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tv   America Tonight  Al Jazeera  October 7, 2014 9:00pm-10:01pm EDT

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>> on "america tonight" - how to stop the spread. first line responders wonder if they have enough information to identify ebola. the city's u.s. officials identified as the key entry point for ebola, and the key questions being asked now to head off the contagion. also - fighting down the home stretch. in a key state the challenger works to tie the incumbent to the president's health care
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policy and it may help. >> mark prior for 12 years said arkansas is first, that's not true. running against a republican opponent or against obama care. chris brewery reports from arkansas. we begin our look at america votes 2014. a vanishing issue in west africa - why the people in senegal and animals are staying away from a long-standing tradition. and, how the snap of the selfie is taking over. good evening, thanks for joining us, i'm joie chen. it is very contained here in the united states, but there is no question many men's are worried. -- americans are worried. 22%, more than one in five of us will fear we will get ebola.
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there are signs that it is reaching targets. the first norwegian is week cared for -- being cared for at a hospital in oslo. the aid worker had been with doctors without borders. spanish officials will kill the pet cog of a health worker, claiming there's a risk that the dog could transmit the virus to a human. in the united states, ebola patients treated in lincoln and nebraska are getting the same experimental drug. health officials are trying to calm worries and assure everything that can be done is, there's clearly a lot of doubt. >> we are hearing from, for example, different clinical groups that don't feel prepared. they have more questions, they have concerns. >> reporter: as the virus spreads, so does the fear. health workers in madrid demanded spain's health minister resign after a spanish nursing assistant became the first to contract the deadly virus
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outside of africa. the fear of the workers, that authorities have not done enough to protect them. >> translation: we are worried, but calm. we are trying to reassure all of our staff and society in general who are alarmed by the outbreak. it is something which, in all honesty, has caught us by surprise, and we are still surprised. >> four have been hospitalized, including the health worker who tested positive on monday, and her husband. the alert is op high. the claim by a top world health organization official, that the spread of ebola across europe is unavoidable, will do nothing to calm fears. >> close watch on thomas eric duncan, the liberian man is in critical condition in a dallas isolation unit. >> we recollection this is critical for him and his family. officials are trying to
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reassure the public and keep the fear from spiralling out of control. >> the stress and fear could be more damaging to the community than the virus itself. >> reporter: adding to the stress, health care workers made mistakes when thomas eric duncan came for treatment. a glaring oversight, a wake up call to officials, hospitals and everyone on the front line of the fight. >> in new york city, 911 dispatchers ask patients calling for an ambulance whether they travelled to west africa. >> this allows to us get a heads up that someone possibly has been exposed to the ebola virus. >> one of the nation's largest ambulance providers now trains crews to do the same. if the patient answers yes, the response is to order parr medition to don extra protection gear, an ask, goggles and shoe
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coverings, and alert health authorities that the patient might have ebola. the company put together a guide for transporting patients infected with the virus, and has plastic sheeting and duct tape to protect the balance and paramedics, and, importantly, to stop the spread of ebola. halting the outbreak is a top priority for the white house, president obama calling it a national security risk. for air travel - the united states will ask more question of passengers arriving from the hot zone. >> we'll work on protocols to do additional passenger screening at the source and here in the united states. >> that could mean c.d.c. personnel at four airports - j.f.k. in new york, newark, chicago, and dulwich outside of washington d.c. conducting entry questions, asking where they
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have been and, if necessary, taking their temperature. the c.d.c. is watching city with large west african populations including los angeles, dallas, new york, washington, minneapolis, where preparations have been in for months. >> we went to the fire chief on a tuesday and discussed it with him. he said "okay, we'll make sure the city can activate the emergency release system." he stepped up to the plate, contacted other cities, had a meeting and they have been doing the best they can to make sure we use our resource. >> reporter: to truly contain ebola, you have to get ahead of the exploding rate in west africa. u.s. has began work, and there is risk.
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>> if someone contracts ebola and becomes symptomatic they'll be handled like you have seen on the recent ones that came back on an aircraft that was specially designed to bring them back. they'll go back to a center that is especially designed to handle the ebola patients right now. >> they'll be returned to the u.s.? >> yes, they will. the worries echoed among many on the front line against the spread of ebola. deborah is a nurse, joining us from national nurses united. her group surveyed members about what the hospitals told them about ebola. the answers are disturbing. >> you had 1400 nurses, 21 states and they have been told not much. >> that's the problem. we want to spread readiness, not fear. we want to make sure the health care nurses have the proper equipment, and the survey says at least a third of the hospitals don't have enough
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supplies of personnel protection for providing care for a patient with ebola. 80% of the nurses say that their hospital has not communicated a plan to them at this point in time. yet hospitals continue to say that they are ready for an ebola problem from the patient. yet the case in dallas clearly shows that they are not ready. >> so eight out of 10 nurses is telling your organization - our hospital has not told us anything, any education that they may need to deal with the virus the contagion that everyone is concerned about. >> exactly, most can go to the c.d.c. website for information the the nurses need to know first hand up-to-date information that they can have a dialogue with the c.d.c. or with
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their physicians and their administrators to make sure that they are providing the care that they need, and it is frightening that even though we have done 1600 surveys, the statistics have not changed for readiness at this point. >> what about in terms of equipment, hazmat suits, gloves, maps, do the nurses feel they are well provided for? >> we don't feel we are being well provided for. i'm in bargaining today, and the bargaining team on the gaza side felt that the emory team did a disservice to the health care community by indicating that hazmat suits were part of the equipment that they were using to care for that patient in emory. >> because there have been some - that's not the only place i heard that. i heard that in other places
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that a full hazmat suit sends the wrong message and it is difficult to transmit, maybe it's not needed. is it a matter of education there, perhaps, if they can be more convincing about what is needed? >> i don't know about it, but if it were my mother cared for by a nurse, i would want to make sure she has the hazmat suit because when i see the trash collectors taking out the contaminated waste of wearing hazmat suits, how is that different from what a nurse is doing when she is providing the care to generate the waste. >> deborah burger, co-president of national nurses united. thanks. on the front lines concerns of health care providers in the united states, and now someone that chose to go into the heart of the outbreak. john moore is a getty's images photo journalist. he was in liberia in august, and
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returned to the country last week to continue his work, he's an skype with us now. i have to ask you - why go back now? >> i think the story is important. i am sure your viewers in the u.s. know it's important and nationally. many are dying here, and if ebola is not stopped here in west africa, it will go elsewhere. we have seen that by now. >> you have done a bit, as you tried to protect yourself against the virus. >> yes. before i came, as with my last trip here, i purchased quite a bit of p.p.e. they are basically anti-contamination suits. i bought rubber gloves, rubber boots, boot covers, masks, goggles, the whole outfit in order to keep myself safe. >> i understand that you have to tape yourself up so there's no chance, possibility that you'll
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come into contact with any fluid. >> well, it's important to remember, of course, that this is not airborne and it's fluid, and as a photo journalist i'm not coming in contact with people. health workers have to touch people, help people, and there's a photographer -- and as a photographer i'm standing a little back. we have to be careful not to come in contact with the fluids. >> it must be frightening for the people you see and photograph in the streets. >> it's very dangerous, especially for family members, because they are taking care of their loved ones, they want to clean and comfort them, the things that make us human, loved by our family membersers are the things that are dangerous in the epidemic. >> there's no room for people to be treated at these facilities. we know that the united states,
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u.s. military forces moved in. have you seen them start to assemble some of the care centers. >> they are very much under instruction. in most cases they are -- construction. in most cases they are levelling the ground and will be building them. there's a facility near the airport, which will treat health care workers who come down sick with ebola, and they started building as well other treatment centers in different places. today i went to bon county in central liberia to photograph a us-run treatment center and a u.s.-navy-run laboratory. the mobile laboratory is one of four run by the u.s. government. there'll be more in the coming months as they build up. >> john moore photo journalist for getties images. thank you for being with us in monrovia. >> thank you. after the break, in a battle ground - who is the real
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challenger. >> mark prior for 12 years has been saying arkansas comes first. that is not true any more. for six years he's been putting president obama first. >> our look at america votes 2014 begins with chris brewery in arkansas, where a democrat is running from his president's policy. under siege - the latest target of i.s.i.l. fighters sits on the turkish border. we look at why this may be critical to stop i.s.i.l., and the survival of a kurdish community.
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election day is very close at hand and in a few weeks the face of the u.s. senate could
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change. several democrats are fighting for their political lives as republicans hope to snatch some seeds and solid fi -- seats, and solidify their control of congress. mark prior of arkansas brought in the biggest of the big. >> let's do it. we'll do it. right there, we have it. >> a money shot. chris brewery travelled to arkansas, to find one issue has been dominating the airwave, a report for the battle of arkansas kicks off our america votes 2014. >> reporter: for this conservative republican, president obama's unpopularity may be his strongest asset. congressman tom cotton is trying to unseat senator mark prior, is 2-term democrat. >> prior for 10 years has been
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saying arkansas comes first. that is not true. >> on the stop and on tv, he has relocatelessly criticized prior for his support of the affordable care act, known as obama care. it is the favourite cudgel. >> mark prior has a divisive vote for affordable care act, a law driving up the coast of the health insurance. >> in the town of whitehall, cotton was preaching to the q r choir, attacks on obama care sure fire. >> i said if he voted for obama care, i would not vote for it, and i will not. mr tom cotton i'll vote for. >> reporter: for congressman cotton, attacking obama care is a major theme of his campaign. he criticizes the president's health initiative, arkansas
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reporters count his ox pms -- opm, mentions of obama care per minute. the attacks on obama care are carefully calibrated to emphasise obama instead of care. that's because in arkansas, as in the rest of the america, the health law is unpopular in general. surveys show provisions of the law enjoy broad support. if obama's name is not mentioned. >> part of what you see in the senate race is a battle between the policy and the nickname. >> david ramsay is a reporter for the arkansas times, who covers health care and politics. >> you have a lot of people in arkansas, that don't like affordable care act, but when you ask them do you like low income folks getting coverage, do you like stopping insurance companies discriminating, that kind of things, they may be more
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popular. >> that distrem si between -- discrepancy between popular health care benefits and an unpopular president is reincorrected on how cotton and prior are crafting their messages. >> cotton will say as often as possible obama, and obama care. prior will avoid saying obama care, but is starting to cautiously be willing to talk about some of the laws. >> reporter: in a new tv add prior features his father david, a respected governor and senator. he talks about his battle with cancer. >> no one should fight an insurance company while fighting for your life. that's why i helped pass a law to prevent insurance companies from cancelling your policy if you get sick. >> absent is mention of the obama care. supporters held it as an act of courtroom, with prior taking
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ownership for his vote for obama care. others saw it as a damage. luke, 33, is an engineer for a telecommunications company in little rock. a republican, he plans to vote for cotton. when you see senator prior trying to explain his support in the commercials, what is your thought about that? >> it's the 800 pound guerilla in the room that you are not addressing. >> he shares the conflicted feelings about obama care, supporting some provisions, such as expanding health care for the poor. for him, the law has been a raw deal, resulting in higher premiums and deductibles. >> how does your company explain why your rates would be going up? >> they explained they were mandated to accomplish specific areas, and it will cause the coverage to go up. >> you'll pay more. >> i'll pay more. >> reporter: one aspect that
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polls well is the private action. the state uses federal medicaid dollars to help the poor buy private health insurance. half of our kansas support it. one in three do not. >> a 41-year-old mother of three always worked and had a pre-existing condition, hypertension, making health insurance too expensive until obama care made the private option possible. in january williams got an insurance card for the first time in 10 years. that coverage came in the nick of time. within two month of getting insurance, williams was diagnosed with breast cancer. now, after surgery, chemo and radiation, she's doing a lot better. what does having the insurance mean for your children now? >> it means they have their mum, it's just me and them. you can't imagine how it feels
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to think if i die, leave my kids - it's not the same when you don't have four woken mum. they are my children, my responsibility, and i have to take care of them. i need to be around to do that. >> what will the medications cost if you did not have insurance, do you think? >> if i didn't have insurance. $490 a month. >> $500 a month. that would not be all, just the vital once. >> reporter: when you see the debate in the senate race about health care, what do you think. >> cotton chaffs my hide. it burps me up -- burns me up. it influences my vote. >> reporter: kaitlin is a typeone diabetic, and almost lost her life to the disease. before qualifying for free insurance, she paid for insurance on her own. her premiums and deductibles amounted to more than $5,000 on
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a family income of about $30,000. her condition is so severe she needs insulin around the clock. >> i have an insulin pump giving me 24 hour injections. >> her previous insurance had a life-time limit, capping benefits. her benefits do not run out when a certain amount of money can be spent. >> the life-time cap made me nervous. i felt i was on the verge of it. that would have been the date of my death. i don't know how else to put it. >> do you think the medicaid programme in arkansas saved your life? >> i do. >> since the law took effect, arkansas saw the biggest drop in uninsured residence of any state. the uninsured population fell nearly in half, from 22.5% to 12.4%. that saved the state's hospitals
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tens of millions of dollars. the cost was $64 million a year in free care. >> dr roxanne townsend is c.e.o. of the university of arkansas for medical sciences, a large health care provider. >> when people have an insurance card it doesn't force them into emergency rooms, it is more expense if and is more expensive to the health care system than if you can go into a doctor's office. >> reporter: for all its success, the politics are nastier than ever. the prior-cotton rice is shaping up to be the most expensive history with 38,000 ads aired on tv. >> on tv mark prior talks about the health care that he helped past. he doesn't say it is obama care.
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>> for the race to the senate. it may be important to mention some parts of the obama care, but not mention the name of the man who created it. for tom cotton, unhinging the incumbent may be ignoring the benefits of obama care, and plastering the unpopular name. the next battle takes us to the hawkeye state where the big issue is raising the minimum wage. >> we are growing good paying jobs in iowa. that's the overarching issue. we have to get the economy going. big contest, the first open senate seat in iowa in 40 years. we go inside the race tomorrow on "america tonight". when we return - i.s.i.l. sets its sights on a small turkish border community. why the siege of kobani may be critical to the fight against
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i.s.i.l. later, adam may brought us word about a drug guaranteed to protect against h.i.v. - at least for those that can afford it. now there's more to it. one city stands on the verge of doing something to save lives.
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>> i lived that character >> a hollywood icon forest whitaker >> my interest in acting was always to continue to explore how it connected to other people >> making a difference
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>> what is occurring in other places, is affecting so many different ways... >> inspiring others >> we have to change those things, in order to make our whole live better >> every saturday, join us for exclusive... revealing... and surprising talks with the most interesting people of our time... talk to al jazeera, only on al jazeera america now, a snapshot of stories making headlines on "america tonight" - feared new protests in fisz fisz, if david wilson walks free. he shot and killed the unarmed teenager in august. protests will go beyond the city. police are meeting to draw up a plan. where in the world is the leader of north korea. kim jong un has not been seen in
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public since september 3rd, sparking rumours of a coup or health problems. he was a no show between a meeting between south and nooe have been leaders. >> super typhoon fan phong barrelling towards japan, on the heels of last week's deadly typhoon. in syria, i.s.i.l. fighters are on the brink of capturing a town near the border. fierce fighting between the kurdish forces and i.s.i.s. 400 have been killed, with peshawar forces outgunned. even with the help of u.s. air streaks, calls for help are growing. sheila macvicar reports. >> reporter: smoke rising from
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another air strike on islamic state forces. one of five strikes that the u.s. central command says were carried out today, targetting groups of i.s.i.l. fighters. it's not enough to stop the flag of this well armed war machine from flies high. >> translation: the islamic state group attacked us. we left our villages, they say they are killing infidels. we are not inified else, if they are mus -- infidels, if they are muslim, why are they fighting us. they took our women. and animals. >> reporter: i.s.i.l. are fighting for the rest of the control. battling street for street, with kurdistan militia standing in their way. 400 people have been killed during three weeks of fighting. with tank and artillery, syrians and the army, i.s.i.l. arrived at kobani, after keeping through
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villages in northern syria, much like in northern iraq, driving more than a million iraqi kurds from their homes. if kobani falls, it will give i.s.i.l. command of a swath of territory from their strong old from raqqa and syria. i.s.i.l.'s group in northern syria threatens a nation that has been a reluctant partner in a coalition against the group, turkey. the military is nervously watching the battle unfold a few miles across the boarder. the leaders seen here inside the turkish border is bracing for what seems inevitable. >> translation: months have gone, nothing is achieved. kobani is about to fall. this cannot be solved via air strikes without cooperating with
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those on the ground. >> recep tayyip erdogan vowed to retaliate, but refused to defend kobani or the kurds. the foreign minister implored turkey to act. >> reporter: for kobani we are -- in fact. >> translation: for kobani we are mobilizing. i called my french counterpampt they'll do the same. a tragedy is unfolding at kobani. we must react. >> reporter: the turks say they'll only get involved if the united states agrees to target syrian government forces and the bashar al-assad regime. they are loath to support the militia, linked to the p.k.k., branded a terrorist organization. seeking n independent kurdish tan. most of all the leaders feel their army could become the groups on the ground and taking all the risks that would mean.
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turkey's arm folding while kurds fight caused outrage in that country and across the community. protesters occupied a terminal at london's health roe airport. a day after occupying the dutch parliament in the hague. there were protests in germany and france. angry demonstrators clashed with police. >> sheila macvicar is with us now. what does this mean for the u.s.-led air strikes. there are reports that there has been a number of air strikes in the region, u.s. central command says who is carrying out the strikes, we will not know who was participating. they say "we can see i.s.i.l. armour and fighting positions. why are you not taking them on?" a reason is if you have planes
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in the air, they can only hit what they can see. there's no forward controllers on the ground. there's no one there to paint things for the pilots, to show them where the pilots are or have been hidden. we know that i.s.i.l. changed their tactics, they are dispersing and hiding more. >> on the other front, the united states and the diplomatic effort to bring things to an end. >> as an example of how important and sensitive this is at the moment, there has been two calls between secretary of state john kerry and the turkish prime minister within that 12 hour period. we know that general allen, tasked by president obama to oversee the fight against i.s.i.l., will head to ankara to meet with leaders, including president recep tayyip erdogan in the next 48 hours or so. the turks are sitting on the fence. the turks do not want to become the de facto boots on the
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ground. the only fighting force that is fighting against i.s.i.l. are kurdish forces in syria and iraq. you have the regime forces in syria, and some gains made in iraq by a combination of the sunni tribes which are rejecting i.s.i.l., and the iraqi forces. the only major regional player with a major military force are the turks. they don't want to be the boots. >> they don't want to be the boots, but they hold the cards. >> they do hold the cards, but they don't want i.s.i.l. sitting on the boarder. they may be prepared to risk that now. there are many factors, the kurdish relationship, n.a.t.o. relationship. there are many factors that may lead the turks to act or make a decision about the roll they are
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prepared to play. they have authorised the use of force and air bases. it's unclear how much of that will take place. they have a growing restive kurdish population in turkey, and that is something ankara will not want continued. >> thank you so much. >> from the 30,000 foot diplomatic debate to the view on the ground - we go to ankara in turkey. the last journalist was evacuated from kobani a few days ago. he's on the line with us. can you tell us if you have been able to talk to anyone in kobani town. >> indeed, i have. i was talking last night to a contact in the civil administration of kobani. and that is was 30 minutes after he was evacuated with a bunch of other people, across the border into turkey. he said approximately 2,000
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civilians joined him and the others across the border. >> can you talk about the sense of the people in kobani up to. are they afraid. is there a sense they'll stand up and defend themselves? >> people were afraid of the shellings. there's a substantial number of people hit, injured. some dying of the shelling. people felt the worry of this. the streets gradually became empty. moral was high. thousands were ready to stay in the city. i witnessed how hundreds of people trickled back into kobani, over the border to join the resistance against the intruders. people were ready to take the fight against i.s.i.s., because the work with kobani, what it symbolizes. >> are they equipped to defend themselves? >> i wouldn't say they are equipped to defend themselves.
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i mainly saw some handguns, kalashnikovs. a few heavy machine-guns. there was a home made tank. this is what they have to defend themselves with, a number of tanks from the syrian army, a number of humvees taken from the iraqi army. heavy machine-guns from i.s.i.s. it's an uneven fight. people still try to use this and any creativity that there is, to try to fend off the inified else. >> i can't imagine why they haven't fled, why everyone hasn't tried to get over the border. >> what kobane symbolized for the kurdish population, the first time the kurd lived in a cultural and political freedom, where they speak their own language, practice their own traditions, culture, celebrate
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the new year without being harassed dismrim nated or shout upon. do you have a sense that you or others will be able to get into kobani town soon. >> difficult to say. it is the fact that the turkish army have been militarizing the border, especially since the large conflict broke out. before going into kobani, i spent two days and a night in a camp set up next to the border. there has been hundreds if not thousands of volunteers, kurdish and syrian, from turkey, willing to go into kobani, to join the fight against i.s.i.s. the turkish army prevented at least people and the international media to cross into kobani. we have seen large demonstrations across turkey in the last week. today there has been reports of
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several dead people in a number of cities. >> it's a situation we are watching closely. we are watching the situation. the journalist, the last, to be evacuated from kobani. thank you for being was. with us. -- with us. >> thank you very much. >> after the break, a drug almost guaranteed to save lives. >> it was a game changer for me, spending the first two decades of my sexual life living with the fear that i could be h.i.v. positive. >> "america tonight"s adam may brought us a look at truvada, the anti-h.i.v. drug for those that can afford it. there's now more to it. what one u.s. city is considering to make it available to all. before the end of the hour, adapting exposurures. how tradition has been challenged, and why it risks
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putting some out of business.
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so much focus on the ebola epidemic, another long-term health crisis stepped away from the headlines. years of effort in the fight against aids brought us treatment and a drug that shows promise in preventing it. "america tonight"s adam may told us about the drug, truvada, and reports that san francisco is
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weighing a controversial proposal to pay for it, giving it to anyone that wants it. there's more to it as we learn from "america tonight" adam may's original report. >> dame job jacob says that little blue pill changed his sex life, it's not the little blue pill you may be thinking of. it is troouf arda, a new class of duration preventing h.i.v. infection 99% of the time if taken as directed. jacobs, a therapist in new york city takes the pill every day. >> it was a game changer for me, spending the first two decades of my life living with the fear of knowing i could be h.i.v. positive. >> it is a preexposure prophylaxis, meaning you are
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trying to prevent infection, blocking the ability of the pathogen, in this case h.i.v., from reproducing itself. >> the doctor, a nation's h.i.v. expert is the director of the national institute of allergy and infectious disease. he says it is an important step forward. >> we found out in clinical trials if you give one pill of two drugs every day to an uninfected person, you can dramatically diminish the likelihood that that person will be infected. we know it works, we need to implement to get people to use it. >> reporter: the doctor has been on the front line of the battle of aides since the beginning. >> i took care of patients in 1981. we had the first drug in 1987, six years. we had the first effective combination of drugs in 1986. i went a lot of years taking
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care of patients, almost all of whom died before we had effective therapy. >> i came out in the late '80s, early '90s, and lived in san francisco, where knowing and loving people with aides meant losing people to aids. >> the partners. >> people i was aware i had been intimated with, you heard that "so and so died" much >> reporter: what was it like to hear that? >> strangely enough, when it happened enough times i was numb. it seemed like it was a never-ending thing, that i would have to cope with for my life. >> can you imagine if prep was around. >> i can't think of anybody who has died who wouldn't have taken prep if they had the option to do so. >> reporter: now people have the option, but not many are taking it. fewer than 2,000 patients filled
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prescriptions in the last two years, according to data from half the pharmacies in the country. leading the charge, aids activists, the multinational aids care foundation has been vehemently fighting prep for the last two years. in 2012 members urged the f.d.a. not to approve the drug. >> at this time there's not enough evidence to establish safety and evocation, and release it to wide-scale use. >> we believe based on our experience, being the largest aids organization in the world, providing care for over 27 years in many, many countries, is the vast majority of people that take pet will not remain adherent. there's the potential that the risk of h.i.v. infection increases, rather than decreases. >> in other words. people on prep will stop using condoms, forget to take the pill
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and be infected with h.i.v. studies showed while prep was effective, less than half of patients took it consistently. the doctor says you have to put it in perspective. >> the people are likely the people who would not be getting protection anyway. you don't want to let the perfect be the enemy of the good. now, the agency is funding clinical trials to look at adherence rates among real patients that elect to take the drugs. sheree is overseeing the trial. >> over 90% of patients report no problems. we have a waiting list of 90 people. we enrolled 120. >> reporter: why are people so
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interested in trying this? >> it's an exciting new strategy for preventing h.i.v. it's been so long since we had a breath of fresh air in h.i.v. prevention. folks are concerned about the sudden individuals that will go out and have condomless sex because they have this pill. it's akin to negative concern that happened, or the oral contraceptive, an idea of if we make the pill available, everyone will go wild. that's a concern that has not borne out. >> there's a difference between an unplanned pregnancy and acquiring a potentially fatal disease. there are problems, i assume, even with birth control, there are unplanned pregnancies. i don't think the analogy holds. >> why is there a difference within the community as to how to tackle this.
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>> in the whole area of h.i.v. prevention there has been disagreement. for example, when we first developed proper therapies for h.i.v., people would say "well, now that you have therapy for h.i.v., people are going to be more careless and get infected." that's true. some might. i would rather have a therapy for h.i.v. and save hundreds of thousands, if not millions of lives, than having no therapy because some people, since therapy is available, might be practicing risky behaviour. >> reporter: are we at a tipping point? >> i think we are. if you see the acceleration of infections, it started to plateau, go down. we have had the misfortune, as a generation, of seeing one of the most devastating pandemics in the history of mann kind. now we have the opportunity for
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the next generation, my children, to see the point where we can rid the world of this pandemic. >> that hope is now beginning to spread. >> we have made a lot of progress. we are not going to be happy until we end the epidemic, and we believe we can. >> the morning. gay pride parade, the governor announced a plan to end the aids entemic in the city, and called for the lowering the price of prep. it costs 13,000 a year. it is covered by medicaid and most insurance. aids activists applauded the move. >> we think it's a big deal because no government entity in the world has yet committed to ending h.i.v. by a particular date, but we are going to have to move from a few thousand people who are taking h.i.v. prevention drugs to scores of
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thousands. they took the message to the street,nd demanding the drug maker gilly add reduce its prices. damon was there too, spreading the word about prep. >> it's daily medication, that an h.i.v. person can take to stay negative. >> reporter: motivated by a friend he had not seen in months. >> he looked at me, his face dropped and his eyes got watery saying "i tested positive four months ago. why didn't you tell me there's a way to stay negative, i would have taken it?" what could i say? he was right, i didn't tell him. i failed him. the community, the prevention community failed him. no one got the message to the 24-year-old young man that prep was heerks he had a way of --
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was here, he had a way of staying negative. that is when i used my frustration and anger to get this message out there. that was "america tonight"s adam may reporting. he'll continue to follow up on a proposal in san francisco to pay for truvada. ahead, it's a long shot but proof that technology hasn't quite trumped tradition. next up - one man's quest to stay relevant in the age of the selfie.
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finally from us, a snapshot from senna gal where the digital revolution is taking a toll on tradition in trade. formal photography students helped the senegalese mark
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birth, marriage, and during the muslim holiday of eid, the popular self-portrait with sheep. now, of course, there's an app for that - putting traditional photographers out to pasture. nick hack reports from the capital. >> reporter: for this person owning a beautiful sheep for the muslim celebration of eid is a matter of pride and prestige. >> translation: it cost me a small fortune, we had to save up for months. i'm grateful that i will be able to feed my family and the poor around me, thanks to the animal. >> reporter: he takes a picture every year to mark the occasion. >> translation: i take one or two portraits a year, not more. >> each eid calls for a new outfit. taylors are working around the clock to meet people's orders.
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>> translation: this is the busiest time of the year. everyone wants to look their best for this occasion. >> reporter: the clothing of choice carries extra importance. it's the picture more than the celebration that gets him to dress up. access costs a few dollars. getting the right shot takes time and effort. >> translation: it's not just about capturing the moment. it seeks to address the values and status of individuals as well as the animal. it's about marking a period of your life. >> reporter: this is one of the last photographic studios. the tradition is disappearing. photographers, studio owners, and the industry is in decline. it's up against a new phenomena, too difficult to compete with - the selfie. smartphones are making their way into every day life. gone is the special attire and
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time spent in the studio. >> i'm glad i captured the moment with my sheep. i can share is online. >> he doesn't have friend online or access. he's doing it for himself, keeping a dying tradition alive. a sheep selfie would be the shelfie, i guess. a little of our world on "america tonight". tomorrow we head to iowa, where there's a showdown over a senate seat. we'll go inside the battle in "america votes 2014" series. if you'd like to comment on any stories seen, log on to the website enjoy the conversation any time on twitter or on facebook. goodnight. we'll have more of "america tonight" tomorrow.
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why are the u.s. and turkey not taking the needed action to stop i.s.i.l. taking a syrian city. u.s. nurses on their fear of ebola, and president obama showing stunning disloyalty. i'm antonio mora, welcome to "consider this", that and more ahead. >> the battle for kobani - more intense than