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Bluetooth Smartphone Apps: Are they the most private and effective solution for COVID-19 contact tracing?

Many digital solutions mainly involving Bluetooth technology are being proposed for Contact Tracing Apps (CTA) to reduce the spread of COVID-19. Concerns have been raised regarding privacy, consent, uptake required in a given population, and the degree to which use of CTAs can impact individual behaviours. However, very few groups have taken a holistic approach and presented a combined solution. None has presented their CTA in such a way as to ensure that even the most suggestible member of our community does not become complacent and assume that CTA operates as an invisible shield, making us and our families impenetrable or immune to the disease. We propose to build on some of the digital solutions already under development that, with addition of a Bayesian model that predicts likelihood for infection supplemented by traditional symptom and contact tracing, that can enable us to reach 90% of a population. When combined with an effective communication strategy and social distancing, we believe solutions like the one proposed here can have a very beneficial effect on containing the spread of this pandemic.