UMass Memorial Medical Center, Worcester, MA 01655, United States.
Disasters. 2011 Apr;35(2):417-42. doi: 10.1111/j.1467-7717.2010.01219.x. Epub 2010 Nov 15.
Effectively controlling the spread of contagious illnesses has become a critical focus of disaster planning. It is likely that quarantine will be a key part of the overall public health strategy utilised during a pandemic, an act of bioterrorism or other emergencies involving contagious agents. While the United States lacks recent experience of large-scale quarantines, it has considerable accumulated experience of large-scale evacuations. Risk perception, life circumstance, work-related issues, and the opinions of influential family, friends and credible public spokespersons all play a role in determining compliance with an evacuation order. Although the comparison is not reported elsewhere to our knowledge, this review of the principal factors affecting compliance with evacuations demonstrates many similarities with those likely to occur during a quarantine. Accurate identification and understanding of barriers to compliance allows for improved planning to protect the public more effectively.
有效控制传染病的传播已成为灾害规划的重点。在大流行、生物恐怖袭击或其他涉及传染病原体的紧急情况下，隔离很可能成为整体公共卫生战略的关键部分。尽管美国近期没有大规模隔离的经验，但在大规模疏散方面有相当多的积累经验。风险感知、生活环境、与工作相关的问题，以及有影响力的家人、朋友和可信的公众代言人的意见，都在决定是否遵守疏散命令方面发挥作用。虽然据我们所知，其他地方没有报告过这种比较，但对影响疏散遵守的主要因素的审查表明，这些因素与隔离期间可能发生的因素有许多相似之处。准确识别和理解遵守的障碍，可以进行更好的规划，从而更有效地保护公众。
