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War Against Coronavirus: How can Smartphones Be Helpful?

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In Europe, officials, doctors and engineers are looking at how smartphones could be enlisted in the war against the spread of the new coronavirus. One obvious attraction for health officials is the possibility of using smartphones to find out with whom someone diagnosed with COVID-19 has been in contact. But can this be done without intrusive surveillance and access to our devices that store a wealth of private information? Firms can “anonymise” location data received from your smartphone by stripping out personal identifiers. It can then be presented in an “aggregate” form where individual and identifiable data points are not accessable. Your location data is already likely being used that way by mobile operators to feed traffic information to map apps. And it is such information that the European Commission has requested from mobile operators, which can determine the location of users by measuring the phone signal strength from more than one network tower.

In fact, mobile operators have already been providing such data to health researchers in both France and Germany. Google, which collects large amounts of data from users of its myriad services, plans to publish information about the movement of people to allow governments to gauge the effectiveness of social distancing measures.

In particular, it will display percentage point increases and decreases in visits to such locations as parks, shops, and workplaces. Anonymised and aggregated only get you so far. To get practical data like the people with whom an infected person has had contact, you need to get invasive. Or do you? Singapore pioneered a method using Bluetooth. This is the technology that allows people to connect wireless headphones or earbuds to their smartphones. If you’ve ever connected a pair to your phone in a public place you’ll probably have noticed the devices of others nearby.

It is this feature of Bluetooth that the Singaporean app TraceTogether exploits. Someone who has downloaded the app and kept their Bluetooth enabled will begin to register codes from all people who have the app on their phone and come within range. Germany is looking at rolling out a similar system. The Singaporean app is designed to reduce privacy concerns. For one, the app is voluntary.

Another is that it doesn’t track your location, rather it just collects codes from the phones of people with whom you come into relatively close contact. That information is only uploaded to the operator of the app when a person declares himself or herself as having come down with COVID-19.

The TraceTogether app then matches up the codes (non-identifiable except to the operator of the system) with the telephone number of owners, and then messages them they had been in contact with someone who has been diagnosed with COVID-19.

The other means to get practical information is to utilise the location data of phone users. This is the method chosen by Israel, which put internal security agency Shin Bet in charge of obtaining the data from mobile phone operators. It also gets access to data on the movement of people for a two week period to help track down people exposed to the coronavirus.

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The Nipah virus is considered one of the deadliest zoonotic infections globally, not because it spreads rapidly like influenza or COVID-19, but because of its extremely high fatality rate, rapid progression, and severe brain involvement. Medical experts warn that once symptoms escalate, the disease can turn fatal within days. According to available data, the case fatality rate of Nipah virus ranges between 50 and 75 per cent, placing it among the most lethal viral infections known to humans. In this explainer, Dr Dip Narayan Mukherjee, Consultant – Microbiology and Infectious Diseases, CK Birla Hospitals, CMRI, sheds light on why the virus is so dangerous and difficult to control. Why Is the Nipah Virus So Deadly? According to Dr Mukherjee, Nipah’s lethality lies in a combination of delayed symptom recognition, aggressive disease progression, and early involvement of the brain. “Nipah virus often begins with very non-specific symptoms, which makes early detection difficult. By the time it is clinically suspected, the virus may have already affected the brain,” he explains. Early Symptoms Often Go Unnoticed One of the biggest challenges in controlling Nipah virus is that its initial symptoms closely resemble common viral illnesses, leading to delays in diagnosis and isolation. Early symptoms include: Fever Headache Cough Muscle pain General weakness “These symptoms are easily mistaken for flu, viral fever, or respiratory infections,” says Dr Mukherjee. “This delay gives the virus time to progress silently.” Severe Brain Infection Drives High Mortality The most dangerous aspect of Nipah virus infection is its neurological involvement. The virus frequently causes encephalitis, or inflammation of the brain, which significantly increases the risk of death. Neurological symptoms may include: Seizures Confusion and altered consciousness Extreme drowsiness Coma “Once the central nervous system is involved, the disease becomes very difficult to manage,” Dr Mukherjee notes. “At this stage, treatment is largely supportive because there is no specific antiviral therapy available.” This lack of targeted treatment options makes early detection critical. Human-to-Human Transmission Raises Risk While Nipah virus is primarily transmitted from fruit bats, it can also spread from person to person, particularly in healthcare settings. Dr Mukherjee points out that: Caregivers and healthcare workers are at higher risk Exposure to high viral loads can worsen outcomes Inadequate infection control increases transmission risk “Strict adherence to infection control practices is essential. Even a small lapse can result in secondary infections,” he says. Zoonotic Nature Makes Exposure Hard to Predict Nipah virus is transmitted from fruit bats, either directly or through intermediate hosts such as pigs. This zoonotic pattern makes outbreaks unpredictable, especially in regions where humans, animals, and wildlife interact closely. Adding to the challenge: There is no approved vaccine Treatment options remain limited Isolation protocols must be strictly enforced What Can Reduce Nipah Fatalities? According to experts, early action remains the most effective defence against Nipah virus. Key measures include: Early isolation of suspected cases Strict use of personal protective equipment (PPE) Rapid escalation and referral to specialised centres Strong hospital infection control protocols “The earlier the virus is identified and contained, the better the chances of preventing severe disease and fatalities,” Dr Mukherjee emphasises. The Bottom Line Nipah virus continues to be a serious public health threat because of its high fatality rate, neurological complications, and lack of targeted treatment. Its ability to masquerade as a mild illness in the early stages makes vigilance crucial. Health experts stress that awareness, early suspicion, and strict infection control are currently the most powerful tools to reduce deaths linked to this deadly virus. As Dr Mukherjee concludes, “With Nipah, time is the most critical factor. Early recognition can save lives.”
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