Elizabeth and her team work to secure the release of an American journalist held hostage in the Sudan.

Elizabeth is determined to continue to hold a human trafficking conference in Kyrgyzstan despite the inappropriate actions by a U.S. ambassador. Also, Elizabeth and Henry worry about Alison when she keeps coming home from college.

When a Russian dissident flees to the U.S. after contracting smallpox, Secretary of State Elizabeth McCord and retired U.N. Ambassador Kat Sandoval must work with Russian Foreign Minister Konstantin Avdonin to contain the outbreak.