This article examines how digital epidemiology and eHealth coalesce into a powerful health surveillance system that fundamentally changes present notions of body and health. In the age of Big Data and Quantified Self, the conceptual and practical distinctions between individual and population body, personal and public health, surveillance and health care are diminishing. Expanding on Armstrong’s concept of “surveillance medicine” to “quantified self medicine” and drawing on my own research on the symbolic power of statistical constructs in medical encounters, this article explores the impact of digital health surveillance on people’s perceptions, actions and subjectivities. It discusses the epistemic confusions and paradoxes produced by a health care system that increasingly treats patients as risk profiles and prompts them to do the same, namely to perceive and manage themselves as a bundle of health and security risks. Since these risks are necessarily constructed in reference to epidemiological data that postulate a statistical gaze, they also construct or make-up disembodied “individuals on alert”.

中文翻译：

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处于警戒状态的个人：数字流行病学和监测的个性化

本文研究了数字流行病学和eHealth如何结合成一个功能强大的健康监视系统，该系统从根本上改变了当前的身体和健康概念。在大数据和量化的自我时代，个人和人口主体，个人和公共卫生，监督和医疗保健之间的概念和实践上的区别正在缩小。本文将阿姆斯特朗从“监视医学”的概念扩展到“量化自我医学”的概念，并利用我自己对医学遭遇中统计结构的象征力量的研究，探讨了数字健康监控对人们的感知，行为和主观性的影响。它讨论了由医疗保健系统引起的认识上的混乱和悖论，这种医疗保健系统越来越多地将患者视为风险概况，并提示他们也要这样做，即将自己视为和管理着一系列健康与安全风险。由于必须根据假定统计注视的流行病学数据来构造这些风险，因此它们也构成或弥补了“警惕的个人”的构成。