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May 29, 2020


Digital Contact Tracing Technology: Overview and

Considerations for Implementation


Contact tracing is a public health measure used to control
disease spread. Trained public health workers assist patients
with an infectious disease recall their close contacts within
a given timeframe, notify them of potential exposure, and
provide advice to patients and contacts. Given the scale of
the COVID-19 pandemic, some public health authorities are
automating part of the tracing process with smartphone
applications (apps). Some apps take advantage of Bluetooth
signals to track individuals proximity to one another,
otherwise known as digital exposure notification (DEN)
Bluetooth allows short-range wireless communications
between electronic devices. Apps may also be used by
public health authorities to enable digital contact tracing
(DCT), which may also use location data.



In response to the COVID-19 pandemic, several countries
have developed nationwide apps to support contact tracing
among their citizens. Singapore developed and adopted
both the BlueTrace protocol and TraceTogether app.
Although the app is used only in Singapore, its Government
Technology Agency has made the BlueTrace protocol
available to other countries; Australia has adopted the
protocol for its app. South Korea, Bulgaria, Iceland,
Germany, and France are among the countries that have
released or are developing nationwide apps.
The United States has taken a decentralized approach, with
states engaging the private sector to develop tracing tools.
North Dakota, South Dakota, and Utah have independently
deployed DCT apps using both location data and Bluetooth
signals. Companies such as PricewaterhouseCoopers and
Salesforce are developing apps to allow corporate clients to
track the proximity of their employees within an office or
on a campus. In both contexts, if a citizen or employee tests
positive for COVID-19, other individuals who may be at
risk can be identified and contacted. The possibility of
widespread, and perhaps mandatory, monitoring, whether
by the public or private sector, has drawn scrutiny from
privacy advocates.


On April 10, 2020, Apple and Google, which develop the
iOS and Android mobile phone operating systems,
respectively, announced a partnership to develop a protocol
to support the development of digital exposure notification
apps that use a smartphone's Bluetooth signal. The protocol
will work on both operating systems, which account for
nearly the entire share of the U.S. mobile phone market. It
was released to developers on May 20, 2020. Figure 1
illustrates how apps built using the Apple-Google protocol
are planned to work.


Figure I. Apple-Google Digital Exposure Notification
Using Bluetooth


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Source: https:f/blog.google/documents/57/Overview of COVID-
19_ContactTracing_Using_BLE.pdf.
In the United States, users must download and opt in to an
appropriate state or regional tracing app as well as opt in to


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