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Individual level analysis of digital proximity tracing for COVID-19 in Belgium highlights major bottlenecks
Caspar Geenen
Joren Raymenants
Sarah Gorissen
Jonathan Thibaut
Jodie McVernon
Natalie Lorent
Emmanuel André
Acceso Abierto
Atribución-NoComercial-SinDerivadas
https://doi.org/10.1101/2023.08.11.23293971
https://www.medrxiv.org/content/10.1101/2023.08.11.23293971v1
To complement labour-intensive conventional contact tracing, digital proximity tracing was implemented widely during the COVID-19 pandemic. However, the privacy-centred design of the dominant Google-Apple exposure notification framework has hindered assessment of its effectiveness. Between October 2021 and January 2022, we systematically collected app use and notification receipt data within a test and trace programme for university students in Leuven, Belgium. Due to low success rates in each studied step of the digital notification cascade, only 4.3% of exposed contacts (CI: 2.8-6.1%) received such notifications, resulting in 10 times more cases detected through conventional contact tracing. Moreover, the infection risk of digitally traced contacts (5.0%; CI: 3.0-7.7%) was lower than that of conventionally traced non-app users (9.8%; CI: 8.8-10.7%; p=0.002). Contrary to common perception as near instantaneous, there was a 1.2-day delay (CI: 0.6-2.2) between case PCR result and digital contact notifications. These results highlight major limitations of the dominant digital proximity tracing framework.
bioRxiv
15-08-2023
Preimpreso
Inglés
Público en general
VIRUS RESPIRATORIOS
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