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Chris Christie Not Sorry for Quarantine; U.S. Military Personnel under Controlled Monitoring; Interview with Dr. Rick Sacra; Where is Ebola Czar Ron Klain?; Sheriff: School Shooter Lured Victims to Cafeteria; New Threat from ISIS: Shoulder-Fired Missiles

Aired October 27, 2014 - 19:00   ET


ERIN BURNETT, CNN ANCHOR: OUTFRONT next, New Jersey Governor Chris Christie versus the nurse. Should health care workers coming from West Africa be quarantined?

Ebola survivor and Dr. Rick Sacra is OUTFRONT tonight.

Plus, a journalist and prisoner of ISIS appears in a glossy new video looking dapper, dressed in black, filing a, quote/unquote, "report." Why him and why now?

And breaking news in the Washington school shooting. New details tonight that the gunman lured his classmates and cousins to the cafeteria before shooting them.

Let's go OUTFRONT.

Good evening. I'm Erin Burnett. And OUTFRONT tonight the breaking news.

Out of quarantine. The nurse in the middle of a national firestorm over Ebola quarantine rule is Ebola-free for now and on her way home to Maine at this hour.

Kaci Hickox forced into quarantine by New Jersey Governor Chris Christie after she returned from treating Ebola patients in Sierra Leone is currently right now on her way to Maine. There's questions there of exactly how she'll be treated when she's there. And we're told that she'll actually also be in quarantine there at this hour. She is threatening to sue Christie and says he knows nothing about medicine.

Chris Christie, though, is not backing down today and says he is not sorry.


GOV. CHRIS CHRISTIE (R), NEW JERSEY: She needs to understand that the obligation of elected officials is to protect the public health of all the people. And if that inconvenienced her for a period of time, that's what we need to do to protect the public.


BURNETT: And a brand new CNN/ORC poll shows there is some support for stricter quarantine rules. 78 percent of Americans support quarantines for U.S. citizens who return from the Ebola zone with symptoms. 20 percent go further, saying they should be prevented from entering the United States.

Of course, keep in mind there's a 21-day incubation period during which you could have Ebola but before you actually show symptoms. That's the gray area.

CDC officials today stopped short of issuing nationwide quarantine rules. Instead they came out with a new set of guidelines. And frankly there are a whole lot of pages and they got risk levels and a lot of things that say we're going to evaluate things on a, quote, "case-by-case basis." Still confusing.

All of this of course ignited by the case of American doctor Dr. Craig Spencer who is in serious condition at New York's Bellevue Hospital tonight.

That's where our Miguel Marquez is and that's where we begin our coverage -- Miguel.

MIGUEL MARQUEZ, CNN CORRESPONDENT: Yes. Erin, look, the quarantine that New Jersey put into effect, the toughest in the country, was put into effect last week. Within minutes, within hours of it being put into effect, it's -- and the governor came under fire.


MARQUEZ (voice-over): New Jersey Governor Chris Christie not backing down from his mandatory quarantine order.

CHRISTIE: I absolutely have no second thoughts about it.

MARQUEZ: But his handling of Ebola nurse Kaci Hickox's quarantine in Newark is getting slammed. Hickox has just landed at Newark Airport after treating Ebola patient in Sierra Leone when Christie announced abruptly that he was instituting a 21-day mandatory quarantine for all health care workers returning from West Africa.

KACI HICKOX, NURSE UNDER MANDATORY QUARANTINE IN NEW JERSEY: I just came back from one of the most difficult months of my life. And to make me stay for 21 days, to not be with my family, to put me through this emotional and physical stress is completely unacceptable.

MARQUEZ: Conditions in New Jersey quarantine stark. The toilet wrapped in plastic and sitting on a locked removable box. To stay clean, a foot pump sink. No shower. The room a decent size. But is this a fitting way to treat a health care worker who just completed a tough month-long assignment in Ebola-stricken Sierra Leone?

HICKOX: There always needs to be a balance because I also want to be treated with compassion and humanity. I don't feel like I've been treated that way the past three days. MARQUEZ: The New Jersey governor says tough, it is a public health

issue. He's protecting his citizens and insists Hickox appeared sick.

CHRISTIE: The reason she was put in the hospital in the first place is because she was running a high fever and was symptomatic.

MARQUEZ: Christie's move, raising questions from the highest levels.

JOSH EARNEST, WHITE HOUSE PRESS SECRETARY: Her service and commitment to this cause is something that should be honored and respected. And I don't think we do that by making her live in a tent for two or three days.

MARQUEZ: And after a weekend in quarantine, Hickox is suddenly being released.

UNIDENTIFIED MALE: Why did you reverse your decision and release her?

CHRISTIE: I didn't reverse a decision. Why are you saying I reversed a decision?

UNIDENTIFIED MALE: That's because now she gets to go home --

CHRISTIE: She always got -- if was continuing to be ill, she hasn't had any symptoms for 24 hours and she tested negative for Ebola. So there's no reason to keep her.

MARQUEZ: But the aid worker who helped those struggling in Sierra Leone where nearly 1300 people have died says politics and Ebola just don't mix.

HICKOX: This is so frustrating to me. First of all, I don't think he is a doctor and secondly, he's never laid eyes on me. And thirdly, I have been asymptomatic since I've been here.


MARQUEZ: Now Kaci Hickox was working for Doctors Without Borders and that group came out with a very strong statement today saying that this sort of quarantine would hinder their efforts to stop the disease and probably only bring more individuals into this country with Ebola.

Meantime here at Bellevue, a 5-year-old boy who was brought in for testing after returning from Guinea on Saturday night, he has turned out to be negative in his first blood test for Ebola. But he and his mother will remain here at the hospital as well as Dr. Spencer to be tested several more times to make sure he is Ebola-free -- Erin.

BURNETT: All right. Miguel, thank you very much.

And, you know, when you look at what's actually going to happen here. You've got to look at the U.S. military. The commander of the U.S. Army in Africa and about 10 other personnel are now in quarantine tonight. They were placed under what they call controlled monitoring after landing in Italy following a West Africa trip. And we're getting more details now of, you know, some of these enforced quarantines in New Jersey and New York, and frankly, even Maine, where the nurse is going, you're allowed to see your family but you are in mandatory quarantine, you're not allowed to see your family for these guys.

It's a very different situation.

Barbara Starr joins me now from the Pentagon.

And Barbara, they're not using the quarantine word but this is like a quarantine on steroids when you compare it to what we're hearing about in New Jersey and New York.

BARBARA STARR, CNN PENTAGON CORRESPONDENT: Yes, Erin. Good evening. You know, the Pentagon doesn't want to use that word. They're calling it controlled monitoring. But here are the facts. These personnel will be in a separate facility on base. Their food will be delivered to them. They will not be able to go outside. They will not be able to see their families. They can talk to them over social media, on the Internet, on the phone.

But they are not going outside for 21 days. This team returned, led by Major General Darryl Williams, a two-star army general, he will be with his personnel. He, too, will be basically in a controlled, let's face it, locked up situation for the next 21 days. None of them are symptomatic. Nobody is showing any signs of any Ebola symptoms, thankfully. But the U.S. Army decided to take this step of what they call an abundance of caution.

And now tonight they are saying, all military personnel, army personnel -- let me be clear. All army personnel returning from West Africa will be placed in controlled monitoring for 21 days. Now the next step is exactly what you might think. Defense Secretary Chuck Hagel has to make a decision.

Does he want to order this mandatory monitoring situation, if you will, for all personnel returning from Africa, from all the military services. And you know, it could reach the number of 4,000 people. That's how many people are authorized to go. Right now there are about 900 -- Erin.

BURNETT: Barbara Starr, thank you very much.

Obviously a significant development when you talk about this debate that is raging across the country.

Joining me now via Skype is Ebola survivor Rick Sacra.

And Dr. Sacra, thank you so much for taking the time. You were -- you contracted Ebola in Africa. I know you were delivering babies. You were helping people. I know one of your patients unbeknownst to you had Ebola.

I guess one of the basic questions I have to try to understand what we're talking about with these quarantines, in your case, how quickly did your symptoms come on? And did you realize you had Ebola? DR. RICK SACRA, EBOLA SURVIVOR: On a Friday evening, I developed a

fever about 10:00 at night. 100.8. I was immediately concerned. Because, you know, as a health care worker, you know what you're dealing with and the fever is the first sign. And all I had, the only symptoms I had for the entire weekend, Saturday, Sunday, Monday, was fever. That's all I had until Monday night.

So three days later I started having some stomach pains and some vomiting, diarrhea, those kinds of symptoms. So, for me, you know, it was fever was definitely first. And you know, as a health care worker, you know that you have to be concerned about Ebola if you're in one of those three countries working with patients.

BURNETT: And I guess this is then the question on this issue of quarantine, which I know you've written an op-ed for "USA Today." You know, one of the reasons being given for the mandatory quarantine, not just in New York and New Jersey, now Maryland, Maine, but also the U.S. Army, is that symptoms can be confused with a lot of other things and maybe not easily recognized by everybody.

They can come on rather suddenly. So the fear is, you could be asymptomatic, not able to spread the disease and then symptomatic rather quickly. So you could get that fever and be in a public location. So what a mandatory home quarantine as those governors are now putting forth, as the U.S. Army is putting forth, actually in a much more strident way, they're not even letting these folks leave the building or see their family -- would that make sense to make the risk zero?

SACRA: First of all, let's keep our eye on the thousands of people in West Africa dying of Ebola and they need our help. So let's keep the big picture in mind. I know that the governors of New York and New Jersey and other places can't really -- they have to think about their state. But I'm asking everybody who is listening, let's keep the big picture in mind.

West Africa needs us. They need our help. And we need to do things that are going to facilitate getting them that help. In response to your question, you know, whatever -- there is other ways to do this without a "no stepping outside your front door" quarantine. You can do active monitoring.

If we don't trust -- you know, if we don't want to rely on self- monitoring, we can do active monitoring where the health department actually calls -- actually calls people up and says, what's your temperature? Or even comes to visit them and says -- at pre-appointed times and checks the temperature.

You know, you're not going to spread the disease in the first 10 minutes that you have a fever. We know that the contagiousness of Ebola increases over time. When people are really the most contagious is at the end. When they're critically ill.

BURNETT: And certainly we have seen that because the nurses who contracted in it Dallas, that was -- was to your point when Eric Duncan was at his very sickest. But I wanted to ask about what Congressman Tim Murphy said on this

issue because I think it goes to the heart of it. And the heart of the heroism of people like yourself and then the fear that people feel when they come home. He came on CNN. He talked about American health care work who volunteered to help Ebola victims in Africa. And here's what he said about that.


REP. TIM MURPHY (R), PENNSYLVANIA: We're proud of them, we're thankful for them. However, that selflessness does not end at the borders of Africa. It continues when they come home because these physicians are people who take the Hippocratic Oath, at first do no harm. We have to recognize that if they travel around, they can put other people at risk.


BURNETT: And Dr. Sacra, of course, if you read people's comments on social media, I mean, you know, let's just be honest. There is a lot of anger at the doctor who was traveling around New York City even though he had been told to stay away from work during the incubation period, which is tragic because he was doing something heroic in Africa. But there does appear to be an inconsistency.

If you're told don't to go to work during the incubation period, why would it be OK to be in public going to restaurants, to subway, you name it?

SACRA: When a doctor is at work, he is working with needles, scalpels, you know, it's a more intense level of exposure to that other individual than sitting across from somebody in a restaurant. I don't think we can compare those two things. The fact is that people who don't have symptoms do not spread the virus.

So why do they -- why does someone with no symptoms have to be confined to a room when they're not a risk? I just -- personally, I feel it's a disincentive for people to go, you know, I asked him to be locked in your apartment for three weeks, would you say, oh, sure? With a -- you know, with a light heart? No. You'd say, well no. I want to find a way around this. This is not a way to facilitate our helping West Africa.

BURNETT: It's a fair point. You know, that the governor of New Jersey, his response to that point, though, was he tried. He tried a voluntary, please think about other people, you know, he says, he's going to enforce the quarantines now, because -- well, let me explain to you why, why he says that it's not working by allowing it to be voluntary. He gave an example and I'll play it for you.


CHRISTIE: We tried voluntary quarantine once with the NBC News crew. And within a day or two they violated their agreement with us. And then we issued a mandatory quarantine. I made the decision right then after having that experience, that there's going to be no more voluntary quarantine in New Jersey.


BURNETT: Does he have a valid point?

SACRA: Again, I think, you know, there are different levels. There's self-monitoring, there's active monitoring by phone, there's active monitoring in person. I think we can look at different -- you know, there's a range of things before you get to stuck in your house without any -- you know, without any freedom at all. I think there is room for finding a middle ground in there.

BURNETT: And I guess, you know, the question you were putting to me, how hard it would be if you're watching right now tonight and thinking, would you go do this, if you then had to stay in your home for 21 days and weren't allowed to go outside, or if you're in the U.S. Army, not allowed to see your family either.

You've been through this. You've contracted Ebola. You've survived. You've been that close to death. Would you go back and do it again? Will you go back and do it again?

SACRA: Well, of course, I don't have any regrets. I can definitely say that. I don't have any regrets. And say, you know, God has placed in my heart and I think in many people's hearts a desire to help our neighbors, to love our neighbors in West Africa to do what we can to help them out of this crisis.

And I don't have any regrets and I do plan to go back now. But of course now I'm immune to this strain of Ebola. So I have a little bit of a safety net there.

BURNETT: All right. Well, thank you so much, Doctor. We really appreciate your taking time being with us tonight.

SACRA: Thank you.

BURNETT: Well, it has been 10 days since President Obama named an Ebola czar. But guess what? Where's Waldo? Haven't seen him, have you?

And breaking news in the Washington school shooting. Police say the teen gunman texted his victims, inviting them to sit at the same lunch table. They did. He had a gun, he shot them.

Plus, a journalist and ISIS hostage forced to appear in a glossy new video. He looks healthy and well. But why does the terror group have him filing a news report? We'll play it for you.


BURNETT: All right. Tonight there's a battle brewing between the White House and one of the nation's most visible governors over Ebola.

Nurse Kaci Hickox claimed that Chris Christie violated her human rights by imposing a 21-day mandatory quarantine after she returned from West Africa. The White House was not happy with it either, saying it had concerns about the quarantine's unintended consequences.

Jim Acosta is OUTFRONT at the White House tonight.

And Jim, there is a lot of confusion as to whether or not Hickox should have been quarantined. Obviously she had a fever, as Christie's excuse, right, for why he initially put her in the hospital. But she is still in the 21-day period. My understanding is in Maine she's going to be forced to stay home as well. Chris Christie refuses to apologize. We haven't yet heard from the Ebola czar. He's been silent.

Where is Ron Klain in all this?

JIM ACOSTA, CNN SENIOR WHITE HOUSE CORRESPONDENT: Well, he's been sort of a television or press quarantine you might say, Erin. We have not seen Ron Klain since he became the -- Obama administration Ebola response coordinator about a week and a half ago. He started on the job last Wednesday. And so the White House is saying well, give him some time. You might see more from him soon.

But what official are telling us, Erin, is that he's going to be taking on more of a behind-the-scenes role, coordinating the response among these different agencies but, you know, this raises the question, today was the perfect example to see the Ebola response coordinator because you have all of these various agencies, the federal government sort of weighing in on what happened in New Jersey.

And, you know, at the same time, you have states basically now having the ability to do whatever they want when it comes to quarantines. The White House said earlier today that the CDC really didn't have enforcement power to force these states to adopt their guidelines that they put out earlier today. And so this was clearly a case where Ron Klain could have been instrumental but they're keeping him behind the curtains here at the White House to coordinate the response behind the scenes.

BURNETT: And, you know, we're talking about how the American people feel about this. A lot of this is, is about public calm. Our new poll, we just sort of released a couple of moments ago, Jim, said nearly 70 percent of Americans say that foreign citizens traveling to the United States with symptoms should be quarantined. Thirty percent want to prevent people from West Africa from entering the United States all together.

Is anything on the table? This is whole issue of closing the borders, quote-unquote, "quarantining people," from those countries, from the source where the crisis is coming from. Is that on the table with this new czar?

ACOSTA: It is not on the table with this administration, Erin. And the reason why is that right now the White House is saying, and you've heard top public health officials say this as well. Tom Frieden had a conference call earlier this afternoon when he was laying out these new CDC guidelines. They are afraid of -- and you put this earlier, these unintended consequences. If you have quarantines, that might provide, in the view of White House officials, a disincentive for those public health worker to go to West Africa and be on the front lines.

And they really feel like if Ebola is going to be stopped, it has to be stopped in West Africa. So if you start quarantining public health workers like what happened with that nurse in New Jersey, you might see a lot of doctors and nurses saying, you know what, maybe we're not going to go over there and do that. I really don't want to get locked in a tent for 72 hours like we saw in the case with Kaci Hickox.

You know, so they're very much concerned about that. And -- but the problem at this point is, Erin, is that you have all of these different states now basically capable of doing anything that they want. And when I asked Josh Earnest, the White House press secretary, about this earlier today, can a state just put somebody in a tent if they want to, he said, well, if that's within the law of that state, then they can do that. And so I think there's still a lot of questions for the administration to answer at this point.

BURNETT: There certainly are.

Jim Acosta, thank you very much.

ACOSTA: You bet.

BURNETT: Joining me now is Dr. Arlene Marty, she actually just returned from West Africa in Nigeria treating Ebola patients there. Dr. Alexandra Garza, a former assistant secretary for health affairs, chief medical officer of the Department of Homeland Security.

All right. I want to ask both of you about -- I mean, I'm looking here, I've got -- by the way, these are the new CDC guidelines today. They're maybe not the clarity a lot of people were looking, but, Dr. Marty, let me start with you on this issue of quarantining.

You were in Nigeria. You came home. You've been home I believe for 21 days or if not -- answer the question. But what did you do in terms of the, quote/unquote, quarantining going in public places and seeing people?

DR. ARLENE MARTY, TREATED EBOLA PATIENTS IN NIGERIA: Well, I stayed home for a couple of days. And after that, and throughout the time that I was here, I self-monitored. I did temperature checks twice a day and I self-monitored myself for symptoms. But I didn't stay away from people knowing that I was asymptomatic and also knowing how incredibly cautious I had been while I was in West Africa.

BURNETT: Which actually is an interesting point and brings me, Dr. Garza, to what I want to point out here in the CDC guidelines. Because, you know, these are four pages in small print. They are confusing but when they talk about people like Dr. Marty, others who have been over in Africa treating Ebola patients, they call them the sum risk category. Then they have a whole grid here of what risk gets what treatment. And in some risk, they say case-by-case assessment.

Is that reasonable? That you can do a case-by-case assessment so that you could say Dr. Marty was so careful. She needs less restrictions than somebody else. ALEXANDRA GARZA, FORMER ASSISTANT SECRETARY FOR HEALTH AFFAIRS:

Right. Well, I think what they're trying to do is carve out the middle ground. Right? So on the one hand you have the governors of New Jersey and New York who are saying, we're going to quarantine these health care workers for 21 days. And on the other hand you have other people who say, they should be allowed to go about freely do whatever they wish as long as they're asymptomatic.

And so what I think the CDC is trying to do is add a little bit of nuance in there. So if a health care worker does come home, does have a fever or some other symptom, then dealing with those on a case-by- case basis, where on the other hand if they are completely symptom- free and have had no problems whatsoever, they shouldn't be held to those same restrictive measures.

BURNETT: Right. I mean, I guess, Dr. Marty, it does come down to the issue with Dr. Craig Spencer who's currently in Bellevue tonight. You know, a lot of the anger that we see on social media is people saying, you know, why were you out and about in New York City? Clearly, he didn't think he'd been -- something had happened to him where he'd been exposed to the virus. Because you'd think that if he did, he wouldn't have been going around New York City.

So that's part of I think what gives people some fear and maybe a lack of confidence that maybe you don't know when it -- when a bodily fluid came in contact with you.

MARTY: Well, there is a small, very minute risk that that can happen regardless of how careful an individual is. Nonetheless, there are other solutions beyond these draconian put everyone in isolation, excuse me, in quarantine for 21 days. That we can think about for now because we do live in the 21st century and not in the 13th or 14th.

BURNETT: And Dr. Gaza, what about what the U.S. Army is doing? You would think that they would be doing this with yes, an abundance of caution but also all the science at their fingertips. They are doing a much more stringent policy than the governors of New York, New Jersey, Maine, Maryland, and other states that are now enforcing a mandatory quarantine.

They are saying you are not allowed to -- you're going to be housed in a separate place. You are not allowed to see your family, you're only allowed to see them via Skype and phone.

GARZA: Yes --

BURNETT: Is the U.S. Army back in the 13th century? Or is the U.S. Army saying, you know what, no risk is the only risk that the United States can accept?

GARZA: Right, right. So, Erin, as an active reservist, I can't comment publicly on DOD policy. But what I can say is, you know, it does bring up interesting questions on the -- which way the administration is trying to go on the question of quarantine. And when it doesn't comport with the administration saying one thing, where they don't believe health care workers should be quarantined, but then another administration or another part of the administration says another thing, it obviously causes conflict.


Thanks very much to both of you. We appreciate it.

And we are learning just as we're talking about these states with new policies. Maryland joined New York and New Jersey with a quarantine policy today. We are now learning a potential Ebola patient has just been transferred to a Maryland hospital. We don't yet know the details of who it is, whether they were health care workers. Any of that. Whether it's part of the new policy. But we're going to be getting that information and bring it to you as soon as we get it this hour.

Next, though, the breaking news in the Washington school shooting. Police say the gunman used a text message to lure the five victims to the same lunch table before he shot them.

Plus, what many long fear. ISIS militants tonight may be capable of shooting down commercial planes. Some militants even sharing a manual on the best ways to shoot them down.


BURNETT: Breaking news tonight: we have disturbing new details about the moments leading up to the deadly school shooting outside Seattle, Washington, that left three students including the shooter dead. Three others are fighting for their lives tonight.

The sheriff just revealing, the gunman, 14-year-old Jaylen Fryberg, text messaged three friends and two cousins, two that were related to them to meet him in the cafeteria. This was shortly before he walked into the lunch room with a loaded handgun and open fire against those five.

Pamela Brown is OUTFRONT in Marysville, Washington, with more on these breaking details.


PAMELA BROWN, CNN JUSTICE CORRESPONDENT (voice-over): A law enforcement source tells CNN Jaylen Fryberg sent a selfie to his ex- girlfriend showing him holding a gun shortly before the rampage. And tonight, Snohomish official say he lured the five victims to one spot in the school cafeteria through a text message before he walked in and opened fire.

SHERIFF TY TRENARY, SNOHOMISH COUNTY: We know that the shooter had arranged to meet with friends at the lunch hour on Friday. Witnesses confirm they were at the table when the shooter opened fire.

BROWN: Tonight, investigator are searching Fryberg's computers, scouring his social media and talking to witnesses, trying to piece together why the popular freshman homecoming prince would turn so violent, targeting his best friends and family. On Twitter, a trail of ominous messages, "It breaks me. It actually

does. I know it seem like I'm sweating it off but I'm not. And I never will be able to."

His most recent tweet just a day before the attack, "It won't last. It will never last."

Sources say, Fryberg may have acted out following a family dispute.

KEYANNA KELTON, STUDENT: Jaylen pull out a gun and shot his friends and his cousins.

BROWN (on camera): Why do you think did he that?

KELTON: Him and one of his cousins got into a fight a few weeks ago over his ex-girlfriend.

BROWN (voice-over): Breaking overnight: a second victim, Gia Soriano, died from her shooting injuries. Her doctor read a family statement at a hospital.

DR. JOANNE ROBERTS, CHIEF MEDICAL OFFER, PROVIDENCE REGIONAL MEDICAL CENTER: Gia is our beautiful daughter and words cannot express how much we will miss her.

BROWN: The first victim, student Zoe Galasso, was remembered for her bright smile and sense of humor. Heart broken students are struggling to cope with the loss.

PAIGE AICHER, ZOE GALASSO'S FRIEND: I'm in a lot of shock. I never thought I would lose my best friend at such a young age.

BROWN: Witnesses say the death toll could have been higher had first year social studies teacher Megan Silberberger not stepped in.

UNIDENTIFIED MALE: She grabbed his arm, like hand on hand. It happened like in seconds.


BROWN: And here at the high school, there is been a steady flow of students and members of the community coming here, you see, to pay their respects. Classes have been canceled here for the rest of the week as the community tries to cope with this tragedy, Erin.

And we have learned that three victim still in the hospital, two in critical and another in satisfactory condition tonight -- Erin.

BURNETT: All right. Thank you very much, Pamela.

I want to bring in Dr. Drew Pinsky, the host of HLN's "Dr. Drew on Call". Joining me on the phone is CNN law enforcement analyst, Tom Fuentes.

Dr. Drew, let me start with you. When you hear the latest detail that Jaylen attacked his friends and two of his cousins to meet him in the cafeteria, when you think about the fact that he did that, the planning, when you think about the fact of who texted, friends and relatives, what do you hear?

DR. DREW PINSKY, HLN HOST: Well, I hear nothing different than a young man with a gun planning to kill somebody. Whether or not he knew where they were going to be or planted them there, it's all same phenomenon.

And the reality is, this is why we don't like -- well, why there's great concern about young people having access to firearms. The frontal part of their brain, this part of their brain that actually shut down during adolescence, is not available to them to help them predict the consequence of their action. They can only react to their feelings in the moment and they don't have executive function that lets them understand fully what it is they're doing.

So, an impulsive act like this, even though there was some premeditation, he would not necessarily be able to see what he was doing as his whole world probably had crumbled around him.

BURNETT: And, Tom, you know, Dr. Drew is talking about -- you know, his inability to manage this. I wanted to read some of the tweets that Jaylen had sent out. One of them, "All right. You expletive got me." That breaks me -- "broke me," I'm sorry. Then he said, "It breaks me. It actually does. I know it seems like I'm sweating it off, but I'm not, and I never will be able to."

When you read those, not knowing anything about this, it just sounds like a teenager who's going through a tough time. How, Tom, is anyone able to determine the difference between a teenage who tweets that and a teenager who tweets that and then will actually go shoot people?

TOM FUENTES, CNN LAW ENFORCEMENT ANALYST (via telephone): Erin, I don't think you can. It is just because of what you said. That's practically every teenager goes through a situation like this, goes through rejection or disappointment or, you know, the break-up of a relationship, and everybody doesn't go on some kind of a rampage.

And I agree with Dr. Drew that it is easier to go on a rampage if you have access to firearm and it's handy.

And then, don't forget in our society, there are 300 million firearms out there. So, practically, every kid would have a chance to steal their parents' firearm and go on a rampage if they chose to.

BURNETT: And, Dr. Drew, what about the other thing that I think has people just not understanding this at all. You know, when you look at the Newtown shooting, you see a kid who was a loner, a kid who had medical problems, a kid that everybody said, by God, why didn't people see it?

But in this case, or at least what we've heard at this point, you see a cute kid who was the homecoming prince, who everybody -- you know, we've had on relatives of him that have been organization friends of people who were kill. They have all said this was a great wonderful kid. That isn't the kid that you'd expect. PINSKY: It makes you wonder whether or not this child was beginning

to manifest some sort of mental illness. You don't know. He was a little bit young for that, but it is possible that something put him to engage in these high risk behaviors.

The other possibility, the picture I was painting before, is that with young people, the break-up of a girlfriend, the loss of their important social support. That is complete dissolution of their world. That is everything to them.

So, in that moment they may have very impulsive ideas. If they have access to circumstances where they can act them out and no one is talking, no one is containing them, it's possible that these things become tragedies.

BURNETT: Dr. Drew and Tom Fuentes, thanks.

And next, ISIS hostage John Cantlie is forced to appear in a slick new propaganda video. But here it is, he's a journalist, right, in real life. Now, he's a prisoner. But in this video, he's a journalist and he's doing a report for the terror group. We're going to show you.

Plus, a potential game changer in the fight against ISIS. The terror group now is using surface-to-air missiles to shoot down commercial planes.


BURNETT: Breaking news: a shocking new video from ISIS, one unlike anything we have seen before. Tonight, the terror group releasing a propaganda video showing British hostage John Cantlie in the Syrian border town of Kobani. He appears to be acting like a reporter. Listen for yourself.


JOHN CANTLIE, BRITISH HOSTAGE: Hello. I'm John Cantlie, and today, we're in the city of Kobani on the Syrian Turkish border.


BURNETT: It's all part of a very highly produced video. Aerial views of an empty Kobani, which appears to be taken by an ISIS drone. Those pictures appear to be taken by a drone.

Now, this isn't the first time we've seen Cantlie in an ISIS video. In September, there he is under duress, announcing he would be releasing a series of videos that would, quote, "show the truth about ISIS." And now, we have this one, as I said, unlike anything we've seen before.

Our senior international correspondent Nick Paton Walsh is OUTFRONT from the Syrian Turkish board.

And, Nick, when we saw this video -- I mean, it is well-produced. It is like -- as if he is a reporter. What are you learning about the video?

NICK PATON WALSH, CNN SENIOR INTERNATIONAL CORRESPONDENT: Well, if you listen to the date references he makes, he talks about the U.S. air drop. And that probably means it wouldn't have been filmed any further than a week ago from now.

A lot of the locations in which he's filmed standing and talking are clearly in Kobani, that we've observed ourselves, and who does appear relaxed, frankly, throughout, almost warming to his role as ISIS's reporter in Kobani, despite that you have to remember, this is a man who has been a hostage for months now, under great duress and perhaps in this circumstance, actually doing what he is being told to prolong his life, Erin.

BURNETT: Yes, we can't tell. But as you say, he does -- he does seem as you say, you used the word, warming to his role. That is what you see when you see the video.

You also I know, compared to where you're standing, Nick, it's very close. I mean, you can see the Turkish border from where he is, right?

WALSH: Absolutely, yes. In fact, you can almost see where we often stand to film and do our live reports from where he is, too. That brings it very close to home too, certainly see him being a journalist they've captured and turned to their own purposes.

But it also gives you a little window really on how adept ISIS are on using, some might say abusing social media for their purposes. It's almost there are pause to the high tech munitions that the coalition were able to deploy against them in Kobani, and it also answers the question many have been asking, how important is Kobani to ISIS? We know it's vitally important to Syrian Kurds. It has become symbolic to the coalition. They want to be able to use their airpower.

And now, we're learning because of the effort made in making this video, it is pretty important to ISIS, too, Erin.

BURNETT: Nick Paton Walsh, thank you very much. As we said, so very close to where that video was shot.

And joining me now, senior writer for "The New York Times", Eric Schmitt.

Eric, Cantlie is acting like a reporter. He is dressed in black. He is seen in different locations.

As our Nick Paton Walsh is pointing out, you've seen the video. He does seem very comfortable and very at home. But the other videos we've seen of him, everyone can see in the orange jump suit, clearly, a prisoner of ISIS.

What do you make of this change, that they are now having him be a, quote/unquote, "reporter"?

ERIC SCHMITT, SENIOR WRITER, THE NEW YORK TIMES: Well, clearly, Erin, I think what it shows is they've become comfortable with him as their spokesman. They've moved him out of the orange jump suit of a prisoner and a rather stark environment, and they put him in a black outfit that makes him look like a member of the Islamic State, one of their own, in fact, and that he has become adept in their view of telling his story, under duress as he may be.

So, even as this target, Kobani has become strategically and symbolically important for both sides. ISIS is trying to put its best spokesman forward.

BURNETT: And I guess there is an irony perhaps that the best spokesman they could come up with is someone who is a Westerner we know has been, he is under incredible duress.

I'm curious, Eric, though, when we see this video. We've not seen a beheading of a Westerner since October 3rd. I suppose we all hope that we will not see another one.

Is this perhaps because they are running out of hostages?

SCHMITT: Well, it's hard to tell what's inside the mind of these terrorists. They are running low on the remaining British and American hostages they hold. In a sad way, maybe a commentary that the gruesome beheadings they've conducted of the American and British hostage so far, the impact of that may be lessening. So, they may be holding back any additional hostages in their killing for a more strategic moment.

BURNETT: And all in when you watched this video, what is your take? We're obviously choosing, I should make sure our viewers know, to only show a very short clip of it because this is a propaganda video.

But again, when you see it, it is well-shot, it is well-produced. You see multiple angles. You see a reporter doing what reporters do in this zones, you know, you're walking down the street, a walk and talk. What was your takeaway, Eric?

SCHMITT: Well, what was interesting or the me looking at this as a military reporter, is that Cantlie is basically saying, we are winning. That is the Islamic State is winning. You don't hear a great battle going on. You don't hear block by block fighting what is the American military has said.

Of course, there are portion of the city and the town that had been under ISIS control. So, this is clearly one of those areas right now. You don't see this contested city and the message that Cantlie is trying to put forward under address is that the Islamic State is winning, contrary to what the West is saying.

BURNETT: All right. Eric Schmitt, thank you very much.

As we said, military national security report for "The New York Times."

Well, OUTFRONT: fears ISIS may be using surface-to-air missiles to shoot down planes. So, this may already be a reality. Could Americans be in the crosshair?


BURNETT: Tonight, ISIS has a dangerous new weapon. The terror group now using shoulder-fired missiles to blast helicopters from the sky, and there are new concern that they could go after Americans and even commercial planes. They even published a guide for jihadists on how to do it.

Jim Sciutto is OUTFRONT.


JIM SCIUTTO, CNN CHIEF NATIONAL SECURITY CORRESPONDENT (voice-over): It's long been a security nightmare, terrorists capable of shooting down aircraft. New images posted by ISIS show it may already be a reality.

Here, a militant is shown firing at an Iraqi helicopter with a shoulder-fired missile identified by experts at Jane's Defence as a Chinese made FN-6.

The next frame shows what ISIS claims was the result, the twisted wreckage of the downed chopper.

With U.S. aircraft including Apache helicopters and AC-130 gunships now in action over Iraq, so-called MANPADS or Man Powered Portable Air Defense Systems are a growing problem.

JEN PSAKI, STATE DEPARTMENT SPOKESPERSON: There's clearly a significant potential air threat to aviation operating in Iraq and Syrian airspace due to ongoing fighting.

SCIUTTO: MANPADS like the FN-6 can strike aircraft up to 12,500 feet, making both Apaches and AC-130s vulnerable, although not higher flying combat aircraft such F/A-18s or B-1-Bs or commercial aircraft at cruising altitude.

MANPADS are a threat however to civilian or military aircraft on takeoff and landing, a threat that's grown as ISIS forces have moved within several miles of Baghdad International Airport.

ISIS militants are now sharing missile know-how far and wide, even posting a manual on the Internet on the best ways to down an Apache, including recommended techniques such as firing from elevated positions.

Today, Director of National Intelligence James Clapper raised the additional concern of the human capital now in ISIS' hands.

JAMES CLAPPER, DNI: Recently, a man named Abu Fallah Ahmed (ph) travelled to Syria to join ISIL. He's a former Minneapolis aircraft cleaner and refueler with about 10 years working behind the scenes in airport operations. So, we find it frightening to imagine how terrorist groups could take advantage of expertise people like him could bring to the group. (END VIDEOTAPE)

SCIUTTO: U.S. officials are not concerned at this point about the ISIS threat to U.S. commercial aviation. However, American embassy and American military staff fly in and out of Baghdad airport regularly, as U.S. officials, as well as Iraqi commercial airlines and a number of international airlines do fly out of Irbil, in Northern Iraq, with routes to Europe.

And, Erin, at this point, U.S. officials not concerned about ISIS bringing shoulder-fired missiles into the U.S., but they are concerned about what those ISIS veterans do if and when they return to Europe, Europe and the U.S., and as you and I have talked about, about a dozen Americans are believed to have fought for ISIS or have tried to fight for ISIS.

BURNETT: Some of the biggest fears they have, of something having that in the United States.

Thanks very much to Jim Sciutto.

We'll be right back.


BURNETT: Tomorrow OUTFRONT, we'll talk to the parents of James Foley. That's the journalist killed by ISIS. We're going to ask about their son's captivity, their communication with ISIS and what the United States needs to do to bring those hostages back safely. We'll also talk about that new and shocking video tonight about the hostage who now filed a, quote-unquote, "journalistic report" for ISIS.

We'll see you tomorrow night.

"AC360", though, begins right now.