Reluctance to being monitored and consequences for the infected HCW (Germany) "Well, I certainly wouldn't tell you what kind of symptoms I have. And even if I did, it would only be informally. Peter's got diarrhoea just like I had last week. If the whole process were structured, it would be a refusal." (Germany) "In this period, the question has also been raised, what do we do with hepatitis positive staff, the idea that you would out them is almost a matter affecting the employment contract." Factors affecting the validity of self reported symptom data Accuracy of staff reports (UK) "...people will ring up and say I can't come in, I've got abdo pain, but really, they've just split up with their husband or their wife or something and that's something that then comes out when you're speaking to your line manager or something."