Anatomy of digital contact tracing: role of age, transmission setting, adoption and case detection

Jesús A. Moreno López, Beatriz Arregui García, P. Bentkowski, L. Bioglio, F. Pinotti, P. Böelle, A. Barrat, V. Colizza, C. Poletto

medRxiv, 2020

The efficacy of digital contact tracing against COVID-19 epidemic is debated: smartphone penetration is limited in many countries, non-uniform across age groups, with low coverage among elderly, the most vulnerable to SARS-CoV-2. We developed an agent-based model to precise the impact of digital contact tracing and household isolation on COVID-19 transmission. The model, calibrated on French population, integrates demographic, contact-survey and epidemiological information to describe the risk factors for exposure and transmission of COVID-19. We explored realistic levels of case detection, app adoption, population immunity and transmissibility. Assuming a reproductive ratio R=2.6 and 50% detection of clinical cases, a ~20% app adoption reduces peak incidence of ~36%. With R=1.7, >30% app adoption lowers the epidemic to manageable levels. Higher coverage among adults, playing a central role in COVID-19 transmission, yields an indirect benefit for elderly. These results may inform the inclusion of digital contact tracing within a COVID-19 response plan.

Cited by 18 publications.

Field of study: Medicine

10.1101/2020.07.22.20158352