scholarly journals Ecologies of Public Trust: The NHS COVID-19 Contact Tracing App

2021 ◽  
Author(s):  
Gabrielle Samuel ◽  
Frederica Lucivero ◽  
Stephanie Johnson ◽  
Heilien Diedericks
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
Public Trust ◽  
Contact Tracing ◽  
Social Phenomenon ◽  
Isle Of Wight ◽  
The Public ◽  
Trust Relationship ◽  
Health Measures ◽  
General Support

AbstractIn April 2020, close to the start of the first U.K. COVID-19 lockdown, the U.K. government announced the development of a COVID-19 contact tracing app, which was later trialled on the U.K. island, the Isle of Wight, in May/June 2020. United Kingdom surveys found general support for the development of such an app, which seemed strongly influenced by public trust. Institutions developing the app were called upon to fulfil the commitment to public trust by acting with trustworthiness. Such calls presuppose that public trust associated with the app can emerge if the conditions for trustworthiness are met and that public trust is simplistic, i.e., linearly the sum of each member of the publics’ individual – U.K. government trust relationship. Drawing on a synthesis of the trust literature and fifteen interviews with members of the public trialling the app on the Isle of Wight, this paper aims to explore what trust mechanisms and relationships are at play when thinking about public trust in the context of the U.K. COVID-19 app. We argue that public trust is a complex social phenomenon and not linearly correlated with institutional trustworthiness. As such, attention needs to widen from calls for trustworthy infrastructures as a way to build public trust, to a deeper understanding of those doing the trusting; in particular, what or whom do people place their trust in (or not) when considering whether using the app and why. An understanding of this will help when trying to secure public trust during the implementation of necessary public health measures.

scholarly journals From ‘herd immunity’ to ‘stay home’ to ‘stay alert’: United Kingdom’s response to COVID-19

2020 ◽  
Vol 18 (1) ◽  
pp. 46-58
Author(s):  
Robert O. Nartowski ◽  
Lucy Huby ◽  
Ruairidh Topham ◽  
Szymon Golen ◽  
Katrin Brückner ◽  
...  
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
Herd Immunity ◽  
The Public ◽  
Health Measures ◽  
Governmental Organizations ◽  
The United Kingdom ◽  
Bed Capacity ◽  
The Government ◽  
Governmental Response

The outbreak of the COVID-19 pandemic has resulted in various public health responses around the globe. Due to the devolved powers of the United Kingdom, the response has been centralized but simultaneously greatly differing across England, Wales, Scotland, and Northern Ireland. The following article examines the governmental responses to the outbreak, the public health measures taken, data collection and statistics, protective equipment and bed capacity, the society’s response, and lastly, the easing of the lockdown restrictions. In terms of the governmental response, the COVID-19 pandemic was initially met with less urgenon/populacy and social distancing, along with the development of herd immunity, were first mentioned. As the virus continued to spread, the government started imposing stricter measures and a lockdown was implemented. Tests were conducted using a five pillar typology. The collection of information, particularly on COVID-19 associated deaths, varied across the United Kingdom and among the governmental organizations due to differing definitions. In term of hospital bed availability, the rate of hospitalizations was the highest from late March to early April of 2020. Temporary hospitals were constructed, however, they mostly went unused. The United Kingdom society was generally compliant in adapting to the lockdown and trust in the government rose. Nonetheless, as the lockdown progressed, trust in the government began to fall. After several months, the rate of infection decreased and the lockdown in the United Kingdom was lifted in accordance with ‘Our plan to rebuild: The United Kingdom Government’s COVID-19 recovery strategy’. The slogan ‘Stay at Home. Protect the NHS. Save Lives’ was replaced with ‘Stay Alert. Control the Virus. Save Lives’.

scholarly journals Comparative analysis of state public health measures and number of COVID-19 cases in California, Texas, and New York (April to July 2020)

2020 ◽  
Author(s):  
Yasmin Khajenoori ◽  
Lina Kamil ◽  
Joyita Bhattacharjee ◽  
Ellie Feng ◽  
Sanvi Pal
Keyword(s):  
Public Health ◽  
United States ◽  
New York ◽  
State Policy ◽  
Health Department ◽  
The United States ◽  
Contact Tracing ◽  
The Public ◽  
Health Measures ◽  
Global Pandemic

In response to the spread of COVID-19 in the United States, every state has utilized varying degrees of public health policies yielding different trends in the number of cases. Due to the lack of a unified approach taken in response to the global pandemic in the United States, we can look at the general trends in case numbers from different states in the context of the public health measures that have been implemented. Through the use of multiple databases, we collected data from each states health department websites and policy data came from the COVID-19 US State Policy Database on the CDR, as well as the KFF state policy database in order to graph the number of daily new cases in three different states while marking the dates when the certain policies were implemented. The scope of this particular review focuses on California, New York, and Texas, each of which have taken different approaches and are reflective of three different areas of the continental United States. The four policies that are analyzed include shelter in place orders, mask mandates, the closure and reopening of non-essential businesses, and the closure and reopening of restaurants for in person dining. To further understand the reopening strategies of these three states, we have utilized the “National Coronavirus Response: A Roadmap to Reopening” guide to compare the points at which each state decided to open considering testing capacity, contact tracing, and case numbers/trend in cases at that point in time. Based on this data, we comparatively analyzed trends in cases and policy measures, taking into account other factors like tracing and testing capacity to evaluate the appropriateness of each state’s measures in its overall goal of reopening. Overall, we have found New York which began as the hotspot for COVID-19 cases, to ultimately be the most successful state in regard to reducing the number of daily new cases and surpassing goals for contact tracing and testing. Conversely California, which began as a success story, has seen a sharp rise in cases after moving into phases of reopening. Similarly, Texas has also seen a rise in cases over recent months with the relaxation of public health measures before meeting the markers for reopening. Both California and Texas have been far behind on testing and contact tracing capabilities. Not only abiding by public health policy recommendations but also being consistent with these measures throughout the course of the pandemic are correlated with lower numbers of cases when comparing New York with California and Texas. This finding implies that for future pandemics, and moving forward with the current pandemic, extreme caution should be taken in timing public health measures and tracking cases.

scholarly journals COVID-19 in Southeast Asia: Implications for workers and unions

2021 ◽  
pp. 002218562110000
Author(s):  
Michele Ford ◽  
Kristy Ward
Keyword(s):  
Public Health ◽  
Southeast Asia ◽  
Labour Market ◽  
Industrial Relations ◽  
First Year ◽  
Labour Relations ◽  
The Public ◽  
Market Effects ◽  
Export Orientation ◽  
Health Measures

The labour market effects in Southeast Asia of the COVID-19 pandemic have attracted considerable analysis from both scholars and practitioners. However, much less attention has been paid to the pandemic’s impact on legal protections for workers’ and unions’ rights, or to what might account for divergent outcomes in this respect in economies that share many characteristics, including a strong export orientation in labour-intensive industries and weak industrial relations institutions. Having described the public health measures taken to control the spread of COVID-19 in Indonesia, Cambodia and Vietnam, this article analyses governments’ employment-related responses and their impact on workers and unions in the first year of the pandemic. Based on this analysis, we conclude that the disruption caused to these countries’ economies, and societies, served to reproduce existing patterns of state–labour relations rather than overturning them.

scholarly journals The potential dangers of not understanding COVID-19 public health restrictions in dementia: “It’s a groundhog day – every single day she does not understand why she can’t go out for a walk”

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Clarissa Giebel ◽  
Kerry Hanna ◽  
Manoj Rajagopal ◽  
Aravind Komuravelli ◽  
Jacqueline Cannon ◽  
...  
Keyword(s):  
Public Health ◽  
Cognitive Deficits ◽  
Third Sector ◽  
Cognitive Capacity ◽  
The Public ◽  
Health Measures ◽  
Third Sector Organisations ◽  
The Uk ◽  
Second Wave

Abstract Background Sudden public health restrictions can be difficult to comprehend for people with cognitive deficits. However, these are even more important for them to adhere to due to their increased levels of vulnerability, particularly to COVID-19. With a lack of previous evidence, we explored the understanding and changes in adherence to COVID-19 public health restrictions over time in people living with dementia (PLWD). Methods Unpaid carers and PLWD were interviewed over the phone in April 2020, shortly after the nationwide UK lockdown, with a proportion followed up from 24th June to 10th July. Participants were recruited via social care and third sector organisations across the UK, and via social media. Findings A total of 70 interviews (50 baseline, 20 follow-up) were completed with unpaid carers and PLWD. Five themes emerged: Confusion and limited comprehension; Frustration and burden; Putting oneself in danger; Adherence to restrictions in wider society; (Un) changed perceptions. Most carers reported limited to no understanding of the public health measures in PLWD, causing distress and frustration for both the carer and the PLWD. Due to the lack of understanding, some PLWD put themselves in dangerous situations without adhering to the restrictions. PLWD with cognitive capacity who participated understood the measures and adhered to these. Discussion In light of the new second wave of the pandemic, public health measures need to be simpler for PLWD to avoid unwilful non-adherence. Society also needs to be more adaptive to the needs of people with cognitive disabilities more widely, as blanket rules cause distress to the lives of those affected by dementia.

scholarly journals Limits of data anonymity: lack of public awareness risks trust in health system activities

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Felix Gille ◽  
Caroline Brall
Keyword(s):  
Large Scale ◽  
Public Awareness ◽  
Personal Data ◽  
Public Trust ◽  
Online News ◽  
Healthcare Management ◽  
Contact Tracing ◽  
Common Denominator ◽  
The Public ◽  
Privacy And Anonymity

AbstractPublic trust is paramount for the well functioning of data driven healthcare activities such as digital health interventions, contact tracing or the build-up of electronic health records. As the use of personal data is the common denominator for these healthcare activities, healthcare actors have an interest to ensure privacy and anonymity of the personal data they depend on. Maintaining privacy and anonymity of personal data contribute to the trustworthiness of these healthcare activities and are associated with the public willingness to trust these activities with their personal data. An analysis of online news readership comments about the failed care.data programme in England revealed that parts of the public have a false understanding of anonymity in the context of privacy protection of personal data as used for healthcare management and medical research. Some of those commenting demanded complete anonymity of their data to be willing to trust the process of data collection and analysis. As this demand is impossible to fulfil and trust is built on a false understanding of anonymity, the inability to meet this demand risks undermining public trust. Since public concerns about anonymity and privacy of personal data appear to be increasing, a large-scale information campaign about the limits and possibilities of anonymity with respect to the various uses of personal health data is urgently needed to help the public to make better informed choices about providing personal data.

scholarly journals Challenges in Contact Tracing by Mining Mobile Phone Location Data for COVID-19: Implications for Public Governance in South Africa

10.28945/4736 ◽  
2021 ◽  
Vol 16 ◽  
pp. 101-124
Author(s):  
Paul Kariuki ◽  
Lizzy O Ofusori ◽  
Prabhakar Rontala Subramanniam ◽  
Moses Okpeku ◽  
Maria L Goyayi
Keyword(s):  
Public Health ◽  
South Africa ◽  
Mobile Phone ◽  
Contact Tracing ◽  
Future Research ◽  
Public Governance ◽  
The Public ◽  
Location Data ◽  
Pertinent Data ◽  
Privacy And Confidentiality

Aim/Purpose: The paper’s objective is to examine the challenges of using the mobile phone to mine location data for effective contact tracing of symptomatic, pre-symptomatic, and asymptomatic individuals and the implications of this technology for public health governance. Background: The COVID-19 crisis has created an unprecedented need for contact tracing across South Africa, requiring thousands of people to be traced and their details captured in government health databases as part of public health efforts aimed at breaking the chains of transmission. Contact tracing for COVID-19 requires the identification of persons who may have been exposed to the virus and following them up daily for 14 days from the last point of exposure. Mining mobile phone location data can play a critical role in locating people from the time they were identified as contacts to the time they access medical assistance. In this case, it aids data flow to various databases designated for COVID-19 work. Methodology: The researchers conducted a review of the available literature on this subject drawing from academic articles published in peer-reviewed journals, research reports, and other relevant national and international government documents reporting on public health and COVID-19. Document analysis was used as the primary research method, drawing on the case studies. Contribution: Contact tracing remains a critical strategy in curbing the deadly COVID-19 pandemic in South Africa and elsewhere in the world. However, given increasing concern regarding its invasive nature and possible infringement of individual liberties, it is imperative to interrogate the challenges related to its implementation to ensure a balance with public governance. The research findings can thus be used to inform policies and practices associated with contact tracing in South Africa. Findings: The study found that contact tracing using mobile phone location data mining can be used to enforce quarantine measures such as lockdowns aimed at mitigating a public health emergency such as COVID-19. However, the use of technology can expose the public to criminal activities by exposing their locations. From a public governance point of view, any exposure of the public to social ills is highly undesirable. Recommendations for Practitioners: In using contact tracing apps to provide pertinent data location caution needs to be exercised to ensure that sensitive private information is not made public to the extent that it compromises citizens’ safety and security. The study recommends the development and implementation of data use protocols to support the use of this technology, in order to mitigate against infringement of individual privacy and other civil liberties. Recommendation for Researchers: Researchers should explore ways of improving digital applications in order to improve the acceptability of the use of contact tracing technology to manage pandemics such as COVID-19, paying attention to ethical considerations. Impact on Society: Since contact tracing has implications for privacy and confidentiality it must be conducted with caution. This research highlights the challenges that the authorities must address to ensure that the right to privacy and confidentiality is upheld. Future Research: Future research could focus on collecting primary data to provide insight on contact tracing through mining mobile phone location data. Research could also be conducted on how app-based technology can enhance the effectiveness of contact tracing in order to optimize testing and tracing coverage. This has the potential to minimize transmission whilst also minimizing tracing delays. Moreover, it is important to develop contact tracing apps that are universally inter-operable and privacy-preserving.

The UK COVID-19 contact tracing app as both an emerging technology and public health intervention: The need to consider promissory discourses

2021 ◽  
pp. 136345932110607
Author(s):  
Gabrielle Samuel ◽  
Rosie Sims
Keyword(s):  
Public Health ◽  
Rapid Development ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Contact Tracing ◽  
The Public ◽  
Sociology Of Expectations ◽  
Short Period ◽  
The Media ◽  
The Uk

The UK’s National Health Service (NHS) COVID-19 contact tracing app was announced to the British public on 12th April 2020. The UK government endorsed the app as a public health intervention that would improve public health, protect the NHS and ‘save lives’. On 5th May 2020 the technology was released for trial on the Isle of Wight. However, the trial was halted in June 2020, reportedly due to technological issues. The app was later remodelled and launched to the public in September 2020. The rapid development, trial and discontinuation of the app over a short period of a few months meant that the mobilisation and effect of the discourses associated with the app could be traced relatively easily. In this paper we aimed to explore how these discourses were constructed in the media, and their effect on actors – in particular, those who developed and those who trialled the app. Promissory discourses were prevalent, the trajectory of which aligned with theories developed in the sociology of expectations. We describe this trajectory, and then interpret its implications in terms of infectious disease public health practices and responsibilities.

Sri Lanka: Pandemic-Catalyzed Democratic Backsliding

2021 ◽  
pp. 349-362 ◽  
Author(s):  
Bhavani Fonseka ◽  
Luwie Ganeshathasan ◽  
Asanga Welikala
Keyword(s):  
Public Health ◽  
Sri Lanka ◽  
Comparative Politics ◽  
Crisis Response ◽  
Contact Tracing ◽  
The Public ◽  
Comparative Constitutional Law ◽  
Front Line Workers ◽  
Public Health Challenge ◽  
Government Statistics

This chapter investigates Sri Lanka’s response to the Covid-19 pandemic. Covid-19 has posed for Sri Lanka not only a public health challenge and an economic challenge but also, perhaps most seriously, a crisis of constitutional democracy. Although questions have been raised about the accuracy of government statistics, the scale of testing and contact tracing, and failures in providing protective equipment to front-line workers including military personnel, there is broad public approval of the government’s crisis response. However, much more alarming are the clear signs in the government’s response that the public health emergency has provided the impetus for an aggressive executive takeover of the state, steepening the curve of de-democratization. The chapter then describes the aspects of the governmental crisis response that are the cause of worry, and offers an analysis based on a framework drawn from comparative politics and comparative constitutional law as to the agentic, institutional, and causal dimensions of the democratic backslide underway in Sri Lanka. While the pandemic has undoubtedly boosted the process of executive aggrandizement that had already commenced, this catalysis may in fact also shorten the authoritarian cycle, because the accelerated de-democratization is likely to result in executive actions that cross the threshold of public tolerance sooner in what as yet remains a procedural democracy.

scholarly journals To Follow or Not to Follow: Social Norms and Civic Duty during a Pandemic

2020 ◽  
Vol 53 (2) ◽  
pp. 273-278
Author(s):  
Laura French Bourgeois ◽  
Allison Harell ◽  
Laura B. Stephenson
Keyword(s):  
Public Health ◽  
Collective Action ◽  
Social Norms ◽  
Hand Washing ◽  
Elected Officials ◽  
Medical Systems ◽  
Civic Duty ◽  
The Public ◽  
Health Measures ◽  
Physical Isolation

The outbreak of COVID-19 has put substantial pressure on individuals to adapt and change their behaviours. As the hope of a vaccine remains at least a year away, everyone is urged to take action to slow the spread of the virus. Thus, “flattening the curve” has become vital in preventing medical systems from being overrun, and it relies on massive collective action by citizens to follow specific public health measures such as physical distancing, hand washing, and physical isolation for vulnerable individuals. Despite the recommendations, the public has often been confronted with the reality that some individuals are not respecting them, including elected officials (Aguilar, 2020).

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