Engineering Proceedings (Nov 2023)
Comparative Analysis of Digital Contact-Tracing Technologies for Informing Public Health Policies
Abstract
Contact tracing is the cornerstone of epidemic control of infectious diseases, especially in the era of COVID-19. This labor-intensive task calls for the use of digital technology to help identify individuals who have potentially been exposed to the infection to deliver necessary interventions and treatment. Mobile applications based on different technologies and system architectures have been developed and widely used in concert with public health policies and regulations. Three main types of digital contact-tracing technologies, namely Bluetooth low energy (BLE), location tracking, and check-in, were adopted in contact-tracing apps and implemented with a centralized or decentralized system architecture to protect privacy and facilitate spatiotemporal co-occurrence matching. Passive data collection methods, including BLE and location tracking, could be contrasted with check-in-based apps, which require users’ effort to record their whereabouts. Persuasive computing with a centralized system for collecting contact-tracing data from users might require additional legislation for authorization and privacy protection. Technology options should therefore be taken into account when designing enforceable public health policies on the use of contact-tracing apps. At the same time, public health policies also inform the information system’s design. This paper aims to delineate and contrast current technologies and system architectures used for developing contact-tracing apps and examine the intertwined relationship between the design and implementation of public health policies and the design of digital contact-tracing systems.
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