The Role of Trust in Covid Tracing Apps: Estonian Case Study (Preprint)

2021 ◽  
Author(s):  
Sonia Sousa ◽  
Tiina Kalju

BACKGROUND The COVID-19 pandemic has caused changes on how we use technology across the world, both socially and economically. Due to the urgency and severity of the crisis different virus control measures were explored. One of the means how technology could help in this situation was by helping trace the contacts of people to prevent the spread of the disease. Many governments and public health authorities across the world have launched a number of contact tracing mobile apps (CTA). By the end of 2020, there are more than 50 contact tracing apps in both Google Play and iOS App Store [1]. Despite the wide availability, the download rates are low and usage rates are even lower [2][3]. There could be many reasons why the adoption is so low, but most certainly one variable that has been overlooked is the level of trust that potential users need to feel comfortable using an app. In Estonia, the CTA named HOIA has been developed as a means of digital contact tracing. By the middle of January 2021, there have been approximately 250 000 downloads but only 1763 (around 4,7% of all COVID-19 positive in Estonia by that time) people have registered as being tested COVID-19 positive [4]. It shows that HOIA has not proved to be efficient means to reduce the spread of the pandemic. Modeling evidence suggests that in order to be effective, the use of contact tracing apps would need to be very high, at least 80% of smartphone users to stop the pandemic [5]. 40% of Estonian people who don’t have HOIA do not believe that HOIA is effective and does what is promised. The concern about security and privacy was in the second place [6]. OBJECTIVE The goal of this study was to assess Estonian's trust towards the HOIA app and what has caused the shortage in trust. Namely, assess how much Estonians trust Covid-19 contact tracing app HOIA and what aspects are perceived as distrust by them. The study contributes to designers' understanding and awareness of designing trustworthy technology. METHODS The study comprised of measuring trust in HOIA CTA application using human-computer Trust psychometric scale [22]. A convenience sample was used in data collection, this includes all potential HOIA among the Estonian population. RESULTS Results indicate significant positive correlations between participants' trust towards the Estonian COVID tracing application (HOIA) and their perceptions of risk (p-value 0.000), competency (P-value 0.000), Benevolence (P-value=0.025), and reciprocity (P-value 0.015). CONCLUSIONS With the COVID-19 crisis, the new phenomenon of contact tracing apps was introduced to fight against the pandemic. CTAs were hoped to be a technological breakthrough to decrease the spread of the virus. However, this has not happened around the world. The same has happened in Estonia and evidence shows, that one of the reasons could be the low level of trust. The results of the study confirm, that trust in HOIA among Estonian habitants does affect their predisposition to use and indicated that participants do not believe HOIA is able to fulfill the main goal and decrease the spread of the virus. The result of this work is not only limited to HOIA but can be implemented by other CTAs as well. The results of this study contribute to designers' understanding and awareness of designing trustworthy technology. Eventually helps to provide design recommendations that ensure trustworthiness in the CTAs AI ability to use highly sensitive data and serve society. Regarding the limitations of this study, the survey was able to gather insight about the perceptions of HOIA, was enough to make a statistical generalization about the users’ perception and usage habits but more data needs to be collected if the intention is to generalize the results to the whole population of Estonia. Also, we should pay attention to the different minority groups to reach a valid conclusion. CLINICALTRIAL no trial registration.

2021 ◽  
Vol 26 (4) ◽  
Author(s):  
Jordan Samhi ◽  
Kevin Allix ◽  
Tegawendé F. Bissyandé ◽  
Jacques Klein

AbstractDue to the convenience of access-on-demand to information and business solutions, mobile apps have become an important asset in the digital world. In the context of the COVID-19 pandemic, app developers have joined the response effort in various ways by releasing apps that target different user bases (e.g., all citizens or journalists), offer different services (e.g., location tracking or diagnostic-aid), provide generic or specialized information, etc. While many apps have raised some concerns by spreading misinformation or even malware, the literature does not yet provide a clear landscape of the different apps that were developed. In this study, we focus on the Android ecosystem and investigate Covid-related Android apps. In a best-effort scenario, we attempt to systematically identify all relevant apps and study their characteristics with the objective to provide a first taxonomy of Covid-related apps, broadening the relevance beyond the implementation of contact tracing. Overall, our study yields a number of empirical insights that contribute to enlarge the knowledge on Covid-related apps: (1) Developer communities contributed rapidly to the COVID-19, with dedicated apps released as early as January 2020; (2) Covid-related apps deliver digital tools to users (e.g., health diaries), serve to broadcast information to users (e.g., spread statistics), and collect data from users (e.g., for tracing); (3) Covid-related apps are less complex than standard apps; (4) they generally do not seem to leak sensitive data; (5) in the majority of cases, Covid-related apps are released by entities with past experience on the market, mostly official government entities or public health organizations.


2020 ◽  
Vol 32 (2 (Supp)) ◽  
pp. 288-299
Author(s):  
Shubha DB ◽  
Malathesh Undi ◽  
Rachana Annadani ◽  
Ayesha Siddique

Since the emergence of Corona Virus Disease 19 (COVID 19) in China in December 2019, a lot of significant decisions have been taken by the World Health Organization (WHO) and several countries across the globe. As the world reels under the threat of rapid increase in the number of cases and is planning strategies with the limited information available on the virus, it is essential to learn from the experience of countries across the globe. Hence, we selected a few countries in five WHO regions based on their COVID 19 caseload, management strategies and outcome and compared some of the important measures taken by them to contain the spread of infection. Strategies like extensive testing and contact tracing, strict quarantine and isolation measures, Hospital preparedness, complete restriction of non-essential travel, strict border control measures and social distancing measures play a vital role in containment of the spread. All the countries faced the novel strain of virus and implemented similar strategies as per the guidance of WHO, but the extent of preparedness, swiftness with which the decisions were made and the scale of measures made the difference.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  

Abstract Since emerging from a market in Wuhan China in December 2019, SARS-CoV-2, the pathogen causing COVID-19, has spread worldwide. On January 30th 2020 the World Health Organization declared the COVID19 outbreak a Public Health Emergency of International Concern, and declared it a pandemic on March 11th 2020. With over 2.4 million cases and 180,000 deaths reported by mid-June, Europe has been the second most affected region in the world. Individual countries such as Italy and the UK have been amongst the hardest hit in the world. However, the COVID19 situation in Europe is marked by wide variations both in terms of how countries have been affected, and in terms of how they have responded. The proposed workshop will provide compare and contrast the situation and response in five countries in the European region: The UK, Italy, Poland, Portugal and Sweden, moderated by a firm and charismatic chair. This interactive workshop will enable better understanding of the disease's spread and trajectory in different EU countries. International comparisons will help to describe the growth and scale of the pandemic in the selected EU countries. The choice of countries reflects those that have reported high and low incidence and mortality, as well as represent a range in the strictness of the control measures implemented, from full lockdown to the most permissive. The session will go beyond describing those and will be an opportunity to discuss the pros and cons of these different approaches and lessons learnt around the different components of the response such as case identification, contact tracing, testing, social distancing, mask use, health communication and inequalities. We plan to have short and effective 5 min presentations followed by a longer and constructively provocative moderated discussion. Importantly, the five European case studies will offer ground to discuss the public health principles behind outbreak management preparedness and balancing public health with other imperatives such as economic ones, but also social frustration. The audience will be engaged through a Q&A session. Key messages The approach to managing the COVID19 outbreak has varied among European countries, and the optimal approach is likely to be context specific. The effect of the pandemic will be long term and public health imperatives must take population attitudes and behavior as well as economic and indirect health effects into account.


Inventions ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 24
Author(s):  
Abdul Majeed

With the advent of the pandemic (e.g., novel corona virus disease 2019 (COVID-19)), a tremendous amount of data about individuals are collected by the health authorities on daily basis for curbing the disease’s spread. The individuals’ data collection/processing at a massive scale for community well-being with the help of digital solutions (e.g., mobile apps for mobility and proximity analysis, contact tracing through credit card usage history, facial recognition through cameras, and crowd analysis using cellular networks data etc.) raise several privacy concerns. Furthermore, the privacy concerns that are arising mainly due to the fine-grained data collection has hindered the response to tackle this pandemic in many countries. Hence, acquiring/handling individuals data with privacy protection has become a vibrant area of research in these pandemic times. This paper explains the shift in privacy paradigm due to the pandemic (e.g., COVID-19) which involves more and detailed data collection about individuals including locations and demographics. We explain technical factors due to which the people’s privacy is at higher risk in the COVID-19 time. In addition, we discuss privacy concerns in different epidemic control measures (ECMs) (e.g., contact tracing, quarantine monitoring, and symptoms reporting etc.) employed by the health authorities to tackle this disease. Further, we provide an insight on the data management in the ECMs with privacy protection. Finally, the future prospects of the research in this area tacking into account the emerging technologies are discussed. Through this brief article, we aim to provide insights about the vulnerability to user’s privacy in pandemic times, likely privacy issues in different ECMs adopted by most countries around the world, how to preserve user’s privacy effectively in all phases of the ECMs considering relevant data in loop, and conceptual foundations of ECMs to fight with future pandemics in a privacy preserving manner.


Author(s):  
Abdul Walusansa ◽  
Jacob S. Iramiot ◽  
Joseph L. Mpagi ◽  
Ali Kudamba ◽  
Shaban A. Okurut ◽  
...  

Introduction: Corona virus disease (COVID-19) is one of the topmost global hindrances to human existence. Rural settings have been reported to be more vulnerable in some parts of the world. In Uganda, community leaders in rural villages are among the immediate personnel mandated to support compliance with preventive guidelines, and to identify and report/deliver COVID-19 cases to health units. We examined the potential risks of COVID-19 transmission, knowledge levels, perceptions and opinions of Village Council Leaders (VCLs) in selected districts in Eastern Uganda, to support the design of risk-based COVID-19 control measures in rural settings, to protect lives better. Methodology: A convenience sample of ten VLCs were purposively selected in three districts in Eastern Uganda. Pretested questionnaires and in-depth interviews were used to assess the knowledge levels, perceptions, and opinions of respondents about COVID-19. An observational survey was also conducted to examine the barriers to effective control of COVID-19, with reference to health guidelines set by the Ugandan government and the World Health Organization. Data was analyzed using HyperRESEARCH 2.8 software, and STATA version-15.0. Results: Eighty percent of VCLs reported that they were formally engaged in the fight against COVID-19, and the common means of engagement were; dissemination of COVID-19 information by word of mouth, regulation of public events, and monitoring of visitors that come from distant places. All clients reported having received some information about this pandemic, but there was generally low knowledge on some vital aspects: 70% of the respondents did not know the meaning of COVID-19; 100% were uninformed on these common symptoms; headache, sore throat, nausea, and loss of taste & smell; 10% did not know if willingness to conform to health guidelines may affect COVID-19 prevention, and they believed that domestic animals are viable vectors. Radio was the commonest source of COVID-19 information, but it was confounded by poor quality of radio-signals. Most respondents were of the view that in the communities they lead; inaccessibility to authentic health information, financial constraints, and belief that COVID-19 is a fallacy, were some of the leading obstacles to the fight against the pandemic. Low awareness and misconceptions on COVID-19 could be explained by; technological challenges, low literacy levels, and dissemination of wrong information about this pandemic. From the observational survey, the major factors which might intensify the risk of COVID-19 spread were: scarcity of requirements for hand hygiene, face protection, violation of health guidelines and directives, porous borders, terrain, and use of potentially polluted open water sources. Conclusion: Communities in Eastern Uganda are vulnerable to the drastic spread of COVID-19 due to challenges related to: low awareness, poor compliance with preventive guidelines, finances, technology, terrain, illiteracy, scarcity of protective wear and hygiene resources. Awareness creation, material aid, execution of preventive rules, and more research on COVID-19 are warranted.


2020 ◽  
Author(s):  
Abdul Walusansa ◽  
Jacob Stanley Iramiot ◽  
Ali Kudamba ◽  
Shaban Alemu Okurut ◽  
Joseph Mpagi ◽  
...  

Abstract Background: Corona virus disease (COVID-19) is one of the topmost global hindrances to human existence. Rural settings have been reported to be more vulnerable in some parts of the world. In Uganda, local council (LC) leaders in rural districts are among the immediate personnel mandated to support compliance with preventive guidelines, and to identify and report/deliver COVID-19 cases to health units. We examined the potential risk of COVID-19 transmission, knowledge levels, perceptions & opinions of LC leaders in selected districts in Eastern Uganda, to support the design of risk-based COVID-19 control measures in rural settings, to protect lives better.Methods: A convenience sample was taken from village council leaders in the selected districts. Pretested questionnaires and in-depth interviews were used to assess the knowledge levels, perceptions, and opinions of respondents about COVID-19. An observational survey was also conducted to examine the barriers that might deter effective control of COVID-19, with reference to health guidelines set by the Ugandan government and the World Health Organization. Data was analyzed using HyperRESEARCH 2.8 software, and STATA version-15.0.Results and discussion: Eighty percent of local council leaders reported that they were formally engaged in the fight against COVID-19 in their communities, and the common means of engagement were; dissemination of COVID-19 information by word of mouth, regulation of public events, and monitoring of visitors that come from distant places. All clients reported having received some information about this pandemic, but there was generally low knowledge on some vital aspects: 70% of the respondents did not know the meaning of COVID-19; 100% were uninformed on these common symptoms; headache, sore throat, nausea, and loss of taste & smell; 10% did not know if willingness to conform to health guidelines may affect COVID-19 prevention, and they believed that domestic animals are viable vectors. Radio was the commonest source of COVID-19 information, but it was confounded by poor quality of radio-signals. Most respondents were of the view that in the communities they lead; inaccessibility to authentic health information, financial constraints, and belief that COVID-19 is a fallacy, were some of the leading obstacles to the fight against the pandemic. Low awareness and misconceptions on COVID-19 could be explained by; technological challenges, low literacy levels, and dissemination of wrong information about this pandemic. From the observational survey, the major factors which might intensify the risk of COVID-19 spread were: scarcity of requirements for hand hygiene, face protection, violation of health guidelines & directives, porous borders, terrain, and use of potentially polluted open water sources.Conclusion and recommendations: Rural communities in Eastern Uganda are vulnerable to the drastic spread of COVID-19, due to challenges related to: low awareness of COVID-19, reluctance in complying with preventive guidelines, finance, technology, terrain, porous borders, illiteracy and scarcity of protective wear and hygiene resources. Awareness creation, material aid, execution of preventive rules, and more research on COVID-19 are warranted.


Author(s):  
Y. Arockia Suganthi ◽  
Chitra K. ◽  
J. Magelin Mary

Dengue fever is a painful mosquito-borne infection caused by different types of virus in various localities of the world. There is no particular medicine or vaccine to treat person suffering from dengue fever. Dengue viruses are transmitted by the bite of female Aedes (Ae) mosquitoes. Dengue fever viruses are mainly transmitted by Aedes which can be active in tropical or subtropical climates. Aedes Aegypti is the key step to avoid infection transmission to save millions of people in all over the world. This paper provides a standard guideline in the planning of dengue prevention and control measures. At the same time gives the priorities including clinical management and hospitalized dengue patients have to address essentially.


Author(s):  
Shankar Chaudhary

Despite being in nascent stage m-commerce is gaining momentum in India. The explosive growth of smart-phone users has made India much loved business destination for whole world. Indian internet user is becoming the second largest in the world next to China surpassing US, which throws open plenty of e-commerce opportunities, not only for Indian players, offshore players as well. Mobile commerce is likely to overtake e-commerce in the next few years, spurred by the continued uptrend in online shopping and increasing use of mobile apps.The optimism comes from the fact that people accessing the Internet through their mobiles had jumped 33 per cent in 2014 to 173 million and is expected to grow 21 per cent year-on-year till 2019 to touch 457 million. e-Commerce brands are eyeing on the mobile app segment by developing user-friendly and secure mobile apps offering a risk-free and easy shopping experience to its users. Budget 4G smart phones coupled with affordable plans, can very well drive 4G growth in India.


2018 ◽  
Vol 3 (2) ◽  
pp. 76
Author(s):  
Novi Anggun Pusvitasary

Pneumonia disease is the leading cause of death of babies in the world. The prevalence of pneumonia in infants is 18.5 / mil. Data from Samarinda City Health Office during the last 1 year there are 91 cases of pneumonia in Karang Anyar Village and 63 cases in Teluk Lerong Ulu Village. Factors causing pneumonia are toddler factors, behavioral factors, and environmental factors. The results show there is a relationship between house humidity (p value = 0,013; OR = 0,192), house dwelling density (p value = 0,024; OR = 0,214), and family member smoking behavior (p value = 0,006; OR = 10,450) with incidence of pneumonia in toddlers in the Working Area of Puskesmas Wonorejo Samarinda. There was no correlation between house temperature (p value = 0,214; OR = 0,337), house lighting (p value = 0,095; OR = 3,188) and family disease history (p value = 0,707; OR = 0,753) with Pneumonia occurrence in infant in region Work Puskesmas Wonorejo Samarinda. It was concluded that there was a relationship between house humidity, home dwelling density, and smoking behavior of family members with the incidence of pneumonia in infants. It is recommended to be able to apply housing health requirements that meet health standards to reduce the incidence of pneumonia in infants and change smoking habits.


2020 ◽  
Author(s):  
Lukman Olagoke ◽  
Ahmet E. Topcu

BACKGROUND COVID-19 represents a serious threat to both national health and economic systems. To curb this pandemic, the World Health Organization (WHO) issued a series of COVID-19 public safety guidelines. Different countries around the world initiated different measures in line with the WHO guidelines to mitigate and investigate the spread of COVID-19 in their territories. OBJECTIVE The aim of this paper is to quantitatively evaluate the effectiveness of these control measures using a data-centric approach. METHODS We begin with a simple text analysis of coronavirus-related articles and show that reports on similar outbreaks in the past strongly proposed similar control measures. This reaffirms the fact that these control measures are in order. Subsequently, we propose a simple performance statistic that quantifies general performance and performance under the different measures that were initiated. A density based clustering of based on performance statistic was carried out to group countries based on performance. RESULTS The performance statistic helps evaluate quantitatively the impact of COVID-19 control measures. Countries tend show variability in performance under different control measures. The performance statistic has negative correlation with cases of death which is a useful characteristics for COVID-19 control measure performance analysis. A web-based time-line visualization that enables comparison of performances and cases across continents and subregions is presented. CONCLUSIONS The performance metric is relevant for the analysis of the impact of COVID-19 control measures. This can help caregivers and policymakers identify effective control measures and reduce cases of death due to COVID-19. The interactive web visualizer provides easily digested and quick feedback to augment decision-making processes in the COVID-19 response measures evaluation. CLINICALTRIAL Not Applicable


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