Contact Tracing COVID-19 Infections via Smartphone Apps
Google and Apple have announced a joint project to create a privacy-preserving COVID-19 contact tracing app. (Details, such as we have them, are here.) It's similar to the app being developed at MIT, and similar to others being described and developed elsewhere. It's nice seeing the privacy protections; they're well thought out.
I was going to write a long essay about the security and privacy concerns, but Ross Anderson beat me to it. (Note that some of his comments are UK-specific.)
First, it isn't anonymous. Covid-19 is a notifiable disease so a doctor who diagnoses you must inform the public health authorities, and if they have the bandwidth they call you and ask who you've been in contact with. They then call your contacts in turn. It's not about consent or anonymity, so much as being persuasive and having a good bedside manner.
I'm relaxed about doing all this under emergency public-health powers, since this will make it harder for intrusive systems to persist after the pandemic than if they have some privacy theater that can be used to argue that the whizzy new medi-panopticon is legal enough to be kept running.
Second, contact tracers have access to all sorts of other data such as public transport ticketing and credit-card records. This is how a contact tracer in Singapore is able to phone you and tell you that the taxi driver who took you yesterday from Orchard Road to Raffles has reported sick, so please put on a mask right now and go straight home. This must be controlled; Taiwan lets public-health staff access such material in emergencies only.
Third, you can't wait for diagnoses. In the UK, you only get a test if you're a VIP or if you get admitted to hospital. Even so the results take 1-3 days to come back. While the VIPs share their status on twitter or facebook, the other diagnosed patients are often too sick to operate their phones.
Fourth, the public health authorities need geographical data for purposes other than contact tracing - such as to tell the army where to build more field hospitals, and to plan shipments of scarce personal protective equipment. There are already apps that do symptom tracking but more would be better. So the UK app will ask for the first three characters of your postcode, which is about enough to locate which hospital you'd end up in.
Fifth, although the cryptographers - and now Google and Apple - are discussing more anonymous variants of the Singapore app, that’s not the problem. Anyone who's worked on abuse will instantly realise that a voluntary app operated by anonymous actors is wide open to trolling. The performance art people will tie a phone to a dog and let it run around the park; the Russians will use the app to run service-denial attacks and spread panic; and little Johnny will self-report symptoms to get the whole school sent home.
To me, the real problems aren't around privacy and security. The efficacy of any app-based contact tracing is still unproven. A "contact" from the point of view of an app isn't the same as an epidemiological contact. And the ratio of infections to contacts is high. We would have to deal with the false positives (being close to someone else, but separated by a partition or other barrier) and the false negatives (not being close to someone else, but contracting the disease through a mutually touched object). And without cheap, fast, and accurate testing, the information from any of these apps isn't very useful. So I agree with Ross that this is primarily an exercise in that false syllogism: Something must be done. This is something. Therefore, we must do it. It's techies proposing tech solutions to what is primarily a social problem.
EDITED TO ADD: Susan Landau on contact tracing apps and how they're being oversold. And Farzad Mostashari, former coordinator for health IT at the Department of Health and Human Services, on contact tracing apps.
As long as 1) every contact does not result in an infection, and 2) a large percentage of people with the disease are asymptomatic and don't realize they have it, I can't see how this sort of app is valuable. If we had cheap, fast, and accurate testing for everyone on demand...maybe. But I still don't think so.
EDITED TO ADD (4/15): More details from Apple and Google.
EDITED TO ADD (4/19): Apple and Google have strengthened the security and privacy of their system.
Posted on April 13, 2020 at 6:48 AM • 65 Comments