Abstract

With the relative ubiquity of smartphones, contact tracing and exposure notification apps have been looked to as novel methods to help reduce the transmission of COVID-19. Many countries have created apps that lie across a spectrum from privacy-first approaches to those that have very few privacy measures. The level of privacy incorporated into an app is largely based on the societal norms and values of a particular country. Digital health technologies can be highly effective and preserve privacy at the same time, but in the case of contact tracing and exposure notification apps, there is a trade-off between increased privacy measures and the effectiveness of the app. In this article, examples from various countries are used to highlight how characteristics of contract tracing and exposure notification apps contribute to the perceived levels of privacy awarded to citizens and how this impacts an app’s effectiveness. We conclude that finding the right balance between privacy and effectiveness, while critical, is challenging because it is highly context-specific.

Highlights

  • Many countries around the world have released contact tracing and exposure notification apps in an attempt to help combat the spread of COVID-19 [1,2]

  • Privacy laws provide a foundation that can inform the design and implementation of exposure notification and true contact tracing apps [3], it is the types of technologies used and the way they are applied within those legal frameworks that determine the level of privacy afforded to citizens

  • The effectiveness of the apps might be impossible to evaluate fully due to the lack of collected data, especially for apps with privacy-first approaches, as well as confounding factors like community lockdowns

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Summary

Introduction

Many countries around the world have released contact tracing and exposure notification apps in an attempt to help combat the spread of COVID-19 [1,2]. Some countries—including Canada, Germany, and the United Kingdom—have opted to use the well-documented and highly vetted Google and Apple Exposure Notification application programming interface (API), which enables the swapping of anonymous identifier beacons (ie, random strings of numbers that are frequently changed) between phones in close proximity via Bluetooth Low Energy [29]. This provides a very high level of privacy because no identifiable data is transmitted. During the launch of the COVID Alert app in Ontario, Canada, a government alert was sent to smartphones regarding the app, with information on how to download the app, which runs in the background after setup without further user interaction

Conclusion
Findings
29. Exposure Notifications
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