Variable Name |
Variable Description |
Response |
State assigned ID |
A unique ID for the traveler, ascribed by the state conducting the direct active monitoring (DAM), should stay the same throughout the DAM reporting period (typically 21 days) |
text |
Traveler Health Declaration ID |
A unique ID for the traveler, ascribed by CDC when form is received from CBP; should stay the same throughout the DAM reporting period (typically 21 days) |
text |
State |
State that is conducting the DAM and reporting |
text |
CDC Risk Category (High, Some, Low) |
Risk category according to CDC's Interim Guidance for the Monitoring and Movement of persons with potential exposure to ebola virus disease* |
some or high* |
HCW |
Was the traveler a healthcare worker treating patients in W. Africa |
y/n |
Hospital Identified |
Has a hospital been identified that the travel will be taken to if he or she becomes symptomatic? |
y/n |
Hospital Name |
Name of hospital identified that the traveler will be taken to if he or she becomes symptomatic |
text |
Transfer Plan |
Is a transfer plan in place for moving the traveler to the hospital if he or she becomes symptomatic |
y/n |
Travel Plans |
Does the person have travel plans during the monitoring period |
yes/no |
Travel Plans |
Summary of person's plans for travel within the monitoring period and jurisdiction's plans for continued monitoring |
text |
Date of person's last exposure |
Date person was last exposed to the event that put them in the some or high category |
Date |
Date of entry into the US |
Date person was last exposed to the event that put them in the some or high category |
Date |
Days until DAM completed |
Number of days until the 21 day incubation period is over (=Today's date -Date of last exposure) |
Number (0-21) |
Date 21 days post-exposure |
Date the 21 day incubation period should end (=exposure +21) |
Date |
Date of last DAM (as of midnight) 1 |
Day for which this report reflects (normally yesterday) |
Date |
If no, why (Txt) |
If not, why not; could reflect "DAM Period Completed" |
text |
Total Number of Days DAM was required |
Total number of days that DAM was required; will usually be (= Today - Date of Entry to U.S) but might defer for unique situations (DAM officially began 10/27/14) |
Number |
Number of Days until DAM is completed |
Total number of days until DAM period is completed (# of days required minus number of days completed or missed) |
Number |
Total Number of Days DAM completed |
Total number of days that DAM was completed successfully (based on "y" on tracking worksheet) |
Number |
Total Number of Days DAM missed |
Total number of days that DAM was missed (based on "n" on tracking worksheet) |
Number |
% of days completed |
Percentage of number of days DAM completed within the required period |
Percent |
Symptom (y/n) |
Did traveler have fever or other symptom such as severe headache, muscle pain, vomitting, diarrhea, stomach pain, unexplained bruising or bleeding |
yes/no |
Refered for Evaluation (y/n) |
Was the person referred for medical evaluation? |
yes/no |
Refered for testing (y/n) |
Was the person referred for testing for EVD? |
yes/no |
|
|
|
High risk includes any of the following: |
|
|
|
Percutaneous (e.g., needle stick) or mucous membrane exposure to blood or body fluids of a person with Ebola while the person was symptomatic |
|
|
Exposure to the blood or body fluids (including but not limited to feces, saliva, sweat, urine, vomit, and semen) of a person with Ebola while the person was symptomatic without appropriate personal protective equipment (PPE)(http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html) |
|
|
Processing blood or body fluids of a person with Ebola while the person was symptomatic without appropriate PPE(http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html) or standard biosafety precautions |
|
|
Direct contact with a dead body without appropriate PPE(http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html) in a country with widespread Ebola virus transmission(http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/distribution-map.html) |
|
|
Having lived in the immediate household and provided direct care to a person with Ebola while the person was symptomatic |
|
|
|
|
Some risk includes any of the following: |
|
|
|
In countries with widespread Ebola virus transmission(http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/distribution-map.html): direct contact while using appropriate PPE(http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html) with a person with Ebola while the person was symptomatic |
|
|
Close contact in households, healthcare facilities, or community settings with a person with Ebola while the person was symptomatic |
|
|
Close contact is defined as being for a prolonged period of time while not wearing appropriate PPE(http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html) within approximately 3 feet (1 meter) of a person with Ebola while the person was symptomatic |
|