Health Secur. 2018 Jan/Feb;16(1):8-13. doi: 10.1089/hs.2017.0077. Epub 2018 Feb 6.
The CDC recommended active monitoring of travelers potentially exposed to Ebola virus during the 2014 West African Ebola virus disease outbreak, which involved daily contact between travelers and health authorities to ascertain the presence of fever or symptoms for 21 days after the travelers' last potential Ebola virus exposure. From October 25, 2014, to December 29, 2015, the New York City Department of Health and Mental Hygiene (DOHMH) monitored 5,359 persons for Ebola virus disease, corresponding to 5,793 active monitoring events. Most active monitoring events were in travelers classified as low (but not zero) risk (n = 5,778; 99%). There were no gaps in contact with DOHMH of ≥2 days during 95% of active monitoring events. Instances of not making any contact with travelers decreased after CDC began distributing mobile telephones at the airport. Ebola virus disease-like symptoms or a temperature ≥100.0°F were reported in 122 (2%) active monitoring events. In the final month of active monitoring, an optional health insurance enrollment referral was offered for interested travelers, through which 8 travelers are known to have received coverage. Because it is possible that active monitoring will be used again for an infectious threat, the experience we describe might help to inform future such efforts.
美国疾病控制与预防中心（CDC）建议在 2014 年西非埃博拉病毒病疫情期间，对可能接触埃博拉病毒的旅行者进行主动监测，这涉及旅行者与卫生当局之间每天的联系，以确定旅行者最后一次潜在埃博拉病毒暴露后 21 天内是否存在发热或症状。从 2014 年 10 月 25 日至 2015 年 12 月 29 日，纽约市卫生局（DOHMH）对 5359 人进行了埃博拉病毒病监测，相当于 5793 次主动监测事件。大多数主动监测事件涉及被归类为低（但并非零）风险的旅行者（n=5778；99%）。在 95%的主动监测事件中，与 DOHMH 的联系没有中断≥2 天的情况。在 CDC 开始在机场分发移动电话后，与旅行者没有任何联系的情况有所减少。在 122 次（2%）主动监测事件中报告了埃博拉病毒病样症状或体温≥100.0°F。在主动监测的最后一个月，向有兴趣的旅行者提供了可选的健康保险登记推荐，已知有 8 名旅行者获得了保险。由于主动监测可能再次用于传染病威胁，我们所描述的经验可能有助于为未来的此类努力提供信息。
