, stay with us. I want to bring in senior medical correspondent Elizabeth Cohen and dr. Seema yazmin. I want to talk to the nurse i spoke to last week, she explained the lack of protective gear they had. Was your neck exposed . Absolutely, yes. Theres a what part of your neck . Well, the zipper ended about here on me, and the hood ended about here on me. And, you know, this part right here made a triangle that was open. It was completely open. And the very first time that they were instructing me how to put this on is exactly the point when i said, why would my neck be exposed . Why do i have on two pairs of gloves, tape, a plastic suit covering my whole body, two hoods, a total of three pairs of booties including the one on my tyvek suit, an apron and my entire body is covered in at least two to three layers of plastic and my neck is hanging out. Elizabeth, i guess i just dont understand why these protocols were not put in place months ago. Doctors without borders, again, has been using protocol like this for years now. Has the cdc said anything about why theyre so late to the game with this . I had the same question. Red cross is also observing these protocols when i was in liberia. Dr. Frieden observed these protocols when he was touring liberia, sanjay pointed out before. Sanjay really hit the nail on the head which is they were sort of looking at this on paper and saying certain exposures maybe youre not that close to the patient and you dont need to be as completely covered. But in practice, once youre taking care of a patient, it can be a millisecond from not so much exposure to a lot of exposure. So i think and here you can see that these folks are completely, completely covered. And this is in africa. And so i think what happened was that they didnt do these guidelines in collaboration with Doctors Without Borders, with folks who had actually been on the ground. Remember, they came up with these guidelines before they started treating patients in the United States. And so i think one criticism of the cdc has been that theyre very smart on paper but that people dont take care of patients on paper. They take care of them in reality. One lesson that i hope was learned is that you collaborate with people who have actually done the work. The minute that emory started taking care of patients, they should have immediately collaborated with them back in august. Look at our guidelines. How did you tweak them . Because emory did not follow these guidelines. They tweaked them so they were more useful. Cdc should have collaborated. Dr. Anthony fauci said that the earlier guidelines were based on a World Health Organization model for care in remote places often outdoors and without intensive training for Health Care Workers. Does that make sense to you . Wouldnt a place like that require even more stringent protocol . Yes, i think so. I heard those same comments from dr. Fauci. What he was referring to were some of the conditions where people were screening patients. I wasnt entirely clear they had ebola. Im not sure exactly what the guidelines are for the w. H. O. But the risk reward sort of relationship is what he was talking about, the idea that you dont want to make these protective gears so cumbersome that theyre challenging to put on and off in remote situations, that you cant train people to do it, so you make it as simple as possible while still protecting people, but again the problem here is that those guidelines here did not protect people, did not offer adequate protection. I think thats why these two nurses became infected. Dr. Yasmin, is this typical to see guidelines revised multiple times . It can happen, anderson, in such a quickly changing situation. Weve worked so far on guidelines for about 38 years. Clearly this is the first time were seeing ebola in the setting of a highly sophisticated American Hospital where things like intunation are happening, dialysis, ebola patients in africa dont get those types of high level, high risk procedures. We do have the change things as the situation changes. I cant speak enough to the fact that its not just the gear. Its the train. You have to have the training. Elizabeth, to dr. Yasmins point, Training Like this it takes a long time. And practice takes a long time. And this hospital, Presbyterian Hospital was unlucky enough to get first patient, but i think a lot of hospitals across the country would have failed this test. Absolutely. I was actually pespeaking with someone from a major hospital. She said, i have to get off the phone, were doing our ebola training. When did you start that . She was like, last week. Wow, youre kidding me. The cdc put out emails saying, hey, guys, get ready, back in august. And here was a big hospital just starting up now because, of course, what happened in texas. Dr. Yasmin is right, the training is crucial. Having them read a pamphlet or watch the video is not enough. It has to be persontoperson training. Dr. Yasmin, how long does how long do you think somebody needs to be trained . Again, it cant just be one session with a Breakout Sessions or something on a weekend. How long is training, you think, necessary . It can take tas, anderson. And it has to be repetitive. It has to be a session where you learn how to do it and then you have multiple times to practice, to be critiqued and to make mistakes. We all make mistakes. Another key point is to make sure that the equipment does fit you. We keep hearing about these masks that you put over your face to protect you. You have to be fit tested for those before you can have them. And when i was at cdc i had to undergo n95 mask fitting. And guess what, the masks dont fit me. Were talking about a situation where these things need to be prepared in advance. You cant have someone like me turn up one day and the m95 mask does not fit them. We have to have many opportunities for Health Care Workers to practice. Sanjay, stick around. I want to ask you about a medical question, a political controversy and what many believe was just simple common sense. The notion of banning or restricting travel out of west africa hot zones into this country. Some call it common sense, others say not so simple at all and may hurt the war against ebola in those countries. Also a look at some of the wilder ebola conspiracy theories that people have been spreading including one by congresswoman blackburns colleague on capitol hill. Set your dvr so you can watch 360 whenever you like. Decay. Its the opposite of evolution. The absence of improvement. And the enemy of perfection. Which is why you can never stop moving forward. Never stop inventing. Introducing the mercedesbenz gla. A breakthrough in design, aerodynamics and engineering. Because the only way to triumph over decay. Is to leave it in its own dust. How couin jellyfish, protein impact Life Expectancy in the u. S. , real estate in hong kong, and the optics industry in germany . At t. Rowe price, we understand the connections of a complex, global economy. Its just one reason over 70 of our mutual funds beat their 10year lipper average. T. Rowe price. Invest with confidence. Request a prospectus or summary prospectus with investment information, risks, fees and expenses to read and consider carefully before investing. Introducing a pm pain reliever that dares to work all the way until the am. New aleve pm the only one with a safe sleep aid. Plus the 12 hour strength of aleve. Want to change the world . Create things that help people. Design safer cars. Faster computers. Smarter grids and smarter phones. Think up new ways to produce energy. Be an engineer. Solve problems the world needs solved. What are you waiting for . Changing the world is part of the job description. [ male announcer ] join the scientists and engineers of exxonmobil in inspiring americas future engineers. Energy lives here. The Ebola Outbreak has done a lot to focus attention on hospitals and the entire Public Health system. Its given people license to let their conspiracy flags fly venting a whole lot of dubious theories, to say the lease, and to be blunt, a whole lot of toxic crazy stuff as well. Youll hear from a doctor on the front lines in liberia doing the real work that people there and everywhere need done. First, though, the ocean far from the action, hitching their theory of the virus to their own pet theories. Theres the antivaccine activist who says the vaccinemakers are behind it. Some people in industry, government and the World Health Organization did not want the Ebola Outbreak to be confined to several nations in africa. Because that would fail to create a lucrative Global Market for mandated use of fasttracked ebola vaccines. Theres also the liberian newspaper saying ebola is a u. S. Bioweapon used to depopulate the planet. Ebola aids manufactured by western pharmaceutical, u. S. , dod . We dont know much about the liberian press and that papers record of reporting, if you call it that, but we do know they dont have a monopoly on crazy conspiracy theories thanks to some representatives here. Like steve stockman. Hes wondering why ebola made it into the country and hes just wondering whether its because president obama wanted it that way. Not enough action up front. Im wondering if thats intentional if thats intentional in order to create a greater crisis, to use it as a blunt force to say well, in order to solve this crisis, well have to take control of the economy, individuals and so forth. Again, thats a member of the u. S. Congress. We asked him to come on the program to expound on that theory. He didnt return our call. Others have a somewhat different twist on the obama loves ebola theory. Rush limbaugh, laura ingraham, take it away. The reason why a bunch of people dont think we should be banning flights is because we kind of are responsible for this. And therefore, if ebola ends up here, well, its only payback, folk, slavery, its only payback. And unfortunately, we have elected people in positions of leadership who thing this way. The president is one of them. Its fathers rage against colonialism as din esh deseuss za wrote about and maybe this is a way to continue to atone for that. You can decide what to make of that and all the rest. What they all have in common is not any have anything to do with the brave people fighting ebola or the People Living with it or dying of it. A real debate is heating up over travel bans and whether theyre needed to stop the further spread of ebola in the u. S. Chief medical correspondent dr. Sanjay gupta is back and joining us marcia black burn of tennessee. Congresswoman, thanks so much for being with us. Sure. Youre not alone in your request of banning travel from nations affected by the Ebola Outbreak. Everyone i talk to, Doctors Without Borders, and other groups say a travel ban will make getting our personnel, meaning Doctors Without Borders and other group, in and out, with the hundreds of people they have moving around and the tons of supplies they have going in and out, will make it more difficult. Charter flights arent enough. To that you say what . To that i say there should be a way to solve this problem. We all know to successfulle deal with the Ebola Outbreak you have to isolate it. The best place to isolate it west africa. Certainly charter flights, military flights, there are other ways to get supplies in and out. I also feel like for those 13,000 visas that have been issued and people in the infected zone are wanting to come to the u. S. , maybe looking at a quarantine there, establishing Something Like a Forward Operating base and individuals who want to exit those countries, the affected area, these three countries, would come in for a 21day quarantine prior to leaving the country and then they, on day 22, theyre free to two wherever they have the confidence that they can move forward that they are ebolafree. I think thats worthy of discussion. Its a good work around. When i was at the cdc three weeks back working with dr. Frieden on some other issues and we discussed ebola, i said, if youre not going to do a travel ban, how about thinking something else, you know, certainly the checks at the airports are one of those steps. We have to give the American People confidence that they can trust us. Right now the confidence is pretty low. I get the idea of limiting visas for people from the affected countries and making it harder for people to do that or having people kind of try to prove that they havent had any contact, but how would quarantining people in liberia, guinea or sierra leone work given that they dont even have enough personnel on the ground driving ambulances and treating people with ebola let alone overseeing a quarantine . How would that work . I fully appreciate and understand that, and i think working with organizations like is a ma samaritans which my Church Organization has supported for years or Doctors Without Borders right, the Doctors Without Borders. In charge there. They say theyre at a breaking point. I appreciate that. I appreciate that. But as i was saying, working with them to say what are the protocols you think would be best. How do we best implement Something Like this . But im telling you what they say is dont do a travel ban. I talked to they say not do a travel ban, but they havent discussed doing some kind of limitation or quarantine there. Anders anderson, were going to have to take some type steps to have a way to more closely isolate this. The news that came from nigeria, no additional senegal, no additional outbreaks. Thats so positive. The good news we got out of texas today sure. That is so positive. But when you look at the total number of people that have been affected, the escalation right there. Sure. The distrust i understand what youre saying. New york city putting up a travel ban, i think its time for us to say how do we address this proactively let me bring sanjay gupta here. Sure. Can you see whats your belief on a travel ban . Would it make it harder youve talked to folks with Doctors Without Borders like i have. They saul seem to say that it would be harder to contain the outbreak in west africa. Until its contained in west africa, thats the number one priority. I think thats true. If you look at the rationale behind that, i think it will make sense. Ill explain that to you. But congresswoman blackburn, what youre saying is a little different than a travel ban. I was listening to your comments the other day and a was very much in favor of a travel ban, asking people to take their temperature for 21 days before they leave is not a travel ban. When we talk about porous borders people think were talking about the United States. And what dr. Frieden and dr. Fauci, head of the cdc and nih Infectious Diseases its west africa were talking about. People would leave west africa, fly out of those countries and be hard to track and trace. They could go to another busy city, new delhi and shanghai. And then the question of are you banning travel from those countries as well . Heres the point. It doesnt really seem to work. These things have been tried before. You can understand the sentiment as to why it seems logical, but it just doesnt work. Simultaneously, and this is perhaps a big