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tv   Newsmakers  CSPAN  February 7, 2016 6:00pm-6:31pm EST

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this virus works, how it can be a concern to it -- pregnant women. in the last prices, -- crisis, you put out regulations to handle that, but it was not the case.
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>> zika is a particular risk for pregnant who are thinking of traveling to place where is zika is spread. that's the top level of concern. there maybe other problems wouldn't be surprised to see some cases of beyond the syndrome that can be severe. the bigger issue now is what can
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we do to protect pregnant women because devastation of having a child with a severe fetal abnormality who may die in the first days or years of life, who may have a long lasting stability, that's something we want to do. we are doing everything within our power to prevent it. >> jen mentionedded spread of ebowe-- ebola. there are concerns like countries that might not sharing their data in that way that will be helpful to the u.s. how are you working with those countries. what more can be done to coordinate these efforts? what do the next couple of weeks look like?
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>> we're seeing a good global collaboration. the tough part is the enemy. the enemy is nature. a nasty mosquito that's very hard to control and very effective in spreading viruses. we need information sharing. and we need to strengthen the ability of companies around the world.
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controlling mosquitoes is tough. >> secretary burwell will be testifying in congress next week. we're now actively discussing with congress how to move forward. i think really where is a consensus that we need to work together to confront health threat wherever they emerge. that's how you protect americans. >> do you need funding to do that? any type of additional resources that cdc doesn't have now? >> confronting zika is not going to be easy. it's not going to be quick. there are things that we need to
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do that complement the u.s. and puerto rico is at particular risk. >> i want to go back talking about controlling mosquitoes. there's editorials and few columns written about eradicating mosquitoes. is that something you've done so far to advocate for eradicating mosquitoes. >> it's extraordinarily difficult. these are tough mosquitoes. the tools that we have are not optimal. at the same time we need to develop new tools to combat
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mosquitoes. we hope there will be a way to get rid of them. i know that came late in the response to ebola. >> one of the biggest issue here going back to ebola is a disease
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to the surface of the public awareness. immediate cause why we have a care. how concerned are you that there's going to be future viruses like this that come up in immediate calls that cost a lot of money. what is the administration doing to prioritize which diseases should get the most attention first? >> over and over, nature shows that it's a really tough adversary. that's why it's so important that we invest in laboratory, research mosquito control. when we do have tools, they're going to be delivered by the
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public health system. >> are those things you need to get built into the future and add to the agency's ability to do it down line.
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>> we have current tools we don't know how to optimally deploy. we have to protect homes. make homes mosquito proof or
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resistant home through air-conditioning and screens and screens that have insecticides in them. this is a tough area. there's no quick fix. >> dr. frieden you mentioned the potential link zika virus is serious. what is the research now?
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what do we know about the potential link between these and the threat to people who are not pregnant? >> we know that from many different infections you can get this syndrome. this is something we see about one in a thousand people who are affected by a certain bacteria that causes diarrhea. it can result in a temporary or longer lasting paralysis. it tends to be quite rare. one in many thousands of infections. with hundreds of thousands of zika infections we wouldn't be surprised. as time goes by, the association between both zika and micro
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selfly seems stronger. because of the weight and pattern of evidence because the pattern of disease and the findings of individual casss. -- cases. we don't know if there are other factors that increase the risk. it does increase look like a causal connection. >> just to be sure that, is a threat to not just pregnant women? >> yes it's something that's not rare. we see it with other infectious disease. zika isn't the only thing you can get from a mosquito of this species. in the u.s., we've had hundreds cases of dengay. we've had thousands of cases -- if you traveling to place that have this particular mosquito
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species -- there's a lot you can do to protect yourself with deet and other products with long sleeves and clothing that have treatment. staying indoors as much as possible with air-conditioned or at least screened space. >> zika issued as guidance for women who are pregnant or may become pregnant. today we got new guidance with the same population of women who may become pregnant. advising them to use condoms with their partner or to abstain from sex all together. in other countries where this virus is spreading more rapidly el salvador they've advised women to abstain from sex for as long as two years. public health group criticized that as guidance and impractal. i wonder what would say to those countries and women there who are hearing these types of guidance. then whether you think the u.s.
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guidance might have to be revised if the virus does start spreading more rapidly here? >> first off, our priority is to provide information services and protection for women who are pregnant. so that we can reduce the risk of infants being born with microselfic. there are different situations. at one end of the spectrum, you may have a woman who doesn't want to get pregnant. has no religion or objection to contraception but hasn't gotten around to getting ton a contraceptive method. whether or not you live in area which has zika, it could be reasonable seeking out the contraception. you may have a woman in her 40's using reproductive technology to try to become pregnant and loses in an area where zika may be
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spreading. the woman may well decide to to go ahead trying to become pregnant and be careful about mosquito control. whether or not to become pregnant is a very personal decision. >> dr. frieden, i want to ask you, not zika question but a similar related topic. this week, the cdc released an advisory to women about the risks of alcohol and pregnancy. they told women to stop drinking if they're trying to get pregnant or not using birth control when they're sexually active. that guidance has been called condescending. it was blasted. was there a better way of trying to deliver that message that the cdc was trying to get across? >> let's get the facts straight. women can decide for themselves what they want to do. there is a clear association between alcohol consumption
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during pregnancy and fetal alcohol syndrome. unfortunately, in the u.s., a 10 tens of thousand of babies are born each year with fetal alcohol syndrome. reducing the alcohol during pregnancy has the potential of reducing it in the country. it's up to us to provide information so you can decide what you want to do to protect your health and health of your family. >> dr. frieden jumping to another public health issue. lot of things on lot of minds is -- what do you want congress -- what would you prefer congress to -- how many treatments to you
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want. >> the epidemic is serious. it's needed. the way we look at it from cdc, think of the country in two groups. one group of individual who are already addicted or dependent to opioid. they need services. they need treatment. we need to increase the availability for reversals. that's what secretary burwell's plan calls for. in addition to plans calling for improving and prescribing for pain. that's something that the cdc is focused on. there weren't guidelines on how to treat patients with chronic pain. there wasn't a good balance. i think as a physician, i recognize that relieving a patient's pain is one of the
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best and most important things that we can do. at the same time, i think much of the health profession lost sight of the risk benefit ratio of opioids. these are dangerous drugs. they're highly addictive. you can take just little bit too much it causes respiratory depression and you can die. if you look at chronic pain, the evidence effective for chronic pain is slim to nonexistent. but for the chronic pain that most opioids are prescribed for. we need to get that balance right. there's not going to be a quick fix of the pain syndrome that people have. we can help people have less pain and be more functional. we can do that in a way that doesn't endanger their lives. >> do you feel like this is a
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problem that the medical community and cdc has to answer? do you feel like there's something congress needs to do here to help? >> i think there's something for all of us to work on. we're grateful to congress with the additional resources they provided to the cdc and other parts of the federal government. cdc will be supporting states throughout the u.s. to scale up programs to improve prescribing. to improve treatment. pain and addiction. to better track and understand what's working so we can begin to turn around this terrible epidemic. >> you mentioned sort of rethinking the risk benefits of some of these prescriptions. the food and drug administration yesterday announced they will be doing a review of their policies trying to make -- trying to re-examine the risk benefits. how do you think that data for coupled with what the cdc is doing trying to make 2016 not a year we're seeing another all time high of these drug
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overdoses? >> we work very closely with the fda and other federal agencies. in that space what we hope to do is reduce unnecessary and avoidable prescriptions of opioids and increase prescription of medication that treats opioid abuse disorder. the fda have a very important role to play in addressing individual patient safety but community safety. >> we're running out of time here on c-span tat. i--"newsmakers." i want to say thank you so much. >> thank you it's been a pleasure speaking with you. >> we'll turn to our round table as we continue our discussion with sarah ferris with the hill newspaper and jennifer haberkorn of politico. you covered the health issue during the ebola outbreak. i want you to compare the cdc response to zika.
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where is the cdc now in terms of its response? >> i feel like cdc learned from ebola. that was to reassure the public this would not spread. it turned out that the first patient who came to the united states with ebola went to a hospital that wasn't able to handle it. then the cdc saw the message. we saw a strategy shift. not only the healthcare strategy point to that but also the public health message. the hub was -- the public was hearing that any hospital can handle it. we found out that not every hospital could. that really eroded some trust. i think cdc is being more cautious this time. we heard dr. frieden say there's
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a law they don't know about this virus. they have to be more careful in saying repeatedly, they don't really know exactly what this virus can do yet. >> i do agree. what we are seeing that is the same, cdc is trying to reassure the public that this is probably not a threat to most people. back ebola a little over a year ago, the fear was rampant. it was making headlines across the country we only seen two people affected in the u.s. cdc had to step in. now we're seeing cdc just a couple of -- just last week saying we don't expect there to be a large outbreak at all of
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zika virus in the united states. >> it will probably come here. it won't be an outbreak. >> dr. frieden said earlier today in a briefing he thinks there will be more cases of this. right now there's 51 cases. one of which has been translated locally. he says, there's a lot of travel to these areas. >> dr. frieden careful not to put a place tag what it's going to take to combat zika. what are you hearing from members of congress, the ones who control the pursestrings about cost and what they willing to put towards this effort? >> there are several lawmakers from both parties who say we have this amount of money left over from the ebola crisis. it's -- he's working on being able to diagnose people. we're going to see entering next
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week, the big budget starting with the white house seeing the budget. we'll see more resources allocated in that document. which members of congress may or may not pick up on. >> several lawmakers we saw very early on lawmakers spreading letters saying you need to get on top this. which, of course, the white house and the administration was already doing. you saw dr. frieden say that today. that underscores they see the threat here that this could be a political issue. may want to prove that they were on top of this from the beginning. interestingly, they're saying, you need to get your act together and get a plan. they're not advising the white house or the administration on what to do. they want to make sure that they have that letter dated, showing that they were doing something about it. >> we talked to dr. frieden
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about opioid abuse and the riessing number -- rising numbers. what do lawmakers want when it comes to that problem? >> there are several bills on capitol hill to address the opioid epidemic. a lot of the plans are putting money towards programs that have already proven successful. i think that kind of legislation have some legs. the opioid epidemic is taking place here in boston. lot of presidential candidates they first heard about this in new hampshire townhall. someone they know who has this. i think that has kind of put an exclamation point on this horrible situation for a lot of the politicians. i think we will see some kind of legislation. i don't know if it's going to be as effective as something dr. frieden or cdc look like. they want to get ahead of this
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and prove they're doing something to try to get at it. >> jen mentioned that boston is at the epicenter of this. they put a hold on the fda nominee. he doesn't believe that the fda is doing all that it can to prevent the widespread prescribing of painkillers. >> a democrat and unusual ally. >> right. it's 2016, it's an election year. people are really trying to beat the drum on this and get action. we saw all time high in 2014. the fda did say that goings to take on sweeping review. he came out yesterday and said this doesn't satisfy me.
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>> sarah ferris with the hill newspaper. jennifer haberkorn with politico. thank you so much for joining us on "newsmakers" this week. >> thank you. >> only thing i saw throughout this entire time line is that most of the founding fathers and the early presidents knew in their mind that slavery was wrong. they knew it. but, they weren't willing to inconvenience their own lives to make that come true. >> tonight on "q&a" associated press reporter jeffrey holland discusses his book "the invisible." >> they were all slave owners. they would bring in slaves from
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their plantation. george washington did this as well. he brought in slaves to new york city and philadelphia from mountain vernon. they served as the first domestic staff to the united states president. >> tonight at 8:00 eastern on "q&a." >> during campaign 2016, c-span takes you on the road to the white house as we follow the candidates on c-span, c-span radio and >> republican presidential candidate senator marco rubio of florida held a townhall meeting in new hampshire where he talked about the national debt, foreign policy war on terror the healthcare law, social security and medicare. this is about an 1 1/2 hour.
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[applause] >> thank you. >> god as blessed us. then daniella and then anthony. then our youngest dominick. i don't know if you can see him back there. i think -- does anyone want to speak on my behalf


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