TRACE ME OR NOT? Users' Adoption of Novel Exposure Notification Systems

Exposure Notification apps have been launched widely by many countries around the world. Yet, their adoption rates have generally been lower than expected: an important policy problem because usage of the app is a crucial component of its effectiveness in limiting the spread of SARS-CoV-2.


ITGH and the University of Guam are partnering to collaborate on a survey to assess what drives Guam's residents to download and use the Exposure Notification app launched by the government. The result of this study will shed light on some of the communication strategies that could increase app adoption levels worldwide.


by Ramesh Raskar, Isabel Schunemann, Rachel Barbar, Kristen Vilcans, Jim Gray, Praneeth Vepakomma, Suraj Kapa, Andrea Nuzzo, Rajiv Gupta, Alex Berke, Dazza Greenwood, Christian Keegan, Shriank Kanaparti, Robson Beaudry, David Stansbury, Beatriz Botero Arcila, Rishank Kanaparti, Vitor Pamplona, Francesco Maria Benedetti, Alina Clough, Riddhiman Das, Kaushal Jain, Khahlil Louisy, Greg Nadeau, , Steve Penrod, Yasaman Rajaee, Abhishek Singh, Greg Storm, John Werner

With the recent almost ubiquitous availability of smartphones, many people carry a tool that can be utilized to quickly identify an infected individual's contacts during an epidemic, such as the current 2019 novel Coronavirus crisis. Unfortunately, first-generation contact tracing tools have been used to expand mass surveillance, limit individual freedoms, and expose the most private details about individuals. This work outlines the different technological approaches to mobile-phone based contact-tracing to date and elaborates on the opportunities and the risks that these technologies pose to individuals, societies, and technology developers. Advanced security-enhancing approaches can mitigate these risks.

Containment, the key strategy in quickly halting an epidemic, requires rapid identification and quarantine of the infected individuals, determination of whom they have had close contact within the previous days and weeks, and decontamination of locations the infected individual has visited. Achieving containment demands accurate and timely collection of the infected individual's location and contact history. Traditionally, this process is labor-intensive, susceptible to memory errors, and fraught with privacy concerns.  With this paper, our aim is to continue to grow the conversation regarding contact-tracing for epidemic and pandemic containment and discuss opportunities to advance this space. We invite feedback and discussion.


THE TOWN IS BURNING: Policy Decision Making in a Public Health Crisis

Understanding who is making critical decisions and how those decisions are made under the stresses of public health crises are important steps toward the development of solutions aimed at alleviating challenges faced by health professionals. This study seeks to construct a mapping of the process through which decisions are ultimately made, starting first with identifying who the key actors are and which variables factor into the decision making process.