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1.
Health Policy ; 144: 105073, 2024 Apr 17.
Artículo en Inglés | MEDLINE | ID: mdl-38657315

RESUMEN

BACKGROUND: Digital contact tracing (DCT) aims to improve time-to-isolation (timeliness) and find more potentially exposed individuals (sensitivity) to enhance the utility of contact tracing. The aim of this study was to evaluate the public uptake of a DCT self-service survey and its integration with the Bluetooth exposure notification system within the New Zealand Covid Tracer App (NZCTA). METHODS: We adopted a retrospective cohort study design using community COVID-19 cases from February 2022 to August 2022 in New Zealand (1.2 million cases). We examined the proportion of cases completing a self-service survey and the time to complete the survey by age, sex and ethnicity. RESULTS: Overall, 66 % of cases completed their self-service survey. Completion was influenced by age, sex and ethnicity. The median completion time was 1.8 h (IQR 0.2, 17.2), with 95 % of those completing this survey doing so within 48 h of case identification. Around 13 % of all survey completers also uploaded their Bluetooth data, which resulted in an average of 663 cases per day notifying 4.5 contacts per case. CONCLUSION: The combination of high public uptake and rapid response times suggest self-service DCT could be a useful tool for future outbreaks, particularly if implemented in conjunction with manual processes and other DCT tools (e.g. Bluetooth) to address issues related to performance (sensitivity, timeliness), effectiveness, and health equity.

2.
Soc Sci Humanit Open ; 4(1): 100212, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34642660

RESUMEN

Digital contact tracing has been deployed as a public health intervention to help suppress the spread of Covid-19 in many jurisdictions. However, most governments have struggled with low uptake and participation rates, limiting the effectiveness of the tool. This paper characterises a number of systems developed around the world, comparing the uptake rates for systems with different technology, data architectures, and mandates. The paper then introduces the MAST framework (motivation, access, skills, and trust), adapted from the digital inclusion literature, to explore the drivers and barriers that influence people's decisions to participate or not in digital contact tracing systems. Finally, the paper discusses some suggestions for policymakers on how to influence those drivers and barriers in order to improve uptake rates. Examples from existing digital contact tracing systems are presented throughout, although more empirical experimentation is required to support more concrete conclusions on effective interventions.

3.
Health Res Policy Syst ; 19(1): 40, 2021 Mar 22.
Artículo en Inglés | MEDLINE | ID: mdl-33752689

RESUMEN

BACKGROUND: This paper critically discusses the use and merits of global indices, in particular, the Global Health Security Index (GHSI; Cameron et al. https://www.ghsindex.org/#l-section--map ) in times of an imminent crisis, such as the current pandemic. This index ranked 195 countries according to their expected preparedness in the case of a pandemic or other biological threat. The coronavirus disease 2019 (Covid-19) pandemic provides the background to compare each country's predicted performance from the GHSI with the actual performance. In general, there is an inverted relation between predicted versus actual performance, i.e. the predicted top performers are among those that are the worst hit. Obviously, this reflects poorly on the potential policy uses of this index in imminent crisis management. METHODS: The paper analyses the GHSI and identifies why it may have struggled to predict actual pandemic preparedness as evidenced by the Covid-19 pandemic. The paper also uses two different data sets, one from the Worldmeter on the spread of the Covid-19 pandemics, and the other from the International Network for Government Science Advice (INGSA) Evidence-to-Policy Tracker, to draw comparisons between the actual introduction of pandemic response policies and the corresponding death rate in 29 selected countries. RESULTS: This paper analyses the reasons for the poor match between prediction and reality in the index, and mentions six general observations applying to global indices in this respect. These observations are based on methodological and conceptual analyses. The level of abstraction in these global indices builds uncertainties upon uncertainties and hides implicit value assumptions, which potentially removes them from the policy needs on the ground. CONCLUSIONS: From the analysis, the question is raised if the policy community might have better tools for decision-making in a pandemic. On the basis of data from the INGSA Evidence-to-Policy Tracker, and with backing in studies from social psychology and philosophy of science, some simple heuristics are suggested, which may be more useful than a global index.


Asunto(s)
COVID-19 , Toma de Decisiones , Planificación en Desastres , Salud Global , Política de Salud , Pandemias , Formulación de Políticas , Personal Administrativo , Predicción , Humanos , SARS-CoV-2 , Valores Sociales , Confianza , Incertidumbre
4.
J Imaging ; 6(5)2020 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-34460729

RESUMEN

Knowing who is where is a common task for many computer vision applications. Most of the literature focuses on one of two approaches: determining who a detected person is (appearance-based re-identification) and collating positions into a list, or determining the motion of a person (spatio-temporal-based tracking) and assigning identity labels based on tracks formed. This paper presents a model fusion approach, aiming towards combining both sources of information together in order to increase the accuracy of determining identity classes for detected people using re-ranking. First, a Sequential k-Means re-identification approach is presented, followed by a Kalman filter-based spatio-temporal tracking approach. A linear weighting approach is used to fuse the outputs from these models together, with modification of the weights using a decay function and a rule-based system to reflect the strengths and weaknesses of the models under different conditions. Preliminary experimental results with two different person detection algorithms on an indoor person tracking dataset show that fusing the appearance and spatio-temporal models significantly increases the overall accuracy of the classification operation.

5.
Sensors (Basel) ; 18(2)2018 Feb 14.
Artículo en Inglés | MEDLINE | ID: mdl-29443906

RESUMEN

Location-aware services are one of the key elements of modern intelligent applications. Numerous real-world applications such as factory automation, indoor delivery, and even search and rescue scenarios require autonomous robots to have the ability to navigate in an unknown environment and reach mobile targets with minimal or no prior infrastructure deployment. This research investigates and proposes a novel approach of dynamic target localisation using a single RF emitter, which will be used as the basis of allowing autonomous robots to navigate towards and reach a target. Through the use of multiple directional antennae, Received Signal Strength (RSS) is compared to determine the most probable direction of the targeted emitter, which is combined with the distance estimates to improve the localisation performance. The accuracy of the position estimate is further improved using a particle filter to mitigate the fluctuating nature of real-time RSS data. Based on the direction information, a motion control algorithm is proposed, using Simultaneous Localisation and Mapping (SLAM) and A* path planning to enable navigation through unknown complex environments. A number of navigation scenarios were developed in the context of factory automation applications to demonstrate and evaluate the functionality and performance of the proposed system.


Asunto(s)
Robótica , Algoritmos , Sistemas de Computación , Movimiento (Física)
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