A methodology for evaluating digital contact tracing apps based on the COVID-19 experience.

Controlling the spreading of infectious diseases has been shown crucial in the COVID-19 pandemic. Traditional contact tracing is used to detect newly infected individuals by tracing their previous contacts, and by selectively checking and isolating any individuals likely to have been infected. Digital contact tracing with the utilisation of smartphones was contrived as a technological aid to improve this manual, slow and tedious process. Nevertheless, despite the high hopes raised when smartphone-based contact tracing apps were introduced as a measure to reduce the spread of the COVID-19, their efficiency has been moderately low. In this paper, we propose a methodology for evaluating digital contact tracing apps, based on an epidemic model, which will be used not only to evaluate the deployed Apps against the COVID-19 but also to determine how they can be improved for future pandemics. Firstly, the model confirms the moderate effectiveness of the deployed digital contact tracing, confirming the fact that it could not be used as the unique measure to fight against the COVID-19, and had to be combined with additional measures. Secondly, several improvements are proposed (and evaluated) to increase the efficiency of digital control tracing to become a more useful tool in the future.

COVIDSensing: Social Sensing Strategy for the Management of the COVID-19 Crisis

The management of the COVID-19 pandemic has been shown to be critical for reducing its dramatic effects. Social sensing can analyse user-contributed data posted daily in social-media services, where participants are seen as Social Sensors. Individually, social sensors may provide noisy information. However, collectively, such opinion holders constitute a large critical mass dispersed everywhere and with an immediate capacity for information transfer. The main goal of this article is to present a novel methodological tool based on social sensing, called COVIDSensing. In particular, this application serves to provide actionable information in real time for the management of the socio-economic and health crisis caused by COVID-19. This tool dynamically identifies socio-economic problems of general interest through the analysis of people’s opinions on social networks. Moreover, it tracks and predicts the evolution of the COVID-19 pandemic based on epidemiological figures together with the social perceptions towards the disease. This article presents the case study of Spain to illustrate the tool.

Contextual contact tracing based on stochastic compartment modeling and spatial risk assessment.

The current situation of COVID-19 highlights the paramount importance of infectious disease surveillance, which necessitates early monitoring for effective response. Policymakers are interested in data insights identifying high-risk areas as well as individuals to be quarantined, especially as the public gets back to their normal routine. We investigate both requirements by the implementation of disease outbreak modeling and exploring its induced dynamic spatial risk in form of risk assessment, along with its real-time integration back into the disease model. This paper implements a contact tracing-based stochastic compartment model as a baseline, to further modify the existing setup to include the spatial risk. This modification of each individual-level contact's intensity to be dependent on its spatial location has been termed as Contextual Contact Tracing. The results highlight that the inclusion of spatial context tends to send more individuals into quarantine which reduces the overall spread of infection. With a simulated example of an induced spatial high-risk, it is highlighted that the new spatio-SIR model can act as a tool to empower the analyst with a capability to explore disease dynamics from a spatial perspective. We conclude that the proposed spatio-SIR tool can be of great help for policymakers to know the consequences of their decision prior to their implementation.

Improving prediction of COVID-19 evolution by fusing epidemiological and mobility data.

We are witnessing the dramatic consequences of the COVID-19 pandemic which, unfortunately, go beyond the impact on the health system. Until herd immunity is achieved with vaccines, the only available mechanisms for controlling the pandemic are quarantines, perimeter closures and social distancing with the aim of reducing mobility. Governments only apply these measures for a reduced period, since they involve the closure of economic activities such as tourism, cultural activities, or nightlife. The main criterion for establishing these measures and planning socioeconomic subsidies is the evolution of infections. However, the collapse of the health system and the unpredictability of human behavior, among others, make it difficult to predict this evolution in the short to medium term. This article evaluates different models for the early prediction of the evolution of the COVID-19 pandemic to create a decision support system for policy-makers. We consider a wide branch of models including artificial neural networks such as LSTM and GRU and statistically based models such as autoregressive (AR) or ARIMA. Moreover, several consensus strategies to ensemble all models into one system are proposed to obtain better results in this uncertain environment. Finally, a multivariate model that includes mobility data provided by Google is proposed to better forecast trend changes in the 14-day CI. A real case study in Spain is evaluated, providing very accurate results for the prediction of 14-day CI in scenarios with and without trend changes, reaching 0.93 [Formula: see text], 4.16 RMSE and 1.08 MAE.

Evaluating How Smartphone Contact Tracing Technology Can Reduce the Spread of Infectious Diseases: The Case of COVID-19.

Detecting and controlling the diffusion of infectious diseases such as COVID-19 is crucial to managing epidemics. One common measure taken to contain or reduce diffusion is to detect infected individuals and trace their prior contacts so as to then selectively isolate any individuals likely to have been infected. These prior contacts can be traced using mobile devices such as smartphones or smartwatches, which can continuously collect the location and contacts of their owners by using their embedded localisation and communications technologies, such as GPS, Cellular networks, Wi-Fi, and Bluetooth. This paper evaluates the effectiveness of these technologies and determines the impact of contact tracing precision on the spread and control of infectious diseases. To this end, we have created an epidemic model that we used to evaluate the efficiency and cost (number of people quarantined) of the measures to be taken, depending on the smartphone contact tracing technologies used. Our results show that in order to be effective for the COVID-19 disease, the contact tracing technology must be precise, contacts must be traced quickly, and a significant percentage of the population must use the smartphone contact tracing application. These strict requirements make smartphone-based contact tracing rather ineffective at containing the spread of the infection during the first outbreak of the virus. However, considering a second wave, where a portion of the population will have gained immunity, or in combination with some other more lenient measures, smartphone-based contact tracing could be extremely useful.

How Human Mobility Models Can Help to Deal with COVID-19

One of the key factors for the spreading of human infections, such as the COVID-19, is human mobility. There is a huge background of human mobility models developed with the aim of evaluating the performance of mobile computer networks, such as cellular networks, opportunistic networks, etc. In this paper, we propose the use of these models for evaluating the temporal and spatial risk of transmission of the COVID-19 disease. First, we study both pure synthetic model and simulated models based on pedestrian simulators, generated for real urban scenarios such as a square and a subway station. In order to evaluate the risk, two different risks of exposure are defined. The results show that we can obtain not only the temporal risk but also a heat map with the exposure risk in the evaluated scenario. This is particularly interesting for public spaces, where health authorities could make effective risk management plans to reduce the risk of transmission.

Evaluating the Effectiveness of COVID-19 Bluetooth-Based Smartphone Contact Tracing Applications

One of the strategies to control the spread of infectious diseases is based on the use of specialized applications for smartphones. These apps offer the possibility, once individuals are detected to be infected, to trace their previous contacts in order to test and detect new possibly-infected individuals. This paper evaluates the effectiveness of recently developed contact tracing smartphone applications for COVID-19 that rely on Bluetooth to detect contacts. We study how these applications work in order to model the main aspects that can affect their performance: precision, utilization, tracing speed and implementation model (centralized vs. decentralized). Then, we propose an epidemic model to evaluate their efficiency in terms of controlling future outbreaks and the effort required (e.g., individuals quarantined). Our results show that smartphone contact tracing can only be effective when combined with other mild measures that can slightly reduce the reproductive number R0 (for example, social distancing). Furthermore, we have found that a centralized model is much more effective, requiring an application utilization percentage of about 50% to control an outbreak. On the contrary, a decentralized model would require a higher utilization to be effective.