An evaluation of the COVID-19 self-service digital contact tracing system in New Zealand

ElsevierVolume 144, June 2024, 105073Health PolicyAuthor links open overlay panel, , , Highlights•

Completion rates of a self-service contact tracing survey was 66 %.

The median time to complete the survey was 1.8 h from case notification.

Each day, an average of 660 cases were notifying 4.5 contacts per case via bluetooth.

Self-service digital contact tracing could be a useful tool for future outbreaks.

AbstractBackground

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.

Keywords

Covid-19

Digital contact tracing

Bluetooth

Survey

Contact tracing

© 2024 The Author(s). Published by Elsevier B.V.

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