Digital contact tracing protocols typically have two major responsibilities: encounter logging and infection reporting. Exposure Notification only involves encounter logging which is a decentralized architecture. The majority of infection reporting is centralized in individual app implementations.
The sender's daily encryption keys are generated using a random number generator. Devices record received messages, retaining them locally for 14 days. If a user tests positive for infection, the last 14 days of their daily encryption keys can be uploaded to a central server, where it is then broadcast to all devices on the network. The method through which daily encryption keys are transmitted to the central server and broadcast is defined by individual app developers. The Google-developed reference implementation calls for a health official to request a one-time verification code (VC) from a verification server, which the user enters into the encounter logging app. This causes the app to obtain a cryptographically signed certificate, which is used to authorize the submission of keys to the central reporting server.
The received keys are then provided to the protocol, where each client individually searches for matches in their local encounter history. If a match meeting certain risk parameters is found, the app notifies the user of potential exposure to the infection. Google and Apple intend to use the received signal strength (RSSI) of the beacon messages as a source to infer proximity. RSSI and other signal metadata will also be encrypted to resist deanonymization attacks.
Once a registered health authority has confirmed the infection of a user, the user's Daily Tracing Key for the past 14 days is uploaded to the central reporting server. Clients then download this report and individually recalculate every Rolling Proximity Identifier used in the report period, matching it against the user's local encounter log. If a matching entry is found, then contact has been established and the app presents a notification to the user warning them of potential infection.
Once a registered health authority has confirmed the infection of a user, the user's Temporary Exposure Keys
t
e
k
i
{\displaystyle tek_{i}}
and their respective interval numbers
i
{\displaystyle i}
for the past 14 days are uploaded to the central reporting server. Clients then download this report and individually recalculate every Rolling Proximity Identifier starting from interval number
i
{\displaystyle i}
, matching it against the user's local encounter log. If a matching entry is found, then contact has been established and the app presents a notification to the user warning them of potential infection.
Version 1.2 of the protocol is identical to version 1.1, only introducing minor terminology changes.
Exposure Notification apps may only be released by public health authorities. To discourage fragmentation, each country will typically be restricted to one app, although Apple and Google stated that they would accommodate regionalized approaches if a country elects to do so. Apple and Google released reference implementations for apps utilizing the system, which can be used as a base.
On September 1, 2020, the consortium announced "Exposure Notifications Express" (EN Express), a system designed to ease adoption of the protocol by health authorities by removing the need to develop an app themselves. Under this system, a health authority provides parameters specific to their implementation (such as thresholds, branding, messaging, and key servers), which is then processed to generate the required functionality. On Android, this data is used to generate an app, and a configuration profile that can also be deployed to users via Google Play Services without a dedicated app. On iOS, the functionality is integrated directly at the system level on iOS 13.7 and newer without a dedicated app.
The last information update on the “Exposure Notification Systems” partnership was a year end review issued by Google in December 2020: "we plan to keep you updated here with new information again next year". Nothing has however been issued on the one year anniversary of the launch of the “Exposure Notification Interface” API in spite of important changes on the pandemic front such as vaccination, variants, digital health passports, app adoption challenges as well as growing interest for tracking QR codes (and notifying from that basis) on a mostly airborne transmitted virus.[original research?] The Frequently Asked Questions (FAQ) published document has not been revised since May 2020. Basic support remains provided through the apps store released by authorized public health agencies, including enforcement of the personal privacy protection framework as demonstrated on the UK NHS challenge in support of their contact tracers.
In June 2021, Google faced allegations that it had automatically downloaded Massachusetts' "MassNotify" app to Android devices without user consent. Google clarified that it had not actually downloaded the app to user devices, and that Google Play Services was being used to deploy an EN Express configuration profile that would allow it to be enabled via the Google Settings app without needing to download a separate app.
As of May 21, at least 22 countries had received access to the protocol. Switzerland and Austria were among the first to back the protocol. On April 26, after initially backing PEPP-PT, Germany announced it would back Exposure Notification, followed shortly after by Ireland and Italy. Despite already adopting the centralised BlueTrace protocol, Australia's Department of Health and Digital Transformation Agency were investigating whether the protocol could be implemented to overcome limitations of its COVIDSafe app. On May 25, Switzerland became the first country to launch an app leveraging the protocol, SwissCovid, beginning with a small pilot group.
In August 2020, Google stated that at least 20 U.S. states had expressed interest in using the protocol. In Alabama, the Alabama Department of Public Health, University of Alabama at Birmingham, and the University of Alabama System deployed the "GuideSafe" app for university students returning to campus, which includes Exposure Notification features. On August 5, the Virginia Department of Health released its "COVIDWise" app — making it the first U.S. state to release an Exposure Notification-based app for the general public. North Dakota and Wyoming released an EN app known as "Care19 Alert", developed by ProudCrowd and using the APHL server (the app is a spin-off from an existing location logging application it had developed, based on one it had developed primarily for use by students travelling to attend college football away games).
Maryland, Nevada, Virginia, and Washington, D.C. have announced plans to use EN Express. In September, Delaware, New Jersey, New York, and Pennsylvania all adopted "COVID Alert" apps developed by NearForm, which are based on its COVID Tracker Ireland app. Later that month, the Norwegian Institute of Public Health announced that it would lead development of an Exposure Notification-based app for the country, which replaces a centralized app that had ceased operations in June 2020 after the Norwegian Data Protection Authority ruled that it violated privacy laws.
In Nov 2020, Bermuda launched the Wehealth Bermuda app developed by Wehealth, a Public Benefit Corporation, which was based on the Covid Watch app released in Arizona.
Some countries, such as France, have pursued centralized approaches to digital contact tracing, in order to maintain records of personal information that can be used to assist in investigating cases. The French government asked Apple in April 2020 to allow apps to perform Bluetooth operations in the background, which would allow the government to create its own system independent of Exposure Notification.
On August 9, the Canadian province of Alberta announced plans to migrate to the EN-based COVID Alert from its BlueTrace-based ABTraceTogether app. This did not occur, and on November 6 Premier of Alberta Jason Kenney announced that the province would not do so, arguing that ABTraceTogether was "from our view, simply a better and more effective public health tool", and that they would be required to phase out ABTraceTogether if they did switch. British Columbia has also declined to adopt COVID Alert, with provincial health officer Bonnie Henry stating that COVID Alert was too "non-specific".
In the United States, states such as California and Massachusetts declined to use the technology, opting for manual contact tracing. California later reversed course and adopted the system in December 2020.
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Nebeker, C.; Kareem, D.; Yong, A.; Kunowski, R.; Malekinejad, M.; Aronoff-Spencer, E. (2023). "Digital exposure notification tools: A global landscape analysis". PLOS Digital Health. 2 (9): e0000287. doi:10.1371/journal.pdig.0000287. PMC 10473497. PMID 37656671. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473497
The system is referred to as Exposure Notification or ExposureNotification by Apple,[4][5] and Exposure Notifications or the Exposure Notifications System (ENS) by Google.[6][7] It was originally announced as the Privacy-Preserving Contact Tracing Project.[8][9] /wiki/Apple_Inc.
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