Health Secur. 2017 Sep/Oct;15(5):509-518. doi: 10.1089/hs.2017.0020.
The New York City Department of Health and Mental Hygiene (DOHMH) began to actively monitor people potentially exposed to Ebola virus on October 25, 2014. Active monitoring was critical to the Ebola virus disease (EVD) response and mitigated risk without restricting individual liberties. Noncompliance with active monitoring procedures has been reported. We conducted a survey of 4,075 eligible persons to evaluate (1) the frequency of reporting of false data during active monitoring, and (2) factors associated with reporting of false temperature data. A total of 393 persons (9.6%) responded to the survey. Fifty-five (14.0%) provided false temperature data, 5 (1.3%) did not report EVD-like symptoms that they had experienced, and 2 (0.5%) did not report a hospital or emergency room visit. Having visited Liberia (OR: 3.4, 95% CI: 1.4-7.9), Sierra Leone (OR: 3.4, 95% CI: 1.6-7.5), or multiple EVD-affected countries (OR: 12.9, 95% CI: 3.5-47.7); being aged <50 years (OR: 7.5, 95% CI: 1.7-33.1); and rating the importance of active monitoring as low (OR: 1.4, 95% CI: 1.1-1.8) were associated with increased odds of reporting false temperature data. Over 10% of respondents reported providing false data during EVD active monitoring. However, it remains unclear whether reporting of false data during active monitoring impedes the ability to rapidly identify EVD cases in settings with a low burden of EVD.
纽约市卫生局（DOHMH）于 2014 年 10 月 25 日开始积极监测可能接触埃博拉病毒的人员。主动监测对于埃博拉病毒病（EVD）的应对至关重要，它可以在不限制个人自由的情况下降低风险。据报道，有人不遵守主动监测程序。我们对 4075 名符合条件的人进行了调查，以评估：（1）主动监测期间报告虚假数据的频率；（2）与报告虚假体温数据相关的因素。共有 393 人（9.6%）对调查做出了回应。55 人（14.0%）提供了虚假的体温数据，5 人（1.3%）未报告他们曾经历过的类似埃博拉病毒病的症状，2 人（0.5%）未报告曾去医院或急诊室就诊。曾访问过利比里亚（OR：3.4，95%CI：1.4-7.9）、塞拉利昂（OR：3.4，95%CI：1.6-7.5）或多个受埃博拉病毒影响的国家（OR：12.9，95%CI：3.5-47.7）；年龄<50 岁（OR：7.5，95%CI：1.7-33.1）；以及将主动监测的重要性评为低（OR：1.4，95%CI：1.1-1.8），这些因素与报告虚假体温数据的几率增加有关。超过 10%的受访者报告在 EVD 主动监测期间提供了虚假数据。然而，目前尚不清楚在 EVD 负担较低的情况下，主动监测期间报告虚假数据是否会影响快速识别 EVD 病例的能力。
