In 2009, Thomas Frieden and colleagues from the New York City Board of Health reviewed the registry’s first four years of operation and concluded that it was performing well. Getting all laboratories to report regularly and completely, however, proved challenging and not all health-care providers and patients proved willing to participate.
纽约市卫生委员会的汤玛斯·弗里登及其同僚们对该系统头四年的运作进行了检讨并得出了运作良好的结论。但同时要求所有实验室定期并完整提交监测报告的做法也受到了挑战，也不是所有的医疗服务提供者和病人都愿意参与其中。