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Register a new userEpidemiological and public health requirements for COVID-19 contact tracing apps and their evaluation
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Added by
Ciro Cattuto
Publication date
2021
fields
Informatics Engineering
and research's language is
English
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Digital contact tracing is a public health intervention. It should be integrated with local health policy, provide rapid and accurate notifications to exposed individuals, and encourage high app uptake and adherence to quarantine. Real-time monitoring and evaluation of effectiveness of app-based contact tracing is key for improvement and public trust.
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How to contain the spread of the COVID-19 virus is a major concern for most countries. As the situation continues to change, various countries are making efforts to reopen their economies by lifting some restrictions and enforcing new measures to prevent the spread. In this work, we review some approaches that have been adopted to contain the COVID-19 virus such as contact tracing, clusters identification, movement restrictions, and status validation. Specifically, we classify available techniques based on some characteristics such as technology, architecture, trade-offs (privacy vs utility), and the phase of adoption. We present a novel approach for evaluating privacy using both qualitative and quantitative measures of privacy-utility assessment of contact tracing applications. In this new method, we classify utility at three (3) distinct levels: no privacy, 100% privacy, and at k where k is set by the system providing the utility or privacy.
Digital contact tracing apps for COVID, such as the one developed by Google and Apple, need to estimate the risk that a user was infected during a particular exposure, in order to decide whether to notify the user to take precautions, such as entering into quarantine, or requesting a test. Such risk score models contain numerous parameters that must be set by the public health authority. In this paper, we show how to automatically learn these parameters from data. Our method needs access to exposure and outcome data. Although this data is already being collected (in an aggregated, privacy-preserving way) by several health authorities, in this paper we limit ourselves to simulated data, so that we can systematically study the different factors that affect the feasibility of the approach. In particular, we show that the parameters become harder to estimate when there is more missing data (e.g., due to infections which were not recorded by the app), and when there is model misspecification. Nevertheless, the learning approach outperforms a strong manually designed baseline. Furthermore, the learning approach can adapt even when the risk factors of the disease change, e.g., due to the evolution of new variants, or the adoption of vaccines.
The recent outbreak of COVID-19 has taken the world by surprise, forcing lockdowns and straining public health care systems. COVID-19 is known to be a highly infectious virus, and infected individuals do not initially exhibit symptoms, while some remain asymptomatic. Thus, a non-negligible fraction of the population can, at any given time, be a hidden source of transmissions. In response, many governments have shown great interest in smartphone contact tracing apps that help automate the difficult task of tracing all recent contacts of newly identified infected individuals. However, tracing apps have generated much discussion around their key attributes, including system architecture, data management, privacy, security, proximity estimation, and attack vulnerability. In this article, we provide the first comprehensive review of these much-discussed tracing app attributes. We also present an overview of many proposed tracing app examples, some of which have been deployed countrywide, and discuss the concerns users have reported regarding their usage. We close by outlining potential research directions for next-generation app design, which would facilitate improved tracing and security performance, as well as wide adoption by the population at large.
Contact tracing apps are powerful software tools that can help control the spread of COVID-19. In this article, we evaluated 53 COVID-19 contact tracing apps found on the Google Play Store in terms of their usage, rating, access permission, and user privacy. For each app included in the study, we identified the country of origin, number of downloads, and access permissions to further understand the attributes and ratings of the apps. Our results show that contact tracing apps had low overall ratings and nearly 40% of the included apps were requesting dangerous access permission including access to storage, media files, and camera permissions. We also found that user adoption rates were inversely correlated to access permission requirements. To the best of our knowledge, our article summarizes the most extensive collection of contact tracing apps for COVID-19. We recommend that future contact tracing apps should be more transparent in permission requirements and should provide justification for permissions requested to preserve the app users privacy.
Without proper medication and vaccination for the COVID-19, many governments are using automated digital healthcare surveillance system to prevent and control the spread. There is not enough literature explaining the concerns and privacy issues; hence, we have briefly explained the topics in this paper. We focused on digital healthcare surveillance systems privacy concerns and different segments. Further research studies should be conducted in different sectors. This paper provides an overview based on the published articles, which are not focusing on the privacy issues that much. Artificial intelligence and 5G networks combine the advanced digital healthcare surveillance system; whereas Bluetooth-based contact tracing systems have fewer privacy concerns. More studies are required to find the appropriate digital healthcare surveillance system, which would be ideal for monitoring, controlling, and predicting the COVID-19 trajectory.
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