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COVID-19: Are digital contact tracing apps worth the privacy trade-off? – CTV News

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TORONTO —
As governments around the world turn to technology for solutions on slowing the spread of the novel coronavirus, privacy experts are left asking another question: Are digital contact tracing efforts worth the privacy trade-off?

These apps, which use cellphone data to monitor people’s movements and warn them of any contact with COVID-19-positive patients, require users to opt-in and voluntarily disclose their health data.

Although experts say the developers of these apps may have admirable intentions, they say digital contact tracing has significant limitations from both an efficacy and privacy standpoint, and shed light on the risk of additional surveillance.

“After 9/11, we saw the rapid expansion of surveillance in response to a national crisis, and it quickly dawned on me that this could be a similar scenario,” Samuel Woodhams, digital rights activist at U.K. firm Top10VPN, told CTVNews.ca by phone.

“It’s something that I think that we need to be wary of, because otherwise there is a real danger that these things will be implemented and never repealed, and we’ll be living in a very, very different sort of society after this all, hopefully, comes to an end.”

Woodhams has been tracking the global rollout of these apps since mid-March in an effort to shed light on initiatives that could threaten digital rights.

Of the 53 contact tracing apps available globally, Woodhams’ data shows that 25 per cent have no privacy policies and 57 per cent use GPS technology over Bluetooth, allowing a greater risk for users to be tracked physically on a map.

Last week, Alberta became the first province to launch a voluntary contact tracing app, which uses the privacy preferred Bluetooth technology to track users. New Brunswick, Manitoba, Newfoundland and Labrador, and Saskatchewan are also looking at or planning on releasing similar initiatives.

These apps have been in use in other countries, including Singapore and Australia, since March.

But it remains unclear just how useful these apps are when it comes to reducing the spread of COVID-19.

Some allow users to self-diagnose their symptoms, while others rely on users to voluntarily report whether or not they have tested positive for the virus, raising questions of reliability.

But Woodhams notes that no matter how privacy focused these apps may be, they will not be a silver bullet.

“They are not going to solve the issue at hand, which is which is often missed,” he said.

When asked about the risk to Canadians’ privacy, Prime Minister Justin Trudeau said finding a balance between privacy protections and data gathering will be “extremely important.”

“We have a number of proposals and companies working on different models that might be applicable to Canada. But as we move forward on taking decisions, we’re going to keep in mind that Canadians, put a very high value on their privacy, on their data security,” he said during a press briefing last week.

“We need to make sure we respect that, even in a time of emergency measures and significant difficulty and crisis. We’re going to get that balance right.”

UNDERESTIMATING SURVEILLANCE CAPABILITIES IN DEMOCRACIES

But apps aren’t the only area of concern when it comes to the COVID-19 pandemic.

“A lot of what this pandemic has done is shown us the kind of surveillance capabilities that a lot of democratic countries have had for a very long time,” Woodhams said.

“It’s just that they’re now being implemented in a way that a lot of people will find acceptable.”

During the early stages of the COVID-19 outbreak in Wuhan, China, Woodhams notes that North American media outlets were quick to report on the “dystopian” surveillance measures being taken to enforce lockdowns in the region, such as drones equipped with loudspeakers that patrolled the streets.

In the months that followed, as the virus spread rapidly throughout the world, Spain, Italy and even the U.K. took similar measures with police services deploying drones to monitor the streets.

“We were seeing a lot of reports about China’s approach to the virus and a lot of the reporting was essentially using this as a means of exploring China’s surveillance state,” he explained.

“I think that a lot of the time we really do underestimate the technological capabilities within democracies to surveil their own citizens.”

He notes that contact tracing apps, if voluntary, may eventually fade into obscurity when the virus starts to dissipate. But companies are already seeking to profit off of what Woodhams describes as a “surveillance creep” brought on by the pandemic.

“There is this general push of surveillance creep that I think that we need to be very on top of and document,” he said.

“Because as much as we can get bogged down with the specifics about which app may be better than another, this is a general trend in which surveillance companies are having a field day — and they’re going to try to make as much money out of this as they possibly can.” 

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Canada to donate up to 200,000 vaccine doses to combat mpox outbreaks in Africa

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The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.

It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.

Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”

Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.

Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.

A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.

On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.

Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”

But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”

“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.

Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.

Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.

Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.

“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.

“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”

This report by The Canadian Press was first published Sept. 13, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

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