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      Digital Contact Tracing Against COVID-19 in Europe: Current Features and Ongoing Developments

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          Abstract

          The SARS-CoV-2 pandemic is a public health challenge of unprecedented scale. In the midst of the first wave of the pandemic, governments worldwide introduced digital contact tracing systems as part of a strategy to contain the spread of the virus. In Europe, after intense discussion about privacy-related risks involving policymakers, technology experts, information technology companies, and—albeit to a limited extent—the public at large, technical protocols were created to support the development of privacy-compatible proximity tracing apps. However, as the second wave of SARS-CoV-2 sweeps the continent, digital contact tracing in Europe is evolving in terms of both technological and governance features. To enable policymakers to harness the full potential of digital health tools against SARS-CoV-2, this paper examines the evolution of digital contact tracing in eight European countries. Our study highlights that while privacy and data protection are at the core of contact tracing apps in Europe, countries differ in their technical protocols, and in their capacity to utilize collected data beyond proximity tracing alone. In particular, the most recently released apps tend to offer users more granular information about risk in specific locations, and to collect data about user whereabouts, in order to enhance retrospective contact tracing capacity. These developments signal a shift from a strict interpretation of data minimization and purpose limitation toward a more expansive approach to digital contact tracing in Europe, calling for careful scrutiny and appropriate oversight.

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          Contact Tracing Assessment of COVID-19 Transmission Dynamics in Taiwan and Risk at Different Exposure Periods Before and After Symptom Onset

          Key Points Question What is the transmissibility of coronavirus disease 2019 (COVID-19) to close contacts? Findings In this case-ascertained study of 100 cases of confirmed COVID-19 and 2761 close contacts, the overall secondary clinical attack rate was 0.7%. The attack rate was higher among contacts whose exposure to the index case started within 5 days of symptom onset than those who were exposed later. Meaning High transmissibility of COVID-19 before and immediately after symptom onset suggests that finding and isolating symptomatic patients alone may not suffice to interrupt transmission, and that more generalized measures might be required, such as social distancing.
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            Lessons learnt from easing COVID-19 restrictions: an analysis of countries and regions in Asia Pacific and Europe

            The COVID-19 pandemic is an unprecedented global crisis. Many countries have implemented restrictions on population movement to slow the spread of severe acute respiratory syndrome coronavirus 2 and prevent health systems from becoming overwhelmed; some have instituted full or partial lockdowns. However, lockdowns and other extreme restrictions cannot be sustained for the long term in the hope that there will be an effective vaccine or treatment for COVID-19. Governments worldwide now face the common challenge of easing lockdowns and restrictions while balancing various health, social, and economic concerns. To facilitate cross-country learning, this Health Policy paper uses an adapted framework to examine the approaches taken by nine high-income countries and regions that have started to ease COVID-19 restrictions: five in the Asia Pacific region (ie, Hong Kong [Special Administrative Region], Japan, New Zealand, Singapore, and South Korea) and four in Europe (ie, Germany, Norway, Spain, and the UK). This comparative analysis presents important lessons to be learnt from the experiences of these countries and regions. Although the future of the virus is unknown at present, countries should continue to share their experiences, shield populations who are at risk, and suppress transmission to save lives.
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              Achieving Saturation in Thematic Analysis: Development and Refinement of a Codebook

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                Author and article information

                Contributors
                Journal
                Front Digit Health
                Front Digit Health
                Front. Digit. Health
                Frontiers in Digital Health
                Frontiers Media S.A.
                2673-253X
                17 June 2021
                2021
                17 June 2021
                : 3
                : 660823
                Affiliations
                Health Ethics and Policy Lab, Department of Health Sciences and Technology, ETH Zürich , Zürich, Switzerland
                Author notes

                Edited by: Pradeep Nair, Central University of Himachal Pradesh, India

                Reviewed by: Monika Semwal, Nanyang Technological University, Singapore; Baobao Zhang, Cornell University, United States

                *Correspondence: Alessandro Blasimme alessandro.blasimme@ 123456hest.ethz.ch

                This article was submitted to Health Technology Innovation, a section of the journal Frontiers in Digital Health

                †These authors have contributed equally to this work and share first authorship

                Article
                10.3389/fdgth.2021.660823
                8521942
                34713135
                af006667-62c4-4756-bef9-bacbf7909ad5
                Copyright © 2021 Blasimme, Ferretti and Vayena.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 29 January 2021
                : 20 May 2021
                Page count
                Figures: 1, Tables: 1, Equations: 0, References: 44, Pages: 10, Words: 7621
                Categories
                Digital Health
                Original Research

                app,digital contact tracing,covid-19,governance,privacy,epidemiology,europe

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